Opportunity Information: Apply for HRSA 14 120
Apply for HRSA 14 120
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Healthy Start Initiative Eliminating Disparities in Perinatal Health (Level 2 Enhanced Services Healthy Start)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.926 Healthy Start Initiative.
- This funding opportunity was created on Feb 14, 2014 and posted on Feb 14, 2014.
- Applicants must submit their applications by Mar 31, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $4,800,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $1,200,000.00 in funding.
- The number of recipients for this funding is limited to 4 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- This is a full and open competition. New applicants and competing continuations will be considered for this funding. An eligible applicant for funding in this competition under the Healthy Start program is any public or private entity, including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C. 450b). Community based organizations, including faith based organizations, are eligible to apply. An eligible applicant must have both direct fiduciary and administrative responsibility over the project.
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Opportunity Summary:
The Healthy Start Initiative Eliminating Disparities in Perinatal Health (Level 2 Enhanced Services Healthy Start) is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) designed to help communities with disproportionately poor maternal and infant health outcomes. The core purpose of the program is to reduce disparities in infant mortality and other adverse perinatal outcomes by focusing resources on places where the infant mortality rate is at least equal to the U.S. national average and where related problems such as low birthweight, preterm birth, and maternal morbidity and mortality are also elevated. The program is rooted in the goal of closing gaps in health status that particularly affect racial and ethnic minority groups, consistent with the Healthy Start authorizing language referenced in 42 U.S.C. 254c-8(e)(2)(B). Healthy Start services are intended to begin during pregnancy and continue supporting the woman and child through two years after the end of the pregnancy, emphasizing continuity of care and long-term stability rather than short-term intervention.
Programmatically, this funding supports a broad set of strategies organized around five major aims. First, it seeks to improve womens health, which generally implies strengthening access to and engagement with preventive care, prenatal and postpartum care, and support for health conditions that increase pregnancy risk. Second, it promotes quality services, signaling an expectation that grantees will not only connect participants to care, but will also prioritize evidence-informed practices, appropriate referrals, effective care coordination, and service delivery that meets standards of quality and cultural responsiveness. Third, it focuses on strengthening family resilience, reflecting an understanding that infant and maternal outcomes are shaped by social and family conditions such as stress, support systems, safe environments, and the ability to navigate health and social service systems. Fourth, it emphasizes achieving collective impact, which points to coordinated community-level work across multiple partners and sectors rather than isolated programming. Fifth, it increases accountability through quality improvement, performance monitoring, and evaluation, meaning recipients are expected to track progress, use data to improve implementation, and demonstrate results.
The award is structured as a grant with an estimated total funding amount of $4,800,000 and an expected four awards. The maximum award amount listed is $1,200,000, and the award floor is not specified beyond being listed as $0. There is no cost-sharing or matching requirement, which lowers the barrier for organizations that may have strong community reach but limited ability to provide non-federal matching funds. The opportunity falls under CFDA number 93.926 (Healthy Start Initiative), which is the federal assistance listing associated with Healthy Start funding.
Eligibility is described as full and open competition, meaning HRSA considered both new applicants and competing continuation applicants under this announcement. Eligible applicants include any public or private entity, including Indian tribes or tribal organizations as defined in 25 U.S.C. 450b. Community-based organizations, including faith-based organizations, are explicitly eligible. A key administrative requirement is that the applicant organization must have direct fiduciary and administrative responsibility for the project, which is important for organizations considering applying through a fiscal agent or shared governance structure. In practice, this language indicates that HRSA expects the applicant to be the entity accountable for financial management, reporting, compliance, and overall project administration.
Timing details show the opportunity was posted on February 14, 2014, with an original and current closing date of March 31, 2014, and an archive date of May 30, 2014. While those dates indicate the specific announcement is historical, the description captures the core design of Level 2 Enhanced Services Healthy Start programming: place-based investment in high-risk communities, sustained maternal-infant support spanning pregnancy through early childhood, and a strong emphasis on equity, collaboration, and measurable improvement through continuous quality management and evaluation.
For applicant support and access issues, HRSA directed prospective applicants to the HRSA Grants Application Center and the HRSA Call Center, with contact options by phone (877-464-4772) and email (CallCenter@HRSA.GOV), indicating standard federal grant support channels for technical assistance with the application package and electronic access.
FAQs: Healthy Start Initiative Eliminating Disparities in Perinatal Health (Level 2 Enhanced Services Healthy Start)
What is this grant opportunity?
The Healthy Start Initiative Eliminating Disparities in Perinatal Health (Level 2 Enhanced Services Healthy Start) is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA). It is designed to support communities with disproportionately poor maternal and infant health outcomes by funding enhanced Healthy Start services and related community strategies.
What is the main purpose of the program?
The core purpose is to reduce disparities in infant mortality and other adverse perinatal outcomes. The program targets places where the infant mortality rate is at least equal to the U.S. national average and where related issues like low birthweight, preterm birth, and maternal morbidity and mortality are also elevated.
Who is the program intended to help?
The program is intended to help women, infants, and families in communities experiencing poor maternal and infant health outcomes, with a particular emphasis on closing health gaps that affect racial and ethnic minority groups.
How long are Healthy Start services expected to support participants?
Healthy Start services are intended to begin during pregnancy and continue supporting the woman and child through two years after the end of the pregnancy. The emphasis is on continuity of care and long-term stability rather than short-term intervention.
What are the major aims or focus areas of the program?
The funding supports strategies organized around five major aims:
- Improve women's health (e.g., better access to preventive, prenatal, and postpartum care and support for risk-related health conditions).
- Promote quality services (evidence-informed practices, appropriate referrals, effective care coordination, and culturally responsive service delivery).
- Strengthen family resilience (addressing social and family conditions such as stress, support systems, safe environments, and navigation of health and social services).
- Achieve collective impact (coordinated community-level work across multiple partners and sectors).
- Increase accountability through quality improvement and evaluation (performance monitoring, continuous improvement, and demonstrating results).
What does "Level 2 Enhanced Services Healthy Start" imply based on this description?
Based on the information provided, it reflects place-based investment in high-risk communities and an expectation of sustained maternal-infant support spanning pregnancy through early childhood, paired with strong collaboration, equity-focused efforts, and measurable improvement through quality management and evaluation.
What health outcomes does the program focus on?
The program focuses on reducing disparities in infant mortality and improving other perinatal outcomes, including low birthweight, preterm birth, and elevated maternal morbidity and mortality in the targeted communities.
Is this program specifically focused on equity and disparities?
Yes. The program is rooted in closing gaps in health status that particularly affect racial and ethnic minority groups. The description also references Healthy Start authorizing language in 42 U.S.C. 254c-8(e)(2)(B) as consistent with this focus.
What kind of funding mechanism is this?
This opportunity is structured as a grant.
How much total funding is estimated under this announcement?
The estimated total funding amount is $4,800,000.
How many awards were expected?
The announcement expected four awards.
What is the maximum award amount?
The maximum award amount listed is $1,200,000.
Is there an award minimum (award floor)?
The award floor is not specified beyond being listed as $0.
Is cost sharing or matching required?
No. The opportunity states there is no cost-sharing or matching requirement.
What is the CFDA (or assistance listing) number for this opportunity?
The CFDA number provided is 93.926, associated with the Healthy Start Initiative.
Who is eligible to apply?
Eligibility is described as full and open competition, meaning both new applicants and competing continuation applicants were considered. Eligible applicants include any public or private entity, including Indian tribes or tribal organizations as defined in 25 U.S.C. 450b. Community-based organizations, including faith-based organizations, are explicitly eligible.
Are faith-based organizations eligible?
Yes. The description explicitly states that community-based organizations, including faith-based organizations, are eligible.
Are Indian tribes or tribal organizations eligible?
Yes. Indian tribes or tribal organizations (as defined in 25 U.S.C. 450b) are included among eligible applicants.
Can an organization apply through a fiscal agent?
The announcement highlights that the applicant organization must have direct fiduciary and administrative responsibility for the project. This indicates HRSA expects the applicant to be the entity accountable for financial management, reporting, compliance, and overall project administration, which is an important consideration for groups exploring fiscal agent arrangements.
What does it mean that the applicant must have direct fiduciary and administrative responsibility?
It means the applying organization is expected to be directly accountable for managing the grant funds and administering the project, including meeting reporting and compliance obligations and overseeing overall project operations.
When was this opportunity posted and when did it close?
The opportunity was posted on February 14, 2014. The original and current closing date was March 31, 2014.
Is this a current funding opportunity?
Based on the dates provided, this specific announcement is historical. It has an archive date of May 30, 2014.
Even if the announcement is historical, what does the description indicate about the program design?
The description captures core elements of Level 2 Enhanced Services Healthy Start programming: targeted investment in high-risk communities, sustained support from pregnancy through early childhood, and a strong emphasis on equity, collaboration across partners, and measurable improvement through continuous quality management and evaluation.
Where could applicants get help with application access or technical issues?
HRSA directed prospective applicants to the HRSA Grants Application Center and the HRSA Call Center for support with the application package and electronic access.
What contact information was provided for HRSA application support?
Applicants could contact the HRSA Call Center by phone at 877-464-4772 or by email at CallCenter@HRSA.GOV.
What does "collective impact" mean in the context of this program?
In this description, collective impact refers to coordinated community-level work across multiple partners and sectors rather than isolated programming by a single organization.
What does the program mean by increasing accountability?
Accountability is framed as quality improvement, performance monitoring, and evaluation. Recipients are expected to track progress, use data to improve implementation, and demonstrate results.
What does the program emphasize about service quality?
The description signals expectations for evidence-informed practices, appropriate referrals, effective care coordination, and service delivery that meets standards of quality and cultural responsiveness.
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