---
kind: "section"
citation: "42 U.S.C. § 300u–13"
title: "42"
title_heading: "The Public Health and Welfare"
number: "300u–13"
heading: "Community transformation grants"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/300u-13"
units:
  - "Chapter 6A — Public Health Service"
  - "Subchapter XV — Health Information and Health Promotion"
---

# §300u–13. Community transformation grants

- (a) **In general—** The [Secretary](/usc/42/201.md?p=c) of Health and Human [Services](/usc/42/201.md?p=a) (referred to in this section as the “[Secretary](/usc/42/201.md?p=c)”), acting through the [Director](/usc/42/11851.md?p=5) of the Centers for Disease Control and Prevention (referred to in this section as the “[Director](/usc/42/11851.md?p=5)”), shall award competitive grants to [State](/usc/42/201.md?p=f) and local governmental [agencies](/usc/42/8262.md?p=1) and community-based organizations for the implementation, evaluation, and dissemination of evidence-based community preventive health activities in order to reduce chronic disease rates, prevent the development of secondary conditions, address health disparities, and develop a stronger evidence-base of effective prevention programming, with not less than 20 percent of such grants being awarded to rural and frontier areas.
- (b) **Eligibility—** To be eligible to receive a grant under [subsection (a)](#a), an entity shall—
  - (1) be—
    - (A) a [State](/usc/42/201.md?p=f) governmental [agency](/usc/42/8262.md?p=1);
    - (B) a local governmental [agency](/usc/42/8262.md?p=1);
    - (C) a national network of community-based organizations;
    - (D) a [State](/usc/42/201.md?p=f) or local non-profit organization; or
    - (E) an Indian tribe; and
  - (2) submit to the [Director](/usc/42/11851.md?p=5) an application at such time, in such a manner, and containing such information as the [Director](/usc/42/11851.md?p=5) may require, including a description of the [program](/usc/42/274l–1.md?p=4) to be carried out under the grant; and
  - (3) demonstrate a history or capacity, if funded, to develop relationships necessary to engage key stakeholders from multiple sectors within and beyond health care and across a community, such as healthy futures corps and [health care providers](/usc/42/300aa–33.md?p=1).
- (c) **Use of funds—**
  - (1) **In general—** An eligible entity shall use amounts received under a grant under this section to carry out [programs](/usc/42/274l–1.md?p=4) described in this subsection.
  - (2) **Community transformation plan—**
    - (A) **In general—** An eligible entity that receives a grant under this section shall submit to the [Director](/usc/42/11851.md?p=5) (for approval) a detailed plan that includes the policy, environmental, programmatic, and[^1] as appropriate[^1] infrastructure changes needed to promote healthy living and reduce disparities.
    - (B) **Activities—** Activities within the plan may focus on (but not be limited to)—
      - (i) creating healthier [school](/usc/42/300j–21.md?p=6) environments, including increasing healthy food options, physical activity opportunities, promotion of healthy lifestyle, emotional wellness, and prevention curricula, and activities to prevent chronic diseases;
      - (ii) creating the infrastructure to support active living and access to nutritious foods in a safe environment;
      - (iii) developing and promoting [programs](/usc/42/274l–1.md?p=4) targeting a variety of age levels to increase access to nutrition, physical activity and smoking cessation, improve social and emotional wellness, enhance safety in a community, or address any other chronic disease priority area identified by the grantee;
      - (iv) assessing and implementing worksite wellness programming and incentives;
      - (v) working to highlight healthy options at restaurants and other food venues;
      - (vi) prioritizing strategies to reduce racial and ethnic disparities, including social, economic, and geographic determinants of health; and
      - (vii) addressing special populations needs, including all age groups and individuals with disabilities, and individuals in urban, rural, and frontier areas.
  - (3) **Community-based prevention health activities—**
    - (A) **In general—** An eligible entity shall use amounts received under a grant under this section to implement a variety of [programs](/usc/42/274l–1.md?p=4), policies, and infrastructure improvements to promote healthier lifestyles.
    - (B) **Activities—** An eligible entity shall implement activities detailed in the community transformation plan under [paragraph (2)](#c-2).
    - (C) **In-kind support—** An eligible entity may provide in-kind resources such as staff, equipment, or office space in carrying out activities under this section.
  - (4) **Evaluation—**
    - (A) **In general—** An eligible entity shall use amounts provided under a grant under this section to conduct activities to measure changes in the prevalence of chronic disease risk factors among community members participating in preventive health activities[^2]
    - (B) **Types of measures—** In carrying out [subparagraph (A)](#c-4-A), the eligible entity shall, with respect to residents in the community, measure—
      - (i) changes in weight;
      - (ii) changes in proper nutrition;
      - (iii) changes in physical activity;
      - (iv) changes in tobacco use prevalence;
      - (v) changes in emotional well-being and overall mental health;
      - (vi) other factors using community-specific data from the Behavioral Risk Factor Surveillance Survey; and
      - (vii) other factors as determined by the [Secretary](/usc/42/201.md?p=c).
    - (C) **Reporting—** An eligible entity shall annually submit to the [Director](/usc/42/11851.md?p=5) a report containing an evaluation of activities carried out under the grant.
  - (5) **Dissemination—** A grantee under this section shall—
    - (A) meet at least annually in regional or national meetings to discuss challenges, best [practices](/usc/42/17061.md?p=19), and lessons learned with respect to activities carried out under the grant; and
    - (B) develop models for the replication of successful [programs](/usc/42/274l–1.md?p=4) and activities and the mentoring of other eligible entities.
- (d) **Training—**
  - (1) **In general—** The [Director](/usc/42/11851.md?p=5) shall develop a [program](/usc/42/274l–1.md?p=4) to provide training for eligible entities on effective strategies for the prevention and control of chronic disease and the link between physical, emotional, and social well-being.
  - (2) **Community transformation plan—** The [Director](/usc/42/11851.md?p=5) shall provide appropriate feedback and technical assistance to grantees to establish community transformation plans[^2]
  - (3) **Evaluation—** The [Director](/usc/42/11851.md?p=5) shall provide a literature review and framework for the evaluation of [programs](/usc/42/274l–1.md?p=4) conducted as part of the grant [program](/usc/42/274l–1.md?p=4) under this section, in addition to working with academic institutions or other entities with expertise in outcome evaluation.
- (e) **Prohibition—** A grantee shall not use funds provided under a grant under this section to create video games or to carry out any other activities that may lead to higher rates of obesity or inactivity.
- (f) **Authorization of appropriations—** There are authorized to be appropriated to carry out this section, such sums as may be necessary for each of fiscal year[^3] 2010 through 2014.

## Footnotes

[^1]: So in original. Probably should be followed by a comma.
[^2]: So in original. Probably should be followed by a period.
[^3]: So in original. Probably should be “years”.

## Source credit

(Pub. L. 111–148, title IV, § 4201, title X, § 10403, Mar. 23, 2010, 124 Stat. 564, 975.)

## Notes

### Editorial Notes

### Codification

Section was enacted as part of the Patient Protection and Affordable Care Act, and not as part of the Public Health Service Act which comprises this chapter.

### Amendments

2010—Subsec. (a). Pub. L. 111–148, § 10403(1), inserted “, with not less than 20 percent of such grants being awarded to rural and frontier areas” before period at end.

Subsec. (c)(2)(B)(vii). Pub. L. 111–148, § 10403(2), substituted “urban, rural, and frontier areas” for “both urban and rural areas”.

Subsec. (f). Pub. L. 111–148, § 10403(3), substituted “each of fiscal year” for “each fiscal years”.