Opportunity Information: Apply for HRSA 19 049
The Healthy Start Initiative: Eliminating Disparities in Perinatal Health (HRSA-19-049) is a discretionary grant program from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), designed to improve outcomes before pregnancy, during pregnancy, and after delivery, while directly reducing racial and ethnic disparities in infant mortality and other serious perinatal outcomes. The program is built around the idea that infant deaths and poor birth outcomes are not evenly distributed across communities, and that targeted investments in the highest-burden areas can close persistent gaps in maternal and infant health. The funding is intended to support community-based approaches that strengthen access to care, improve the quality and coordination of services, and build local capacity to deliver effective perinatal and early-life support.
A central feature of this opportunity is its focus on high-risk communities. Healthy Start grants are directed to locations where infant mortality is at least 1.5 times the national U.S. average, and where there are also elevated rates of related adverse outcomes such as low birthweight, preterm birth, and maternal morbidity and mortality. In practice, that means applicants must be serving populations with clearly documented need and disproportionate burden. The program explicitly targets disparities affecting racial and ethnic minority groups, with the broader goal of narrowing the health status gap between these groups and the general population.
Starting in fiscal year 2019, Healthy Start shifted the service window for infants and families to the first 18 months after birth, rather than providing support up to age two as in previous program designs. HRSA frames this change as a way to concentrate resources on the program's core priorities: preventing infant mortality, strengthening women's health, and improving perinatal outcomes during the most critical period for those goals. The 18-month period still covers major developmental and preventive care milestones, including key immunization benchmarks established by the American Academy of Pediatrics. HRSA also notes that this adjustment reflects feedback from existing Healthy Start recipients, who indicated that a slightly shorter service window can free up capacity to enroll and serve more pregnant women, thereby increasing the program's reach and potential impact on pregnancy outcomes.
Even with the updated 18-month timeframe, the grant program emphasizes coordination rather than operating in isolation. HRSA highlights continued collaboration with other early childhood and maternal-child health systems, including HRSA-funded Title V programs and the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program. The intent is to ensure that families connected through Healthy Start are not cut off from services after 18 months, and that communities create smoother handoffs into other programs that support ongoing child development and family stability.
The opportunity outlines several major strategies grantees are expected to pursue. One priority is improving access to quality health care and supportive services for women, infants, children, and families, using tools like outreach, care coordination, health education, and assistance linking to health insurance coverage. Another priority is strengthening the health workforce, particularly frontline staff who provide direct services and help families navigate care. The program also stresses the importance of building healthier communities through coordinated and comprehensive service delivery, with a focus on efficiency and effectiveness rather than fragmented referrals. Finally, Healthy Start centers health equity by encouraging partnerships with organizations that can address local needs and help reduce disparities, recognizing that improvements in perinatal health often require both clinical services and trusted community connections.
If these approaches are implemented well, HRSA expects measurable downstream results that include reduced infant mortality, improved birth outcomes, stronger maternal and family health, better child health, and a sustained reduction in maternal, infant, and child health disparities within Healthy Start communities. The notice identifies this as a grant-funded effort (Funding Instrument Type: Grant) under CFDA 93.926, with an anticipated 100 awards. The opportunity was created on September 28, 2018, with an original closing date of November 27, 2018. Eligible applicants are listed broadly as "Others" with additional eligibility details referenced in the full notice.Apply for HRSA 19 049
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Healthy Start Initiative: Eliminating Disparities in Perinatal Health" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.926.
- This funding opportunity was created on Sep 28, 2018.
- Applicants must submit their applications by Nov 27, 2018. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 100 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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