Our Budget

Chronic diseases are the leading causes of death in the United States. CDC’s National Center for Chronic Disease Prevention and Health Promotion’s (NCCDPHP’s) FY 2021 operating budget funds about 30 separate disease and risk factor prevention grant programs that are delivered by states, territories, cities, and tribes.

See also NCCDPHP Grant Funding for States and Territories.

NCCDPHP FY 2021 Operating Budget (Dollars in Thousands)

Budget Activity Description FY 2020 Final FY 2021 Final
Chronic Disease Prevention and Health Promotion
Total CDC’s National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) provides funding to state and local health and education departments; other federal health agencies; international and national health organizations; academic institutions; philanthropic foundations; industry and labor groups; and professional, voluntary, and community organizations. $1,239,914  $1,276,664 
BA $984,964 $1,021,714
PPHF $254,950 $254,950
Healthy Schools
CDC Healthy Schools supports states, districts and schools in promoting student health through healthy eating and physical activity; increasing academic success; advancing physical and health education; and improving school health services and practices to address chronic conditions such as childhood obesity, diabetes and asthma for all K-12 students. $15,400 $15,400
CDC’s Office on Smoking and Health (OSH) is the lead federal agency for comprehensive tobacco prevention and control, funding all 50 States, DC, 8 US territories, and 12 tribal organizations for comprehensive tobacco control efforts and quit lines. States, territories and tribes use OSH funds to prevent kids from using tobacco, reduce secondhand smoke exposure, help smokers quit, and reduce disparities in tobacco use. OSH saves lives and saves money by preventing and reducing tobacco use – the leading cause of preventable disease and death in the United States. $101,400 $109,400
PPHF $128,600 $128,100
Nutrition, Physical Activity, and Obesity
Total CDC’s Nutrition, Physical Activity, and Obesity activities promote good nutrition, regular physical activity, and a healthy weight for people of all ages in places where they live, learn, work, and play. We develop and share evidence-based approaches that help make healthy living easier for everyone. We support national groups, states, universities, and communities in removing barriers people face in accessing nutritious, affordable foods and finding places and opportunities to be physically active. $56,920 $56,920
High Obesity Rate Counties CDC’s High Obesity Rate Counties program funds 11 land grant colleges and universities in states with counties where more than 40% of the adult population has obesity. Grantees partner with cooperative extensions to find local solutions for increasing healthy food options and safe places where people can live an active life. $15,000 $15,000
Farm to School CDC’s Farm to School funds will supplement existing State Physical Activity and Nutrition (SPAN) program grants in five to seven state health agencies, promoting farm to school programs that increase access to healthy foods for students. CDC will also fund one partner organization to support an action institute for the five to seven SPAN awardees to develop statewide action plans to accelerate activities. $2,000 $2,000
School Health
CDC Healthy Schools supports states, districts and schools in promoting student health through healthy eating and physical activity; increasing academic success; advancing physical and health education; and improving school health services and practices to address chronic conditions such as childhood obesity, diabetes and asthma for all K-12 students. $15,400 $15,400
Health Promotion
Total CDC’s Health Promotion activities collect health data and conduct critical epidemiological research to define the public health burden and impact of chronic disease risk factors, and identify how public health can most effectively reduce their consequences. $29,100 $35,600
Glaucoma CDC supports two research demonstration projects examining methods to improve glaucoma detection, referral, and treatment for high-risk populations. $4,000 $4,000
Visual Screening Education CDC’s Vision Health Initiative develops, tests, and implements a vision and eye health surveillance system using existing surveys and other administrative and electronic data sources. $1,000 $1,000
Alzheimer’s Disease The Alzheimer’s Disease and Healthy Aging Program at CDC provides data, programs, information and education to promote healthy aging, including early diagnosis of Alzheimer’s disease and other dementias. CDC supports implementation of the Public Health Road Map series at the national, state, and local levels. CDC also supports the collection, analysis, and dissemination of data from CDC’s state Behavioral Risk Factor Surveillance System to provide information about subjective cognitive decline and caregiving. $15,500 $20,500
Inflammatory Bowel Disease Working with partners, CDC builds the science base to better understand IBD and factors that predict the disease course. CDC supports an epidemiologic research study to understand the causes of IBD, learn why the course of illness varies among individuals, and determine what factors may improve outcomes. $1,000 $1,000
Interstitial Cystitis CDC works to provide the public health data necessary for a better understanding of the epidemiology and treatment of IC. This information is essential to delivering effective provider and public education, informing clinical best practices, and targeting interventions to groups at high-risk for IC. $1,100 $1,100
Excessive Alcohol Use CDC works to build state capacity in alcohol epidemiology and provide the tools and information needed to perform core public health functions related to reduce excessive alcohol use—a leading preventable cause of death in the United States. $4,000 $4,000
Chronic Kidney Disease In recognition of the growing problem of kidney disease in the United States, CDC’s CKD Initiative is designed to provide public health strategies for promoting kidney health. CDC works with partners to support and enhance the CKD Surveillance System, which is crucial to documenting the burden of CKD and its risk factors and tracking progress towards achieving Healthy People 2020 objectives related to CKD prevention, detection, and management. $2,500 $2,500
Prevention Research Centers
PRCs are a network of 26 US academic institutions that research and share valuable, cost-effective prevention interventions. PRCs design, test, and share innovative and practical ways to protect the health of the American people, maximize public health resources, and reduce health care costs. $26,461 $26,961
Heart Disease and Stroke
CDC supports activities by states, communities, tribes, and organizations to use proven heart disease and stroke prevention and control strategies across communities, health systems, and private and public partners. $85,030 $86,030
PPHF   $57,075 $57,075
CDC supports activities by states, communities, tribes, and organizations to implement diabetes prevention and control strategies across communities, health systems, and private and public partners. $95,854 $95,854
PPHF   $52,275 $52,275
National Diabetes Prevention Program (BA)
The National DPP is a partnership of public and private organizations working together to deliver an evidence-based lifestyle change program for adults with prediabetes that can prevent or delay type 2 diabetes. $27,300 $29,300
Cancer Prevention and Control
Total CDC works with state health departments, national cancer organizations, and other key groups to improve cancer prevention and early detection through interventions that help Americans lower their cancer risk and increase the use of recommended cancer screenings. $381,049 $385,799
Breast and Cervical Cancer CDC’s National Breast and Cervical Cancer Early Detection Program (NBCCEDP) serves women who are uninsured or underinsured and at high risk for these cancers. NBCCEDP awardees use proven strategies to increase the number of women who access and complete the screening process. $223,000 $225,000
WISEWOMAN WISEWOMAN reduces health disparities by providing screening and preventive services—including blood pressure and cholesterol testing, and health coaching and lifestyle programs—to uninsured and underinsured women aged 40 to 64 so they can manage their risk factors for heart disease and stroke. $26,120 $28,120
Breast Cancer Awareness for Young Women CDC’s “Bring Your Brave” campaign is a digital advertising and social media campaign aimed at raising awareness in young women about their risk. The campaign shares the stories of women affected by breast cancer. $4,960 $4,960
Cancer Registries CDC’s National Program of Cancer Registries provides the technical expertise and funding necessary for 46 states, the District of Columbia, Puerto Rico, the US Pacific Island Jurisdictions, and the US Virgin Islands to collect data about cancer cases and cancer deaths for 97% of the population. $51,440 $51,440
Colorectal Cancer CDC’s Colorectal Cancer Control Program funds 22 states, the District of Columbia, six universities, and one tribal organization to implement population-based approaches to increase colorectal cancer screening rates among US adults aged 50-75 years. CRCCP grantees partner with health systems and clinics serving high-need populations to implement evidence-based interventions (EBIs) from the Community Guide and other supporting activities to increase colorectal cancer (CRC) screening rates; six of these grantees receive additional funds to provide direct screening services. $43,294 $43,294
Comprehensive Cancer Control The National Comprehensive Cancer Control Program brings together coalitions of community and partner organizations to develop and use cancer control plans and to reduce the highest-burden cancers in their state, territory, or tribal organization. $19,675 $20,425
Johanna’s Law CDC’s “Inside Knowledge: Get the Facts About Gynecologic Cancer” campaign educates health care providers and women of all ages, races, and ethnic groups, especially those aged 40 and older, about the signs, symptoms, risk factors, and prevention strategies for gynecologic cancers. $9,000 $10,000
Ovarian Cancer To help address women at higher risk for breast and ovarian cancer, specifically those with BRCA1 and BRCA2 genetic mutations, CDC funds five state health departments (Colorado, Connecticut, Michigan, Oregon, and Utah) to promote cancer genomics best practices through surveillance, education, and policy approaches. CDC funding also supports other related activities, including research, surveillance, and health communication and education development, along with programmatic efforts related to ovarian cancer prevention and control. $11,000 $12,000
Prostate Cancer CDC conducts research and develops materials to help doctors better communicate with their patients about informed decision making related to prostate cancer screening and treatment. $14,205 $14,205
Skin Cancer CDC conducts research, publishes guidance, and provides leadership for nationwide efforts to reduce illness and death caused by skin cancer, the most common form of cancer in the United States. $4,000 $4,000
Cancer Survivorship Resource Center CDC works with public, nonprofit, and private organizations to evaluate and share promising practices and interventions to promote health and improve the quality of life of cancer survivors. $475 $475
Oral Health
CDC’s Division of Oral Health leads federal and state initiatives to prevent oral diseases by monitoring health trends, translating research into practice, and advancing safe and effective strategies to improve oral health and reduce dental care costs. $19,500 $19,500
Safe Motherhood and Infant Health
Total CDC addresses issues related to reproductive health, maternal health, and infant health. For over 50 years, CDC has been dedicated to improving the lives of women, children, and families through research, public health monitoring, scientific assistance, and partnerships. $58,000 $63,000
Maternal Mortality Review Committees CDC will support Maternal Mortality Review Committees to identify and characterize maternal deaths to identify prevention opportunities. Funding will be used to provide technical assistance, develop tools, streamline data, and invest in stronger data systems that states can use to create quality and consistency in data collection $12,000 $17,000
Preterm Birth CDC studies preterm birth to better understand its impact and advance new strategies for prevention by funding six state-based Perinatal Quality Collaboratives (PQCs) to improve the quality of maternity care and health outcomes for women and newborns. $2,000 $2,000
CDC’s Arthritis Program funds state and national partner organizations to expand access to proven arthritis-appropriate, physical activity and self-management education interventions and make them available to more peo+B10ple with arthritis. It also conducts epidemiologic research and funds the Johnston County Osteoarthritis Project, a 25-year follow-up study. $11,000 $11,000
CDC’s Epilepsy Program works with the Epilepsy Foundation, the Managing Epilepsy Well Network, and other partners to improve professional and public education about epilepsy, increase access to proven self-management programs and other community-based services, and eliminate epilepsy stigma. $9,500 $10,500
National Lupus Patient Registry
The National Lupus Patient Registry supports lupus registries and related studies on natural history, treatment, health care access, and racial/ethnic disparities. It also raises awareness, educates patients and health care providers, and promotes interventions for lupus. $8,500 $9,500
Racial and Ethnic Approaches to Community Health (REACH) (BA)
Total CDC’s REACH program is the only CDC program that explicitly focuses on improving chronic diseases for specific racial and ethnic groups in a broad range of urban, rural, and tribal communities where the disease burden is the highest. This program empowers community organizations to identify their unique needs, assets, and opportunities to reduce chronic diseases and risk behaviors. $59,950 $63,950
Good Health and Wellness in Indian Country (BA) This cooperative agreement supports 12 American Indian tribes and Alaska Native villages, and 11 Tribal Organizations, to prevent heart disease, diabetes, stroke, and associated risk factors. Awardees are using community-directed and culturally adapted public health interventions to encourage healthy eating through planting and harvesting traditional foods; increasing physical activity within Native communities; educating on the National DPP, and, specifically, the Indian Health Services diabetes prevention curriculum that the National DPP has approved for use within its initiative. $21,000 $22,000
Million Hearts® (PPHF)
Million Hearts® is a national initiative among CDC, other federal agencies, and private-sector partners to help prevent heart attacks and strokes by focusing on a small set of priorities selected for their effect on heart disease, stroke, and related conditions. $4,000 $4,000
National Early Child Care Collaboratives (PPHF)
The National Early Child Care Collaboratives help prevent obesity by bringing together teams of child care providers and supporting them with technical assistance, tools, materials, and resources. These activities help providers support breastfeeding, healthy eating, and physical activity for children in these facilities. $4,000 $4,000
Hospitals Promoting Breastfeeding (PPHF)
CDC helps hospitals and all states in promoting breastfeeding, and monitors and reports biennial hospital breastfeeding practice results of all birthing hospitals in the United States and its territories. $9,000 $9,500

Abbreviations: FY, fiscal year; BA, Budget Authority; PPHF, Prevention and Public Health Fund.

Page last reviewed: April 28, 2021