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 2023 operating budget funds about 30 separate disease and risk factor prevention grant programs that are delivered by states, territories, cities, and tribes.
| Budget Activity | Description | FY 2022 Final | FY 2023 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. | $1,338,664 | $1,430,414 |
| BA | $1,083,714 | $1,175,464 | |
| 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. | $17,400 | $19,400 | |
| Tobacco | |||
| Total | 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. | $241,500 | $246,500 |
| BA | $113,650 | $120,650 | |
| PPHF | $127,850 | $125,850 | |
| Nutrition, Physical Activity, and Obesity | |||
| 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. | $58,420 | $58,420 | |
| 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 | $16,500 |
| 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. | $17,400 | $19,400 | |
| 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. | $49,600 | $62,600 |
| Glaucoma | CDC supports two research demonstration projects examining methods to improve glaucoma detection, referral, and treatment for high-risk populations. | $4,000 | $4,000 |
| Vision and Eye Health | 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. | $1,500 | $2,500 |
| 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. | $30,500 | $38,500 |
| 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 | $1,500 |
| 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. | $5,000 | $6,000 |
| 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. | $3,500 | $4,500 |
| Chronic Disease Education and Awareness | CDC works with national partners to develop and implement education and awareness activities for chronic diseases demonstrating clear disparities that do not otherwise receive dedicated CDC appropriated resources. | $3,000 | $4,500 |
| 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. | $26,961 | $28,961 | |
| Heart Disease and Stroke | |||
| Total | 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. | $145,105 | $155,105 |
| BA | $88,030 | $98,030 | |
| PPHF | $57,075 | $57,075 | |
| Diabetes | |||
| Total | 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. | $151,129 | $155,129 |
| BA | $98,854 | $102,854 | |
| 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. | $33,300 | $37,300 | |
| 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 people lower their cancer risk and increase the use of recommended cancer screenings and other preventive health services. | $389,799 | $409,549 |
| Breast and Cervical Cancer | CDC’s National Breast and Cervical Cancer Early Detection Program serves women who are uninsured or underinsured and at risk of these cancers. Program recipients use proven strategies to increase the number of women who access and complete the screening process. | $227,000 | $235,500 |
| WISEWOMAN | WISEWOMAN reduces health disparities by providing screening and preventive services to uninsured and underinsured women aged 40 to 64. The services—including blood pressure and cholesterol testing, health coaching, and health behavior programs—help women manage their risk factors for heart disease and stroke. | $30,120 | $34,620 |
| Breast Cancer Awareness for Young Women | CDC’s Bring Your Brave campaign is a digital advertising and social media campaign aimed at raising awareness among young women about their risk. The campaign shares stories from women affected by breast cancer. | $5,960 | $6,960 |
| Cancer Registries | CDC’s National Program of Cancer Registries provides technical expertise and funding to help 46 states, the District of Columbia, Puerto Rico, the US Pacific Island Jurisdictions, and the US Virgin Islands collect data about cancer cases and cancer outcomes for 97% of the US population. The latest cancer data are available to view with the US Cancer Statistics Data Visualizations Tool. | $51,440 | $53,440 |
| Colorectal Cancer | CDC’s Colorectal Cancer Control Program funds 20 states, the District of Columbia, 8 universities, 2 tribal organizations, and 5 other organizations to use population-based approaches to increase colorectal cancer screening rates among US adults aged 45 to 75 years. Program recipients partner with health systems and clinics that serve populations with low incomes and low colorectal cancer screening rates. Their efforts include using evidence-based interventions recommended by The Community Guide. | $43,294 | $44,294 |
| Comprehensive Cancer Control | The National Comprehensive Cancer Control Program brings community and partner organizations together to develop and use cancer control plans as part of their efforts to reduce the leading cancers in their state, territory, or tribal organization. | $20,425 | $22,425 |
| Johanna’s Law | CDC’s Inside Knowledge About Gynecologic Cancer campaign educates health care providers and women of all ages, races, and ethnic groups—especially those aged 40 or older—about signs, symptoms, risk factors, and prevention strategies for gynecologic cancers. | $10,500 | $11,500 |
| Ovarian Cancer | To help women at higher risk of breast and ovarian cancer—specifically those with BRCA1 and BRCA2 genetic mutations—CDC funds state health departments in four states (Michigan, Oregon, Utah, and Washington) to promote cancer genomics best practices through surveillance, education, and policy approaches. CDC also supports ovarian cancer research, surveillance, health communication and education development, and implementation programs for ovarian cancer prevention and control. | $12,500 | $14,500 |
| Prostate Cancer | CDC conducts research and develops materials to help doctors better communicate with their patients about options for prostate cancer screening and treatment. | $14,205 | $15,205 |
| Skin Cancer | CDC conducts research 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 | $5,000 |
| 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 and their caregivers. | $475 | $725 |
| 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. | $19,750 | $20,250 | |
| Safe Motherhood and Infant Health | |||
| 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. | $83,000 | $108,000 | |
| Arthritis | |||
| 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 | |
| Epilepsy | |||
| 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. | $10,500 | $11,500 | |
| 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. | $9,500 | $10,000 | |
| Racial and Ethnic Approaches to Community Health (REACH) | |||
| 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. | $65,950 | $68,950 | |
| Good Health and Wellness in Indian Country | 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. | $22,500 | $24,000 |
| Social Determinants of Health | |||
| CDC helps states, local, Tribes and territorial jurisdictions address social determinants of health to reduce chronic disease among people experiencing health disparities. | $8,000 | $8,000 | |
| 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 | $5,000 | |
| 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 | $5,000 | |
| 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. | $9,750 | $9,750 | |
Abbreviations: FY, fiscal year; BA, Budget Authority; PPHF, Prevention and Public Health Fund.
See the full CDC FY 2023 Operating Plan [PDF – 485 KB].