Maternal and Child Health Federal Consolidated Programs
To carry out special maternal and child health (MCH) projects of regional and national significance; to conduct training and research; to conduct genetic disease testing, counseling, and information development and dissemination programs; for the screening of newborns for sickle cell anemia, and other genetic disorders; and to support comprehensive hemophilia diagnostic and treatment centers. These grants are funded with a set-aside from the MCH Block grant program. SPRANS grants are funded with 15 percent of the Block Grant appropriation of up to $600 million. When the appropriation exceeds $600 million, 12.75 percent of the amount over $600 million is set aside for the Community Integrated Service Systems grants. 15 percent of the balance remaining over $600 million is also for SPRANS. The CISS program is to develop and expand the following: (1) Home visitation; (2) increased participation of obstetricians and pediatricians; (3) integrated service delivery systems; (4) maternal and child health centers for women and infants, under the direction of a not-for-profit hospital; (5) services for rural populations; and (6) integrated state and community service systems for children and youth with special health care needs. First funded in 2004, the Heritable Disorders Program is established to improve the ability of States to provide newborn and child screening for heritable disorders and affect the lives of all of the nation?s infants and children. Newborn and child screening occur at intervals across the life span of every child. Newborn screening universally provides early identification and follow-up for treatment of infants affected by certain genetic, metabolic, hormonal and/or functional conditions. It is expected that newborn and child screening will expand as the capacity to screen for genetic and congenital conditions expands.
General information about this opportunity
Last Known Status
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Social Security Act, Title V, Section 502(a)(1) and (b)(1), as amended; 42 U.S.C. 702.; Sections 1109, 1110, 1111 and 1112 of the Public Health Service Act and Section 399T of the Public Health Service Act.
Who is eligible to apply/benefit from this assistance?
Training grants may be made to public or private nonprofit institutions of higher learning. Research grants may be made to public or private nonprofit institutions of higher learning and public or private nonprofit private agencies and organizations engaged in research or in MCH or Children with Special Health Care Needs (CSHCN) programs. Any public or private entity is eligible for hemophilia, genetics, and environmental health grants and other special project grants, including CISS. Eligible entities for the Heritable Disorders Program include a State or a political subdivision of a State; a consortium of two or more States of political subdivisions of States; a territory; a health facility or program operated by or pursuant to a contract with or grant from the Indian Health Service; or any other entity with appropriate expertise in newborn screening, as determined by the Secretary. Eligible entities for the Pediatric Mental Health Care Access Program include States, political subdivisions of states, and Indian tribes and tribal organizations. Eligible entities for the Screening and Treatment for Maternal Depression and Related Behavior Disorders Program are states.
For training grants: (1) Trainees in the health professions related to MCH; and (2) mothers and children who receive services through training programs. For research grants: public or private nonprofit agencies and organizations engaged in research in MCH or CSHCN programs. For hemophilia, sickle cell, thalassemia, genetics, newborn screening, environmental health, and other special projects: (1) Public or private agencies, organizations and institutions; and (2) mothers and children, and individuals with genetic conditions (any age) who receive services through the programs. For Pediatric Mental Health Care Access Program: pediatric mental health care teams; pediatric primary care providers; children, youth and families who receive services from pediatric primary care providers.
Applicants should review the individual HRSA notice of funding opportunity issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.
What is the process for applying and being award this assistance?
Preapplication coordination is required. Preapplication coordination is required. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through Grants.gov. All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions.
Notification is made in writing by a Notice of Award.
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
From 3 to 6 months.
After initial award, projects may be renewed annually up to the limit of the project period upon the submission and approval of a satisfactory continuation application.
How are proposals selected?
General criteria are described in Program Regulations 45 CFR 51, and specific criteria are included in the program guidance materials provided with application kits. Contact Central Office for details.
How may assistance be used?
Training grants are made to institutions of higher learning for training personnel for health care and related services for mothers and children. Research grants are for the purpose of research activities which show promise of a substantial contribution to the advancement of maternal and child health (MCH) services. Technical assistance grants support the effective and accurate use of data and evidence to support program development and implementation as well as performance measurement and evaluation. Genetic grants are for genetic disease testing, counseling and information development and dissemination. Hemophilia grants are for the support of centers which provide hemophilia diagnostic and treatment services. Sickle cell disease grants are made to support follow up for infants with sickle cell identified through newborn screening. Heritable Disorders grants are made to improve the ability of States to provide newborn and child screening for heritable disorders, coordinate services and long-term follow-up for newborns and children identified with a condition through newborn screening, and to provide newborn screening education resources to patients, parents, and families. Environmental health grants are made to decrease maternal and child morbidity and mortality associated with pre-and post-natal environmental exposures. Pediatric Mental Health Care Access grants promote behavioral health integration into pediatric primary care by supporting pediatric mental health care telehealth access programs. Screening and Treatment for Maternal Depression and Related Behavior Disorders expands health care providers’ capacity to screen, assess, treat, and refer pregnant and postpartum women for depression and related disorders. Other special project grants are designed to support activities of a demonstration nature, which are designed to improve services for mothers and children.
Restricted Uses: Indirect costs that are allowed for administrative costs incurred as a result of the training grants project, are limited to 8 percent of direct costs.
What are the requirements after being awarded this opportunity?
Refer to the notice of funding opportunity for further information.
Grantees are required to maintain grant accounting records for 3 years after the date they submit the Federal Financial Report (FFR). If any litigation, claim, negotiation, audit, or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.
Matching is voluntary. Opportunities may include matching requirements. Please refer to the notice of funding opportunity.
MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
Awards are made on an annual basis for the duration of the grant period, and payments are made through an Electronic Transfer System or Cash Demand System. Grantees draw down funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Who do I contact about this opportunity?
Regional or Local Office
Associate Administrator for Maternal and Child Health, Health Resources and Services Administration, Department of Health and Human Services, Room 18W37, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-2170.
Associate Administrator for Maternal and Child Health,
5600 Fishers Lane, Room 18W37
Rockville, MD 20857 US
(Project Grants) FY 18$77,324,714.00; FY 19 est $94,877,783.00; FY 20 est $94,613,909.00; FY 17$132,166,263.00; FY 16$133,938,299.00; - (Cooperative Agreements) FY 18$72,482,155.00; FY 19 est $81,641,401.00; FY 20 est $94,613,909.00; -
Range and Average of Financial Assistance
(Project Grants) FY 18: $11,672 to $1,950,085; $265,721 FY 19: $11,672 to $1,928,027; $331,741 FY 20: est. $11,672 to $1,928,027; $329,665 (Project Cooperative Agreements) FY 18: $131,000 - $3,500,000; $833,128 FY 19: $60,000 - $3,484,624; $868,526 FY 20: est. $60,000 - $3,500,000; $872,060
Regulations, Guidelines and Literature
This program is subject to the provisions of 45 CFR Part 75 State, local and tribal governments, institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable. 42 CFR Part 51a Project Grants for Maternal and Child and Health. HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants.
Examples of Funded Projects
Fiscal Year 2017
The R40 Maternal and Child Health Field-Initiated Innovative Research Studies Program (MCH FIRST) supports investigator-initiated applied MCH research that has the potential to improve health care services and delivery, and to promote the health and wellbeing of maternal and child populations. These grants involve the collection of original data and have a project period of up to three years. The Newborn Screening Data Repository and Technical Assistance Program works to enhance, improve and expand the newborn screening system by supporting state public health newborn screening programs, public health professionals, and primary and specialty care practitioners. The Advancing Systems of Services for Children and Youth with Special Health Care Needs Program works to help states, child health professionals, and other stakeholders improve the health and well-being of children and youth with special health needs. They do this by focusing on access to patient/family-centered medical home, transition of youth into the adult health care system, and adoption of health care financing models that improve care and outcomes which achieving cost savings.Fiscal Year 2019
MCH Research Networks focus on collaborative, interdisciplinary, multisite research forums and dissemination of information to build infrastructure. The networks provide national leadership in research to advance the evidence base on effective interventions for mothers, children, and families. These cooperative agreements have a project period of up to five years. The R40 Maternal and Child Health Field-Initiated Innovative Research Studies Program (MCH FIRST) supports investigator-initiated applied MCH research that has the potential to improve health care services and delivery, and to promote the health and wellbeing of maternal and child populations. These grants involve the collection of original data and have a project period of up to three years. Like the MCH FIRST Program, the R40 MCH Secondary Data Analysis Research (SDAR) Program supports investigator-initiated applied MCH research with the same potential improvement for health care and services and delivery; however, these grants typically focus exclusively on secondary analyses of existing national or other large-scale data sets and provide support for one year. The Newborn Screening Data Repository and Technical Assistance Program works to enhance, improve and expand the newborn screening system by supporting state public health newborn screening programs, public health professionals, and primary and specialty care practitioners. The Advancing Systems of Services for Children and Youth with Special Health Care Needs Program works to help states, child health professionals, and other stakeholders improve the health and well-being of children and youth with special health needs. They do this by focusing on access to patient/family-centered medical home, transition of youth into the adult health care system, and adoption of health care financing models that improve care and outcomes which achieving cost savings.