Tobacco Prevention and Control Program: Request for Application (RFA) Questions and Answers

Community Interventions Funding Opportunity

State Fiscal Year 2021

Answers below are in response to questions received following the Tobacco Prevention and Control Program (TPCP) Funding Opportunity webinar held on August 14, 2019.

Alliances Addressing Tobacco-Related Disparities Questions and Answers

Do you have feedback or questions about the purpose of the RFA structure?

Q. We are concerned that the "power" described is not providing equity for rural populations which may be predominantly white and lower socioeconomic status in northern Wisconsin.

A. Systems have power to impact health inequities. The Alliances will build power through the engagement of populations impacted by tobacco-related disparities to work toward the adoption and implementation of local and statewide tobacco prevention and control policies and system changes in Wisconsin. These populations can include, but are not limited to, low socioeconomic status, individuals with behavioral health conditions, Medicaid participants, multi-racial, etc. These populations reside in both rural and urban communities across Wisconsin.

Q. Why can’t the current Multi-Jurisdictional Coalitions (MJCs) remain funded and take on health equity as a piece of their current work and action plans?

A. Systems have power to impact health inequities. TPCP acknowledges that to change the patterns associated with tobacco use disparities, a new approach that addresses these systems must be taken in order to have the greatest impact on tobacco-related disparities. This will allow for populations experiencing disparities to engage in tobacco prevention and control activities and build alliances within their communities to work toward reducing disparities.

Q. Two years seems short for system level change. Would there be consideration for 3-5 years with contingency of compliance to program?

A. There will be an option for renewal based on performance, accountability, and availability of funding.

Q. When will the funding go competitive again?

A. This has not been decided.

Q. Can you apply for both Alliances but only receive funding for one?

A. You can submit two separate applications. Each application will be reviewed separately as the requirements are unique to each Alliance. You will be funded for one or none of the Alliances.

Q. If you write for the TPC Alliance funding and do not receive it, is there an option of applying for the Catalyst Alliance funding?

A. No.

Q. Would it be fair to say the TPCP is moving from funding tobacco coalitions to funding Alliances since there is no mention of tobacco coalitions in the TPC Alliance structure? Do you mean for them to be synonymous or are the TPC Alliances new with no coalition requirements?

A. In this new structure, the TPC Alliances are tobacco prevention and control coalitions that are funded to create a cohesive tobacco control movement in Wisconsin that utilizes community infrastructure to reduce tobacco-related disparities.

Q. Currently there are 15 grants. The new proposal is for 10 grants. Best case scenario, 5 current coordinators will be out of a job. These are the people with boots on the ground carrying out the day to day work of the tobacco grants. Has there been discussion at the state level about cutting positions to free up more funding? If the proposal is to have fewer MJCs, that means there should be fewer people at the state level providing support... That is what makes sense.

A. The Alliance structure is a different concept than the current MJC structure. In the proposal, there are 10 TPC Alliances, 5 Catalyst Alliances, 1 Milwaukee TPC Alliance and 1 American Indian TPC Alliance. The same amount of community intervention funding will be granted out. Per CDC Best Practices, states should maintain a robust infrastructure to support local and state work.

Q. Can you include details in the RFA that would help an agency determine if the funding is a fit or not?

A. This is an overview of the structure. Additional details will be provided in the final Request for Application which will be released November 18, 2019.

Q. Will TPCP identify geographic regions to be funded for TPC Alliance work or will the applicant agency have to determine them?

A. The applicant agency will determine the geographic area.

Q. Will TPCP determine the activities and deliverables for TPC Alliances?

A. Yes, areas of focus, strategies, activities and deliverables will be outlined in the final RFA. Applicants will be allowed to propose additional activities that engage populations and partners that build power to achieve outcomes.

Q. What is the role of the local TPC Alliance versus the role of the Tobacco Prevention and Control Program?

A. The Tobacco Prevention and Control Program (TPCP) is a section within the Department of Health Services, Division of Public Health. TPCP funds Community Interventions and WI Wins. There are two types of alliances that will be funded: Tobacco Prevention and Control Alliances (TPC) and Catalyst Alliances.

Q. Will the RFA include requirements for the TPC Alliance to engage and work with both traditional (non-profits, local public health) and non-traditional (housing, etc.) partners?

A. Areas of focus, strategies, activities and deliverables will be outlined in the final RFA.

Q. There was mention of intervention funding opportunities. Can you tell me more about these?

A. TPCP Community Intervention funding is funding the RFA. Currently, this is the only opportunity to apply for funding from TPCP.

Q. Will organizations that join a TPC be restricted in how they promote their prevention activities? For example, organizations in tobacco coalitions now are prevented from reaching out to teens in a school setting. Would this still be the case?

A. Activities and deliverables, including unacceptable activities, will be outlined in the final RFA.

Q. Youth were not listed as a group that smokes cigarettes. Would vaping be included for funding as an effort?

A. Since high prevalence rates exist for youth and young adults, strategies for best practice policy development and implementation will be outlined in the RFA.

Q. Are local health departments able to access the funding? How about regional coalitions of health departments?

A. All health departments and community agencies that meet the RFA requirements are eligible to submit an application.

Q. How do you see the new structure improving tobacco related health outcomes across the state? Do you feel the current multi-jurisdictional coalition structure is not meeting the tobacco prevention goals?

A. TPCP acknowledges that to change the patterns associated with tobacco use disparities, a new approach that addresses these systems must be taken in order to have the greatest impact on tobacco-related disparities.

Q. Do you envision all current MJCs to be funded by either type of alliance?

A. The MJCs will not be funded in their current structure.

Q. Does TPCP see a shift in which populations are addressed with the new funding? Are populations listed in the graph on page 3 of the proposed RFA overview document given priority?

A. The RFA will focus on populations disparately impacted by tobacco. The graph shows an example of some of the populations disparately impacted by smoking cigarettes but is not all-inclusive. These populations can include, but are not limited to, low socioeconomic status, individuals with behavioral health conditions, Medicaid participants, multi-racial, etc. These populations reside in both rural and urban communities across Wisconsin.

Q. Will there be continued funding after 2 years?

A. All Alliances will be funded with General Purpose Revenue (GPR) Community Intervention funding for two years, with an option for renewal based on performance, accountability, and availability of funding.

Q. Has there been a change in how TPCP receives funding? Given that this is GPR funding, what will CDC funding be used for?

A. TPCP received level funding for the current biennium. While Wisconsin General Purpose Revenue (GPR) funding provides resources for contracts with local and state partners who implement activities to achieve priority program goals, CDC funding provides resources for state-level infrastructure, staffing and training and technical assistance.

Q. How do you define priority populations and is equal weight given to each population?

A. TPCP defines priority populations as those most disparately impacted by tobacco. Applications will be scored on a variety of measures which will be defined in the final RFA.

Q. Where does the Latino community stand in all of this? They aren't included in the disparities graph.

A. The graph shows some populations disparately impacted by smoking cigarettes and is not all-inclusive. These populations can include, but are not limited to, low socioeconomic status, individuals with behavioral health conditions, Medicaid participants, multi-racial, etc. These populations reside in both rural and urban communities across Wisconsin.

Q. Are we keeping the MJC concept?

A. The MJCs will not be funded in their current structure.

Q. Is it your intention to have all of the counties covered by a coalition?

A. The applicant agency will determine the geographic area. With limited funding, there is no expectation that all counties will be covered by an Alliance.

Q. Who do you want partners to be?

A. The requirements regarding partnering agencies will be included in the final RFA.

Do you have feedback or questions about the Catalyst Alliances?

Q. How will awards be determined for Catalyst Alliances? Will it be population- or race-based?

A. Details regarding how applications will be scored will be included in the final RFA.

Q. Is it the intention that a Catalyst Alliance would serve the whole state or could they serve a region where a priority group is located?

A. The applicant agency will determine the geographic area.

Q. Who is eligible to apply for Catalyst Alliance funding? Is a Catalyst Alliance an independent organization or coalition that is already self-sufficient that wants to take on new or more tobacco work?

A. A fiscal agent representing an existing coalition can apply for the Catalyst Alliance funding. The Catalyst Alliances will be integrated into established coalitions that exist in communities across Wisconsin to decrease tobacco-related disparities. These established coalitions may currently be focused on aspects of population health other than tobacco. Catalyst Alliances will collaborate with established coalition members and stakeholders to build power to move the established coalition toward tobacco prevention and control policy and system changes.

Q. How will you ensure that TPC Alliances and Catalyst Alliances do not duplicate work?

A. TPC Alliances and Catalyst Alliances requirements will be provided in the final Request for Application which will be released November 18, 2019.

Q. Can Catalyst Alliances be created or funded for projects focused and/or based in Milwaukee?

A. One lead agency will be funded for a TPC Alliance in the city of Milwaukee to focus on reducing existing tobacco-related disparities. A Catalyst Alliance will not be funded to focus on the city of Milwaukee.

Q. Are Catalyst Alliances funded at $50,000.00 expected to cover multiple counties?

A. The applicant agency will determine the geographic area.

Q. What is your vision with the TPC Alliances and Catalyst Alliances in tobacco prevention coverage throughout the state?

A. Given TPCP’s limited funding, it is likely that not all cities and counties in Wisconsin will be covered by TPC and Catalyst Alliances. TPCP will host a platform to support non-funded coalitions, health departments, and community agencies who want to provide tobacco prevention education in their communities. This will include the ability to participate in statewide calls, access toolkits that include fact sheets and PowerPoints, and use data.

Q. What will the scope of work look like for a Catalyst Alliance?

A. Areas of focus, strategies, activities and deliverables will be outlined in the final RFA.

Q. Is there a minimum amount of staff time that will be required for the Catalyst Alliances?

A. Staffing requirements for TPC Alliances and Catalyst Alliances will be outlined in the final RFA.

Q. Will MJC funding be replaced by Catalyst Alliance funding?

A. The funding to support this RFA is the same funding that currently funds the MJCs and Ethnic and Poverty Networks. MJCs will not be funded in their current structure. Coalitions and Networks currently funded by TPCP are eligible to submit a TPC or Catalyst Alliance application.

Q. Is the city of Milwaukee eligible to apply for a Catalyst Alliance?

A. No. One lead agency will be funded for a TPC Alliance in the city of Milwaukee to focus on reducing existing tobacco-related disparities. A Catalyst Alliance will not be funded to focus on the city of Milwaukee.

Q. Who is responsible for providing guidance, support and potentially direction to the Catalyst alliances? Some agencies may be new to the movement and need additional support.

A. Contract guidance to the Catalyst Alliances will be provided by TPCP.

Do you have feedback or questions about the American Indian Tobacco Prevention and Control Alliance? Please describe below.

Q. Will there be any guidance on how to propose tribal legislation on smoke-free policies?

A. Technical assistance will be provided to the lead agency that represents the American Indian population.

Q. Is the agency that is selected a single tribe that is responsible for assisting other tribes in the state?

A. One lead agency will be funded to provide fiscal support to collaborating tribal agencies to reduce tobacco-related disparities affecting the American Indian population.

Q. What amount is currently awarded to the tribes in Wisconsin for tobacco prevention and control?

A. The Wisconsin Native American Tobacco Network receives $116,400.

Q. Will the American Indian TPC Alliance be tasked with working with southeastern Wisconsin American Indian groups and residents?

A. The applicant agency will determine the geographic area.

Q: Will this Alliance be expected to also address the urban American Indian community in Milwaukee? How does TPCP foresee collaboration playing out between the city of Milwaukee Alliance and the American Indian Alliance as it relates to American Indians living in the city of Milwaukee? Are there priority strategies for this Alliance?

A: The applicant agency for the American Indian TPC Alliance will determine the geographic area they will address. The city of Milwaukee lead agency may or may not include American Indians as a priority population.

Q: The current structure funds one coordinator for the Native American Network and one coordinator for the Poverty Network; however, these populations exist statewide. Can TPC and Catalyst Alliances outside of the American Indian TPC Alliance and City of Milwaukee TPC Alliance focus on these populations?

A: The applicant agencies will determine the priority population(s) they will address, which can include, but is not limited to, low socio-economic status and American Indian populations.

Do you have feedback or questions about the City of Milwaukee Tobacco Control Alliance? Please describe below.

Q. What amount is currently awarded to the city of Milwaukee for tobacco control and prevention?

A. Three ethnic and poverty networks and one coalition in the city of Milwaukee receive a combined $473,282.

Q. Why does Milwaukee not have to apply for a grant like the rest of the state?

A. The Milwaukee TPC Alliance funding is competitive. Only one lead agency will be funded.

Q. Why does the city of Milwaukee receive such a large amount of funding? What about the rural areas? How is that health equity when you are concentrating a large portion on one small section of the state?

A. High disparities exist in the city of Milwaukee. TPCP acknowledges that to change the patterns associated with tobacco use disparities, a new approach that addresses these systems must be taken which is why the city of Milwaukee is an area of focus. Multiple communities that represent rural areas may submit applications for TPC Alliance and Catalyst Alliance funding.

Q. Can the Gerald L. Ignace Indian Health Center in Milwaukee apply for funding?

A. Yes.

Q. What will happen to ethnic networks? Will they be combined into one Alliance or will they still operate and maintain their presence/identity and further the work and partnerships they are currently engaged in?

A. The ethnic and poverty networks will not be funded in their current structure.

Q: What are the scope of work and reporting requirements for the City of Milwaukee TPC Alliance?

A: Activities and deliverables, including scope of work and reporting requirements, will be outlined in the final RFA.

Q: Can a currently funded coalition or network serve as the fiscal agent?

A: Fiscal agents for coalitions and networks currently funded by TPCP are eligible to submit a TPC City of Milwaukee Alliance application and serve as the fiscal agent.

Q: How does TPCP foresee collaboration playing out between the City of Milwaukee Alliance and the American Indian Alliance to address the needs of urban American Indians living in Milwaukee?

A: The applicant agency for the American Indian TPC Alliance will determine the geographic area they will address. The city of Milwaukee lead agency may or may not include American Indians as a priority population.

Q: What is the role of the lead/fiscal agent for the City of Milwaukee TPC Alliance? Is it possible to have a lead agency that is responsible for program coordination and implementation that then has another agency that is the fiscal partner?

A: The roles and requirements for the lead agency of the City of Milwaukee TPC Alliance will be provided in the final RFA.

Do you have feedback or questions about the TPCP support platform? Please describe below.

Q. Is the platform's purpose to provide resources for those counties who don't receive funding?

A. The platform will provide resources to non-funded coalitions, health departments and community agencies as well as funded TCP Alliances and Catalyst Alliances.

Q. Will there be rural-specific resources/information? How will updates be provided? Is it intended to just be a website with resources available? How many people will be on the state calls mentioned? Will it be an efficient use of our time if it is just addressing urban strategies?

A. Details about the platform will be provided at a future date.

Q. With new resources available to local entities that are not funded, how will TPCP ensure alignment of work at the local level versus creating the possibility for duplicative or conflicting work?

A. Work across the state is constantly occurring and helps to build momentum for the tobacco prevention and control movement. The platform will serve as a resource for any agency engaged in this work.

Q: What happened to the Master Settlement Agreement dollars that Wisconsin received from tobacco companies a decade or so ago?

A: In 2002, the Wisconsin Master Settlement Agreement dollars were redirected to balance the state budget.

Q: Will the current Tobacco Prevention and Control Program training and technical assistance structure remain the same?

A: The TPCP training and technical assistance structure will shift to align with the prioritization of health equity and the new Alliance structure.

Q: Will the platform be similar to the structure currently in place (e.g. biweekly TPCM calls, resources available on Tobwis, etc.)?

A: Details about the platform will be provided at a future date.

Q: Will there be a dedicated point person at TPCP that non-funded coalitions can contact with questions and TA needs?

A: Details about the technical assistance structure for the platform will be provided at a future date.

Q: Is this meant for the current MJCs and networks that aren't refunded?

A: The platform will serve as a resource for any agency engaged in tobacco prevention and control work, including those MJCs and Networks that are not refunded, as well as applicants that do not receive funding.

Do you have feedback or questions about Wisconsin Wins (WI Wins) funding? Please describe below.

Q. Will WI Wins funding only be awarded to the TPC Alliances? Will the Catalyst Alliances be eligible?

A. WI Wins will continue to be funded by TPCP. TPC and Catalyst Alliances will be required to conduct WI Wins activities in the jurisdiction their alliance covers. Funding for WI Wins will be in addition to the Community Intervention funding the alliance receives.

Q. Who will be responsible for implementing WI Wins in a county not receiving Alliance funding?

A: In counties that are not part of any type of Alliance, local health departments will be offered the WI Wins funding. This will ensure WI Wins activities are conducted in each county.

Q: Will the fiscal agent for the City of Milwaukee TPC Alliance also be the fiscal agent for WI Wins in Milwaukee?

A: Yes, the City of Milwaukee TPC Alliance will be required to conduct WI Wins activities in the jurisdiction of the city of Milwaukee.

Do you have feedback or questions about the RFA timeline? Please describe below.

Q. Where is the timeline available?

A. The timeline is listed below. It is also on the front page of the overview of the TPCP Community Interventions funding opportunity and is included in the webinar that can be found on the Department of Health Services (DHS) website.

Date Description
August 14, 2019

Webinar (9 to 9:30 a.m.)

Survey distributed

August 28, 2019 Survey closed
September 16, 2019

Questions and Answers document distributed

November 18, 2019 RFA released
January 15, 2020 RFA applications due
February 28, 2020

Notification of awards

Negotiations begin

May 1, 2020 Negotiations complete
June 30, 2020 Contracts in place

 

Q. Where will the RFA release be posted on November 18?

A. The final RFA will be emailed out to the same listservs as the webinar information and overview documents and will be posted on the DHS website as well as the Health Department email list.

Q: Will there be another opportunity for questions after the RFA is released?

A: No

Please use this space to ask any additional questions or make comments not captured above.

Q. Will there be any breakdown of how the money can be utilized?

A. Budget guidance will be provided in the final RFA.

Q. How will the updates and further information on the restructure be communicated?

A. The final RFA will be emailed out to the same listservs as the webinar information and overview documents and will be posted on the DHS website and the Health Department email list.

Q. Were health departments involved in the restructuring proposal? Was a work group with statewide representation sought? Was there a "Forces of Change" or other assessment performed with key partners?

A. What was shared in the overview document and webinar was a proposed structure. The survey provided the opportunity for feedback on the proposed structure. The responses will be reviewed and integrated into the final RFA.

Q. Why are electronic devices and vaping not included in the definition of prevention for tobacco?

A. Electronic devices and vaping are included in the Tobacco Prevention and Control Movement strategic plan. Activities and deliverables specific to these products and other tobacco products will be outlined in the final RFA.

Q. Is it the expectation or desire of the program to have every county part of a TPC Alliance?

A. Given the limited funding TPCP receives, it is not the expectation that every county will be covered by an Alliance.

Q. Why is the structure being changed after 10 years?

A. TPCP acknowledges that to change the patterns associated with tobacco use disparities, a new approach that addresses these systems must be taken. The aim of this funding opportunity is to reduce tobacco-related disparities by supporting collaboration among the organizations and agencies that work with and provide services to these populations.

Q. How will TPCP ensure that those agencies already receiving funding do not receive priority over other agencies not currently funded? How will TPCP ensure fairness in RFA requirements and ensure no favoritism in the issuing of contracts?

A. All information about the RFA is being shared publically through listservs and posted on the DHS website. All applications will be reviewed using unbiased scoring criteria. No preference will be given to any agency.

Q. Can awardees have funding for a Drug Free Communities (DFC) Grant in addition to this funding?

A. Yes, current DFC grantees who meet the RFA requirements are eligible to apply.

Q. Would there be a competitive application every two years? Is this funding opportunity available only once to an organization?

A. There will be an option for renewal based on performance, accountability, and availability of funding.

Q. What prompted the change in funding structure?

A. To change the patterns associated with tobacco use disparities, a new approach that addresses these systems must be taken in order to have the greatest impact on tobacco-related disparities.

Q. How are Coalitions and Networks currently funded?

A. Currently 15 Multi-Jurisdictional Coalitions and five Ethnic and Poverty Networks are funded throughout the state.

Q. Are you required to be a 501(c)(3) to apply?

A. 501(c)(3) agencies are eligible to apply but this is not a requirement.

Q. Can only agencies that have been part of the movement in the past apply?

A. All health departments and community agencies that meet the RFA requirements are eligible to submit an application.

Q. Where does the American Lung Association (ALA) and FACT, Wisconsin’s youth movement, fit into the RFA?

A. This RFA is only for community interventions funding. Programs, such as, but not limited to SPARK, FACT, First Breath, and UW-CTRI are not funded with Community Interventions funding. TPC Alliances will be required to support FACT groups in their geographic areas.

Last Revised: October 18, 2019