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Community Transformation Grant (CTG) Program Fact Sheet

Investments in Community Health: Community Transformation Grant Program

The Centers for Disease Control and Prevention (CDC) continues its long-standing dedication to improving the health and wellness of all Americans through the Community Transformation Grant (CTG) Program. CTG is funded by the Affordable Care Act’s Prevention and Public Health Fund. CDC supports and enables awardees to design and implement community-level programs that prevent chronic diseases such as cancer, diabetes, and heart disease.

The CTG program is expected to improve the health of more than 4 out of 10 U.S. citizens—about 130 million Americans.

Chronic Disease in the United States

The chronic disease burden in the United States is substantial and growing at a significant pace. More than half of American adults have at least one chronic disease. These diseases lead to lost productivity, reduced quality of life, and premature death.

In the United States, 7 out of 10 deaths are caused by chronic diseases each year, which contribute to roughly three quarters of the $2.5 trillion spent annually on health care. Seventy-five cents of every dollar spent on medical costs in this country is being used to treat chronic diseases and associated risk factors.

Focusing on Priorities for Healthier Living

CTG is working to create healthier communities by making healthy living easier and more affordable where people work, live, learn, and play. Awardees are improving health and wellness with strategies that focus on areas such as—

  • Tobacco-free living.
  • Active living and healthy eating.
  • Clinical and community preventive services to prevent and control high blood pressure and high cholesterol.

Awardees may also focus on disease prevention and health promotion, including social and emotional wellness (i.e., facilitating the early identification of mental health needs and access to quality services) and healthy and safe physical environments.

Examples of community interventions include—

  • Increasing access to physical activity through quality physical education instruction in schools.
  • Increasing access to healthy foods by supporting local farmers and developing neighborhood grocery stores.
  • Protecting people from secondhand smoke exposure.
  • Promoting improvements in sidewalks and street lighting to make it safe and easy for people to walk and ride bikes.

Twenty percent of all CTG program funding is directed at programs and policies in rural or frontier areas.

Investing in Healthier Communities

CTG supports state and local government agencies, tribes , and territories, nonprofit organizations, and communities across the country.

In 2011, CDC awarded $103 million to 61 state and local government agencies, tribes, territories, and nonprofit organizations in 36 states, along with nearly $4 million to 6 national networks of community-based organizations. Awardees are engaging partners from multiple sectors, such as education, transportation, business, and faith-based organizations to improve the health of their communities’ approximately 120 million residents. Awardees also provide funding to community-based organizations to ensure broad participation in creating community change. Additionally, $25 million is being used to support awardees with evaluation, communication, technical assistance, and training.

  • Implementation awards were made to 35 communities to use proven programs and strategies to improve their community’s health and wellness.
  • Capacity-building awards were made to 26 communities to build a solid foundation for community prevention efforts to ensure long-term success.
  • National network awardees engage community members to support, disseminate, and amplify the evidence-based strategies of CTG nationally, particularly in rural and frontier areas and communities that face significant health disparities.


Reaching More Americans in Smaller Communities

In 2012, CTG was expanded to support areas with less than 500,000 people in neighborhoods, school districts, villages, towns, cities, and counties to increase opportunities to prevent chronic diseases and promote health. In an effort to reach more people, approximately $70 million was awarded to 40 communities to implement broad, sustainable strategies that will reduce health disparities and expand preventive and other health care services that will directly impact about 9.2 million Americans. The expansion of CTG ensures that more Americans will benefit from healthier environments and have access to healthier options.


State Implementation States and Communities Award Amount
    FY11 FY12
California Public Health Institute $5,926,365 $5,926,365
  San Francisco Department of Public Health $815,358 $815,358
  County of San Diego Health and Human Services Agency $3,053,793 $3,053,793
  Los Angeles County Department of Public Health $9,848,011 $9,848,011
Colorado Denver Health and Hospital Authority $610,345 $610,345
Florida Broward Regional Health Planning Council $1,766,476 $1,766,476
Illinois Illinois Department of Public Health $4,781,121 $4,781,121
Iowa Iowa Department of Public Health $3,007,856 $3,007,856
Kentucky Louisville Metro Department of Public Health and Wellness $721,594 $721,594
Maine Maine Department of Health and Human Services/Maine CDC $1,318,301 $1,318,301
Maryland Maryland Department of Health and Mental Hygiene $1,945,289 $1,945,289
Massachusetts Massachusetts Department of Public Health $1,505,006 $1,505,006
  Massachusetts Department of Public Health (Middlesex County) $1,574,982 $1,574,982
Minnesota Minnesota Department of Health $3,603,724 $3,603,724
  Hennepin County Human Services and Public Health Department $1,156,212 $1,156,212
Missouri Mid-America Regional Council Community Services Corporation $705,708 $705,708
Montana Montana Department of Public Health and Human Services $769,195 $769,195
Nebraska Douglas County Health Department $510,199 $510,199
New Mexico New Mexico Department of Health $1,500,000 $1,500,000
New York The Fund for Public Health in New York $8,391,881 $8,391,881
  University of Rochester Medical Center $733,703 $733,703
North Carolina North Carolina Division of Public Health $7,466,092 $7,466,092
Oklahoma Oklahoma City-County Health Department $716,704 $716,704
Pennsylvania Philadelphia Department of Public Health $1,547,297 $1,547,297
South Carolina South Carolina Department of Health and Environmental Control $4,624,724 $4,624,724
South Dakota South Dakota Department of Health $812,383 $812,383
Texas Texas Department of State Health Services $10,000,000 $10,000,000
  City of Austin Health and Human Services Department $1,026,158 $1,026,158
Vermont Vermont Department of Health $621,760 $621,760
Washington Washington State Department of Health $3,256,347 $3,256,347
  Tacoma-Pierce County Health Department $796,836 $796,836
West Virginia West Virginia Bureau for Public Health $1,883,603 $1,883,603
Wisconsin University Health Services, University of Wisconsin-Madison $4,695,253 $4,695,253

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Tribes and Territories Award Amount
  FY11 FY12
Sault Ste. Marie Tribe of Chippewa Indians (Michigan) $500,000 $500,000
Southeast Alaska Regional Health Consortium $499,588 $499,588

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  Capacity-Building States and Communities
Award Amount
State   FY11 FY12
California County of Kern, Public Health Services Department $416,577 $416,577
  Fresno County Department of Public Health $499,695 $499,695
  Sierra Health Foundation $499,229 $499,229
  Stanislaus County Health Services Agency $239,889 $239,889
  Ventura County Public Health $481,036 $481,036
Connecticut Connecticut Department of Public Health $493,891 $493,891
Georgia Cobb Public Health $499,000 $499,000
Kentucky Unlawful Narcotics Investigation Treatment Education, Inc. (UNITE) $500,000 $500,000
Louisiana Louisiana Department of Health and Hospitals $500,000 $500,000
Michigan Spectrum Health Hospitals $333,321 $333,321
Mississippi My Brother’s Keeper, Inc. $500,000 $500,000
New Jersey New Jersey Prevention Network $500,000 $500,000
New Mexico Bernalillo County Office of Environmental Health $497,353 $497,353
North Dakota North Dakota Department of Health $370,684 $370,684
Ohio Austen BioInnovation Institute $500,000 $500,000
  Public Health-Dayton and Montgomery County $180,246 $180,246
Pennsylvania Lancaster General Health $233,577 $233,577
Texas Houston Department of Health and Human Services $500,000 $500,000
Utah Utah Department of Health $499,366 $499,366
Virginia Fairfax County Department of Neighborhood and Community Services $499,559 $499,559

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Tribes and Territories Award Amount
  FY11 FY12
Confederated Tribes of The Chehalis Reservation (Washington) $498,663 $498,663
Great Lakes Inter-Tribal Council, Inc. (Wisconsin) $499,982 $499,982
Sophie Trettevick Indian Health Center (Washington) $218,929 $218,929
Toiyabe Indian Health Project (California) $500,000 $500,000
Ulkerreuil A Klengar (Republic of Palau) $147,106 $147,106
Yukon-Kuskokwim Health Corporation (Alaska) $193,340 $193,340

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National Networks Award Amount
  FY11 FY12
American Lung Association $800,000 $800,000
American Public Health Association $300,000 $300,000
Asian Pacific Partners for Empowerment, Advocacy and Leadership $300,000 $300,000
Community Anti-Drug Coalitions of America $300,000 $300,000
National REACH Coalition $900,000 $900,000
YMCA of the USA $1,300,000 $1,300,000

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State CTG Small Communities FY12 Award Amount
Community Health Councils, Inc. $7,883,885
County of Sonoma $3,517,360
St. Helena Hospital Clear Lake $497,076
County of Santa Clara $1,027,931
Nemours/Alfred I. duPont Hospital for Children $1,692,291
District of Columbia
District of Columbia Department of Health $1,759,249
School Board of Miami-Dade County $3,133,055
Tanner Medical Center, Inc. $1,219,468
Chicago Public Schools, District 299 $4,398,118
Quality Quest for Health of Illinois, Inc. $2,404,708
Welborn Baptist Foundation, Inc. $3,021,957
YMCA of Wichita $2,461,198
Microclinic International $2,433,839
Linking the Parish, Inc. $366,075
MaineGeneral Medical Center $200,000
Maine Development Foundation $1,641,120
MaineHealth $2,425,220
Healthy Acadia $1,335,314
Institute for Public Health Innovation $2,068,444
Prince George’s County $2,639,382
Pioneer Valley Planning Commission $1,993,443
YMCA Southcoast $1,064,531
Central Michigan District Health Department $1,643,798
Minneapolis Heart Institute Foundation $204,275
Ozarks Regional YMCA $1,319,403
Clark County School District $2,433,159
New York
Health Research, Inc./New York State Department of Health $2,568,597
The Lima Family YMCA $1,213,363
Little Dixie Community Action Agency, Inc. $512,520
Indian Nation Council of Governments Area Agency on Aging $244,289
Northeast Oregon Network $572,776
City of Beaverton $1,583,458
South Carolina
YMCA of Greenville $1,954,323
Project Vida $318,135
Seattle Children’s Hospital $3,658,205
Inland Northwest Health Services $931,815
West Virginia
West Virginia University Research Corporation $377,796
Tribal Awardees
Benewah Medical Center (Idaho) $415,987
Cherokee Nation (Oklahoma) $1,319,437
Tohono O’odham Community Action (Arizona) $200,000

For more information about CDC’s Investments in Community Health, visit, or call 800-CDC-INFO (800-232-4636).

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