Early Hearing Detection and Intervention
Active
- Assistance listing
- 93.251
- Agency
-
Health Resources and Services Administration
Department of Health and Human Services
- Grant awards
- 354 $402,240,407 in federal obligations
Program facts
- Assistance types
-
- Project Grant
- Cooperative Agreement
- Treasury account
-
- 75-0354-0-1-550
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Department of Health and Human Services Health Resources and Services Administration (HRSA) funds comprehensive state and territory Early Hearing Detection and Intervention (EHDI) systems serving families with newborns, infants, and young children up to age three who are deaf or hard of hearing, with the most recent award made on June 1, 2026 under CFDA 93.251.
Program activity remains active but cyclical. The portfolio spans 354 total awards from April 2000 to present, with recent funding concentrated in cohorts: seven awards in 2024 and one in 2026. Award cadence has been uneven historically—six awards in 2017, four in 2020, one in 2022—reflecting program restructuring toward fewer but larger national centers alongside state and territory grants. Most recent awards carry five-year project periods ending March 31, 2029, indicating a current funding cycle.
Funded activities center on universal newborn hearing screening infrastructure, timely diagnostic evaluation, and early intervention enrollment through coordinated statewide systems. Recent state and territory awards emphasize the 1-3-6 benchmark: screening by one month of age, diagnostic evaluation by three months, and early intervention enrollment by six months. Awards also fund family engagement, data management systems, provider education, language acquisition outcome tracking, and support for underserved populations. National center awards support technical assistance, quality improvement methodology, family leadership development, and system-wide data accountability across all state EHDI programs.
Awards are predominantly Project Grants, representing 98 percent of the 354 total awards, with smaller shares of Block Grants (1 percent) and Cooperative Agreements (1 percent). Funding is concentrated entirely within HRSA: 280 awards totaling $177.6 million federal dollars obligated and 74 awards totaling $224.6 million federal dollars obligated, indicating two distinct award streams or cohorts within the same agency.
Combined federal dollars obligated total $402.2 million across the portfolio. Recent state and territory grant awards typically range from $235 thousand to $2.7 million per award for five-year project periods. National center awards are substantially larger: Gallaudet University received $8.3 million for the National Beacon Center for Early Language System Accountability and Data; Hands & Voices received $4.7 million for the Family Leadership in Language and Learning Center; and the American Academy of Pediatrics received $2.9 million for the National EHDI Provider Education Center. All three national center awards were made on April 1, 2024 with project periods extending to March 31, 2029.
Recent representative awards include Maine's newborn hearing program ($1.6 million, April 1, 2024), Arizona's EHDI system enhancement ($1.8 million, April 1, 2024), Hawaii's DHH children coordination initiative ($2.7 million, April 1, 2024), and Rhode Island's statewide EHDI system of care ($2.1 million, April 1, 2024).
Two solicitations posted July 19, 2023 with a due date of November 6, 2023 remain the most recent: HRSA-24-036 for Early Hearing Detection and Intervention State/Territory Program (Project Grant) open to state governments, tribal governments, cities, counties, special districts, higher education institutions, and 501(c)(3) nonprofits; and HRSA-24-035 for Early Hearing Detection and Intervention National Network (Cooperative Agreement) open to the same applicant types. No opportunities are currently open.
Objective and description
- Objective
The Early Hearing Detection and Intervention (EHDI) program supports comprehensive and coordinated state and territory EHDI systems, so families with newborns, infants, and young children up to three years of age who are deaf or hard of hearing (DHH)
Eligibility
- Applicant eligibility
Grants to states/territories and cooperative agreements to two organizations that will provide technical assistance.
- Beneficiary eligibility
Infants and newborns who are deaf or hard of hearing and their families/caretakers.
- Credentials and documentation
Applicants should review the individual HRSA notice of funding opportunity issued under this Assistance Listing program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.
- Uses of assistance
This program supports state and territory health departments, departments of education, academic institutions with early hearing screening, detection and intervention programs, and family and provider organizations to develop a system of services for children who are identified as DHH and their families. This program also supports the EHDI system with technical assistance by fostering family engagement, supporting workforce development and training, and working with pediatricians and health care providers.
- Length and time phasing of assistance
Refer to the notice of funding opportunity (NOFO). Awards are made annually, in accordance with the project period method of awarding grants.
How to apply
- Preapplication coordination
Preapplication coordination is required.
- Application procedure
HRSA requires all applicants to apply electronically through Grants.gov. All qualified applications will be forwarded to an objective review committee.
- Criteria for selecting proposals
Evaluation criteria vary based on the grant/cooperative agreement program. Refer to criteria included in the notice of funding opportunity for each specific program. All qualified applications will be forwarded to an objective review committee. Based on the recommendations of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions.
- Award procedure
Notification is made in writing by a Notice of Award.
- Time to approval or disapproval
Final decisions are made 4 to 6 months after receipt of applications
- Renewals
Competitive awards are typically made for up to 5 years, subject to the availability of funds. After initial awards, annual noncompetitive awards may be made contingent upon the submission of noncompetitive applications/progress reports and availability of funds and a determination that continued funding would be in the best interest of the federal government.
Grant opportunities
Grant awards
Latest 10 of 354 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | Utah State University | $29,298,559 | 7% |
| 2 | Gallaudet University | $8,341,050 | 2% |
| 3 | Minnesota Department Of Health | $8,238,645 | 2% |
| 4 | University Of Hawaii | $7,879,922 | 2% |
| 5 | Human Services Vermont Agency Of | $7,273,504 | 2% |
| 6 | Hands & Voices, Inc. | $7,056,530 | 2% |
| 7 | Minot State University | $6,957,490 | 2% |
| 8 | Oregon Health Authority-Public Health | $6,902,698 | 2% |
| 9 | District Of Columbia, Government Of | $6,760,024 | 2% |
| 10 | Idaho Department Of Health & Welfare | $6,720,223 | 2% |
10 of 83 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $24,363,939 |
| FY2025 | $35,937,341 |
| FY2024 | $62,071,459 |
| FY2023 | $42,108,984 |
| FY2022 | $22,505,966 |
| FY2021 | $14,369,517 |
| FY2020 | $14,710,018 |
| FY2019 | $14,560,201 |
| FY2018 | $14,318,355 |
| FY2017 | $14,947,657 |
| FY2016 | $15,174,223 |
| FY2015 | $15,200,273 |
| FY2014 | $15,767,301 |
| FY2013 | $14,023,864 |
| FY2012 | $16,610,790 |
| FY2011 | $15,036,524 |
| FY2010 | $15,008,895 |
| FY2009 | $14,371,001 |
| FY2008 | $2,630,433 |
| FY2007 | $3,345,134 |
| FY2006 | $4,671,988 |
| FY2005 | $1,548,898 |
| FY2004 | $557,086 |
| FY2003 | $685,370 |
| FY2002 | $4,157,224 |
| FY2001 | $3,550,812 |
Show all 26
Quick answers
What is Assistance Listing 93.251?
Assistance Listing 93.251 is Early Hearing Detection and Intervention, a federal grant program run by Health Resources and Services Administration (Department of Health and Human Services).
What is the CFDA number for Early Hearing Detection and Intervention?
Its CFDA number is 93.251: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.251 awarded?
354 grant awards under 93.251 have obligated $402,240,407 in federal funds to 83 recipients.
Who receives the most funding from 93.251?
The recipients obligated the most under Early Hearing Detection and Intervention are Utah State University ($29,298,559), Gallaudet University ($8,341,050) and Minnesota Department Of Health ($8,238,645).
How much did 93.251 obligate in fiscal year 2025?
Grants under 93.251 obligated $35,937,341 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.251?
No opportunity listed under 93.251 is open now. The latest, Early Hearing Detection and Intervention National Network, was posted on July 19, 2023.
On GovTribe
See this program's full record
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