Maternal and Child Health Services Block Grant to the States (93.994)
Program
93.994 Maternal and Child Health Services Block Grant to the States
Federal Agency
HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Authorization
Social Security Act, Title V, Section 501(a) (1), as amended.
Program Number
93.994
Last Known Status
Active
Objectives
To enable States to maintain and strengthen their leadership in planning, promoting, coordinating and evaluating health care for pregnant women, mothers, infants, and children and children with special health care needs in providing health services for mothers and children who do not have access to adequate health care.
Types of Assistance
Formula Grants.
Uses and Use Restrictions
States may use funds to develop systems of care for the provision of health services and related activities, including planning, administration, education and evaluation consistent with the State's annual application. Funds may not be used for (1) Inpatient services other than those provided to children with special health care needs or to high-risk pregnant women and infants and such other inpatient services as the Secretary may approve; (2) cash payments to intended recipients for health services; (3) purchase and improvement of land, construction or permanent improvement of buildings or purchase of major medical equipment; (4) matching other Federal grants; or (5) providing funds for research or training to any entity other than a public or private nonprofit entity. Beginning in FY 1991, States must use at least 30 percent of their Federal allotment for preventive and primary care services for children, and at least 30 percent for services for children with special health care needs. In addition, each State must establish and maintain a toll-free information number for parents on maternal and child health (MCH) and Medicaid providers. No more than 10 percent of each State's allotment may be used for administration.
Eligibility Requirements
Applicant Eligibility
Maternal and Child Health Block Grants are limited to States and insular areas.
Beneficiary Eligibility
Mothers, infants and children, and children with special health care needs particularly those of low-income families.
Credentials/Documentation
None. This program is excluded from coverage under OMB Circular No. A-87.
Application and Award Process
Preapplication Coordination
Not applicable. This program is excluded from coverage under E.O. 12372.
Application Procedure
Annual submission of a State Application/ Annual Report is required prior to allocation of funds.
Award Procedure
Funds are allocated to States by way of the Letter of Credit system subsequent to the review and approval of the State application and Annual Report.
Deadlines
July 15th each year.
Range of Approval/Disapproval Time
Appeals
Not applicable.
Renewals
Funds will be made available annually to any State submitting an acceptable application.
Assistance Considerations
Formula and Matching Requirements
Funds are allocated among the States and jurisdictions in proportion to their relative shares of funds received under eight antecedent programs in fiscal year 1981. When funding exceeds the amount appropriated in fiscal year 1983, the additional funds are allocated in proportion to the poverty population under age 18. States must assure that $3 of State or local funds will be expended for Maternal and Child Health purposes for every $4 of Federal funds allotted through the formula mechanism.
Length and Time Phasing of Assistance
Funds are awarded each fiscal year in quarterly installments and remain available for expenditure for the current and subsequent fiscal year.
Post Assistance Requirements
Reports
Each State must prepare and submit an annual report on the activities undertaken. Such reports will be in such form, and contain such information as the Secretary may require.
Audits
In accordance with the provisions of OMB Circular No. A-133 (Revised, June 24, 1997), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $300,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $300,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.
Records
Records of the recipient shall be made available to the Secretary to secure an accurate description of the activities for which funds were spent in achieving the purposes of this title. States shall make available copies of reports and audits for public inspection within the State.
Program Accomplishments
All 59 States and jurisdictions were awarded grants in fiscal year 2002. All 59 States and jurisdictions are expected to be awarded funding in fiscal years 2003 and 2004. The Maternal and Child Health Bureau has developed a web-based system of reporting that captures data contained in the States' Block Grant Application/Annual Reports. Designed initially to capture the qualitative programmatic information of the States, it has been modified according to the Bureau's performance measurement model to collect uniform quantitative data.
Financial Information
Account Identification
75-0350-0-1-550.
Obligations
(Grants) FY 02 $595,727,279; FY 03 est $593,923,756; and FY 04 est $622,397,178.
Range and Average of Financial Assistance
$160,847 to $44,549,287; $10,097,073.
Regulations, Guidelines and Literature
There are no specific program regulations. Only the general Block Grant regulations are currently applicable. Federal Register Vol. 52, No. 197, Dated October 13, 1987, pp. 37957 - 37968. In addition, the Central Office may issue guidance to the States on a periodic basis.
Related Programs
93.110, Maternal and Child Health Federal Consolidated Programs.
Information Contacts
Regional or Local Office
Not applicable.
Headquarters Office
Central Office Contacts: Program Contact: Division of State and Community Health, Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Room 18-31, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-2204. Grants Management Contact: Division of Grants Management Operations, Health Resources and Services Administration, Room 11-03, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857.
Web Site Address
Examples of Funded Projects
Each of the 59 States and jurisdictions determines its individual program priorities under its Block grant.
Criteria for Selecting Proposals
Not applicable.
