BOLD Public Health Programs to Address Alzheimer’s Disease and Related Dementias

This NOFO carries out actions from the Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act PL115-406. This NOFO will fund public health departments to increase their capacity to contribute to the field of Alzheimer’s Disease and Related Dementias (ADRD) to expand and improve the response to ADRD in their jurisdictions and develop a connected approach to build the dementia infrastructure, including addressing social determinants of health to facilitate health equity, to improve the public health approach to Alzheimer’s disease and related dementias (ADRD) using the CDC Healthy Brain Initiative State and Local Public Health Partnerships to Address Dementia: The 2018-2023 Road Map (for state/local applicants) as well as the Road Map for Indian Country (for tribal applicants) as a framework. This 5-year NOFO will fund awardees in two different components, both with an emphasis on ADRD risk reduction, early diagnosis of ADRD, prevention and management of comorbidities leading to preventable hospitalizations, coordination of community services, caregiving for persons with ADRD, health equity, SDOH and community-clinical linkages: Component 1: “Capacity Building and Implementation” For jurisdictions without previous full spectrum ADRD-related goal setting, improve the infrastructure for dementia, create or expand a coalition, develop a single jurisdiction-wide ADRD strategic plan, and implement strategies and activities described below. Component 1 will be funded for 2 planning years and 3 implementation years. Component 2: “Implementation” is for jurisdictions with infrastructure in place to implement jurisdiction-wide ADRD strategies and activities. Component 2 will be funded for 5 full implementation years.Recipients will apply for either Component 1 or Component 2. In addition to strategies and activities listed in the NOFO, recipients are expected to increase awareness and understanding among the general public (including populations of high burden), providers, and other professionals, of ADRD topics including risk reduction, early diagnosis of ADRD, prevention and management of comorbidities leading to preventable hospitalizations, and caregiving for persons with dementia. Recipients are also expected to increase coordination of statewide efforts including improvement of community-clinical linkages between clinical, services, supports and community resources.

“This NOFO is authorized by the Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act; PL115-406 that amends the Public Health Service Act (Section 398A; 42 U.S.C. 280c-3-4.). This act authorizes funding for “health departments of states, political subdivisions of states, and Indian [American Indian/Alaska Native] tribes and tribal organizations” to develop a strong and uniform dementia infrastructure.”All applicants: The applicant must be a state/local or tribal Public Health Department/Department of Health and must administer and oversee this cooperative agreement.Component 1: Applicants previously funded under CDC-RFA-DP20-2004 are ineligible for Component 1 awards.Component 2: no other criteria Applicants may apply for only one component. All applicants must clearly indicate which component (Component 1: Capacity Building/Implementation, or Component 2: Implementation) they are applying for in their application title. Multiple applicants from the same entity, with the same Unique Entity ID (UEI) will not be accepted.Applications over $350,000 for Component 1 or $600,000 for Component 2 will be deemed non-responsive and will not be reviewed.If any of these requirements are not met, the application will be deemed non-responsive and will not be reviewed.