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H H S Department of Health and Human Services
Health Resources and Services Administration
Maternal and Child Health

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Maternal & Child Health Block Grant Transformation

The Title V Block Grant improves the health and well-being of all of America’s mothers, infants, children, and youth. This federal-state partnership, now in its 80th year continues to advance this mission.

The Maternal Child Health Bureau (MCHB) engaged stakeholders and other national, state, and local leaders, families and other partners to develop a common vision for improving, innovating, and transforming the Title V MCH Block Grant.

The improvements, which began with the 2015 MCH Block Grant application, were designed to achieve the three goals of the MCH Block Grant transformation:

Reduce State Burden

  • Only require a summary needs assessment which is integrated into the application
  • Pre-populate state data for National Performance and Outcome Measures
  • Eliminate the Health Systems Capacity Indicators
  • Reduce the number of  reporting forms
  • Reduce redundancies in narrative reporting

Maintain Flexibility

  • States use their Title V MCH Block Grant funds to address the unique needs and priorities of their MCH populations
  • Continuously analyze and reassess the needs of the MCH population and report annually on their performance.
  • Develop a five year state action plan to address the identified need of their MCH population.

Improve Accountability

  • Implement 3-tiered performance measurement framework
  • Include measures for six domains: maternal and women's health, perinatal and infant health, child health, adolescent health, life course, and children with special healthcare needs
  • Support states in developing evidence-based strategy measures (ESMs)
  • Realign Special Projects of Regional and National Significance (SPRANS) and other HRSA programs to "move the needle" on maternal and child health
  • Improve financial accountability through separate reporting of federal and state Title V program budget and expenditure.

Highlighting Priorities and Planned Improvements

Associate Administrator for Maternal and Child Health Michael Lu, MD, MPH describes next steps for current grantees as they approach 2016’s July 16 deadline:


In 2014, Michael Lu, MD, MPH discussed the mission, vision and planning for the transformation of the MCH Block Grant – watch Part I and Part II.

Guidance, Forms and Data Resources