North Dakota Center for Tobacco Prevention and Control Policy

Special Initiative Grants for Policy Development

by Statewide Organizations

Grant Guidance 2016-2017

Type of Awards: Competitive

Open application process for an annual grant; Continued funding for a second consecutive year will be dependent on demonstrated and achieved progress supported by strong evaluative measures.

Purpose: The purpose of this funding opportunity is to assist nongovernmental statewide organizations and national organizations with a regional presence, with supplemental funding to build tobacco prevention control capacity in North Dakota. The tobacco prevention and control capacity is increased by actively supporting the full implementation of North Dakota’s Comprehensive Tobacco Prevention and Control State Plan Saving Lives – Saving Money www.breathend.com/about/NorthDakotaStatePlan/ with funding to promote the benefits of evidence-based tobacco strategies within their memberships, coalitions, networks, and the citizens of North Dakota.

Outcomes of the project will be in alignment with the goals, objectives and strategies found in the state tobacco prevention and control plan Saving Lives – Saving Money: North Dakota’s Comprehensive State Plan to Prevent and Reduce Tobacco Use (2016-2018 update) www.breathend.com/about/GrantOpportunities/StateWorkplan/ Goal areas to be impacted are preventing tobacco use among youth and young adults (Goal 1); eliminating exposure to secondhand smoke (Goal 2); promote quitting tobacco use (Goal 3) and build capacity and infrastructure to implement the comprehensive evidence-based tobacco prevention and control program (Goal 4). The work plan will be used to document the organizations choice of goals and objectives to complete. The quarterly progress reports will be recorded on the forms found at http://breathend.com/about/GrantOpportunities/GoalReportingDocuments/

Approximate Biennium Funding: $1,800,000

Individual Organizational Award: Up to $100,000 per annual grant. The funder reserves the right to amend the award amount during the contract period.

Awardee Activities/Use of Funds:

Funded activities must support CDC Best Practices (2014) and Saving Lives, Saving Money: North Dakota’s Comprehensive State Plan To Reduce Tobacco Use, (2016-2018). Social norming strategies and goals are found in Part II. Background Information will be chosen to be the funded activities. These strategies and goals are found throughout the work plan. www.breathend.com/about/GrantOpportunities/StateWorkplan/

If the funded activities include media-based public education (paid or earned media, media advocacy), the media plans must be developed with and approved by the Center for Tobacco Prevention & Control Policy Health Communications Coordinator.

If funded activities include studies or surveys, the plans must be developed with and approved by the Center for Tobacco Prevention & Control Policy Executive Committee.

Funds can be used for statewide and community organization, assessment of statewide and community support, public education, research and policy implementation.

Funds may not be used for lobbying, research, training on programs not directly related to the purpose of this grant, or the provision of direct service such as tobacco cessation services for tobacco dependence treatment medications. Funds may not be used for fundraising for general organizational purposes or for specific organizational programs. However, the organization can increase partnerships for the approved tobacco prevention and control policies in the grant. Increasing partnerships for these efforts may include increasing organizational memberships and securing other contributions for the approved grant activities.

A letter signed by the organization leader that explains how the organization will actively participate in the full implementation of Saving Lives – Saving Money must be included with the application. Other letters of support may also be included, but are not required

Confirmation of No Tobacco Status must be signed (Part VI)

Conflict of interest document must be signed (Part VII)

Nonprofit organizations need to submit non-profit status documentation (Part VIII).

If funded, grantees are expected to attend Center’s quarterly sites training.

Reprogramming of funds can be done between budget lines during the grant year by contacting the statewide programs manager.

Project Period Length: Date contract is fully executed is July 1, 2016 - June 30, 2017 or a full year from time of execution for those contracts not awarded on July 1, 2016.

Funding Period: Date contract is fully executed is July 1, 2016 - June 30, 2017.

Source of Funding and Spending Authority: The sole source of funding for this program is from the Center for Tobacco Prevention and Control Policy’s Executive Committee, funded by Measure 3. North Dakota voters passed Measure 3 in 2008. Measure 3 requires a portion of the money North Dakota receives from tobacco settlement dollars be used for a comprehensive tobacco prevention and control program. The Center for Tobacco Prevention and Control Policy receives it spending authority from a biennial legislative appropriation.

Statutory Policy Authority: North Dakota Century Code 54-27-25 and 23-42-01 through 23-42-07.

Eligible Applicants: Nongovernmental North Dakota statewide organizations and national organizations with a regional presence, who actively support the full implementation of the goals of Saving Lives – Saving Money: North Dakota’s Comprehensive State Plan to Prevent and Reduce Tobacco Use (2014-2017 update).

Background Statement: Tobacco use is the leading cause of preventable disease and death in North Dakota. Much progress has been made since the 1st Surgeon General’s Report on Tobacco in 1964. Exposure to second hand smoke from the mixture of 7000 compounds found in combustible cigarette smoke, causes a wide range of diseases and premature deaths. The 2014 Surgeon General’s Report reports ten new health consequences causally linked to smoking. Children as well as adults exposed to second hand smoke suffer adverse health consequences. Smoking costs North Dakota $326 million each year in direct medical expenditures and $232.6 million in lost productivity. All tobacco products cause cancer and all forms of tobacco use are addictive. (U.S. Centers for Disease Control and Prevention – CDC and Campaign for Tobacco Free Kids)

CDC’s Best Practices for Comprehensive Tobacco Control Programs (2014) describe interventions proven to be effective in reducing tobacco use and eliminating exposure to secondhand smoke. The Guide to Community Preventive Services provides recommendations for effective programs and policies for population-based tobacco prevention and control efforts. Evidence-based strategies include implementing comprehensive tobacco-free policies and laws, increasing the unit price of tobacco products, and conducting mass media education campaigns to support these strategies.

Studies show that smoke-free policies and the price of tobacco prompts more smokers to try to quit, increase the number of successful quit attempts, reduce the number of cigarettes that continuing smokers consume, and discourage youth from ever starting to smoke. (Campaign for Tobacco Free Kids) Secondhand smoke exposure causes respiratory symptoms including cough, phlegm, wheezing, and breathlessness. Secondhand smoke exposure by children who already have asthma causes more frequent and severe attacks. SIDS is causally linked to exposure of secondhand smoke. (U.S. Surgeon General) A recent report confirms that secondhand smoke causes heart attacks even after a brief exposure and that smoke-free policies prevent heart attacks and save lives. (Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence, Institute of Medicine, 2009)

A higher price of tobacco, which includes state excise taxes, reduces use especially among youth. (CDC) North Dakota has the fourth lowest tobacco tax rates in the nation, at 44 cents/pack of cigarettes. This is less than the national average of major tobacco producing states at 48.5 cents and much lower than the national average of $1.78/pack. A minimum of $2.00 increase in the state’s cigarette excise tax and raising other tobacco products to parallel the cigarette excise tax, would prevent 6,700 youth under 18 from becoming adult smokers; save $283 million in long term health care costs; spur 7,500 current adult smokers to quit; save 4,000 residents from premature deaths caused by smoking; and generate a projected $58.12 million in new annual revenue. Educating policy makers and the public about effective policy solutions to end the tobacco use epidemic in North Dakota requires mobilization of statewide organizations that actively support the full implementation of Saving Lives – Saving Money.

Center for Tobacco Prevention and Control Policy Activities: Provide consultation of grant ideas, funding and technical assistance on implementation of grant work plans, consultation on and approval of media-based public education (paid and earned media, and media advocacy), and consultation on and approval of studies and surveys.

Application and Submission Information:

Applications must be submitted electronically to Barbara Andrist, Statewide Programs Manager for the ND Center for Tobacco Prevention and Control Policy at bandrist@nd.gov. Do not send applications by U.S. Mail, courier, overnight, or hand-delivery.

Applicants are asked to direct questions on the application process to Barbara Andrist at 701.328.5125 or at bandrist@nd.gov.

Formatting Instructions:

Applicant must use the seven forms provided: Title page (Part I), Background information (Part II), Work plan (Part III), Budget (Part IV), Consultant/contractor budget forms (Part IV), Confirmation of no tobacco status confirmation (Part VI) and Conflict of Interest (Part VII).

Font size 12 point

Maximum of 6 pages for the Title Page (Part I) – 1 page and Background Information – 5 pages maximum. The Work Plan (Part III), the Budget and Contractor (Part IV), Letter of support for State Plan, Confirmation of no tobacco status (Part VI), Conflict of interest (Part VII), Non-profit documentation (Part VIII) and Indirect administrative expense (Part IX) are not included in page limit.

Content and Forms For Submission:

Applicants must use the forms included in the application packet found at:

http://www.breathend.com/about/GrantOpportunities/

Part I: Contact information for the organization.

Part ll: Background Information about the organization & its proposal.

Statement of organizational need outlining the problem. The organization must state how this funding will meet a need for resources to undertake new or enhance additional strategies and activities to mobilize their members and networks to support effective CDC Best Practice tobacco prevention and control policies.

Overall goal of organization proposal. The organization must state the overarching goal the strategies and activities will achieve, and what outcome(s) can be expected to address the problem in their statement of organizational need.

Social norming strategies and goals to be addressed by the organization. The organization must indicate if there is/are specific tobacco control policies or research that the proposal will focus on, such as education and advocacy restricting youth access to tobacco products; countering tobacco industry tactics; capacity building for tobacco prevention advocacy; policy development for tobacco –free and/or smoke-free policies in communities and development of and advocacy for polices that restrict youth access to tobacco products and policy building at health care systems or workplaces affecting disparate populations.

Organization description. The organization must briefly describe its current mission, governance, staffing and membership.

Organization memberships, networks, and partners as they relate to policy. The organization must briefly describe its members, committees, formal and informal networks and partnerships with other agencies/groups on health- or policy- related issues. Any other information on networks and partnerships relevant to this proposal should be included. The description must include a brief explanation of how all of the above groups can be engaged in supporting policy work.

Staffing & qualifications. The organization must provide a brief description of its current staff that will be working on this initiative, and their qualifications in tobacco policy development and support or other relevant policy work. In the case of organizations proposing to hire staff, the organization should provide a brief description of proposed staff positions or contractors and desired qualifications. If an organization does not employ staff at the time of application, then that organization must provide a listing and qualifications of its board of directors or other governing body in policy development and support. The explanation should also include information on work partnering with other agencies on policy.

Organization capacity & experience in tobacco control policy. The organization must provide a brief explanation of its work in developing, supporting and implementing tobacco control policy. This explanation should also include information on work partnering with other agencies or groups on tobacco control policy. Other agencies/groups should be identified.

Part lII: Work Plan.

The work plan needs to have checked off the objectives and strategies that will be accomplished to achieve the stated policy goals. www.breathend.com/about/GrantOpportunities/StateWorkplan/ The evaluation measure will be the accomplishment of the objective implementing the prescribed strategies. The reporting form will be completed on a quarterly basis. http://breathend.com/about/GrantOpportunities/GoalReportingDocuments/ These forms maybe cut and pasted for ease in reporting.

Part IV: Detailed Budget and Budget Justification with consultant/contractor form/s (not scored).

Provide a detailed itemized budget for each line item using standard budget categories (personnel, fringe, travel, supplies, consultants/contractors and other) for all proposed activity costs. A brief narrative justification must be provided for each line item. The budget needs to correspond to the work plan. Use Part IV: Consultant/Contractor Budget Form for each consultant or contractor. The following requirements must be observed:

Reimbursement requests must be based on actual expenditures.

In order to administer the grants, the Center will need access to the grantee’s accounting records as requested.

An audit approved formula may only be used pending approval of the budget. The formula must be reasonable and properly supported by documentation provided to the Center at the time of budget submission.

Allocation of shared costs may only be used pending approval of the budget. The allocation must be reasonable and properly supported by documentation provided to the Center at the time of budget submission.

Allowable Costs

Be necessary and reasonable for the performance and administration of the contract or grant activity.

Conform to all requirements, limitations or exclusions of the contract or grant award.

Be consistent with policies and procedures for activities of the organization.

Be incurred and treated consistently.

Be determined in accordance with generally accepted accounting principles.

Be adequately documented.

A Reimbursement Request Narrative must accompany each reimbursement request. The document is a part of the Notice of Grant Award package.

Part V: Letter of applicant organization support for full implementation of Saving Lives – Saving Money (no form) (not scored).

The organization must provide a signed letter or a copy of an organizational resolution supporting full implementation of the state plan, Saving Lives-Saving Money. There is no form for this letter provided in the application materials.

Part VI: Confirmation of no tobacco status (not scored).

The organization must provide a statement that the organization does not have any affiliation or contractual relationship with any tobacco company, its affiliates, its subsidiaries or its parent company. Any subcontractor must also provide a statement confirming no tobacco status.

Part VII: Conflict of Interest (not scored).

The organization must provide a signed conflict of interest form.

Part VIII: Nonprofit status documentation (not scored).
The organization must provide a completed form with the grant application.

Part IX: Indirect administrative expense documentation.

The organization must provide documentation of how current indirect administrative expense is determined like a nonprofit rate agreement or administrative costs worksheet.

Part X: Applicant responsiveness checklist (not scored).

This is a checklist for the organization prior to submission and the funder to determine responsiveness of grant proposal.

Reporting Requirements: The successful applicant must submit reports to the Center for Tobacco Prevention and Control Policy on a quarterly basis by the required deadlines using the work plan reporting format at http://breathend.com/about/GrantOpportunities/GoalReportingDocuments/ Quarterly electronic reports shall describe all progress made or challenges encountered with the proposed work. The quarterly progress report serves as the official report for the chosen goals, objectives and strategies. Specific documentation to support progress like documents produced, newsletters articles published, presentations and the evaluation comments, pictures, etc. should be attached quarterly.

Review and Selection Process: Applications will be reviewed for completeness and non-responsiveness by the Center for Tobacco Prevention and Control Policy staff. The Statewide grants manager will convene a grant review committee to evaluate the complete and responsive applications according to the criteria listed below within one week of receiving the grant application. The Tobacco Prevention and Control Executive Committee will have final approval.

Anticipated Award Notice and Date: Approximately two weeks after the application is submitted. Successful applicants will receive a Notice of Award and unsuccessful applicants will receive notification of the results of the application.

Application Evaluation Criteria:

20 points	Provides a clear statement of need and appropriate overall goal, as well as specific or general strategies/policies to be addressed.
20 points	Provides evidence that the organization is experienced or interested in supporting tobacco control policy.
20 points	Provides evidence that the organization staff or governing body is qualified to implement the work plan or oversee its implementation through hiring appropriate staff or contractors.
20 points	Provides evidence of partnerships in policy work.
20 points	Identifies goals and objectives in the prescribed state work plan which are consistent with organizational experience/interest in tobacco control policy and work can be accomplished or base is built for further work.
Not scored	Is supported with an appropriate detailed budget.
Not scored	Is supported with a letter or resolution of organizational support for full implementation of Saving Lives – Saving Money.
Not scored	Is supported with an attached confirmation of no tobacco status.
Not scored	Submits a signed conflict of interest.
Not scored	Submits documentation of nonprofit status.
Not scored	Submits an indirect administrative expense document if needed.