The American Recovery and Reinvestment Act of 2009 - Bill Summary

Colorado Department of Public Health and Environment

CDPHE Environmental Programs -

Name of Program - Diesel Emission Reduction Act (DERA)

Division - Air Pollution Control Division
Contact - Paul Tourangeau, Division Director (303) 692-3114
National Amount:
Total: $300 million
Competitive: $206 million
Non-Competitive: $88 million
SmartWay Clean Diesel Finance Program: $30 million (APCD not intending to pursue at
this time as a lending program/partnership would require substantial advance set-up
time – months or a year – and our priority vehicles remain school buses, for which
retrofits are funded 100%.)
Clean Diesel Emerging Technologies Program: $20 million (APCD currently is evaluating
the possibility of applying for a grant to examine an emerging NOx reduction technology
but no decision has been made as to whether to pursue this project)
Colorado Amount:
Total: $2.53 million
Competitive: $850,000 (funding awarded by EPA on May 20, 2009)
Non-Competitive: $1.73 million (funding awarded by EPA in March 2009)
Proposed Projects:
Retrofitting of public school buses beginning in Weld County and continuing to El
Paso and Mesa Counties. The awarded funding will retrofit approximately 330 buses
out of an estimated 5,000 eligible statewide. The funds awarded under the
competitive grant, will be used to retrofit approximately 180 over-the-road trucks with
Auxiliary Power Units (APUs), which significantly reduce idling time, thus reducing
emissions and conserving diesel fuel.
Match Provisions:
Competitive: No State match required. Truck owner/operators participating in the APU
retrofit program will be required to pay 50% of the retrofit cost, which will help maximize
the environmental and fuel savings benefit of the project.
Non-Competitive: No match required. Grant funds will be used to retrofit 100% of the
school bus retrofit costs.
Description of Intent:
The intent of the ARRA-fortified DERA funds is to provide cost effective air pollution
reduction for public health benefits, especially in areas with air toxics concerns. Fuel
savings via idling reduction and job creation or preservation are important secondary
goals.
Required Timelines:
States must obligate 100% of funds by Sept. 30, 2010.
Federal Requirements:
To be announced.
Transparency:
Quarterly reporting to EPA. Evaluated program success will rely 30% on job
creation/retention. Additional requirements to be announced.

ARRA of 2009 Bill Summary-CDPHE (Updated 7-15-2009) 1

Certification:
N/A

Other:
EPA may retain 2% for administration
State (non-competitive) funding: Administration costs may be up to 15%
Competitive grant funds: ~10% administrative costs to be allowed.
See attachment for project specific update (ARRA- CDPHE-DERA Project Status
7-2009)

Name of Program - Hazardous Substance Superfund Program

Division - Hazardous Materials and Waste Management Division
Contact - Gary Baughman, Division Director (303) 692-3338
National Amount:
$600 million
EPA Region 8 Amount:
$66 million
Colorado Amount:
EPA to award approximately $19.2 million for Clear Creek and Summitville Superfund
projects.
Match Provisions:
10 percent of federal amount on construction projects
Description of Intent:
Identified Superfund sites cleanup and remediation
Proposed Projects:
Clear Creek (Department has received approval for $2.16 million and applied for an
additional $1.4 million for this project)
Summitville (EPA awarded $17 million for this project)
Required Timelines:
The department was awarded $17 million by EPA for the Summitville site, with funds
being available for expenditure in July 2009. The department received an award
document from EPA for the $2.16 million for remedial design work at the Clear Creek
site on 07/13/09. An application for $ 1.4 million for remedial action work at the Clear
Creek site was also submitted to EPA on 07/06/09. Funds received by the state must be
100% obligated within 12 months. Seventy percent of the award must be spent within
two years of the EPA regional office receiving the funds. By accepting the funds,
CDPHE is committing to this compressed timetable.
Federal Requirements:
Davis-Bacon Act provisions will apply

ARRA of 2009 Bill Summary-CDPHE (Updated 7-15-2009) 2

Name of Program - Brownfields Redevelopment Program
Division - Hazardous Materials and Waste Management Division
Contact - Gary Baughman, Division Director (303) 692-3338
National Amount:
$100 million
EPA Region 8 Amount:
$10 million
Colorado Amount:
Unknown at this time
Match Provisions:
N/A
Description of Intent:
Competitive grants awarded by EPA directly to applicants to evaluate and clean up
former industrial and commercial sites
Proposed Projects:
There may be some Colorado projects funded, but the Department will not be part of the
decision process, which is entirely within EPA.
Required Timelines:
N/A
Federal Requirements:
N/A
Other:
Program will be administered by EPA and will provide funding for projects on an existing
list that have not been funded. The Department will not receive this money to award to
projects in the State.

Name of Program - Drinking Water State Revolving Fund (DWSRF) and Water Pollution
Control Revolving Fund (WPCRF)
Division - Water Quality Control Division
Contact - Steve Gunderson, Division Director (303) 692-3509
National Amount:
DWSRF - $2 Billion
WPCRF - $4 Billion
Colorado Amount and Match Provisions:
DWRF – $32,290,880 million – No State match required
o 4% Administration
o 2% Small system training and technical assistance (for planning and design
grants)
o 10% Public water system supervision (Requires 1:1 Match – Colorado does not
intend to use these funds since it would decrease the infrastructure allocation)
WPCRF – $30,093,792 million – No State match required
o 4% Administration
Description of Intent:

ARRA of 2009 Bill Summary-CDPHE (Updated 7-15-2009) 3

 The intent of the ARRA is to capitalize grants for the Clean Water State Revolving Funds
under Title VI of the Federal Water Pollution Control Act, and capitalization grants under
Section 1452 of the Safe Drinking Water Act.
Proposed Projects:
See Attached - DWRF – 2009 IUP Appendix K ARRA Project Priority/Fundable List
See Attached - WPCRF – 2009 IUP Appendix J List of ARRA Projected Loans
(Fundable List)
Required Timelines:
Colorado must obligate 100% of funds within 12 months of the date of enactment
On 05/29/09, the Water Quality Control Commission approved the fundable project lists
for both the DWRF and WPCRF. In order to meet the 20% Green Project Reserve of
the ARRA funding, potential projects had to submit categorical and business cases
pertaining to the green components of their projects. These identified business cases
were received by 06/15/09. The Water Quality Control Division reviewed both the
categorical and business case green projects and submitted them to EPA on 06/26/09
for their review and approval. EPA has approved all but two projects pertaining to the
WPCRF ARRA Green projects and all but one DWRF ARRA Green projects. Staff is
currently working with EPA to provide additional information for their consideration and
approval. On 06/30/09 the division received all final plans and specifications and
environmental assessment reports from the potential projects identified on the DWRF
and WPCRF ARRA Fundable Lists. It is anticipated that construction will begin by
09/30/09 for these projects.
Federal Requirements:
Davis-Bacon Prevailing Wage Requirements (Section 1606)
Buy American Provision – Use of American iron, steel and manufactured goods (Section
1605)
Disadvantaged Business Enterprise Provisions
50% of grant to be used for additional subsidization including principal forgiveness,
negative interest rates, grants or any combination of these
20% of grant to be used for green infrastructure, water or energy efficiency
improvements or other environmentally innovative activities
Transparency:
Section 1511- For funds made available to State or local governments for infrastructure
investments, the Governor, mayor or other chief executive, as appropriate, shall certify
that the infrastructure investment has received the full review and vetting required by law
and that the chief executive accepts responsibility that the infrastructure investment is an
appropriate use of taxpayer dollars. Such certification shall include a description of the
investment, the estimated total cost, and the amount of covered funds to be used, and
shall be posted on a website and linked to the website established by section 1526. A
State or local agency may not receive infrastructure investment funding from funds made
available in this Act unless this certification is made and posted.
Other:
No refinancing of municipal debt or restructuring outstanding SRF loans
Prohibition on land or easement purchases
Transfer between SRF programs allowed but must be identified in final IUP
No reserving or “banking” of the funding is allowed
Monthly reporting to www.recovery.gov
For additional information and criteria pertaining to available funds please click on the
link: http://www.cdphe.state.co.us/op/wqcc/New/ARRA.html

ARRA of 2009 Bill Summary-CDPHE (Updated 7-15-2009) 4

Name of Program - State Energy Program (DOE)
Division – Administration, Office of Environmental Integration and Sustainability (OEIS)
Contact – Patrick Hamel and Julia Rodriguez (303) 692-2979 or (303) 692-2151
National Amount:
$3,069,000,000
Colorado Amount:
$49,065,000 Statewide, applied for and awarded to the Governor’s Energy Office (GEO)
and distributed to public agencies through a competitive grant process. The department
anticipates applying for up to $1 million dollars.
Match Provisions:
Unknown at this time. May require matching funds. The department’s utility long bill line
item and\or the energy performance contract could be considered for any potential
match requirement.
Description of Intent:
These funds are from DOE for greening public and private buildings through energy
efficiencies and renewable energies.
Required Timelines for Distribution:
Projects must be extensively developed “shovel ready” and have a clear path to
implementation inside of 90 days from time of award. Remaining 15 months are for
execution.
Proposed Projects: 1) Installation of solar at the CDPHE main campus to charge plug-in
hybrid-electric state vehicles. This project is needed as manufacturers will be producing
plug-in electric hybrids for the 2010 models and the current parking lot capabilities would
not support this change (could be difficult with aggressive timeline as we would have to
amend the lease); 2) Installation of solar PV at the State Lab that will generate
approximately 14,000 Kwh per year; 3) Other potential greening projects at the State
Lab as identified in the performance contract project list.
Federal Requirements:
Unknown at this time

CDPHE Health Programs -

Name of Program - Chronic Disease and Risk Factor Programs

Division – Prevention Services Division
Contact – Jillian Jacobellis, Division Director (303) 692-2504
National Amount:
$650 million for Prevention and Wellness Fund
Colorado Amount:
Unknown at this time, expected to be distributed through existing cooperative
agreements with Centers for Disease Control and Prevention (CDC), or through previous
grant application to CDC that were “approved but not funded.”
Match Provisions:
Assume to be consistent with match provisions in existing CDC cooperative agreements,
which vary.

ARRA of 2009 Bill Summary-CDPHE (Updated 7-15-2009) 5

Description of Intent:
Implementation of “evidence-based clinical and community-based prevention and
wellness strategies, authorized under the Public Health Services Act and determined by
the Secretary, that deliver measurable health outcomes that address chronic disease
rates.”
Proposed Projects:
All existing CDC cooperative agreements support population-based strategies to prevent
or postpone chronic disease, related risk factors and related complications. This
includes policy and environmental change, health communications, and program
interventions focused on communities, worksite, schools and health care systems.
Required Timelines:
Unknown at this time
Federal Requirements:
Assume to be consistent with requirements of existing CDC cooperative agreements
through which the funds will be distributed.

Name of Program - WIC (Supplemental Nutrition Program for Women, Infants and
Children)
Division – Prevention Services Division
Contact – Jillian Jacobellis, Division Director (303) 692-2504
National Amount:
$400 million for a contingency fund to support caseload growth and $100 million to
support state MIS projects
Colorado Amount:
An application for $444,066 was submitted on May 29, 2009. The MPSC computer
system project (one of only three model projects in the nation) may need some of the
MIS funds, though the project already is nearly fully funded. A separate application may
be submitted at a later date.
Match Provisions:
None
Required Timelines:
Unknown, though we understand that USDA is waiting for the completion of FY09
appropriation bills and once complete they will distribute those funds using the normal
funding formula. We believe the contingency funds from the stimulus package would
then be used to provide states additional funds in those cases where the FY09
appropriation is insufficient to support projected caseloads. Most states, including
Colorado, are experiencing record participation levels, likely because of the continued
growth in unemployment and the downturn in the economy.

ARRA of 2009 Bill Summary-CDPHE (Updated 7-15-2009) 6

NEW
Name of Program - Primary Care Office
Division – Prevention Services Division
Contact – Jillian Jacobellis, Division Director (303) 692-2504
National Amount:
$6 million
Colorado Amount:
$101,520 (approximate) over three federal fiscal years
Match Provisions:
None
Description of Intent:
To accommodate the increased demand for Primary Care Office assessment and
designation support related to the National Health Service Corps program expansion as
funded by ARRA.
Required Timelines for Distribution:
By the end of FFY2012 (Sept. 30, 2012)
Federal Requirements:
All federal requirements are delineated under the existing grant agreement between the
department (Primary Care Office) and the Health Resources and Services
Administration, U68HP11447-01-00.

Name of Program - State Health Professions Loan Repayment Program (pending

outcome of State HB09-1111)
Division – Prevention Services Division
Contact – Jillian Jacobellis, Division Director (303) 692-2504
National Amount:
$20 million
Colorado Amount:
$800,000 (approximate, depending upon the total match requests from all states)
Match Provisions:
Requires a state match plus a small increase in administrative costs. State match can
be raised through private gifts, grants and donations.
Description of Intent:
Increases the number of health care providers in medically underserved communities by
repaying a portion of the student loan debt of health professionals in exchange for
service.
Required Timelines for Distribution:
By the end of FFY2010 (Sept. 30, 2010)
Federal Requirements:
Mirrors requirements for National Health Service Corps; currently state legislation
(HB09-1111) already is organized to accommodate federal requirements.

ARRA of 2009 Bill Summary-CDPHE (Updated 7-15-2009) 7

Name of Program - National Health Service Corps (NHSC)
Division – Prevention Services Division
Contact – Jillian Jacobellis, Division Director (303) 692-2504
National Amount:
$196 million
Colorado Amount:
Estimated $3.9 million. The Primary Care Office (PCO) has a significant role in
determining which communities and which employers receive NHSC providers, but
funds do not flow through the Department.
Match Provisions:
None
Description of Intent:
Increases the number of health care providers in medically underserved communities by
repaying a portion of the student loan debt of health professionals in exchange for
service.
Required Timelines for Distribution:
By the end of FFY2010 (Sept. 30, 2010)
Federal Requirements:
Primary Care Office must prepare new Health Professional Shortage Area applications
for all eligible communities and review and approve applications for NHSC employers.
As the NHSC program will more than double from current funding levels, the approval
workload of the PCO will increase significantly related to NHSC site designation. The
office can accommodate the increased workload because HB 09-1111 was successful
and because of supplemental support from HRSA, as discussed above.

Name of Program - Section 317 Immunization Funds (CDC)

Division – Disease Control and Environmental Epidemiology Division
Contact – Lisa Miller, MD, Division Director (303) 692-2663
National Amount:
$300 million
o $180 million for vaccine purchases
o $22 million for competitive grant applications for demonstration or high profile
projects
o $9 million for communications
o $21.5 million for surveillance, coverage measurements and vaccine safety
o $67.5 million for non-competitive grant awards to 64 immunization grantees
Colorado Amount:
Operations: estimated at $1,690,267
Vaccine: estimated $2.473 million
Match Provisions:
None
Description of Intent:
Funds to be used to improve immunization rates by vaccinating more adults and
children.
Required Timelines for Distribution:
Grant announcement published in early June. Grant application completed and
submitted by the 07/02/09 deadline for the non-competitive grant. Funds distribution

ARRA of 2009 Bill Summary-CDPHE (Updated 7-15-2009) 8

 targeted for 08/15/09. All obligations must be completed by 12/31/11. Budget period of
28 months.
Federal Requirements:
Extensive reporting requirements are being requested for all recovery funds.

Name of Program - Health Information Technology Fund - Immunization Funds – (Health

Resources Services Administration and CDC)
Division – Disease Control and Environmental Epidemiology Division
Contact – Lisa Miller, MD, Division Director (303) 692-2663
National Amount:
Estimated $1,200,000
Colorado Amount:
Estimated $75,000 a year for two years
Match Provisions:
None
Description of Intent:
These funds are from the Health Information Technology fund within the stimulus
package. It is expected that some of these funds will be distributed to select Sentinel
Immunization Information System (SIIS) sites throughout the country.
Required Timelines for Distribution:
Submitted a competitive grant application for a total request of $174,965 (for the two-
year grant period) by the grant deadline of 07/02/09. Anticipate notification regarding the
grant request by 08/15/09 with funds awarded following notification of awardees. All
obligations must be complete by 12/31/11. Budget period of 28 months.
Proposed Projects:
Colorado’s CIIS (Colorado Immunization Information System) is one of the sites that
may be selected for funding. The funds will be limited to expansion activities and cannot
be used for current operations.
Federal Requirements:
Extensive reporting requirements are being requested for all recovery funds.

Name of Program - Supplemental for Innovative Projects to Improve Reimbursement in

Public Health Department Clinics
Division – Disease Control and Environmental Epidemiology Division
Contact – Lisa Miller, MD, Division Director (303) 692-2663
National Amount:
$5,000,000
Colorado Amount:
Estimated $514,297
Match Provisions:
None.
Description of Intent:

ARRA of 2009 Bill Summary-CDPHE (Updated 7-15-2009) 9

 Approximately half of U.S. children are covered by private health insurance that includes
coverage for vaccines, and most of these children receive their immunizations in private
provider offices that serve as a medical home for comprehensive primary care. Private
providers are able to bill health insurance plans for the delivery of immunizations to
insured individuals. State and local health department clinics provide immunizations to
uninsured and other children who are eligible for the Vaccines For Children program.
However, fully insured children who are not VFC-eligible may be brought to a health
department clinic for immunization with 317 or state-purchased vaccines, but most
health department clinics do not bill private health insurance for immunization services
provided to health plan members.

Required Timelines for Distribution:

Submitted a competitive grant application for a total request of $514,297 by the grant
deadline of 07/02/09. Anticipate notification regarding the grant request by 08/15/09 with
funds awarded following notification of awardees. All obligations must be complete by
12/31/11. Budget period of 28 months.
Proposed Projects:
CDPHE Immunization Program will work with Denver Health to expand existing school-
based billing project to include public health clinics and strengthen reimbursement for
insured patient’s vaccine administration.
Federal Requirements:
Extensive reporting requirements are being requested for all recovery funds.

Name of Program - Supplemental Funding for Innovative Projects to Develop “Best

Practices” for Monitoring School Vaccination Coverage and
Exemption Rates
Division – Disease Control and Environmental Epidemiology Division
Contact – Lisa Miller, MD, Division Director (303) 692-2663
National Amount:
$600,000
Colorado Amount:
Estimated $267,000
Match Provisions:
None.
Description of Intent:
The Healthy People 2010 objectives for children in kindergarten call for at least 95% coverage
for ACIP-recommended vaccines. Valid estimates from each state are needed to monitor state-
level progress toward these objectives, and data collection methods must be comparable across
states for valid national estimates, and for valid comparisons between states.

Required Timelines for Distribution:

Submitted a competitive grant application for a total request of $267,602 by the grant
deadline of 07/02/09. Anticipate notification regarding the grant request by 08/15/09 with
funds awarded following notification of awardees. All obligations must be complete by
12/31/11. Budget period of 28 months.
Proposed Projects:

ARRA of 2009 Bill Summary-CDPHE (Updated 7-15-2009) 10

 Funds will be used to improve data exchange between School Districts and the CDPHE-
Immunization Program. Data quality assurance, data management, and analysis will be
addressed in the funding proposal.
Federal Requirements:
Extensive reporting requirements are being requested for all recovery funds.

Name of Program - Section 317 Immunization Program: Strengthening the Evidence

Base – Emerging Infections Program - EIP (CDC)
Division – Disease Control and Environmental Epidemiology Division
Contact – Ken Gershman, MD, Chief, Communicable Disease Program (303) 692-2657
National Amount:
$1.7 million (for 10 current grantees under CDC’s Emerging Infections Program)
Colorado Amount:
$174,000
Match Provisions:
None
Description of Intent:
Funds to be used to support the EIP network -10 sites to evaluate the effectiveness of
the new (expected to be licensed in the fall 2009) pediatric pneumococcal vaccine
(PCV13) in routine practice.
Required Timelines for Distribution:
Application submittal date of June 26, 2009. Funds distribution targeted for
Aug. 30, 2009.

Proposed Projects:
Conduct case-control study to assess the effectiveness of the new PCV13 vaccine in
children 3-59 months old.
Federal Requirements:
Monthly report on performance measures to CDC
Quarterly reports to CDC and HHS

Name of Program - Emerging Infecitons Program (EIPs) – Healthcare-Associated

Infections Program
Division – Disease Control and Environmental Epidemiology Division
Contact – Ken Gershman, MD, Chief, Communicable Disease Program (303) 692-2657
National Amount:
$4.0 million (for 10 current grantees under CDC’s Emerging Infections Program)
Colorado Amount:
$400,000
Match Provisions:
None
Description of Intent:

ARRA of 2009 Bill Summary-CDPHE (Updated 7-15-2009) 11

 Funds to be used to support the EIP network (10 sites) to support targeted efforts to
monitor and investigate the changing epidemiology of healthcare-associated infections
(HAI) in populations in the context of HAI prevention efforts.
Required Timelines for Distribution:
Application submittal date of June 26, 2009. Funds distribution targeted for
Aug. 30, 2009.
Proposed Projects:
1) Evaluate invasive methicillin–resistant Staphylococcus (MRSA) infections with onset
outside of the acute care setting; 2) implement the use of additional National Healthcare
Safety Network (NHSN) modules by participating EIP hospitals (five-county Denver
metro area) regarding multidrug-resistant organisms and Clostridium difficle-associated
diarrhea; 3) implement a hospital-wide healthcare associated infection (HAI) prevalence
survey among participating EIP hospitals.
Federal Requirements:
Quarterly reports to CDC and HHS

Name of Program – Patient Safety

Division – Health Facilities and Emergency Medical Services (Funding coming through
DCEED ELC Grant)
Contact – Howard Roitman, Division Director (303) 692-2613
National Amount:
$35,800,000
Colorado Amount:
$1,179,188
Match Provisions:
None
Description of Intent:
The Prevention and Wellness Fund section of the Recovery Act provides funding to the
Department of Health and Human Services to be provided to States to carry out
activities to reduce healthcare-associated infections (HAI’s).
Required Timelines for Distribution:
Grant announcement was released in May 2009 with application submittal date of
June 26, 2009. Award announcements are expected by Aug. 30, 2009. Grant period is
for 28 months (Sept. 1, 2009 – Dec. 31, 2011).
Proposed Projects:
(1) Hire three HAI staff to assist with data validation project and daily HAI activities; (2)
Bring Dialysis Treatment Centers onboard to report HAI’s; (3) Partner with an
organization experienced in infection prevention to provide training for less experienced
infection control staff at healthcare facilities and surveyors at the health department; (4)
Form a prevention collaborative to help healthcare facilities make progress toward
meeting HHS Action Plan 5-year prevention targets; and (5) Develop training programs
and prevention strategies based on results of validation project.
Federal Requirements:
Submit a State HAI Prevention Plan by Jan. 1, 2010
Quarterly reports to CDC and HHS

ARRA of 2009 Bill Summary-CDPHE (Updated 7-15-2009) 12