Opportunity Information: Apply for HRSA 21 078
The Early Childhood Comprehensive Systems: Health Integration Prenatal-to-Three Program (ECCS) is a federal grant opportunity from the U.S. Department of Health and Human Services, administered by the Health Resources and Services Administration (HRSA). It is offered as a discretionary cooperative agreement, meaning awardees not only receive funding but also work in close partnership with the federal project office on implementation and oversight. The program is designed to help states and other eligible entities strengthen how they organize and deliver supports for pregnant people, infants, toddlers, and their families, with a strong emphasis on making those supports coordinated across systems, easier for families to access, and more equitable for populations that have historically been underserved.
At its core, ECCS focuses on building integrated maternal and early childhood systems of care for the prenatal-to-three population. The program is intended to move states toward systems that are comprehensive and sustainable, and that fully incorporate the health sector while connecting effectively with other early childhood systems that shape family well-being. The underlying idea is that families do better when they can engage early with high-quality, culturally appropriate, evidence-based services that emphasize promotion and prevention, catch concerns early, and connect them to intervention supports without having to navigate a confusing patchwork of agencies and eligibility rules on their own. Earlier engagement is framed as a way to strengthen long-term protective factors, reduce risks to healthy development, and improve measurable indicators of health and well-being.
The opportunity lays out five major goals. First, it aims to increase state-level infrastructure and capacity so states can develop or strengthen statewide maternal and early childhood systems of care. Second, it seeks stronger coordination and alignment between Maternal and Child Health (MCH) programs and the broader set of statewide systems that influence young children and families, so stakeholders can work toward a shared vision for early developmental health and family well-being. Third, it emphasizes increasing the capacity of health systems to provide services and to connect families to a full continuum of supports starting in pregnancy, not after problems become entrenched. Fourth, it prioritizes identifying and implementing policy and financing strategies that can fund and sustain multigenerational and preventive approaches over time, rather than relying on short-term pilot funding. Fifth, it explicitly targets equity by building state capacity to expand access and improve outcomes for underserved prenatal-to-three populations.
To advance those goals, ECCS expects recipients to deliver progress on five core objectives that describe what states should actually build or strengthen. One objective is to increase the number of family leaders and professional leaders meaningfully involved in state-level maternal and early childhood initiatives, reflecting a commitment to shared leadership and family-centered design. Another objective is to create or strengthen and then implement a cross-sector, state-level maternal and early childhood strategic plan that integrates health with other prenatal-to-three systems and programs, pushing the work beyond isolated initiatives toward a single coordinated roadmap. The program also calls for greater participation by health care providers, specifically including obstetricians and pediatricians, in Coordinated Intake and Referral Systems (CIRS) or similar centralized intake and data coordination efforts, so referrals, follow-up, and service navigation become more reliable and less fragmented. In addition, recipients are expected to demonstrate progress on key policy and financing changes that their own statewide strategic plans identify as necessary for sustainability. Finally, states must set clear, specific, and measurable prenatal-to-three health equity goals in their statewide early childhood strategic plan, making equity a defined deliverable rather than an aspirational statement.
From an administrative standpoint, the listing identifies Funding Opportunity Number HRSA-21-078 under CFDA 93.110. HRSA anticipated making about 20 awards, with an award ceiling of $255,600 per award. The opportunity was originally posted on December 11, 2020, with an original closing date of March 15, 2021. Eligibility is described broadly as "Others," with additional eligibility details referenced in the full announcement. Overall, the grant is structured to help states create durable, cross-sector early childhood systems that start in pregnancy, connect health care more tightly to family supports, and use policy, financing, and equity targets to lock in improvements over time.Apply for HRSA 21 078
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Early Childhood Comprehensive Systems: Health Integration Prenatal-to-Three Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.110.
- This funding opportunity was created on Dec 11, 2020.
- Applicants must submit their applications by Mar 15, 2021. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $255,600.00 in funding.
- The number of recipients for this funding is limited to 20 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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