State Promotion of Strategies to Advance Oral Health is a three-year competitive announcement that continues the Centers for Disease Control and Prevention's investment in supporting oral health programs. This Funding Opportunity Announcement aims to enable recipients to focus on priority populations and the following strategies: 1) access to optimally fluoridated water and receipt of Evidence-based Preventive Dental Services, 2) adherence to infection prevention and control recommendations, 3) access to data to build evidence for public health practice, and 4) access to care and untreated decay, and 5) foundational information supporting integrated medical and dental services for persons with diabetes. The proposed program follows previous Notice of Funding Opportunities (NOFOs) and incorporates programmatic strategies implemented in NOFO DP18-1810 [FY2018 FY2023].