Title V Maternal & Child Health Block Grant

Authority

Title V Maternal & Child Health Block Grant is authorized by Social Security Act, Title V, Sections 501-509 (purpose at Sec. 501; allotment formula at Sec. 502; required state set-asides at Sec. 505), administered by HHS / HRSA, as a block program. Statute.

Formula (State MCH Block Grant): the first $422,000,000 of the annual federal appropriation is distributed to each state based on the amount it received under the consolidated maternal and child health program in FY1983; remaining federal appropriations are distributed to each state using child-poverty-based allotments proportional to the state's share of low-income children nationwide (low-income child counts drawn from the American Community Survey; SSA Sec. 502(c)). U.S. Territories and Freely Associated States do not receive poverty-based allotments (lack of ACS data) and instead receive a second proportion of funds above the 1983 level proportionate to their 1983 share of overall State MCH Block Grant funding. Match: states must match at least $3 of nonfederal funds for every $4 in federal allotment (SSA Sec. 503(a)) and maintain state contributions at or above the FY1989 level (maintenance of effort, SSA Sec. 504(a)(4)). Required spending set-asides (SSA Sec. 505): no more than 10% of federal funds for administration; at least 30% for preventive and primary care services for children; at least 30% for services for children with special health care needs. Component-level statutory formula (SSA Sec. 502): SPRANS receives 15% of the appropriation up to $600,000,000 plus 15% of funds above $600,000,000 after CISS is set aside; CISS receives 12.75% of the appropriation above $600,000,000; the State MCH Block Grant receives the remainder.

Allocations by jurisdiction

60 jurisdictions, from the published allocation table.

Where the money lands

Place-of-performance obligations by state, with per-capita, sealed in the location chain.

Top recipients

Source documents

5 primary documents, parsed and sealed by content hash.

• Title V Maternal and Child Health Services Block Grant to States Program: Guidance and Forms for the Title V Application/Annual Report (Block Grant Guidance, OMB No. 0915-0172) guidance, 93 pages, 39 tables
• Title V MCH Services Block Grant Program Resource Page (TVIS) guidance
• Title V Information System (TVIS) - State Application or Annual Report portal (where states submit applications and where per-state allocation and expenditure data are published) allocation-table, 3 tables
• Maternal and Child Health Services Block Grant: Overview and Issues for Congress (CRS Report R48088, June 7, 2024) annual-report, 57 pages, 20 tables
• Assistance Listing 93.994 - Maternal and Child Health Services Block Grant to the States (TAGGS / SAM.gov) other, 4 tables

Questions

How does Title V Maternal & Child Health Block Grant money reach recipients?

The largest component (the State MCH Block Grant) is awarded directly to states and jurisdictions by statutory formula, not by competition: each state's health agency submits an annual application/annual report through HRSA's Title V Information System (TVIS) and draws down a federal allotment, which the state must match (at least $3 of nonfederal funds for every $4 of federal funds) and then subgrants or spends on MCH services. The other two components (SPRANS and CISS) are awarded competitively to states, universities, nonprofits, and community organizations through HRSA notices of funding opportunity.

How much federal funding does Title V Maternal & Child Health Block Grant represent?

As of 2026-06-05, $1.0B was obligated across 115 active awards to 59 recipients in 56 states and 1 counties. This is a sealed point-in-time figure from USAspending, the federal system of record.

What law authorizes Title V Maternal & Child Health Block Grant?

Title V Maternal & Child Health Block Grant is authorized by Social Security Act, Title V, Sections 501-509 (purpose at Sec. 501; allotment formula at Sec. 502; required state set-asides at Sec. 505), administered by HHS / HRSA.