Apply From: 11/5/2018 5:52 AM PST - 1/17/2019 4:00 PM PST

Application Submission Deadline

January 17, 2019 11:59pm E.T.

Award Notification Date

February 7, 2019

Anticipated Contract Start Date

February 19, 2019

Final Report Due

June 27, 2019

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About 2019 Million Hearts® in Municipalities Project


The National Association of County and City Health Officials (NACCHO) is the voice of nearly 3,000 local health departments (LHDs) across the country. These city, county, metropolitan, district, and tribal departments work to protect and improve the health of all people and all communities. NACCHO provides resources to help LHD leaders develop public health policies and programs to ensure that communities have access to the vital programs and services people need to keep them protected from disease and disaster. Additionally, NACCHO advocates on behalf of LHDs with federal policymakers for adequate resources, appropriate public health legislation, and sensible policies to address the myriad of challenges facing communities.

NACCHO supports community-level efforts to address chronic conditions that critically impact the community’s health and well-being. Every year, more than 1.5 million people in the U.S. suffer from heart attacks and strokes and more than 800,000 deaths occur from cardiovascular disease (CVD). CVD costs the U.S. hundreds of billions of dollars annually and is the greatest contributor to racial disparities in life expectancy.  In 2012, the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services—alongside 120 official public and private sector partners and 20 federal agencies— successfully aligned national cardiovascular (CV) disease prevention efforts around a select set of evidence-based public health and clinical goals and strategies. As a result, significant progress was made toward the audacious aim to prevent a million CV events in five years. Million Hearts® 2022 was launched in 2017 to enhance progress and continue the achievements in reducing the burden of CVD in the United States. Million Hearts® 2022 provides a platform to promote high-impact, sustainable evidence-based strategies and serves to cultivate collaborations, identify community strengths and align synergies among diverse partners and stakeholders. For more information on the Million Hearts® 2022 initiative go to

Funding Overview

With support from the CDC, NACCHO is pleased to announce a funding opportunity for local, state, tribal, and territorial public health departments, or their designee, to enhance efforts to prevent cardiovascular disease and implement Million Hearts® 2022 strategies in their community. CDC and NACCHO will provide tools and resources, optional technical assistance, and subject matter expertise. In addition, there may be additional opportunities to collaborate and leverage efforts from Million Hearts® national partners, depending upon the strategy of focus. 

NACCHO will make up to five (5) awards available to municipal public health departments, or their designee for a 5-month Million Hearts® in Municipalities Project. Each grantee will receive up to $10,000 to support project activities.

Eligibility, Selection Criteria, and Expectations


Minimum eligibility requirements for the Million Hearts in Municipalities Project award include the following:

  • Applicants must have an account at NACCHO’s Awards website ( to apply.
  • Applicants must be a local, state, tribal and territorial public health department, or their designee.

Selection Criteria

Applications will be reviewed and scored based on the following criteria:

  • Community Need and Capacity: Municipality has high chronic disease burden and the LHD has the capacity to implement one or more Million Hearts strategies.  
  • Organization Collaborations: LHD has a history of multi-sector collaborations or key partnerships to support efforts. 
  • Readiness to Implement: LHD has selected one or more Million Hearts strategies and is ready to implement it in their community to improve cardiovascular health.
  • Ability to demonstrate measurable outcomes: LHD has means to measure and validate the impact of implementing a Million Hearts strategy in their municipality.
  • Completeness in answering the questions.
  • Realistic and appropriate budget.
  • Letter(s) of Support.
  • Demonstration of overall commitment.
  • Submission of all required information and documents.
  • Ability to complete the implementation of project by June 30, 2019.

Funding will be provided to municipalities who appear to be most ready to implement a Million Hearts strategy. Successful applicants will identify what their community is doing well in cardiovascular health and why the cardiovascular health work should be expanded, improved and/or initiated.


From January 2019 through June 30, 2019, grantees will be funded to enhance current efforts to prevent cardiovascular disease and implement Million Hearts® 2022 strategies listed here. Grantees will be expected to:

  • Participate in one individual 30-minute phone call with NACCHO and CDC within the first two weeks of project initiation.
  • Provide a Million Hearts® in Municipalities Project work plan (using provided template) that includes the implementation of one or more of the evidence-based Million Hearts® 2022 strategies that align with the following priorities:
    • Keeping people healthy (e.g. adding street lights, pavement or bike lanes to make physical activity safer and easier);
    • Optimizing care (e.g. Self-Measured Blood Pressure Monitoring loaner program); and /or
    • Improving outcomes for priority populations (e.g. training to scale and spread smoking cessation interventions for the community members with mental and/or substance use disorders).
  • Provide a final summary report (using the provided template) on the implementation process, barriers, facilitators, outcomes, and future sustainability efforts in implementing Million Hearts® 2022 strategies at the community level.

Grantees have the option to:

  • Attend office hours where NACCHO and CDC will be available to answer questions and offer guidance and technical assistance if needed.


To view a full description of the application, please view the Million Hearts RFA document on the resource link page. 

The Application Process


Informational Webinar

2:00pm E.T. 

Register Here


Application Period Closes

11:59pm E.T. 


Award Notification 


Contract due to NACCHO


Anticipated Contract Start Date


Submit First Deliverable to NACCHO 


First distribution of grant money


Submit Final Summary Report 

Last distrubution of grant money