Opportunity Information: Apply for CDC RFA PS22 2207
The grant opportunity "Strengthening Civil Surgeons' Capacity to Improve LTBI Surveillance and Outcomes Among Status Adjusters" (CDC RFA PS22 2207) is a CDC-led pilot cooperative agreement designed to tighten the connection between immigration medical exams and public health tuberculosis prevention work. It focuses on latent TB infection (LTBI) among "Status Adjusters," meaning noncitizens living in the United States on temporary visas who are applying to become legal permanent residents. The central idea is that the required medical exam for adjustment of status, performed by USCIS-authorized physicians known as Civil Surgeons, is a major point of contact where LTBI can be identified, documented more consistently, and acted on through referral and treatment support.
The CDC's purpose with this funding is twofold: first, to improve LTBI surveillance by making sure health departments receive higher-quality, more complete, and more usable data on Status Adjusters who are diagnosed with LTBI; and second, to improve health outcomes by increasing successful linkage to LTBI care and treatment so fewer people progress from LTBI to active TB disease. The opportunity is grounded in the epidemiology of TB in the United States: a large majority of TB disease cases occur among people who are non-U.S.-born (about 71 percent), and only a relatively small portion of cases are due to recent transmission (about 13 percent). This implies that many cases arise when longstanding, untreated LTBI progresses to active disease, making LTBI identification and treatment a key prevention strategy. Because Status Adjusters are often non-U.S.-born, they are considered a higher-risk group for LTBI and later TB disease, so improving prevention efforts in this pipeline is viewed as a practical, high-impact public health intervention.
Under the cooperative agreement structure, recipients are expected to work closely with CDC and to partner locally with Civil Surgeons operating within the recipient health department's jurisdiction. The project emphasis is not simply on testing or clinical recommendations in the abstract, but on system improvement: enhancing the completeness and accuracy of data reported to health departments for Status Adjusters diagnosed with LTBI and strengthening follow-through after diagnosis. In practice, this means recipients would be building or refining processes for reporting, ensuring the right fields and documentation are captured, and improving the reliability of surveillance information so health departments can track LTBI diagnoses and outcomes more effectively.
A major required component is the creation and evaluation of an education, training, and communication intervention aimed at Civil Surgeons and the broader workflow around the immigration medical exam. The intervention is meant to raise awareness of LTBI and, importantly, to increase the number of Status Adjusters who are offered treatment and who actually accept treatment intended to prevent progression to TB disease. The expectation is that recipients will not only implement these strategies but also evaluate whether the interventions improve awareness, reporting quality, and treatment uptake, generating lessons that can inform broader adoption.
Administratively, this is a discretionary funding opportunity administered by the Department of Health and Human Services, Centers for Disease Control and Prevention, specifically within the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP). The funding instrument is a cooperative agreement, signaling substantial CDC involvement during the project period rather than a hands-off grant model. Eligible applicants are government entities including state, county, city or township, special district governments, and federally recognized Native American tribal governments. CDC anticipated making three awards. The posting date listed is March 18, 2022, with an original closing date of May 18, 2022. The CFDA number associated with the opportunity is 93.116. The award ceiling is shown as 0 in the source data, which generally indicates the ceiling was not specified in the summary record rather than implying no funding.
Overall, this opportunity is essentially about turning an existing, required medical touchpoint for immigration into a stronger public health bridge: better LTBI data flowing to health departments, better coordination with Civil Surgeons, and more Status Adjusters receiving and completing preventive treatment. The long-term public health payoff is fewer future cases of active TB disease driven by progression from untreated latent infection, particularly in a population that carries elevated risk because of country-of-birth patterns and TB epidemiology in the United States.Apply for CDC RFA PS22 2207
- The Department of Health and Human Services, Centers for Disease Control - NCHHSTP in the health sector is offering a public funding opportunity titled "Strengthening Civil Surgeons' Capacity to Improve LTBI Surveillance and Outcomes Among Status Adjusters" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.116.
- This funding opportunity was created on Mar 18, 2022.
- Applicants must submit their applications by May 18, 2022. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 3 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Native American tribal governments (Federally recognized).
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