Component A: Health Systems for a Tobacco-Free NY

The New York State Department of Health (NYSDOH), through its Bureau of Tobacco Control within the Division of Chronic Disease Prevention, has issued a funding opportunity under its Tobacco Control Program titled "Health Systems for a Tobacco-Free New York" (Component A of RFA #20674). This grant aims to fund organizations capable of transforming health systems through policy and environmental changes that improve the delivery of guideline-concordant treatment for tobacco use disorder (TUD), especially for populations disproportionately impacted by tobacco-related disparities. The program is grounded in the Public Health Service (PHS) Guideline for Treating Tobacco Use and Dependence, emphasizing system-level interventions rather than direct cessation services. Strategies include implementing comprehensive screening systems, providing provider training and resources, and ensuring the presence of a dedicated tobacco treatment coordinator. Grantees will be expected to engage with health systems administrators and integrate these changes into standard operating procedures, thereby enabling sustainable access to evidence-based TUD interventions across New York State’s diverse communities. Component A will fund up to eight regional grantees, one for each predefined catchment area in New York State. Eligible applicants include New York-based public and private not-for-profit entities such as local health departments, healthcare systems, primary care networks, academic institutions, and community-based organizations. Applicants must be prequalified in the Statewide Financial System (SFS) and submit an attestation of compliance with tobacco-free policies. Grantees are required to operate independently and may subcontract limited components, but must retain more than 50% of work internally. Allowable expenses include personnel directly involved in health systems change, technical assistance, education, and dissemination of evidence-based practices. Funds cannot be used to provide direct cessation services. Each grantee must allocate efforts to five program areas: medical healthcare systems (35–40%), behavioral health systems (35–40%), local-level disparity projects (10%), emerging needs (5%), and sustainability (10%). Applications are due by December 12, 2025, at 4:00 PM ET, as per Addendum #3. No letter of interest is required, but submitting one ensures updates. Required documents must be uploaded via the SFS application portal, with instructions to enter “TBD” for technical placeholders in the work plan section. Awards will be announced in early 2026, with a contract period from May 1, 2026, through April 30, 2031. The opportunity is recurring and supports statewide efforts to reduce tobacco use and its associated health burdens.

Ensure tobacco-free policy is in place or committed within one year; fully complete catchment area inventory within 6 months of award; do not subcontract over 49%