Opportunity Information: Apply for HRSA 14 147

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Reproductive and Environmental Health Network" 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 Jun 20, 2014 and posted on Jun 20, 2014.
  • Applicants must submit their applications by Jul 21, 2014 Dates updated per 6/4/14 timeline negotiation meeting btwn MCHB and OFAM. Doretha D./DGP. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $1,200,000.00 to eligible and selected applicants.
  • 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).
  • Per 42 CFR 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 to apply.
Apply for HRSA 14 147

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Opportunity Summary:

The Reproductive and Environmental Health Network grant opportunity (HRSA-14-147) is a Health Resources and Services Administration (HRSA) discretionary funding announcement that supports the creation of a national network focused on improving maternal and fetal health outcomes. The project is designed to help people make safer decisions before, during, and after pregnancy by expanding access to clear, evidence-based information about the reproductive and developmental risks associated with medications and environmental exposures. The award is structured as a cooperative agreement, which typically means the federal agency expects to have substantial involvement in the project’s direction and oversight rather than simply issuing funds with minimal interaction.

At the center of the program is the expectation that one national organization will coordinate and strengthen regional Teratology Information Services (TIS). These TIS sites provide individualized, one-on-one risk assessment and counseling to people of reproductive age, as well as consultation support to health care providers who need guidance on known or potential reproductive risks. A major emphasis is placed on ensuring that both consumers and clinicians can access the most current, scientifically grounded information about exposures in pregnancy and lactation, including pharmaceuticals and environmental agents. The funded organization is expected to translate evolving research into practical guidance, synthesize the existing evidence base, and develop public-facing and provider-facing resources that communicate findings in a way that supports informed decision-making.

Another core requirement is improving access for vulnerable, underserved, and hard-to-reach populations. The opportunity explicitly calls for strategies that broaden utilization of teratogen information services beyond typical audiences. This can include innovative uses of technology, targeted outreach, and partnership development to extend reach, reduce barriers, and ensure that communities with limited access to specialized counseling can still receive timely, accurate information. The FOA also underscores that outreach should be measured, not just attempted, with attention to volume of interactions and demonstrated engagement.

The announcement places strong operational expectations on performance management and quality assurance. The awardee must build systems and processes that support accurate and timely tracking of outcomes, including a concrete description of how data will be collected and managed (for example, through designated skilled staff and data management software). Performance measures are expected to cover consumer utilization and satisfaction (such as interaction volume and satisfaction levels), provider utilization and awareness (including provider satisfaction and indications that providers know about and use the service), and the effectiveness of outreach to hard-to-reach populations (including interaction counts, technology-enabled engagement, and partnerships that increase reach). The awardee is also expected to demonstrate contributions to the broader knowledge base by adding to the research foundation on exposures, synthesizing new findings, and disseminating both ongoing efforts and new results widely.

Quality assurance responsibilities extend to the network’s sub-awardees, meaning the organization funded under this FOA must set and monitor standards for the TIS sites it supports. The FOA calls for mechanisms to ensure each funded TIS has consistent protocols for incorporating up-to-date pregnancy outcome information into risk assessments across a variety of exposures. It also expects ongoing updates to teratogen information datasets, active resource-sharing across TIS locations, and clear guidance on operational best practices such as ideal staffing models, qualification standards, training requirements, and general operating guidelines. In other words, the national awardee is not only coordinating services; it is also expected to standardize and continuously improve them.

A research and data-advancement component is built into the program. The awardee must help advance the evidence base through ongoing data collection from TIS sites in a way that supports research. The FOA expects the lead organization to establish requirements and mechanisms ensuring that sub-awardee TIS programs participate in these data collection efforts and study implementation activities. Applicants are expected to describe plans for major research and data collection initiatives, emphasizing how routine service delivery can also contribute to structured learning about exposure safety and pregnancy outcomes.

In terms of funding and administrative details, this opportunity was posted June 20, 2014, with a closing date of July 21, 2014, and an archive date of September 19, 2014. HRSA anticipated making one award, with an estimated total funding amount of $1,200,000, under CFDA 93.110 (Maternal and Child Health Federal Consolidated Programs). There was no cost-sharing or matching requirement. Eligibility was broad under 42 CFR 51a.3(a), allowing any public or private entity to apply, including Indian tribes and tribal organizations as defined in federal statute.

FAQs - Reproductive and Environmental Health Network (HRSA-14-147)

What is the Reproductive and Environmental Health Network grant opportunity (HRSA-14-147)?

HRSA-14-147 is a Health Resources and Services Administration (HRSA) discretionary funding announcement to support the creation of a national network focused on improving maternal and fetal health outcomes. The project centers on expanding access to clear, evidence-based information about reproductive and developmental risks linked to medications and environmental exposures so people can make safer decisions before, during, and after pregnancy.

What type of award is this?

This opportunity is structured as a cooperative agreement. That typically means HRSA expects substantial involvement in the project’s direction and oversight, rather than providing funds with minimal interaction.

How many awards did HRSA expect to make?

HRSA anticipated making one award.

What is the estimated total funding amount?

The estimated total funding amount was $1,200,000.

Is cost sharing or matching required?

No. The funding announcement states there was no cost-sharing or matching requirement.

Which CFDA program is associated with this opportunity?

The opportunity is listed under CFDA 93.110, Maternal and Child Health Federal Consolidated Programs.

When was the opportunity posted and when was it due?

The opportunity was posted on June 20, 2014. The closing date was July 21, 2014. The archive date was September 19, 2014.

Who was eligible to apply?

Eligibility was broad under 42 CFR 51a.3(a), allowing any public or private entity to apply. This includes Indian tribes and tribal organizations as defined in federal statute.

What is the main goal of the funded project?

The main goal is to improve maternal and fetal health outcomes by increasing access to scientifically grounded, evidence-based information about reproductive and developmental risks associated with pharmaceuticals and environmental agents, supporting safer decision-making before, during, and after pregnancy.

What are Teratology Information Services (TIS), and what role do they play in this program?

Teratology Information Services (TIS) sites provide individualized, one-on-one risk assessment and counseling to people of reproductive age and consultation support to health care providers seeking guidance on known or potential reproductive risks. The program expects a national organization to coordinate and strengthen these regional TIS sites as part of a national network.

What is expected of the national organization funded under this FOA?

The funded national organization is expected to coordinate and strengthen regional TIS sites, translate evolving research into practical guidance, synthesize existing evidence, and develop both consumer-facing and provider-facing resources that communicate current findings in ways that support informed decision-making.

What kinds of exposures are within the scope of the information services?

The scope includes reproductive and developmental risks associated with medications (pharmaceuticals) and environmental exposures, including exposures in pregnancy and lactation.

How does the program address the needs of clinicians and health care providers?

A major emphasis is ensuring clinicians can access the most current, scientifically grounded information. TIS sites provide consultation support to providers, and performance expectations include provider utilization and awareness, as well as provider satisfaction and indications that providers know about and use the service.

How does the program address the needs of consumers and people of reproductive age?

The program emphasizes individualized counseling and risk assessment for people of reproductive age and expects the network to provide clear, evidence-based information that supports safer decisions before, during, and after pregnancy. Performance measures include consumer utilization and satisfaction (such as interaction volume and satisfaction levels).

Is improving access for underserved or hard-to-reach populations a requirement?

Yes. The opportunity explicitly calls for strategies to improve access for vulnerable, underserved, and hard-to-reach populations, including efforts to broaden utilization of teratogen information services beyond typical audiences.

What strategies does the FOA suggest for reaching hard-to-reach populations?

The FOA notes that strategies can include innovative uses of technology, targeted outreach, and partnership development to extend reach, reduce barriers, and improve access to timely, accurate information.

Does the FOA require outreach to be measured?

Yes. The announcement underscores that outreach should be measured, not just attempted, with attention to volume of interactions and demonstrated engagement.

What performance management and data tracking expectations are included?

The awardee must build systems and processes for performance management and quality assurance, including a concrete description of how data will be collected and managed (for example, using designated skilled staff and data management software). Outcomes tracking is expected to include utilization, satisfaction, provider awareness and use, and the effectiveness of outreach to hard-to-reach populations.

What performance measures are specifically expected?

Performance measures are expected to cover: (1) consumer utilization and satisfaction (including interaction volume and satisfaction levels), (2) provider utilization and awareness (including provider satisfaction and indications that providers know about and use the service), and (3) outreach effectiveness to hard-to-reach populations (including interaction counts, technology-enabled engagement, and partnerships that increase reach).

What quality assurance responsibilities does the awardee have for sub-awardees?

Quality assurance extends to the network’s sub-awardees. The national awardee must set and monitor standards for supported TIS sites and establish mechanisms to ensure consistent protocols and up-to-date incorporation of pregnancy outcome information into risk assessments across various exposures.

What kinds of standardization and operational guidance are expected across TIS sites?

The FOA expects ongoing updates to teratogen information datasets, active resource-sharing across TIS locations, and clear operational best-practice guidance. Examples mentioned include ideal staffing models, qualification standards, training requirements, and general operating guidelines.

Is there a research or data-advancement component in addition to service delivery?

Yes. The program includes a research and data-advancement component. The awardee must help advance the evidence base through ongoing data collection from TIS sites in a way that supports research, and applicants are expected to describe plans for major research and data collection initiatives.

How are TIS sites expected to participate in research and data collection?

The FOA expects the lead organization to establish requirements and mechanisms to ensure that sub-awardee TIS programs participate in data collection efforts and study implementation activities, with routine service delivery contributing to structured learning about exposure safety and pregnancy outcomes.

What is expected regarding dissemination of findings and resources?

The awardee is expected to synthesize new findings, translate evolving research into practical guidance, and disseminate ongoing efforts and new results widely through public-facing and provider-facing resources.

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