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Maternal And Child Health Services Block Grant To The States

Program Descriptions

Program Number



Maternal And Child Health Services Block Grant To The States


Federal Agency




Social Security Act, Title V, Section 501(a) (1), as amended.






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

Project 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

Title V MCH Block Grants are limited to States and insular areas.

Beneficiary Eligibility

Mothers, infants, children, including CSHCN, and their families, particularly those of low-income.


Applicants should review the individual HRSA Guidance documents 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.


Application and Award Process

Preapplication Coordination

This program is excluded from coverage under E.O. 12372.

Application Procedure

Grant applications and required forms for this program can be obtained from Please visit the Web site at to both find and apply for all Federal grant opportunities. All qualified applications will be forwarded to an objective review committee which will make funding recommendations to the Associate Administrator for the Bureau of Maternal and Child Health. The Associate Administrator has the authority to make final selections for awards.

Award Procedure

Funds are allocated to States quarterly subsequent to the review and approval of the State application and Annual Report.


Range of Approval/Disapproval Time

From one to two months.





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


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.


In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.


All records must be maintained until expiration of 3 years from the date of submission of the final expenditure report. If questions remain following the 3-uear period, such as those raised as a result of an audit or an on-going enforcement action, recipients must retain records until the matter is completely resolved.


Financial Information

Account Identification



(Grants) FY 07 $561,718,437; FY 08 est $551,241,460; and FY 09 $553,702,453.

Range and Average of Financial Assistance

$151,665 to $44,452,058; $9,520,652.


Program Accomplishments

All 59 States and jurisdictions were awarded grants in FY 06, FY 07, and FY 08. 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.


Regulations, Guidelines and Literature

This program is subject to the provisions of 45 CFR Part 96 as applicable and individual State Regulations.


Information Contacts

Regional or Local Office

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.

Headquarters Office

Grants Management Office: Rick Goodman, Director, Division of Grants Management Operations, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 11A-16. Health Services Branch: (301) 443-2385; Research and Training Branch: (301) 443-3099; Government and Special Focus Branch: (301) 443-3288.

Web Site Address


Related Programs

93.110, Maternal And Child Health Federal Consolidated Programs


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.


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