(a) The department shall be allocated an amount not
29greater than 20 percent of the annual appropriation from the fund
30for all of the following activities:
(1) Mandatory activities for which the funds shall be used are
(A) Statewide media and communications campaigns, which
34shall be allocated 9 percent of those funds.
(B) Evaluation of program activities, which shall be allocated
36at least 5 percent of those funds.
(C) Other activities, which shall be allocated no more than 6
38percent of those funds, as follows:
(i) Mandatory activities, including all of the following:
(I) Overall program implementation and oversight.
(II) Review and approval of local health improvement plans.
(III) Granting of and monitoring the implementation of local
3health jurisdiction awards and competitive grant awards.
(ii) The definition of criteria for evidence-based and innovative
5approaches to improving health and health equity, with evaluation
6criteria appropriate to each type of approach.
(iii) The definition of priority chronic health conditions and
8health equity priority populations based on public health data.
(iv) The definition of criteria for participation of community
10partners in local health jurisdiction funding.
(v) The development of tools that can be used by the state and
12by grantees to monitor progress towards improving health and
13health equity, including establishment of a health equity index.
(2) Discretionary activities, as may be appropriate to support
15community-based prevention of priority chronic health conditions
16throughout the state, for which the funds may be used, include,
17but are not limited to, any of the following:
(A) Research, development, and dissemination of best practices,
19including training and technical assistance for grantees.
(B) Development of infrastructure, including,
but not limited
21to, data resources or information technology resources to be shared
(C) Coordination of local efforts.
(D) Development and promotion of statewide initiatives.
(b) The department shall award at least 80 percent of total
26moneys made available in the annual appropriation from the fund
27to eligible applicants to be used consistent with the purposes
28described in subdivision (b) of Section 106052. Moneys from the
29fund shall be distributed and awarded according to the following
(1) (A) At least 50 percent of those funds shall be awarded to
32local health jurisdictions and shall be allocated on a formula basis
33to local health jurisdictions, or their nonprofit designee, with
34approved applications for
three-year funding cycles.
(B) Each local health jurisdiction shall submit an application
36for a three-year funding cycle, to be reviewed and approved by
37the department, that includes all of the following information:
(i) A detailed assessment of community health needs within the
39local health jurisdiction with respect to priority chronic health
40conditions and health equity priority populations.
(ii) A health improvement and evaluation plan that includes
2initiatives focused on health equity priority populations.
(iii) The level of local funds, including in-kind resources, for
4community-based prevention activities that was provided in the
5most recently completed fiscal year.
(iv) Documentation of the existence and activities of a
7community health partnership, which includes leading health care
8providers, local health jurisdictions, community partners, including
9those serving health equity priority populations, businesses, and
10other relevant local government agencies and community leaders.
(C) Each local health jurisdiction with an approved application
12shall receive a base award of two hundred fifty thousand dollars
13($250,000) for a three-year funding cycle. The balance of the funds
14shall be awarded to local health jurisdictions proportional to the
15number of residents living below the federal poverty level.
(D) Health improvement and evaluation plans shall emphasize
17sustainable policy, systems, and environmental change approaches
18to creating healthier communities.
health jurisdictions may come together if they so
20desire to submit combined regional applications.
(F) No single recipient may receive more than 30 percent of the
22funding allocated to local health jurisdictions on a formula basis.
(G) Recipients of funds pursuant to this paragraph shall
24maintain the level of local funds, including in-kind resources, for
25community-based prevention activities that were provided in the
26most recent completed fiscal year prior to July 2016. Funds
27provided pursuant to this paragraph shall supplement and not
28supplant existing funding for community-based prevention activities
29of priority chronic health conditions.
(H) Local health jurisdiction investments shall prioritize
31communities in the third and fourth quartiles of the California
32Health Disadvantage Index or other criteria of health
33priority populations subsequently adopted by the department.
(I) The initial year of funding may be used for needs assessment,
35planning, and development.
(2) At least 30 percent of those funds shall be allocated for
37competitive grants as follows:
(A) (i) Competitive grants shall be awarded to local or regional
39level entities or statewide nonprofit organizations.
(ii) Local or regional level entities include community-based
2organizations or local public agencies, in partnership with other
3entities, including, but not limited to, other community-based
4organizations, other local public agencies, schools, religious
5organizations, businesses, labor unions, health care plans,
6hospitals, clinics, other health care providers, or
(iii) Each participating health care plan or hospital shall identify
9monetary, in-kind, or both, contributions to projects.
(iv) Local or regional projects shall prioritize investments that
11serve communities in the third and fourth quartiles of the California
12Health Disadvantage Index or other criteria of health equity
13priority populations subsequently adopted by the department.
(v) At least 10 percent of the funds awarded as competitive
15grants shall be used for statewide nonprofit organizations.
(vi) Organizations receiving competitive grants shall coordinate
17efforts with any local health jurisdictions where they are carrying
(B) (i) Competitive grant applicants shall identify projects as
20either an evidence-based or an innovative project.
(ii) At least 10 percent of the funding for competitive grants
22shall be set aside for innovative projects that test previously
23untested strategies in order to improve the evidence base of
24effective community-based prevention strategies for priority
25chronic health conditions.
(iii) Applications for innovative projects shall provide a
27rationale for the defined approach and any evidence that suggests
28the innovative project will be effective, as well as a plan and
29resource allocation for the evaluation.
(iv) Competitive grants may be used by organizations for policy
31systems or environmental change efforts, direct program delivery,
32or for technical assistance to other