Opportunity Information: Apply for HRSA 23 130
The Healthy Start Initiative - Enhanced (HSE) program is a discretionary grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), designed to improve maternal and infant health before, during, and after pregnancy while also tackling long-standing racial and ethnic inequities in infant mortality and poor birth outcomes. The central idea is to place resources in communities that are seeing the worst outcomes, including rural and urban areas and populations such as non-Hispanic Black and American Indian/Alaska Native (AI/AN) families, where disparities in infant death and adverse perinatal outcomes are especially pronounced. A key requirement is that funded projects operate in new service areas with high maternal and infant mortality and morbidity that do not already have Healthy Start services.
HSE is built around two main focus areas. First, it funds direct and enabling services for people enrolled in the program, emphasizing practical, hands-on supports that help families navigate health systems and reduce barriers to care. These services include screening and referrals, case management and care coordination, health and parenting education, and active linkage to clinical care. Second, it requires recipients to convene and maintain a Community Consortium made up of diverse, multi-sector partners, including program participants and other community members. This consortium is not just advisory in name; it is meant to guide strategy, strengthen collaboration across systems, and help shape community-level plans that improve perinatal outcomes in the defined project area.
A major theme of the Enhanced model is a stronger emphasis on social determinants of health, meaning the program expects recipients to look beyond clinical care alone and address factors like access to resources, support systems, and community conditions that influence pregnancy and infant outcomes. The notice also highlights increased flexibility for awardees to tailor interventions to the realities of their target population rather than using a one-size-fits-all approach. In practice, this means applicants are expected to design approaches that fit local needs while still advancing the program's core aims around reducing infant mortality and narrowing inequities.
Over a 5-year period of performance, funded projects are expected to achieve specific outcomes. On the direct-service side, projects should increase the proportion of participants receiving case management and care coordination so families can access medical services and community resources more effectively. Projects should also increase the uptake of healthy behaviors before, during, and after pregnancy, and improve the use of safe infant care practices. On the community systems side, the Community Consortium should help advise and refine the approach to delivering services, build cross-sector partnerships that make comprehensive maternal, child, and family care easier to reach, and connect participants to health education and community supports that address social determinants of health. Recipients are also expected to participate in Communities of Practice alongside other HSE projects and to develop and implement a community strategic plan that targets at least one social determinant of health.
Administratively, this opportunity is listed as HRSA-23-130 under CFDA (now Assistance Listing) 93.926. The funding instrument is a grant, with an anticipated 10 awards. Eligible applicants span a wide range of public and nonprofit entities, including state, county, and city or township governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized tribal governments; and 501(c)(3) nonprofits (with additional eligibility details referenced in the full notice). The opportunity was posted May 17, 2023, with an original closing date of July 17, 2023. The award ceiling is listed as 0 in the source data, which typically signals that the ceiling was not specified in that field and would need to be confirmed in the full announcement or related guidance.
Overall, HSE funding is aimed at launching new Healthy Start services in the highest-need areas, pairing intensive participant-level support (care coordination, education, referrals, and clinical linkages) with a structured community partnership model that is expected to drive broader systems change. The program's success is framed not only by overall reductions in infant mortality, but also by steeper improvements for groups with the highest infant mortality rates, making disparity reduction a core performance expectation rather than an optional add-on.Apply for HRSA 23 130
- 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 – Enhanced" 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 May 17, 2023.
- Applicants must submit their applications by Jul 17, 2023. (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 10 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, 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, Others (see text field entitled Additional Information on Eligibility for clarification).
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| USAID Combating HIV/AIDS Through Local Partnership Activity (CHALPA)-Kinshasa Apply for 72066023RFA00002 Funding Number: 72066023RFA00002 Agency: Agency for International Development, Democratic Republic of the Congo USAID-Kinshasa Category: Health Funding Amount: $14,900,000 |
| Family Counseling and Support for Lesbian, Gay, Bisexual, Transgender, Queer/Questioning, Intersex+ Youth and their Families Apply for FG 23 004 Funding Number: FG 23 004 Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $425,000 |
| USAID Controlling HIV/AIDS Epidemic among Key and Vulnerable Populations (CHEK) through Local Partnership Apply for 72066023RFA00004 Funding Number: 72066023RFA00004 Agency: Agency for International Development, Democratic Republic of the Congo USAID-Kinshasa Category: Health Funding Amount: $4,250,000 |
| USAID Combating HIV/AIDS Through Local Partnership Activity (CHALPA)-Lualaba Apply for 72066023RFA00003 Funding Number: 72066023RFA00003 Agency: Agency for International Development, Democratic Republic of the Congo USAID-Kinshasa Category: Health Funding Amount: $13,500,000 |
| Nurse Education, Practice, Quality and Retention (NEPQR) Simulation Education Training (SET) Program Apply for HRSA 23 129 Funding Number: HRSA 23 129 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: $500,000 |
| Ana ndi Achinyamata Patsogolo (Children and Youth First) Project Apply for 72061223RFA00002 Funding Number: 72061223RFA00002 Agency: Agency for International Development, Malawi USAID-Lilongwe Category: Health Funding Amount: $60,000,000 |
| Service Area Competition Apply for HRSA 24 067 Funding Number: HRSA 24 067 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| Kuteteza (Prevention) Health Project Apply for 72061223RFA00003 Funding Number: 72061223RFA00003 Agency: Agency for International Development, Malawi USAID-Lilongwe Category: Health Funding Amount: $45,000,000 |
| Kuthekera (We can) Project Apply for 72061223RFA00004 Funding Number: 72061223RFA00004 Agency: Agency for International Development, Malawi USAID-Lilongwe Category: Health Funding Amount: $18,250,000 |
| Children, Adolescents, and Families in the HIV Epidemic in the Free State Province Apply for 72067423RFA00013 Funding Number: 72067423RFA00013 Agency: Agency for International Development, South Africa USAID-Pretoria Category: Health Funding Amount: $15,000,000 |
| Primary Care Training and Enhancement-Language and Disability Access (PCTE-LDA) Apply for HRSA 23 123 Funding Number: HRSA 23 123 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: $600,000 |
| Providing Family Planning Services Apply for 72061323RFA00006 Funding Number: 72061323RFA00006 Agency: Agency for International Development, Zimbabwe USAID-Harare Category: Health Funding Amount: $9,000,000 |
| Supporting Communities to Reduce Lead Poisoning Apply for CDC RFA EH 23 0005 Funding Number: CDC RFA EH 23 0005 Agency: Department of Health and Human Services, Centers for Disease Control - NCEH Category: Health Funding Amount: $200,000 |
| Children’s Hospitals Graduate Medical Education (CHGME) Payment Program Apply for HRSA 24 020 Funding Number: HRSA 24 020 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| Center for Indigenous Innovation and Health Equity Apply for MP CPI 23 002 Funding Number: MP CPI 23 002 Agency: Department of Health and Human Services, Office of the Assistant Secretary for Health Category: Health Funding Amount: $2,250,000 |
| Enhancing the LOINC® Standard to support U.S. Interoperability Apply for NAP AX 23 001 Funding Number: NAP AX 23 001 Agency: Department of Health and Human Services, Office of the National Coordinator Category: Health Funding Amount: $500,000 |
| National Organizations of State and Local Officials: State Governance Apply for HRSA 23 088 Funding Number: HRSA 23 088 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: $500,000 |
| National Organizations of State and Local Officials: State Health Services and Financing Apply for HRSA 23 133 Funding Number: HRSA 23 133 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: $500,000 |
| National Organizations of State and Local Officials: State Health Legislative Education Apply for HRSA 23 058 Funding Number: HRSA 23 058 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| National Organizations of State and Local Officials: Health Policy Innovation Apply for HRSA 23 057 Funding Number: HRSA 23 057 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
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