The North Dakota Department of Health and Human Services (NDDHHS) was awarded a $1,380,000 Project Grant over 4 years from the Maternal and Child Health Federal Consolidated Programs (CFDA 93.110), administered by the Health Resources and Services Administration (HRSA). The grant will fund efforts to improve health outcomes for newborns and children with heritable conditions identified through North Dakota's Newborn Screening and Follow-Up Program (NDNSFP). Key activities include enhancing public and provider education about newborn screening, improving data interoperability between state health systems, increasing timely specimen collection and reporting, and implementing quality improvements for the long-term follow-up program. These initiatives aim to assure timely newborn screening, enable early diagnosis and treatment, and provide high-quality services to support the health of infants, children, and families across North Dakota.