Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees

Active

Assistance listing
93.478
Agency
Grant awards
10 $41,935,923 in federal obligations

Program facts

Assistance type
  • Cooperative Agreement
Treasury account
  • 75-0943-0-1-550

Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.

About this program

The Centers for Disease Control and Prevention (CDC) within the Department of Health and Human Services funds Maternal Mortality Review Committees through cooperative agreements to identify and characterize maternal deaths and develop prevention strategies, under CFDA 93.478, with the most recent grant awards disbursed on September 30, 2019.

Program activity is dormant. The CDC funded 10 cooperative agreements totaling $41.9 million in federal dollars obligated in 2019 (September 30, 2019 award date), with completion dates of September 29, 2024. No grant awards have been disbursed since 2019, and no recent grant opportunities are evident in the source. The source does not indicate whether new solicitations are planned or whether the program remains active for new applications.

The program funds the establishment and operation of state and local Maternal Mortality Review Committees (MMRCs) to conduct systematic reviews of pregnancy-associated deaths occurring within one year of the end of pregnancy. Funded activities include identifying and abstracting clinical and non-clinical data into the CDC's Maternal Mortality Review Information Application (MMRIA), conducting multidisciplinary case reviews, developing actionable prevention recommendations, disseminating findings to clinical providers and policymakers, and implementing evidence-based interventions to reduce maternal mortality and address disparities, particularly among Black and American Indian women.

All funding under this program flows exclusively from the CDC; the program is characterized entirely by Cooperative Agreements. Award economics show a $41.9 million federal commitment across ten awards, with individual award values ranging from approximately $3.6 million to $4.86 million and performance periods of one to five years. Non-federal cost-share totaled approximately $500 thousand across all awards.

Representative recent awards include the Arizona Department of Health Services ($4.86 million) to standardize maternal mortality review processes and disseminate findings statewide; the Illinois Department of Public Health ($3.84 million) to strengthen dual Maternal Mortality Review Committees and reduce disparities; and the New York Department of Health ($4.56 million) to coordinate two functioning MMRCs across the state and address racial and ethnic inequities in maternal mortality outcomes.

Applicants must demonstrate that they operate an active, existing population-based MMRC; possess authority to access clinical and non-clinical records; have data protections and immunity provisions in place; possess access to vital records (birth, death, and fetal death certificates); and commit to sharing MMRIA data with CDC for quality monitoring and cross-jurisdictional analysis.

Objective and description

Objective

This funding will support existing Maternal Mortality Review Committees to identify and characterize maternal deaths for identifying prevention opportunities. Awardees will identify pregnancy-associated deaths within one year of death; abstract and e

Description

This funding will support Maternal Mortality Review Committees to identify and characterize maternal deaths to identify prevention opportunities.

Eligibility

Credentials and documentation

This funding opportunity has special eligibility requirements of applicants. If evidence of these eligibility requirements are not included with the application, the application is deemed non-responsive. • AUTHORITIES AND PROTECTIONS. Applicants must submit evidence, by submitting copies or through reference to specific statutes, rules, or legislation that provides the MMRC: o Authority to access clinical and non-clinical records o Protection of data collected, proceedings, and activities o Immunity for committee members from subpoena related to maternal deaths they reviewed as members of the MMRC • HAVE AN EXISTING POPULATION-BASED MATERNAL MORTALITY REVIEW COMMITTEE ACTIVELY REVIEWING DEATHS AT THE TIME OF APPLICATION. The purpose of this funding opportunity is to support existing MMRCs rather than the establishment of new MMRCs. Applicants must submit evidence that they are an active MMRC. Examples of evidence include dated products of MMRC meetings, such as a meeting agenda, meeting notifications to committee members, or a schedule of meeting dates and locations from the preceding 12 months. • VITAL RECORDS ACCESS. Death certificates that can be matched with birth and fetal death certificates form the foundation for identifying pregnancy-associated deaths. The applicant must provide evidence that they have access to identified data from these three vital records files. Evidence includes a Memorandum of Understanding (MOU), a Memorandum of Agreement (MOA), Data Use Agreement (DUA), or Letter of Support from the vital records registrar's office that confirms access to this data by the applicant. • ABILITY TO SHARE MMRIA DATA WITH CDC. There are 3 core purposes of the funding opportunity that are dependent on awardees sharing their MMRIA data with CDC: o Timely identification of data quality problems o Timely identification of awardee technical assistance needs o Analyses of data across awardees by CDC to characterize maternal deaths and to identify opportunities for prevention Evidence of the ability to share MMRIA data with CDC would be documentation of experience sharing similar limited identified data with CDC, or a letter from the applicant's legal authority documenting the ability of the applicant to share MMRIA data with CDC.

Uses of assistance

Funds can be used to support core MMRC functions (i.e. abstraction, analysis, coordination, meeting logistics, dissemination activities, and travel for annual reverse site visit). Funds can be used to pay for activities and supplies necessary to conduct the aims outlined here.

Length and time phasing of assistance

Financial assistance is provided for a 12-month budget period with a period of performance of up to five years subject to the availability of funds and satisfactory progress of the recipient.

How to apply

Criteria for selecting proposals

Applications will be evaluated on the review criteria described in the Notice of Funding Opportunity Announcements (NOFOs). In general, the review and selection process of complete and responsive applications to the NOFO consists of determination of the scientific and technical merit by objective or peer review, availability of funds, and relevance of program priorities and the priorities of CDC.

Award procedure

After review and approval, a Notice of Award (NoA) will be prepared and processed, along with appropriate notification to the public. Initial awards provide funds for the first budget period (usually 12 months) and the NoA will indicate support recommended for the remainder of the project period, allocation of Federal funds by budget categories, award requirements, and special conditions, if any.

Deadlines

Check Grants.gov for any relevant NOFO information regarding processes for applying for assistance.

Renewals

Cooperative agreement period of performance is 1 to 5 years. After initial awards, and subject to availability of funds, projects may be continued non-competitively contingent upon satisfactory progress by the recipient (as documented in required reports) and the determination that continued funding is in the best interest of the Federal government.

Grant awards

Top recipients by federal obligations

Rank Recipient Federal obligations Share
1 Arizona Department Of Health Services $4,860,000 12%
2 New Jersey Department Of Health $4,860,000 12%
3 Health Research, Inc. $4,560,000 11%
4 Ohio Department Of Health $4,340,000 10%
5 Colorado Department Of Public Health & Environment $4,110,000 10%
6 Indiana Department Of Health $4,057,044 10%
7 California Department Of Public Health $3,940,000 9%
8 Department Of Public Health Illinois $3,840,000 9%
9 State Of New Mexico $3,768,879 9%
10 Louisiana Department Of Health $3,600,000 9%

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2023 $35,203,883
FY2022 $25,914,551
FY2021 $11,170,723
FY2020 $18,151,096
FY2019 $9,075,548

Quick answers

What is Assistance Listing 93.478?

Assistance Listing 93.478 is Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees, a federal grant program run by Centers for Disease Control and Prevention (Department of Health and Human Services).

What is the CFDA number for Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees?

Its CFDA number is 93.478: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.478 awarded?

10 grant awards under 93.478 have obligated $41,935,923 in federal funds to 10 recipients.

Who receives the most funding from 93.478?

The recipients obligated the most under Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees are Arizona Department Of Health Services ($4,860,000), New Jersey Department Of Health ($4,860,000) and Health Research, Inc. ($4,560,000).

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