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Grants to USA CBOs, Faith-Based Organizations, and Tribes to Improve Health Outcomes for Infants and Mothers and Reduce Health Disparities

Healthy Start Initiative – Enhanced


GrantWatch ID#

Funding Source
U.S. Department of Health and Human Services (HHS) - Health Resources and Services Administration (HRSA)
CFDA Number: 93.926
Funding or PIN Number: HRSA-23-130
Array ( [0] => Puerto Rico (USA); )

Geographic Focus
USA: AlabamaArizonaArkansasCaliforniaColoradoConnecticutFloridaGeorgiaIllinoisIndianaIowaKansasKentuckyLouisianaMarylandMassachusettsMichiganMississippiMontanaNebraskaNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaSouth CarolinaSouth DakotaTennesseeTexasVirginiaWashington, DCWest VirginiaWisconsin
USA Territories: Puerto Rico (USA);

Important Dates
Deadline: 07/17/23 11:59 PM ET Save

Grant Description
Grants to USA community-based organizations, faith-based organizations, tribes, and tribal organizations in multiple states to improve health outcomes for infants and mothers and reduce health disparities. Applicants are advised that required registrations may take up to several weeks to complete.

This notice announces the opportunity to apply for funding under the Healthy Start Initiative - Enhanced (HSE) Program. The purpose of HSE is to improve health outcomes before, during, and after pregnancy and reduce the well-documented racial/ethnic differences in rates of infant death and adverse perinatal outcomes.1,2,3 HSE is intended to support projects in diverse communities and populations (e.g., rural, urban, non-Hispanic Black, American Indian/Alaskan Native [AI/AN]) experiencing the greatest disparities in maternal and infant health outcomes. 

HSE has two focus areas: 1) providing direct and enabling services (e.g., screening and referrals, case management and care coordination, health and parenting education, and linkage to clinical care to enrolled HSE participants; and 2) convening Community Consortia comprised of diverse multi-sector partners that advise and inform HSE activities and develop and implement plans to improve perinatal outcomes within the selected project area. HSE has an increased emphasis on addressing social determinants of health in order to improve disparities in maternal and infant health outcomes. The program also provides recipients with increased flexibility to customize interventions to meet the unique needs of their target population. 

The goals of HSE are to:

  1. Continue reducing infant mortality rates (IMR) in the U.S., and
  2. Decrease disparities in infant mortality (IM) across racial/ethnic groups by achieving steeper declines for groups with the highest infant mortality rates (e.g., non-Hispanic Black and AI/AN infants). 

HSE projects should be implemented in communities experiencing high rates of maternal and infant mortality and morbidity that do not already have access to Healthy Start Services.

For more information about project areas see Page 5 of the RFP document listed in Supporting Documents, below. 


  • City or township governments
  • County governments
  • Independent school districts
  • Native American tribal governments (Federally recognized)
  • Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education
  • Private institutions of higher education
  • Public and State controlled institutions of higher education
  • Others (see text field entitled "Additional Eligibility Criteria" for clarification)
  • Special district governments
  • State governments

Additional Eligibility Criteria
Eligible applicants include any domestic public or private entity. Domestic faith-based and community-based organizations, tribes, and tribal organizations are also eligible to apply.

Recipients of Healthy Start Initiative: Eliminating Disparities in Perinatal Health (HRSA19-049)13 are only eligible to apply for this grant if a new project area, not currently funded by your existing grant, is proposed. If overlapping areas are proposed, your application will be deemed ineligible and not considered. This provision ensures that new communities with the highest rates of maternal and infant mortality that do not already have access to Healthy Start services are reached by this program.

Additional Geographic Information:

For more information on eligible regions, see Page 32 of the RFP document listed in Supporting Documents below.

For information about funding restrictions, see Page 32 of the guidelines document in Supporting Documents, below.

Pre-Proposal Conference
HRSA has scheduled the following technical assistance:
Day and Date: Wednesday, June 7, 2023
Time: 1:00 p.m. ET

Attendees without computer access or computer audio can use the dial-in information below.
Dial-in Toll-Free #: 1-833 568 8864
Meeting ID: 160 369 9813
Passcode: 85581825

Pre-Application Information
The application due date under this NOFO is July 17, 2023 at 11:59 p.m. ET.

HRSA suggests you submit your application to at least 3 calendar days before the deadline to allow for any unforeseen circumstances.

Ensure your and registrations and passwords are current immediately. HRSA will not approve deadline extensions for lack of registration. Registration in all systems may take up to 1 month to complete.

View this opportunity on

For a list of relevant application documents, see the Package tab (click Preview) on the link listed above.

Additional Funding Information

Estimated Total Program Funding:


Number of Grants

Term of Contract
September 30, 2023 through September 29, 2028 (5 years)

Contact Information
Mia Morrison, MPH
Supervisory Public Health Analyst
Division of Healthy Start and Perinatal Services
Phone: (301) 443-2521

You may request additional information and/or technical assistance regarding business, administrative, or fiscal issues related to this NOFO by contacting:
Tonya Randall
Grants Management Specialist
Division of Grants Management Operations, OFAM
Health Resources and Services Administration
Phone: (301) 594-4259

You may request additional information regarding the overall program issues and/or technical assistance related to this NOFO by contacting:
Attn: HRSA-23-130
Division of Healthy Start and Perinatal Services
Maternal and Child Health Bureau
Health Resources and Services Administration
5600 Fishers Lane, Room 18N-96
Rockville, MD 20857
Phone: (301) 443-0543

You may need assistance when working online to submit your application forms electronically. Always obtain a case number when calling for support. For assistance with submitting the application in, contact 24 hours a day, 7 days a week, excluding federal holidays at: Contact Center
Phone: 1-800-518-4726 (International callers dial 606-545-5035)

For assistance with submitting in the EHBs, contact the HRSA Contact Center, Monday–Friday, 7 a.m. to 8 p.m. ET, excluding federal holidays at:
HRSA Contact Center
Phone: (877) 464-4772 / (877) Go4-HRSA
TTY: (877) 897-9910

RFP & Supporting Documents
Full Grant Text RFP

Before starting your grant application, please review the funding source's website listed below for updates / changes / addendums / conferences / LOIs.

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