State Maternal Health Innovation | HRSA 24 047

Opportunity Information: Apply for HRSA 24 047

The State Maternal Health Innovation (State MHI) program is a federal funding opportunity from the Health Resources and Services Administration (HRSA) designed to help states and partner organizations reduce maternal mortality and severe maternal morbidity. The program focuses on strengthening maternal health systems across the full continuum of care, starting before pregnancy (preconception) and continuing through prenatal care, labor and delivery, and the postpartum period. A central theme of the opportunity is improving access to care that is comprehensive, high-quality, appropriate for the needs of patients and communities, and consistent over time rather than fragmented or episodic.

In addition to expanding and improving care, State MHI emphasizes building stronger state-level maternal health surveillance and data capacity. That means recipients are expected to improve how maternal health information is collected, analyzed, and used to guide decisions, identify gaps, and track outcomes. The program also explicitly prioritizes the design and implementation of innovative interventions that improve outcomes for populations that are disproportionately impacted by maternal deaths and severe complications. In practice, this directs applicants to focus on equity-driven strategies and to ensure that the communities most affected have a meaningful role in shaping priorities and solutions.

The award is structured as a cooperative agreement, which typically means HRSA will have an ongoing partnership role with recipients rather than simply issuing funds with minimal involvement. Recipients will be expected to work closely with HRSA, particularly around shared performance measurement and reporting. One of the early required deliverables is the creation of a draft five-year Maternal Health Strategic Plan. By September 29, 2025 (Project Year 1), each recipient must develop this draft plan to guide statewide maternal health improvement efforts over a multi-year horizon. Also by the end of Year 1 (September 29, 2025), recipients must identify a set of core measures to assess and report on program activities, including any innovations they test or implement, and this measurement framework must be developed in collaboration with HRSA.

By September 29, 2026 (Year 2), recipients must submit a final version of the Maternal Health Strategic Plan, developed alongside an established Maternal Health Task Force. The task force is a key mechanism for coordination, community engagement, and accountability. Over the full period of performance, recipients are expected to increase community participation on the Maternal Health Task Force, specifically expanding representation from populations experiencing the highest rates of maternal mortality and severe maternal morbidity. By September 29, 2029 (Year 5), recipients must show growth in the number of these community members participating both on the task force and in implementing the strategic plan activities, reinforcing that this program is not only about technical solutions but also about shared leadership with affected communities.

Public transparency and ongoing reporting are also built into the program. Recipients must publish a Maternal Health Annual Report every year during the period of performance. These reports should cover maternal health topics relevant to the state and help document progress, challenges, and emerging needs. By the end of Year 5 (September 29, 2029), recipients are expected to identify and share innovations that show potential for replication, scaling, and long-term sustainability, helping other states and systems learn from what worked and supporting broader improvement beyond the original award sites.

Eligibility is broad and includes many types of U.S.-based organizations. Eligible applicants include state, county, city or township governments, special district governments, and independent school districts, as well as federally recognized tribal governments and other tribal organizations. The opportunity is also open to nonprofits with 501(c)(3) status (excluding institutions of higher education), for-profit organizations other than small businesses, small businesses, and other entities as allowed under the notice. The program anticipates making about 18 awards. The opportunity number is HRSA-24-047, the CFDA number is 93.110, the original application closing date listed is April 2, 2024, and the funding instrument is a discretionary cooperative agreement in the health category. Notably, the listed award ceiling is shown as 0 in the source data, which often indicates that the ceiling is not specified in that field and applicants should rely on the full notice for detailed budget guidance.

• The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "State Maternal Health Innovation" 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 2023-12-15.
• Applicants must submit their applications by 2024-04-02. (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 18 candidate(s).
• Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, For-profit organizations other than small businesses, Small businesses, Others.

Apply for HRSA 24 047

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