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Early Childhood Comprehensive Systems (ECCS)

The ECCS program has remained committed to building comprehensive systems of care for young children and families since 2002. This program helps ensure that families are connected to a full range of services and supports starting prenatally and addresses long-standing gaps between health and other child- and family-serving systems.

The purpose of the current iteration, ECCS: Health Integration Prenatal-to-Three, is to build integrated maternal and early childhood systems of care that:

  • Promote early developmental health and family well-being with a prevention lens
  • Are equitable, sustainable, comprehensive, and inclusive of the health system
  • Increase family-centered access to care and leadership

Award recipients work to advance:

  • State-level leadership, including from families, to champion and improve the health and well-being of the prenatal-to-3 (P-3) population
  • Cross-sector collaborations and partnerships to advance a shared vision and action plan
  • Health system improvements that connect with other P-3 systems
  • State-level policy and financing innovation
  • State-specific health equity goals

Current ECCS award recipients (2021-2026)

HRSA currently awards $5.1 million annually to 20 state-level entities (up to $255,600 each).

Recipient City State
Colorado Department of Human Services (now Department of Early Childhood) Denver CO
Florida Association of Healthy Start Coalition, Inc. Tallahassee FL
Hawaii Department of Health Honolulu HI
Illinois Department of Human Services Springfield IL
Louisiana Department of Health New Orleans LA
Maine Department of Health and Human Services Augusta ME
Michigan Department of Health and Human Services Lansing MI
Minnesota Department of Health Saint Paul MN
Missouri Department of Elementary and Secondary Education Jefferson City MO
Executive Office of the State of New Jersey Trenton NJ
State of New Mexico, Early Childhood Education and Care Department Santa Fe NM
The Children's Cabinet, Inc. Reno NV
New York Office of Children and Family Services Rensselaer NY
Pennsylvania Department of Human Services Harrisburg PA
Rhode Island Department of Health Providence RI
The University of South Dakota Vermillion SD
Utah Department of Health Salt Lake City UT
Virginia Department of Health Richmond VA
Vermont Agency of Human Services Burlington VT
Washington State Department of Health Olympia WA

HRSA also invests approximately $1.1 million annually in the Early Childhood Systems Technical Assistance and Coordination Center (ECS-TACC). The ECS-TACC team guides awardees to implement activities that address each of the core program objectives and reflect the latest academic research and best practices from the field. The Altarum Institute currently leads the ECS-TACC, in partnership with James Bell Associates, Change Matrix LLC, Georgetown University Center for Child and Human Development, and the Morehouse School of Medicine Center for Maternal Health Equity.

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