Opportunity Information: Apply for HRSA 22 091

The Early Childhood Developmental Health Systems: Evidence to Impact grant (HRSA 22 091) is a Health Resources and Services Administration (HRSA) funding opportunity designed to help states build stronger, more coordinated early childhood development (ECD) systems. The focus is on statewide approaches that combine developmental promotion, routine screenings, and timely interventions so young children and families, especially in communities with high levels of childhood poverty, can access supports earlier and more consistently. A central theme throughout the opportunity is reducing disparities in early developmental health and improving family well-being by pushing states toward evidence-informed and equity-focused practices rather than one-off programs.

HRSA plans to make one award, and it will be issued as a cooperative agreement, meaning the awardee will work closely with the federal agency during implementation. The single funded recipient will establish an Early Childhood Evidence to Impact Center (the Center). The Center is meant to function as a national hub that helps states adopt effective strategies, evaluate what is working, and strengthen the overall evidence base for how to build statewide ECD systems. In practical terms, the Center is expected to provide national technical assistance (TA), support states with implementation and evaluation, and translate lessons learned into usable guidance for the field.

The Center is expected to pursue several concrete objectives. First, it must build, compile, and share the ECD systems evidence base by developing and advancing a learning agenda, essentially a structured plan for what questions the field needs to answer and how knowledge will be generated and shared. Second, the Center must directly support implementation and evaluation of evidence-informed, equity-focused strategies in at least three states that have Early Childhood Comprehensive Systems (ECCS) initiatives, with the intent of increasing statewide reach and measurable impact. Third, it must expand capacity nationally by increasing the number of early childhood and health system leaders in at least 25 states who receive targeted or universal technical assistance to help them implement and evaluate statewide ECD systems. Fourth, the Center must improve at least 10 resources and/or tools so they are easier to adapt and use across different state contexts, with the goal of speeding up systems development rather than forcing each state to reinvent the wheel. Finally, it must generate at least one comprehensive model for ECD systems-building that can be tested and used by others, helping to standardize and clarify what a strong statewide system looks like and how it can be put into practice.

In addition to the core program, the notice includes a potential add-on funding component, dependent on available funds, tied to improving how high-quality ECD promotion and support services are delivered in pediatric settings. If this additional funding is awarded, the Center would also provide national leadership, technical assistance, coordination, and evaluation support for an anticipated related effort called Transforming Pediatrics for Early Childhood (TPEC). Under this optional TPEC technical assistance activity, the Center would help build the capacity of about 20 state-level resource hubs. These hubs are expected to sustainably integrate ECD experts into pediatric practices, particularly practices that serve a high proportion of Medicaid and Children s Health Insurance Program (CHIP) patients. The aim is to accelerate and sustain the spread of ECD integration in pediatric care through evidence-building, coordination, and field leadership, ultimately improving equitable access to a continuum of ECD services and strengthening the pediatric workforce s ability to address children s and families holistic needs.

Eligibility is broad and includes various levels of government (state, county, city/township, special districts, and independent school districts), federally recognized tribal governments and other tribal organizations, nonprofits with 501(c)(3) status (excluding institutions of higher education), for-profit organizations other than small businesses, and other entities as further clarified in the full notice. The award ceiling is $4,750,000, and HRSA expects to make a single award. The opportunity was posted February 9, 2022, with an original closing date of May 10, 2022. Importantly, applicants are expected to address both the core Evidence to Impact requirements and the potential TPEC technical assistance activity in their applications, because the overall application score is based on responses to the full set of requested elements, including the optional add-on component.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Early Childhood Developmental Health Systems: Evidence to Impact" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.110.
  • This funding opportunity was created on Feb 09, 2022.
  • Applicants must submit their applications by May 10, 2022. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $4,750,000.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, For profit organizations other than small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
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