Federal Funds Summary
Federal Award Name	New Grant	Purpose / People Served	2012  Actual	2013 Budget	2014 Base	2015 Base	Required State Match  Yes / No	Required State MOE  Yes /No	State-wide Outcome
Federal Fund - Agency Total			276,517	270,829	265,405	261,930
Health Improvement Bureau
Community and Family Health
Women, Infants and Children (WIC)		Provides nutrition education and healthy foods to low-income pregnant women and young children.   (CFH)	134,237	112,274	114,000	114,000	N	N	Health
Temporary Assistance for Needy Families (TANF): Promotes family health and self-sufficiency through family home visiting programs.   (CFH)		Promote family health and self-sufficiency.	8,557	8,557	8,557	8,557	N	N	Health
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)		Supports efforts to improve the health and developmental outcomes for at-risk children through voluntary evidenced-based home visiting programs.	10,000	10,000	8,000	6,000	N	N	Health
Maternal and Child Health Block Grant		Supports public health services to low-income, high-risk mothers and children, including children with special health needs.	8,939	8,939	8,939	8,939	N	N	Health
Early Childhood Home Visiting		Evidence-based home visiting program targeting high-risk communities.	150	8,000	8,000	8,000	N	N	Health
Young Student Parents		Supports pregnant and parenting women and men (under age 26) to accomplish their higher education/post-secondary education goals.	2,000	2,000	2,000	2,000	N	N	Health
Universal Newborn Screening and Hearing Program		Supports efforts to detect hearing impairments in infants and reduce or eliminate negative impacts through early intervention.	270	270	300	300	N	N	Health
American Recovery Reinvestment Act Women Infants and Children (SAM) Transfer Project		Supports WIC data system development.	2,471	1,270	1,270	1,270	N	N	Health
Commodity Supplemental Food Program (CSFP)		Provides nutrition information and supplemental foods to elderly and age 5 children.	1,115	1,115	1,115	1,115	N	N	Health
WIC Breastfeeding Peer Counsel		Promotes and supports breastfeeding among WIC recipients.	1,022	1,022	1,022	1,022	N	N	Health
Abstinence Education		Reduce the teen pregnancy and sexually transmitted infections rates among 15-17 year olds.	262	262	328	262	N	N	Health
Minnesota Birth Defects Information System		Supports surveillance of birth defects in Minnesota.	190	190	190	190	N	N	Health
Pregnancy Risk Assessment Monitoring System (PRAMS)		Monitors maternal experiences and behaviors just before, during and after pregnancy.	145	145	145	145	N	N	Health
Preventive Block Grant		Flexible funds that can be targeted to fill funding gaps in programs that deal with leading causes of death and disability, as well as the ability to respond rapidly to emerging health issues including outbreaks of foodborne infections and water borne diseases.		37	37	37	N	N	Health
Community Integrated Services System		Supports efforts to integrate community services to effectively respond public health needs.	-	300	-	-	N	N	Health
Minnesota State System Development Initiative		Supports efforts to align early childhood service system priorities and integrate their funding streams in order to maximize health, mental health, early care and education, parenting education and family support benefits to the children, families, and communities served.		65	100	100	N	N	Health
Personal Responsibility Education Program		Supports efforts to decrease teen pregnancy/STIs in high-risk adolescent populations.		875	875	875	N	N	Health
Health Promotion and Chronic Disease
Cancer Prevention & Control Programs		Supports 1) comprehensive cancer planning & implementation, 2) breast and cervical cancer screening, and 3) a statewide population-based cancer registry.	6,906	7,469	7,250	7,073	Y	Y	Health
Environmental Public Health Tracking		Supports a tracking system to integrate data about environmental hazards with data about diseases that are possibly linked to the environment, and provide public access via a data portal.	875	875	875	875	N	N	Health
Minnesota Arthritis Program		Supports statewide activities to promote self-management, education and physical activity to improve the quality of life for those affected by arthritis		118	-	-	N	N	Health
WISEWOMAN		Supports services to low-income women to prevent cardiovascular disease.	888	888	888	888	N	N	Health
Oral Health Workforce		Supports statewide oral health workforce activities and expands community-based prevention programs.	500	500	500	500	N	N	Health
Diabetes		Supports statewide activities to prevent diabetes and reduce the complications, disabilities, and burden associated with diabetes.	1,452	1,452	1,452	1,452	N	N	Health
Colorectal Cancer		Supports promotion and provision of colorectal cancer screening.	908	908	908	908	N	N	Health
Heart Disease and Stroke Prevention		Supports statewide activities to address heart disease, stroke, and related risk factors.	350	350	350	350	N	N	Health
Sexual Violence Prevention		Supports statewide prevention and education programs that address sexual violence.	591	591	566	57	N	N	Health
Addressing Asthma		Supports statewide activities to train health professionals, educate individuals with asthma and their families, and explain asthma to the public.	528	528	600	528	N	N	Health
Stroke Registry		Supports a hospital-based stroke registry that is used to improve care for stroke patients.	381	381	381	381	N	N	Health
Injury Prevention and Control Program		Supports comprehensive injury prevention and control activities, with a focus on traumatic brain injury.	246	246	246	246	N	N	Health
Oral Health Program		Supports the development of state-level infrastructure to improve oral health in the state.	300	330	330	330	N	N	Health
Comprehensive Cancer Control Policy		Supports policy, systems, and environmental changes for cancer control.	175	175	175	175	Y	N	Health
Asthma Environmental Triggers		Supports activities to reduce or eliminate environmental triggers of asthma for children who reside in public and assisted multi-family housing.	380	409	0	0	N	N	Health
Occupational Health and Safety Surveillance		Determines rates, trends, and causes of work-related injury and illness.	120	120	120	120	N	N	Health
Coordinated Chronic Disease and Health Promotion		Strengthen chronic disease prevention and management programs by providing leadership and coordination.	651	1	651	0	N	N	Health
MCSS Early Case Capture		Supports enhancements to the cancer surveillance system to increase the rapidity of reporting for pediatric cancer cases.	200	267	267	267	N	N	Health
Sudden Unexplained Infant Deaths		Identify and analyze all cases of SUID in Minnesota to prevent further deaths.	107	107	65	65	Y	N	Health
Minnesota SAGE Screening Program		Breast and cervical cancer screening		231	231	231	N	N	Health
Healthcare System Preparedness		Supports healthcare systems and providers for  readiness to respond to emergencies that require health care, including rapidly treating large numbers of patients.		41	41	41	Y	Y	Health
Cancer Demonstration Project		Creates a demonstration project to increase breast, cervical and colorectal cancer screening rates in Minnesota’s Medicaid and Medicare populations.	0	1,800	1,800	1,800	N	N	Health
Supplemental breast and cervical cancer screening		Provides one year of funding to pay for tests for additional women	0	308	0	0	N	N	Health
Suicide Prevention Demonstration Projects.	X	Demonstrate innovate, community-based models to prevent suicides	300	300	300	300	N	N	Health
Preventive Block Grant		Flexible funds that can be targeted to fill funding gaps in programs that deal with leading causes of death and disability, as well as the ability to respond rapidly to emerging health issues including outbreaks of foodborne infections and water borne diseases.		373	373	373	N	N	Health
National Violent Death Reporting System (NVDRS).	X	Identify, report and study violent deaths (in MN, this is predominantly suicide) in a nearly real-time manner. HPCD	175	175	175	175	N	N	Health
Office of Minority and Multi-Cultural Health
Temporary Assistance for Needy Families (TANF) Eliminating Health Disparities		Provides statewide grants to community organizations to promote the reduction disparities in health outcomes for populations of color.	2,000	2,000	2,000	2,000	N	N	Health
Preventive Block Grant		Flexible funds that can be targeted to fill funding gaps in programs that deal with leading causes of death and disability, as well as the ability to respond rapidly to emerging health issues including outbreaks of foodborne infections and water borne diseases.		67	67	67	N	N	Health
Office of State Health Improvement Initiatives
American Recovery Reinvestment Act Communities Putting Prevention to Work - Category A		Plan and implement evidence-based policy, systems, and environmental changes that support reducing obesity	541	541	541	541	N	N	Health
CDC - Tobacco Control Program		Funding continues programmatic Efforts to reduce morbidity and its related risk factors and to reduce premature death associated with tobacco use. It also continues surveillance efforts to measure the public health impact of these programs.	1,242	1,242	1,242	1,242	N	N	Health
Preventive Block Grant		Flexible funds that can be targeted to fill funding gaps in programs that deal with leading causes of death and disability, as well as the ability to respond rapidly to emerging health issues including outbreaks of foodborne infections and water borne diseases.		317	317	317	N	N	Health
Minnesota Nutrition, Physical Activity and Obesity Program		Promote healthy eating, active living and prevent obesity and chronic disease.	646	646	646	646	N	N	Health
Community Transformation Grant (CTG):		Supports tobacco-free communities, active living, healthy eating, and quality clinical and other preventive services, by providing grants to local public health agencies and Indian tribes in rural northern Minnesota, and funding the development of regional systems and state-level coordination efforts. The grant builds off of the community health improvements of SHIP, promoting health equity, controlling health care spending, and improving quality of life in Minnesota.	3,604	3,604	3,604	3,604	N	N	Health
Cessation Grant		- This grant is  enhances stop smoking opportunities for Minnesotans through health systems change. MDH will work with health plans, health systems and other state agencies to better integrate tobacco cessation delivery and referrals into routine health care visits. Work in this area will include increasing provider referrals to existing cessation programs, incorporating referral cues into electronic medical records, and developing quality measures related to tobacco dependence treatment into private and publicly funded health care systems.		296	296	296	N	N	Health
Policy Quality and Compliance Bureau
Compliance Monitoring
Medicare Survey and Certification		Certify health care facilities and perform surveys and investigations of those facilities	20,552	20,552	20,529	20,529	N	N	Health
Case mix review		Review level of care determinations	2,244	2,244	2,244	2,244	N	N	Health
Coordinated School Health Program (CSHP)		Builds the capacity of the Minnesota Department of Education and the Minnesota Department of Health CSHP staff to provide leadership to schools, communities and governmental/non-governmental agencies on policies, practices and programs to ensure that Minnesota youth are safe, healthy and engaged in learning.	0	250	250	250	N	N	Health
Health Policy
American Recovery Reinvestment Act Health Information Technology, E-health Connect Project (HITECH)		Develop and implement strategic and operational plans for health information exchange, including the development of technical infrastructure to enable secure, electronic movement of health information among Minnesota health care stakeholders.	2,405	2,405	2,405	2,405	Y	N	Health
Primary Care Cooperative Agreement		The grant funds will target site development for clinics interested in participating in National Health Service Corps programs.	535	535	535	535	N	N	Health
Small Rural Hospital Improvement Program		-- Supports small hospital Health Insurance Portability and Accountability Act (HIPAA) compliance, patient safety, quality improvement, and Prospective Payment System (PPS) costs. (HP)	816	816	816	816	N	N	Health
Rural Hospital Flexibility Program		Strengthen Critical Access Hospitals and rural health systems; improve quality, safety and access.	730	730	730	730	N	N	Health
Eliminating Health Disparities		To improve data collection and analysis of race/ethnicity data, support activities to prevent infant mortality, and strengthen community connections to eliminate health disparities	139	140	140	140	N	N	Health
Grants to states for loan repayment		To encourage more medical professionals to practice in underserved areas	100	100	100	100	N	N	Health
Clinical Lab Improvement Act Program (CLIA)		Continuous improvement in laboratory testing quality and service delivery.	267	267	267	267	N	N	Health
Behavioral Risk Factor Surveillance		Enhancement of the quality of data collected through the BRFSS survey.	1,014	1,015	1,015	1,015	N	N	Health
Office of Rural Health		This grant provides information and assistance to rural health care provider so that health services are available where needed, and to recruit and retain health professionals.	180	180	180	180	N	N	Health
e-Vital Records Initiative		Project under existing contract with NCHS to connect hospital electronic health records to state vital records system	0	346	346	346	N	N	Health
Health Protection Bureau
Environmental Health
Safe Drinking Water Program		This program supports protecting public health by ensuring a safe drinking water supply	2,694	2,694	2,694	2,694	N	N	Health
Drinking Water Revolving Fund		This program supports protecting public health by providing low interest loans for public water system improvements.	4,191	4,191	4,191	4,191	N	N	Health
Biomonitoring of Great Lakes		Work with the Fond du Lac tribe to determine the potential for tribal members in the Lake Superior Basin to be exposed to various contaminants.	2,084	2,084	436	436	N	N	Health
Childhood Lead Poisoning		Statewide data collection and analysis, education and technical assistance on lead exposure.	590	590	590	590	N	N	Health
Agency for Toxic Substance and Disease Registry (ATSDR)		To prevent or reduce exposures to hazardous sites and toxic substances through assessment, investigation and education.	437	437	437	437	N	N	Health
EPA Indoor Radon Grant		Provides education and technical assistance on reducing radon exposure primarily in residences.	775	775	933	933	N	Y	Health
Drinking Water Quality in Supply Wells		Funding to support efforts to maintain drinking water quality in supply wells	67	67	67	67	N	Y	Health
State Fish Advisory Consortium		Work with eight states on evaluating fish consumption advisories and improve the deliver of information to the public.	1,207	1,207	1,207	1,207	N	Y	Health
Small Cities Lead Hazard Reduction		Grants to small cities to support lead hazard reduction efforts	581	581	581	581	N	N	Health
Public Health Emergency Preparedness		Supports state, local and tribal public health preparedness and response to emergencies that affect the public's health	163	163	163	163	Y	Y	Health
EPA Lead Cooperative Agreement		Provides education and compliance assistance to the public and businesses that impact lead in residences.	240	240	286	286	N	Y	Health
Climate Change		To protect, maintain and improve public health through preparation and adaptation to climate change.	290	290	238	238	N	N	Health
Infectious Disease Epidemiology Prevention and Control
Emerging Infections Program (ACA, PPHF, Base)		Minnesota is one of 10 states serving as a sentinel site for emerging infectious disease surveillance. Supports state operations for specialized studies of emerging infections.	2,990	2,991	2,991	2,991	No	No	Health
Preventive Block Grant		Flexible funds that can be targeted to fill funding gaps in programs that deal with leading causes of death and disability, as well as the ability to respond rapidly to emerging health issues including outbreaks of foodborne infections and water borne diseases.		307	307	307	N	N	Health
Immunization		Supports promotion of immunizations across the lifespan thru state operations, vaccine-preventable disease surveillance, immunization information systems, implementation of the federal Vaccines for Children program, and grants to Community Health Boards (CHBs).	5,408	5,408	5,408	5,408	N	N	Health
AIDS/HIV Prevention		Supports AIDS/HIV prevention activities including state operations and grants to community-based organizations (CBOs). This grant also supports linking individuals living with HIV into care to reduce risk of transmission and susceptibility to other infections.	5,178	5,178	5,178	5,178	N	N	Health
Epidemiology &Laboratory Capacity		Supports public health infectious disease infrastructure for surveillance, laboratory capacity and IT capacity. Categorical funds for West Nile, Lyme, influenza, hepatitis, measles, and electronic disease reporting.	2,606	2,606	2,606	2,606	N	N	Health
Prevention of Sexually Transmitted Diseases		Supports prevention and control of STDs including state operations for partner services and Chlamydia and gonorrhea testing and treatment.	1,077	1,077	1,077	1,077	N	N	Health
Tuberculosis Cooperative Agreement		Supports TB prevention and control activities including state operations and grants to CHBs.	1,029	1,029	1,029	1,029	N	N	Health
American Recovery Reinvestment Act Interoperability of Electronic Health Records (EHR) and Immunization Information Systems (IIS)		Supports state operations to enhance and standardize the exchange of immunization data from EHR systems to the state IIS.	115	115	115	115	N	N	Health
New Refugee Disease Surveillance		Supports activities to reduce infectious diseases among newly arrived refugees, including education, disease tracking and state operations. Supplemental funding for hepatitis B received Sept 30, 2012.	174	174	174	174	N	N	Health
HIV/AIDS Surveillance		Supports state operations for disease surveillance and outbreak control activities.	510	510	510	510	N	N	Health
Refugee Health Services		Supports state operations and grants to CHBs to ensure refugees receive a medical screening and healthy start as they resettle.	599	599	599	599	N	N	Health
Public Health Emergency Preparedness		Supports state, local and tribal public health preparedness and response to emergencies that affect the public's health	1,144	1,144	1,144	1,144	Y	Y	Health
Viral Hepatitis, Early Indentification, Linkage to Care for Persons.		Supports early identification and linkage to treatment for persons with viral hepatitis	0	125	0	0	N	N	Health
Immunization IDEPC		Strengthens the immunization infrastructure forlocal public health agencies:  Strengthens billing practices; supports improved storgage and handling of vaccines; increases vaccine rates for youth; and improves the use of secure data transmission.	0	2,500	0	0	N	N	Health
Food Safety Modernization Act		Intergrated Food safety Centers of Excellence. Develop best practices for investigation of foodborne dieases, and serve as training/resource center for state Health departments.	0	200	0	0	N	N	Health
BEACH grant		Supports water testing for e. coli at beaches along the Lake Superior Coast.	202	209	209	209	N	N	Health
Adult Viral Hepatitis Prevention and Control		Provides viral hepatitis prevention and education to the health care providers in the state and its high risk communities.	99	99	109	109	N	N	Health
Viral Hepatitis Surveillance		Supports enhanced surveillance to monitor the disease burden of acute and chronic viral hepatitis. Funding awarded to bridge the 10-month gap between EIP funding for hepatitis surveillance and new Hepatitis Surveillance.	0	248	0	0	N	N	Health
Public Health Lab
Public Health Emergency Preparedness		Supports state, local and tribal public health preparedness and response to emergencies that affect the public's health	1,725	1,725	1,725	1,725	Y	Y	Health
Minnesota Integrated Newborn Screening		Eliminating Health Disparities Initiative, Tracking and Surveillance System	528	528	528	528	N	N	Health
Office of Emergency Preparedness
Public Health Emergency Preparedness		Supports state, local and tribal public health preparedness and response to emergencies that affect the public’s health.	7,967	7,967	7,967	7,967	Y	Y	Health
Preventive Block Grant		Flexible funds that can be targeted to fill funding gaps in programs that deal with leading causes of death and disability, as well as the ability to respond rapidly to emerging health issues including outbreaks of foodborne infections and water borne diseases.		775	775	775	N	N	Health
Healthcare System Preparedness		Supports healthcare systems and providers for  readiness to respond to emergencies that require health care, including rapidly treating large numbers of patients.	5,963	5,962	5,962	5,962	Y	Y	Health
Administrative Support Services
Public Health Emergency Preparedness		Supports state, local and tribal public health preparedness and response to emergencies that affect the public's health	187	186	186	186	N	N	Health
Public Health Emergency Preparedness		Supports state, local and tribal public health preparedness and response to emergencies that affect the public's health	2,297	2,297	2,297	2,297	Y	Y	Health
Performance Improvement		Strengthening Public Health Infrastructure for improved health outcomes	994	994	994	994	N	N	Health
Narrative: The Department of Health receives over $270 million per year in federal funding, which represents roughly half of the agency’s operating budget.  Federal funders include the U.S. Centers for Disease Control and Prevention (CDC), the Department of Health and Human Services, the Department of Homeland Security and the Environmental Protection Agency.  Federal funding is critical to helping the department achieve its mission.  It enables the department to provide nutrition services and products to an average of 131,000 women and young children each month through the Women, Infants and Children program.  Federal funding from the Safe Drinking Water Program helped to fund over 22,000 tests on community water system to ensure that Minnesotans have safe drinking water.  Funding through the Cancer Prevention and Control program helps support cancer screening services for low-income, at-risk populations.     Federal funding to MDH has declined in recent years and Congress is considering further cuts that would greatly impact MDH.  Examples of MDH programs impacted or potentially impacted by federal funding cuts include:  • $1.7 million to ensure that the health care system has the capacity to respond to emergencies that protect the public’s health • $1.875 million for the Preventive Block Grant that is used to address public health needs throughout the state.  Activities that have been funded through the PBG include services for victims of sexual assault, suicide prevention and minority and multi-cultural health. • $600,000 for addressing lead exposure for young children. The impact of sequestration required under the Budget Control Act of 2011, could have significant consequences for public health programs in the state.  A report from the Association of State and Territorial Health Officials (ASTHO) estimates that in federal Fiscal Year 2013, sequestration would result in a loss of $16.7 million in federal public health funding to the state.  Sequestration would impact MDHl programs that support WIC, vaccinations for low-income children, HIV testing and investigations into public health threats. Federal funding is critical to MDH’s work, and actual and proposed budget cuts present a significant challenge to MDH as it works to protect, maintain and improve the health of all Minnesotans.  MDH continues to develop strategies to make limited resources go further and better prioritize its efforts to maintain key services that have the greatest impact on the health of Minnesotans.  The FY 2014-15 biennial budget embodies those efforts.