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Program / Title V
Title V Maternal and Child Health Block Grant
The permanently authorized formula block grant that funds every state to improve the health of mothers, infants, children, and children with special health care needs. VerisGov maps the structure and keeps the moving parts current.
At a glance
- Program
- Title V Maternal and Child Health (MCH) Services Block Grant, comprising the State MCH Block Grant, Special Projects of Regional and National Significance, and Community Integrated Service Systems.
- Administering agency
- Maternal and Child Health Bureau (MCHB) within the Health Resources and Services Administration (HRSA), HHS.
- Statutory authority
- Title V of the Social Security Act, which permanently authorizes the program.
- Funding mechanism
- Formula block grant funded through annual appropriations, with a required state match of three state dollars for every four federal dollars and statutory spending set-asides.
- Money flow
- Federal formula allotment to states and jurisdictions, received by the state maternal and child health agency, which contracts with local health departments and community providers to deliver services.
- Who has a stake
- State maternal and child health agencies, local health departments, prenatal and pediatric providers, programs serving children with special health care needs, and the pregnant women, mothers, infants, and children they serve.
What it is
The Title V Maternal and Child Health (MCH) Services Block Grant is one of the oldest federal-to-state public health programs, in operation since the Social Security Act was enacted. It gives states a flexible, permanently authorized funding stream to improve the health of pregnant women, mothers, infants, children, and children with special health care needs, with particular attention to families with low income or limited access to care.
The program has three parts. The largest is the State MCH Block Grant, distributed to states and jurisdictions by formula. The other two are the Special Projects of Regional and National Significance and the Community Integrated Service Systems programs, which are funded from defined shares of the appropriation. The state formula accounts for factors including each state's historical allocation and its share of the nation's low-income children.
Title V is a partnership grant. States must contribute their own dollars to draw down the federal money, and the statute directs how a large portion of the block grant is spent: a set share for children with special health care needs and a set share for preventive and primary care for children. State health agencies, typically the maternal and child health unit, administer the funds and report annually on a set of national and state performance measures.
Key facts
- Program Title V Maternal and Child Health (MCH) Services Block Grant, comprising the State MCH Block Grant, Special Projects of Regional and National Significance, and Community Integrated Service Systems.
- Administering agency Maternal and Child Health Bureau (MCHB) within the Health Resources and Services Administration (HRSA), HHS.
- Statutory authority Title V of the Social Security Act, which permanently authorizes the program.
- Funding mechanism Formula block grant funded through annual appropriations, with a required state match of three state dollars for every four federal dollars and statutory spending set-asides.
- Money flow Federal formula allotment to states and jurisdictions, received by the state maternal and child health agency, which contracts with local health departments and community providers to deliver services.
- Who has a stake State maternal and child health agencies, local health departments, prenatal and pediatric providers, programs serving children with special health care needs, and the pregnant women, mothers, infants, and children they serve.
What it funds
- Services for children with special health care needs, a statutory minimum set-aside
- Preventive and primary care services for children, a statutory minimum set-aside
- Maternal, infant, and women's health services, including prenatal and postpartum care
- State maternal and child health system capacity, including performance measurement and reporting
Always current
What VerisGov keeps current
The facts above hold for years. These move, and they are where most of the work is. The engine tracks each one against its government source, so what you see is the live state, not a snapshot that quietly went out of date.
- Annual appropriated funding level and the resulting per-state allotments
- The state allocation formula and the funding shares reserved for the Special Projects and Community Integrated Service Systems components
- The current set-aside percentages and the state matching ratio
- Updates to the national performance measures, the annual application and report, or any proposal to restructure the grant
How VerisGov covers it
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Pinned to records published by
- Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau
- State maternal and child health agencies
Answers
Frequently asked questions
Who does the Title V block grant serve?
Pregnant women, mothers, infants, children, and children with special health care needs, with particular focus on families with low income or limited access to health services.
Do states have to contribute their own money?
Yes. Title V is a matching grant. A state must contribute at least three of its own dollars for every four federal dollars it receives to draw down its full allotment.
How much flexibility do states have over the funds?
The grant is flexible, but the statute sets minimum spending shares: a set portion for children with special health care needs and a set portion for preventive and primary care for children. The remaining share can support those groups or other appropriate maternal and child health activities.
How does VerisGov help with Title V?
VerisGov maps the durable structure, the Social Security Act basis, the formula and set-asides, and the state match, and keeps the volatile details current: funding levels and allotments, the formula and component shares, set-aside percentages, and performance-measure updates. Every fact is pinned to its source.
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