Opportunity Information: Apply for HRSA 20 044

Advancing State and Urban Maternal and Child Health (MCH) is a federal funding opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), designed to boost the ability of state and urban maternal and child health programs to deliver high-quality public health and health care services. The overall aim is to improve outcomes for mothers, infants, children, and families by strengthening how MCH systems plan, implement, and evaluate programs. The opportunity emphasizes practical innovation, strong collaboration across partners, measurable impact, and program effectiveness, with the expectation that the funded work will produce benefits that can be felt nationally rather than only in one location.

The program is structured around two separate focus areas, with one award intended for each. Focus Area 1 supports state Title V MCH leaders, explicitly including leaders responsible for Children with Special Health Care Needs (CSHCN). Title V refers to the longstanding federal-state partnership that supports MCH services and systems, so this focus area is about equipping state-level leadership with tools, assistance, and shared strategies that improve performance and outcomes across states. Focus Area 2 supports urban MCH leaders, defined in this notice as leaders of MCH programs within city or county health departments that have jurisdiction over one or more areas with populations of 100,000 or more. In practice, that means the urban component targets the needs and realities of larger local jurisdictions, where scale, diversity, and system complexity can create different challenges and opportunities than those seen at the state level.

Across both focus areas, the funded recipients are expected to drive national impact by carrying out four core functions that anchor the work. First is Evidence-Based Practice and Data-Driven Programming. This includes helping MCH programs identify and put into practice interventions that are supported by evidence or strong informed practice, strengthening evaluation so programs can show what works, and improving the use of data for decision-making. The intent is to move programs toward approaches that are measurable, accountable, and continuously improving, rather than relying on tradition or limited local experience.

Second is Current and Emerging Public Health Issues and Threats. Recipients are expected to help MCH programs respond quickly when new or intensifying issues affect mothers and children. This function highlights preparedness and agility, recognizing that MCH systems often need to adapt to policy shifts, health threats, and changing community needs. The funding is meant to support the kind of rapid learning, timely guidance, and coordinated response capacity that keeps MCH programs effective under pressure.

Third is Collaboration and Coordination. A key goal is to strengthen partnerships across state and local entities and to ensure work aligns well with Title V priorities. This includes identifying shared challenges, coordinating strategies to avoid duplication, and aligning efforts so that resources and initiatives reinforce each other. In other words, the recipients are expected to act as conveners and connectors, helping agencies and partners work toward common goals while staying grounded in local and state priorities.

Fourth is Leadership and Workforce. The program places clear emphasis on developing and maintaining a highly skilled MCH workforce. That typically involves training, technical assistance, leadership development, and other supports that help MCH professionals build competencies needed for modern public health practice. The workforce piece is important because even strong evidence and good plans do not translate into results without capable leadership and staff who can implement programs, analyze data, engage communities, and manage cross-sector partnerships.

In addition to these four functions, the opportunity notes specific MCH priority areas that may be supported through the program. These include maternal mortality, infant mortality, mental health, substance use disorders, and childhood obesity. The wording signals that funded activities can help state and urban programs make progress on these high-burden issues, especially where coordinated systems, evidence-based interventions, and workforce capacity can shift outcomes over time.

Administratively, this is a discretionary grant issued as a cooperative agreement, which generally indicates substantial involvement by the federal agency in guiding or partnering in the work beyond what is typical in a standard grant. The funding announcement is identified as HRSA-20-044, with CFDA number 93.110. HRSA anticipated making two awards total (one per focus area). The eligibility category in the notice is listed as "Others (see text field entitled Additional Information on Eligibility for clarification)," meaning applicants needed to consult the full announcement details to confirm whether their organization type qualified. The notice was created on August 7, 2019, with an original application closing date of November 15, 2019. The award ceiling is listed as 0 in the source data, which usually indicates the ceiling was not specified in that summary field and would need to be confirmed in the full NOFO or related HRSA materials.

Overall, the opportunity is best understood as capacity-building at scale: selecting two national-level recipients to support, train, connect, and accelerate state Title V MCH leadership (including CSHCN) and urban MCH leadership, while promoting evidence-based action, readiness for emerging threats, aligned collaboration, and stronger leadership pipelines. The intended result is more consistent quality and performance across MCH programs nationwide, with improved outcomes for maternal and child health populations.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Advancing State and Urban Maternal and Child Health (MCH)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.110.
  • This funding opportunity was created on Aug 07, 2019.
  • Applicants must submit their applications by Nov 15, 2019. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The number of recipients for this funding is limited to 2 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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