Maternal and Child Health Services Block Grant to the States
Active
- Assistance listing
- 93.994
- Agency
-
Health Resources and Services Administration
Department of Health and Human Services
- Grant awards
- 1,739 $16,994,236,478 in federal obligations
Program facts
- Also known as
- MCH Block Grants
- Assistance types
-
- Project Grant
- Block Grant
- 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 funds maternal and child health services and systems coordination through CFDA 93.994, with the most recent awards issued on October 1, 2025. The program supports states and insular areas in building coordinated systems of care for mothers, infants, children, adolescents, and children and youth with special health care needs, particularly vulnerable populations lacking adequate access to care.
Awards are made annually on a project-period basis, with 59 awards per year over the past five years. The portfolio consists predominantly of Block Grants (73% of 1,739 total awards) paired with a smaller share of Project Grants (27%). Combined federal funding obligated reaches $16.99 billion across the program's history extending to 1998. The funding source is concentrated within HHS HRSA, with the portfolio showing 1,211 awards valued at $7.83 billion and 528 awards valued at $9.16 billion across the active funder base.
Recent award magnitude varies substantially by state and recipient, ranging from under $1 million to over $100 million per two-year project period. Representative October 2025 awards include California at $131.48 million, New York at $100.98 million, Texas at $98.32 million, Illinois at $64.16 million, and Ohio at $62.43 million. Smaller jurisdictions received awards in the $1–5 million range, such as Guam at $1.96 million and several territories and insular areas at comparable levels. Project periods run two years with ultimate completion dates in September 2027 for awards issued October 2025.
Activity examples from awarded grants include Puerto Rico's Title V program implementing maternal, child, and adolescent health services alongside children with special health care needs programs across seven health regions; Washington State's coordinated system emphasizing prevention, early intervention, and family-centered care aligned with state needs assessment priorities; and Kentucky's program addressing maternal mortality, infant mortality, childhood obesity, adolescent mental health, and medical home development. Funding mechanisms support direct medical services, enabling services such as care coordination, population-based health surveillance and epidemiology, and infrastructure-building for systems strengthening and data integration.
No open grant opportunities are currently identified in the source material. Applications follow a standard merit-review process with objective review committee recommendations forwarded to HRSA program officials for final selection, with final decisions made 4 to 6 months after application receipt. Recipients must maintain grant accounting records for three years after submission of Federal Financial Reports.
Objective and description
- Objective
To enable States to improve the health and well-being of the Nation's mothers, children and families by supporting and promoting the development and coordination of systems of care for the maternal and child health population, particularly vulnerable
- Description
To enable States to improve the health and well-being of the Nation's mothers, children and families by supporting and promoting the development and coordination of systems of care for the maternal and child health population, particularly vulnerable populations who do not have access to adequate health care.
Eligibility
- Applicant eligibility
Title V MCH Service Block Grants are limited to States and insular areas.
- Beneficiary eligibility
Mothers, infants, children, including CSHCN, and their families, particularly those of low-income.
- Uses of assistance
States may use funds to develop systems of care for the provision of health services and related activities, including planning, administration, education and evaluation consistent with the State's annual application. Beginning in FY 1991, States must use at least 30 percent of their Federal allotment for preventive and primary care services for children, and at least 30 percent for services for children with special health care needs. In addition, each State must establish and maintain a toll-free information number for parents on maternal and child health (MCH) and Medicaid providers.
- Use restrictions
Funds may not be used for (1) Inpatient services other than those provided to children with special health care needs or to high-risk pregnant women and infants and such other inpatient services as the Secretary may approve; (2) cash payments to intended recipients for health services; (3) purchase and improvement of land, construction or permanent improvement of buildings or purchase of major medical equipment; (4) matching other Federal grants; or (5) providing funds for research or training to any entity other than a public or private nonprofit entity. No more than 10 percent of each State's allotment may be used for administration.
- 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
- Award procedure
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. 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.
Grant awards
Latest 10 of 1,739 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | NYS Department Of Health | $1,054,684,719 | 6% |
| 2 | Department Of State Health Services | $1,002,210,866 | 6% |
| 3 | California Department Of Public Health | $975,766,400 | 6% |
| 4 | Pennsylvania Department Of Health | $670,726,357 | 4% |
| 5 | Ohio Department Of Health | $639,504,789 | 4% |
| 6 | Florida Department Of Health | $570,211,171 | 3% |
| 7 | Michigan Department Of Health And Human Services | $529,712,188 | 3% |
| 8 | Department Of Public Health Illinois | $502,445,217 | 3% |
| 9 | North Carolina Department Of Health & Human Services | $452,890,833 | 3% |
| 10 | Puerto Rico Department Of Health | $450,371,788 | 3% |
10 of 104 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $1,392,009,538 |
| FY2025 | $1,770,580,123 |
| FY2024 | $1,443,104,036 |
| FY2023 | $2,042,984,737 |
| FY2022 | $796,231,876 |
| FY2021 | $545,203,749 |
| FY2020 | $543,465,926 |
| FY2019 | $541,178,696 |
| FY2018 | $540,536,082 |
| FY2017 | $534,851,088 |
| FY2016 | $535,085,245 |
| FY2015 | $536,169,122 |
| FY2014 | $531,606,799 |
| FY2013 | $511,887,143 |
| FY2012 | $539,819,369 |
| FY2011 | $546,023,058 |
| FY2010 | $551,837,522 |
| FY2009 | $555,490,715 |
| FY2008 | $552,513,906 |
| FY2007 | $559,045,374 |
| FY2006 | $121,387,597 |
| FY2005 | $147,488,206 |
| FY2004 | $148,469,982 |
| FY2003 | $742,388,598 |
| FY2002 | $74,954,225 |
| FY2001 | $105,904,137 |
Show all 26
Quick answers
What is Assistance Listing 93.994?
Assistance Listing 93.994 is Maternal and Child Health Services Block Grant to the States, a federal grant program run by Health Resources and Services Administration (Department of Health and Human Services).
What is the CFDA number for Maternal and Child Health Services Block Grant to the States?
Its CFDA number is 93.994: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.994 awarded?
1,739 grant awards under 93.994 have obligated $16,994,236,478 in federal funds to 104 recipients.
Who receives the most funding from 93.994?
The recipients obligated the most under Maternal and Child Health Services Block Grant to the States are NYS Department Of Health ($1,054,684,719), Department Of State Health Services ($1,002,210,866) and California Department Of Public Health ($975,766,400).
How much did 93.994 obligate in fiscal year 2025?
Grants under 93.994 obligated $1,770,580,123 in federal funds in fiscal year 2025.
On GovTribe
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