Opportunity Information: Apply for HRSA 09 140
Apply for HRSA 09 140
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Family History for Prenatal Providers" 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 Sep 25, 2008 and posted on Sep 24, 2008.
- Applicants must submit their applications by Dec 22, 2008. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $400,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $400,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Native American tribal governments (Federally recognized) Nonprofits having a 501 (C)(3) status with IRS, other than institutions of higher education Nonprofits without 501 (c)(3) IRS status, other than institutions of higher education Private institutions of higher education For profit organizations other than small businesses.
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Opportunity Summary:
The Health Resources and Services Administration (HRSA) grant opportunity titled "Family History for Prenatal Providers" (Funding Opportunity Number HRSA 09-140) is a discretionary cooperative agreement designed to improve how womens health histories are collected and used across the full life span. The central goal is to develop a practical, provider-ready family history tool that helps primary care clinicians, especially those in family practice, obstetrics and gynecology, and nursing, gather and interpret family health history in a way that reflects modern genetics and genomics. As genetic science continues to reshape how risk is understood and how prevention is targeted, HRSA is emphasizing family history as a powerful, low-cost predictive tool that can guide screening, counseling, and clinical decision-making in prenatal and broader womens health care.
A major focus of the initiative is to build upon and align with existing federal and national resources rather than starting from scratch. The opportunity specifically references the Surgeon Generals My Family Health Portrait web portal as a cornerstone example of public-facing family history collection, along with HRSA/Maternal and Child Health Bureau efforts to educate the public about family history and genetics. It also points applicants toward established genetics education and clinical support resources such as the Genetics in Primary Care Project and Genetic Tools (historically associated with GeneTests), which provide background content, teaching cases, and links that can strengthen genetics learning in everyday primary care settings. In practice, this means the funded project is expected to connect the new womens health history approach to recognized tools and standards so it can be adopted more easily and trusted by both providers and patients.
Another key requirement is the explicit integration of "Red Flags" into the history-taking process. Red Flags refer to patterns, signs, symptoms, and family history clues that may indicate an underlying inherited condition or other serious pathology. The grant is not only about capturing information, but also about helping clinicians recognize when the information suggests elevated risk and what to do next. The tool and its related materials are expected to include action-oriented guidance tied to these Red Flags, such as recommended next steps for evaluation, referral, testing considerations, or counseling. In other words, the history tool should function as a bridge between information gathering and clinically meaningful decisions, rather than remaining a passive checklist.
The initiative also emphasizes the incorporation of genetics and newborn screening information into the womens health history. This reflects a life course approach: genetics-related information and newborn screening results may be relevant at multiple points, including preconception counseling, prenatal care, postpartum care, and later routine primary care. HRSA expects the grantee to design not just the provider tool itself, but also accompanying patient- and family-facing information, education, and decision-support materials. These materials should be delivered at appropriate points across the patients life span, recognizing that what someone needs to know and decide at adolescence may differ from what is needed during pregnancy or when managing adult chronic disease risk. The intent is to improve understanding, increase appropriate follow-through on risk signals, and support shared decision-making between patients and clinicians.
Beyond development, the grant calls for models, best practices, and dissemination strategies. That means the funded project should produce guidance on how the tool can be implemented in real clinical workflows, how providers can be trained to use it effectively, and how health systems and professional communities can adopt it at scale. HRSA is essentially seeking not only a tool, but a practical roadmap for uptake, including materials and strategies that help different clinical environments (such as prenatal clinics, family medicine practices, and nursing-led settings) integrate genetics-informed history taking into routine care.
A forward-looking requirement is compatibility with electronic health records. While the opportunity does not require full EHR integration during the project period, it explicitly instructs the grantee to be mindful of eventual incorporation of the history-taking tools and the related educational and decision-making materials into EHR systems. This matters because family history and genetics information often gets lost in free-text notes or inconsistent forms; designing with EHR implementation in mind increases the likelihood the work can be sustained, standardized, shared across care teams, and used for clinical reminders or decision support in the future.
In terms of funding structure and basic logistics, HRSA planned to make one award under a cooperative agreement mechanism, with an estimated total funding amount of $400,000 and a matching award ceiling and floor of $400,000, meaning a single fixed-size award. There is no cost sharing or matching requirement. The opportunity was posted on September 24, 2008, with an original and final closing date of December 22, 2008, and it was archived on February 20, 2009. The program is associated with CFDA 93.110, Maternal and Child Health Federal Consolidated Programs, reflecting its alignment with maternal and child health priorities and prevention-oriented primary care.
Eligibility was broad and included federally recognized Native American tribal governments, nonprofit organizations with or without 501(c)(3) status (excluding institutions of higher education in those specific nonprofit categories), private institutions of higher education, and for-profit organizations other than small businesses. HRSA also provided a contact pathway through the HRSA Call Center for technical assistance with accessing the full announcement.
Taken together, this opportunity is aimed at strengthening prenatal and womens health care by making family history collection more systematic, genetics-informed, and actionable. It supports creating a toolset that helps clinicians spot inherited risk earlier, connect findings to appropriate next steps, educate patients and families at the right moments, incorporate newborn screening knowledge into ongoing care, and position the entire approach for future integration into electronic health records and standard clinical practice.
Frequently Asked Questions (FAQs): HRSA "Family History for Prenatal Providers" (HRSA 09-140)
What is the "Family History for Prenatal Providers" grant opportunity?
It is a Health Resources and Services Administration (HRSA) discretionary cooperative agreement focused on improving how women's health histories are collected and used across the full life span. The work centers on family health history as a practical, low-cost way to understand risk and guide prevention, screening, counseling, and clinical decision-making in prenatal care and broader women's health.
What is the Funding Opportunity Number (FON) for this program?
The Funding Opportunity Number is HRSA 09-140.
What is the main goal of this opportunity?
The central goal is to develop a practical, provider-ready family history tool that helps primary care clinicians gather and interpret family health history in a way that reflects modern genetics and genomics.
Who is the tool intended for?
The tool is designed for primary care clinicians, with particular emphasis on providers in family practice, obstetrics and gynecology, and nursing settings.
Why is HRSA emphasizing family history in prenatal and women's health care?
As genetics and genomics continue to reshape how health risks are understood and how prevention is targeted, HRSA highlights family history as a powerful predictive tool. When collected and interpreted well, it can help identify elevated risk earlier and support more appropriate screening, counseling, and clinical decisions.
Is this project only about collecting information, or does it also address clinical decision-making?
It is explicitly intended to go beyond information capture. The history tool is expected to help clinicians recognize clinically meaningful patterns and connect findings to action-oriented next steps.
What are "Red Flags" and how must they be incorporated?
"Red Flags" are patterns, signs, symptoms, and family history clues that may indicate an inherited condition or other serious pathology. The opportunity requires explicit integration of Red Flags into the history-taking process, along with guidance on what to do next when Red Flags are present (for example, evaluation, referral, testing considerations, or counseling).
What types of follow-up guidance is the tool expected to provide when Red Flags appear?
The tool and related materials are expected to include action-oriented recommendations tied to Red Flags, such as suggested next steps for evaluation, referral, testing considerations, and counseling.
How does this opportunity relate to genetics and genomics?
The project is intended to modernize family history collection and interpretation so it aligns with current genetics and genomics, strengthening how risk is recognized and addressed in routine clinical care.
Does the opportunity require aligning with existing federal or national resources?
Yes. A major focus is to build upon and align with existing federal and national resources rather than creating an entirely new approach from scratch.
Which existing tools and resources are specifically referenced?
The opportunity references the Surgeon General's "My Family Health Portrait" web portal as a cornerstone example of public-facing family history collection. It also notes HRSA/Maternal and Child Health Bureau efforts related to family history and genetics education, and points to resources such as the Genetics in Primary Care Project and Genetic Tools (historically associated with GeneTests) for educational content, teaching cases, and links that support genetics learning in primary care.
What is the expected relationship to the Surgeon General's My Family Health Portrait?
The opportunity identifies My Family Health Portrait as a key example of an existing public-facing family history collection tool, and signals that the funded project should build upon or align with recognized tools and standards to support adoption and trust.
Is newborn screening information part of the women's health history approach?
Yes. The initiative emphasizes incorporating genetics and newborn screening information into the women's health history, reflecting that this information can be relevant across multiple life stages.
At what life stages should the materials be relevant?
The project is framed as a life course approach, meaning materials should be appropriate at different points such as preconception counseling, prenatal care, postpartum care, adolescence, and later routine primary care.
Are patient- and family-facing materials required, or only provider tools?
Patient- and family-facing information, education, and decision-support materials are expected, in addition to the provider-ready tool.
What is the purpose of the patient and family educational and decision-support materials?
The intent is to improve understanding, increase appropriate follow-through when risk signals appear, and support shared decision-making between patients and clinicians at appropriate points across the life span.
Does the opportunity address implementation and dissemination, or only tool development?
It addresses both. Beyond development, the grant calls for models, best practices, and dissemination strategies so the tool can be implemented in real clinical workflows and adopted more broadly.
What kinds of implementation supports are expected?
The project is expected to produce guidance on how the tool can fit into clinical workflows, how providers can be trained to use it effectively, and how health systems and professional communities can adopt it at scale (including prenatal clinics, family medicine practices, and nursing-led settings).
Is electronic health record (EHR) integration required during the project period?
Full EHR integration is not required during the project period, but the grantee is instructed to be mindful of eventual incorporation of the tools and related materials into EHR systems.
Why does the opportunity emphasize future EHR compatibility?
Family history and genetics information can be lost in free-text notes or inconsistent forms. Designing with EHR implementation in mind increases the likelihood the work can be sustained, standardized, shared across care teams, and used for future clinical reminders or decision support.
What is the award mechanism?
The opportunity uses a cooperative agreement mechanism.
How many awards were planned?
HRSA planned to make one award.
What was the estimated total funding amount?
The estimated total funding amount was $400,000.
What were the award ceiling and floor?
Both the award ceiling and the award floor were $400,000, indicating a single fixed-size award.
Is cost sharing or matching required?
No. The opportunity states there is no cost sharing or matching requirement.
When was the opportunity posted and when did it close?
It was posted on September 24, 2008. The original and final closing date was December 22, 2008.
Is this opportunity still active?
No. The opportunity was archived on February 20, 2009.
What CFDA program is associated with this opportunity?
The opportunity is associated with CFDA 93.110, Maternal and Child Health Federal Consolidated Programs.
What organizations were eligible to apply?
Eligibility included federally recognized Native American tribal governments, nonprofit organizations with or without 501(c)(3) status (in the specific nonprofit categories noted, excluding institutions of higher education), private institutions of higher education, and for-profit organizations other than small businesses.
Where could applicants get technical assistance or help accessing the full announcement?
HRSA provided a contact pathway through the HRSA Call Center for technical assistance related to accessing the full announcement.
In one sentence, what is this grant trying to accomplish?
It aims to strengthen prenatal and women's health care by making family history collection more systematic, genetics-informed, and actionable, supported by education, best practices for implementation, and readiness for future EHR integration.
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