Opportunity Information: Apply for HRSA 13 177
Apply for HRSA 13 177
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Early Childhood Comprehensive SystemsBuilding Health Through Integration" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.110 Maternal and Child Health Federal Consolidated Programs.
- This funding opportunity was created on May 6, 2013 and posted on Mar 1, 2013.
- Applicants must submit their applications by Apr 26, 2013. (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 53 candidate(s).
- Eligible applicants include: County governments Others (see text field entitled Additional Information on Eligibility for clarification) Native American tribal organizations (other than Federally recognized tribal governments) City or township governments State governments Special district governments.
- As cited in 42 CFR Part 51a.3(a), any public or private entity, including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C. 450b) is eligible. Faith based and community based organizations are also eligible. All applicant
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Opportunity Summary:
The FY 2013 Early Childhood Comprehensive Systems (ECCS) Building Health Through Integration grant (HRSA-13-177) is a Health Resources and Services Administration (HRSA) discretionary grant aimed at strengthening how states and communities support children from birth to age three. The central goal is to improve healthy physical, social, and emotional development in infancy and early childhood by reducing disparities and expanding access to the services families need. Rather than funding a single direct service program, the opportunity is designed to help applicants build and better connect the broader early childhood system, using systems development, integration work, and a collective impact approach so that health, early learning, and family support efforts operate in a more coordinated and effective way.
A major theme of the opportunity is tighter alignment with and expansion of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program authorized under section 511 of the Social Security Act. HRSA positions this ECCS initiative as a way to broaden and enhance MIECHV-related efforts by putting a sharper focus on the earliest period of life, reflecting scientific evidence that early experiences shape brain development and long-term health and developmental outcomes. The grant emphasizes that lifelong trajectories for health, educational success, and social-emotional resilience begin in the prenatal period and are strongly influenced by early caregiver-infant relationships, safe and nurturing environments, and the prevention or mitigation of toxic stress.
Applicants are expected to plan (if needed) and implement one of three allowable strategies, each focused on improving system performance for infants and toddlers. The first strategy centers on mitigating toxic stress and trauma during infancy and early childhood, with work that spans multiple systems in the community and connects with medical homes, trauma prevention activities, and collective impact structures. The second strategy focuses on expanding developmental screening in early care and education settings statewide by creating strong linkages among pediatric and child health leaders, child care health consultants, medical homes, early intervention services, child care programs, and families, with an emphasis on training, referral pathways, and coordinated follow-up. The third strategy targets improvements in statewide infant/toddler child care quality initiatives, such as licensing standards, Quality Rating and Improvement Systems (QRIS), and professional development, by incorporating at least 10 Caring for Our Children (CFOC3) National Health and Safety Performance Standards that specifically relate to the infant and toddler age group. In this grant, "early care and education" is defined broadly and includes child care, day care, preschool, pre-K, kindergarten, Early Head Start, and Head Start.
A strong partnership and governance expectation runs through the announcement. Applicants must work with an early childhood state team that includes cross-sector representation, drawing from health (for example Title V, public health, community health centers, Medicaid, and professional groups such as ACOG and AAP), mental and behavioral health (including children’s mental health initiatives and trauma-informed practice efforts), education (including IDEA Part C early intervention and Part B preschool), home visiting and family support (including MIECHV and child welfare-related partners), and early care and education leadership (including licensing, Head Start, child care administrators, and child care health consultants). The announcement makes clear this list is not exhaustive and allows applicants to use an existing workgroup if it already meets the intent, rather than creating a new structure. In addition, applicants are expected to bring pediatricians into leadership roles, ideally through American Academy of Pediatrics chapter leadership, to help drive state policy development and strengthen integration among health care, early care and education, and early childhood systems.
The grant also encourages applicants to check whether their State Advisory Council or Early Learning Council includes pediatric health and infant/pediatric mental health representation, and to address gaps if those voices are missing. HRSA further pushes alignment with other major early childhood initiatives, including MIECHV, Project LAUNCH, and State Advisory Council priorities, to reduce duplication, leverage federal investments, and improve the odds that the work continues after HRSA funding ends. Beyond whichever of the three strategies an applicant chooses, awardees must also build ECCS leadership capacity to aggregate, align, and report statewide early childhood data that matches the benchmark areas described in the MIECHV statute. This data component is described as separate from the strategy work, and it is meant to promote shared measurement, documentation, and comparable indicators across early childhood investments.
Administratively, the opportunity is listed under CFDA 93.110 (Maternal and Child Health Federal Consolidated Programs) and anticipated making 53 awards. There is no cost sharing or matching requirement. Eligibility is broad under 42 CFR 51a.3(a), allowing any public or private entity to apply, including state, county, city/township, and special district governments, tribal organizations (including those not federally recognized), and faith-based and community-based organizations. The funding opportunity was posted March 1, 2013, with an application closing date of April 26, 2013, and it was later archived June 25, 2013.
FAQs: FY 2013 Early Childhood Comprehensive Systems (ECCS) Building Health Through Integration Grant (HRSA-13-177)
What is the FY 2013 ECCS Building Health Through Integration grant (HRSA-13-177)?
This is a Health Resources and Services Administration (HRSA) discretionary grant opportunity focused on strengthening how states and communities support children from birth to age three through better system development and integration.
What is the main goal of this ECCS grant opportunity?
The central goal is to improve healthy physical, social, and emotional development in infancy and early childhood by reducing disparities and expanding access to the services families need, primarily by improving how the broader early childhood system works together.
Does this grant fund direct services to children and families?
The opportunity is not described as funding a single direct service program. Instead, it is designed to help applicants build and better connect the broader early childhood system using systems development, integration work, and a collective impact approach.
Who is the focus population for this grant?
The grant focuses on children from birth to age three, emphasizing the earliest period of life (including the prenatal period as the start of lifelong trajectories for health and development).
What does HRSA mean by improving the "early childhood system"?
Based on the announcement summary, the intent is to strengthen coordination across health, early learning, and family support efforts so they operate in a more aligned and effective way (for example, through systems development, integration work, and collective impact structures).
How does this grant align with the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program?
A major theme is tighter alignment with and expansion of MIECHV-related efforts authorized under section 511 of the Social Security Act. HRSA positions the ECCS initiative as a way to broaden and enhance MIECHV-related work with a sharper focus on the earliest period of life.
Why does the grant emphasize infancy and the earliest years?
The opportunity reflects scientific evidence that early experiences shape brain development and long-term health and developmental outcomes. It highlights that trajectories for health, educational success, and social-emotional resilience begin in the prenatal period and are influenced by early caregiver-infant relationships, safe and nurturing environments, and prevention or mitigation of toxic stress.
What strategies can applicants choose from under this opportunity?
Applicants are expected to plan (if needed) and implement one of three allowable strategies, each focused on improving system performance for infants and toddlers: (1) mitigating toxic stress and trauma, (2) expanding developmental screening in early care and education settings statewide, or (3) improving statewide infant/toddler child care quality initiatives by incorporating at least 10 CFOC3 standards related to infants and toddlers.
What is Strategy 1 about (toxic stress and trauma)?
Strategy 1 centers on mitigating toxic stress and trauma during infancy and early childhood. The work is expected to span multiple systems in the community and connect with medical homes, trauma prevention activities, and collective impact structures.
What is Strategy 2 about (developmental screening)?
Strategy 2 focuses on expanding developmental screening in early care and education settings statewide by creating strong linkages among pediatric and child health leaders, child care health consultants, medical homes, early intervention services, child care programs, and families, with emphasis on training, referral pathways, and coordinated follow-up.
What is Strategy 3 about (infant/toddler child care quality initiatives)?
Strategy 3 targets improvements in statewide infant/toddler child care quality initiatives (such as licensing standards, Quality Rating and Improvement Systems (QRIS), and professional development) by incorporating at least 10 Caring for Our Children (CFOC3) National Health and Safety Performance Standards that specifically relate to infants and toddlers.
How is "early care and education" defined for this grant?
In this grant, "early care and education" is defined broadly and includes child care, day care, preschool, pre-K, kindergarten, Early Head Start, and Head Start.
Do applicants have to create a new governance structure or workgroup?
Not necessarily. The announcement indicates applicants may use an existing workgroup if it already meets the intent, rather than creating a new structure.
What is the expected partnership approach for applicants?
Applicants are expected to work with an early childhood state team that includes cross-sector representation (health, mental/behavioral health, education, home visiting/family support, and early care and education leadership). The list in the announcement is described as not exhaustive.
Which health partners are highlighted as examples for the state team?
Examples include Title V, public health, community health centers, Medicaid, and professional groups such as ACOG and AAP.
Which mental and behavioral health partners are highlighted?
Examples include children’s mental health initiatives and trauma-informed practice efforts.
Which education partners are highlighted?
Examples include IDEA Part C early intervention and Part B preschool.
Which home visiting and family support partners are highlighted?
Examples include MIECHV and child welfare-related partners.
Which early care and education leaders are highlighted?
Examples include licensing, Head Start, child care administrators, and child care health consultants.
What role should pediatricians play in this grant?
Applicants are expected to bring pediatricians into leadership roles, ideally through American Academy of Pediatrics chapter leadership, to help drive state policy development and strengthen integration among health care, early care and education, and early childhood systems.
Does the opportunity mention State Advisory Councils or Early Learning Councils?
Yes. The grant encourages applicants to check whether their State Advisory Council or Early Learning Council includes pediatric health and infant/pediatric mental health representation, and to address gaps if those voices are missing.
How does HRSA encourage coordination with other early childhood initiatives?
HRSA pushes alignment with other major early childhood initiatives, including MIECHV, Project LAUNCH, and State Advisory Council priorities, to reduce duplication, leverage federal investments, and improve the likelihood the work continues after HRSA funding ends.
Is there a data and measurement requirement beyond the selected strategy?
Yes. Beyond whichever of the three strategies an applicant chooses, awardees must build ECCS leadership capacity to aggregate, align, and report statewide early childhood data that matches benchmark areas described in the MIECHV statute.
Is the data component considered separate from the strategy work?
Yes. The data component is described as separate from the strategy work and is intended to promote shared measurement, documentation, and comparable indicators across early childhood investments.
What is the CFDA number for this opportunity?
The opportunity is listed under CFDA 93.110 (Maternal and Child Health Federal Consolidated Programs).
How many awards were anticipated?
The opportunity anticipated making 53 awards.
Is cost sharing or matching required?
No. The opportunity states there is no cost sharing or matching requirement.
Who is eligible to apply?
Eligibility is broad under 42 CFR 51a.3(a), allowing any public or private entity to apply, including state, county, city/township, and special district governments, tribal organizations (including those not federally recognized), and faith-based and community-based organizations.
Are tribal organizations eligible even if they are not federally recognized?
Yes. The eligibility description explicitly includes tribal organizations, including those not federally recognized.
When was the funding opportunity posted and when did it close?
The funding opportunity was posted March 1, 2013, with an application closing date of April 26, 2013.
Is this opportunity still open?
No. The opportunity was later archived on June 25, 2013.
What is the official opportunity name and identifier?
The opportunity is titled "FY 2013 Early Childhood Comprehensive Systems (ECCS) Building Health Through Integration" and is identified as HRSA-13-177.
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