UPAAA plans to directly provide and expand evidence-based health promotion programs such as the National Diabetes Prevention Program, A Matter of Balance, Walk With Ease (including self-directed), and Eat Smart, Move More, Weigh Less across all 15 counties. The FY 2027 plan allocates Title III-D health promotion funding and indicates partnership with entities like local YMCAs, senior centers, tribal health clinics, and health systems to host and co-sponsor classes, with multiple attendance formats (in-person and virtual) as program rules allow. The direct-service rationale cites a lack of providers willing or able to cover the entire rural region and highlights that UPAAA already has trained staff ready at the start of the fiscal year.This creates ongoing needs for training-of-trainer support, program licensing, digital delivery platforms, evaluation tools, and partnerships with healthcare providers and community venues interested in co-branded prevention programming.

UPAAA is delivering the programs directly, but local hosts such as YMCAs and clinics are partners, providing a channel for additional vendors (e.g., curricula, telehealth, evaluation).