​I.  Purpose

The CDPH Chronic Disease Control Branch Alzheimer's Disease Program is issuing this memo to provide LHJs with an overview of new state funding included in the 2022 Budget Act (Assembly Bill 179, Chapter 249, Statutes of 2022) to support the Healthy Brain Initiative.

​II.  Healthy Brain Initiative Grants

The 2022 Budget Act included an augmentation to the CDPH Healthy Brain Initiative (HBI) in support of the Healthy Brain Initiative State and Local Public Health Partnerships to Address Dementia established by the U.S. Centers for Disease Control and Prevention and the Alzheimer’s Association. Additional background and details are provided below.

​Background: The 2019 Budget Act appropriated $5 million, one-time, General Fund, to CDPH to fund up to six LHJs to support activities consistent with the Healthy Brain Initiative. Of this amount,CDPH retained $500,000 for state operations.

​The 2019 Budget Act required that selected LHJs include at least two rural counties and at least one coastal county. After a competitive process, CDPH selected the following LHJs to receive $750,000 in one-time grant funding from July 1, 2020, through June 30, 2022:

​Funded LHJs were required to undertake at least one of the following activities related to Alzheimer’s disease and related dementia:

These six initial pilots concluded their work at the end of the 2021-2022 Fiscal Year on June 30, 2022.

Funding: The 2022 Budget Act included $10 million, one-time, General Fund to both support previous HBI grantees and expand to additional LHJs. Of this amount, $8.5 million will be available for grants to LHJs and $1.5 million will be available to CDPH for state operations. This funding is anticipated to support at least 12 LHJ programs statewide. This funding shall be available for encumbrance or expenditure until June 30, 2025.

​Previous Pilots (6 LHJs): Funding included in the 2022 Budget Act will support an extension of the previous six pilot programs established with funding from the 2019 Budget Act in the following LHJs: Los Angeles; Placer; Sacramento; San Diego; Santa Clara; Shasta. The continuation of previous pilots will run from November 2022 to October 2024.

​Previous pilots are anticipated to receive up to $708,000 in grant funding over two years. CDPH will utilize the following timeline for previous HBI grantees:

CDPH will work with previous pilots this fall to finalize new contracts, work plans, and budgets by the end of November 2022.

​New Pilot Opportunity (6 LHJs): In addition to the six existing HBI pilots, CDPH will conduct a competitive bid process among remaining California LHJs. At least six new LHJ pilots will receive up to $708,000 in grant funding over two years. New pilots will run from July 2023 to June 2025.

​CDPH will utilize the following timeline for poten​tial new HBI grantees:

CDPH intends to release the competitive RFA funding opportunity for additional LHJ applicants in January 2023 through the Alzheimer’s Disease Program website.

​Contact: For questions or comments about the CDPH HBI, please contact AlzheimersD@cdph.ca.gov.