AMCHP is proud to serve as our members’ eyes, ears and voice in Washington, DC. We advocate in support of federal programs to improve the health of women, children and their families. AMCHP works with federal agencies, Members of Congress and their staff, and partners to garner support for the Title V Maternal and Child Health (MCH) Services Block Grant and other MCH programs. Explore our Title V State Profiles to learn more about Title V MCH Services Block Grant works in your state or territory.
Policy Areas
Federal Policy Agenda
AMCHP’s policy and advocacy work are guided by AMCHP’s board of directors and our Legislative and Health Care Finance Committee, which is composed of AMCHP members and partners. Our agenda specifies where we will devote our advocacy resources and highlights key policy and advocacy activities for AMCHP.
With all that we could do to support state MCH programs and provide national leadership on issues affecting women, children, and families, we use this agenda to make explicit where we will assume leadership and partnership roles in terms of advocacy on an annual basis.
What is the Title V Maternal & Child Health Block Grant?
The MCH Block Grant, authorized by Title V of the Social Security Act, is the only federal program of its kind devoted solely to improving the health of all women and children in the United States. It is guided by the principles of evidence, flexibility, and results. In FY19, programs funded by the MCH Block Grant served 98% of infants, 92% of pregnant women, and 60% of children nationwide. Racial and ethnic inequities persist across several indicators, with Black infant mortality rates double the rates for white infants and the maternal mortality rate for black women being three to four times higher than the rate for white women. Title V programs work to address these inequities by increasing access to quality health care services and supports for women and children and facilitating health promotion efforts across the lifespan.
Another key component of the MCH Block Grant is the Special Projects of Regional and National Significance (SPRANS). SPRANS funding complements and helps ensure the success of state Title V, Medicaid, and CHIP programs by driving innovation and building capacity to create integrated systems of care for women and children. Examples of innovative projects funded through SPRANS include:
- The State Maternal Health Innovation program
- Alliance for Innovation on Maternal Health (AIM)
- Guidelines for well-child care from infancy through adolescence
- Nutrition care during pregnancy and lactation
- Recommended standards for prenatal care
- Successful strategies for the prevention of childhood injuries.
Appropriations
A significant portion of AMCHP’s policy and advocacy work centers on the annual federal appropriations process. Guided by our Federal Policy Agenda, AMCHP works with our members, national partners, and Congress to ensure sufficient funding for critical federal maternal and child health programs, including the Title V Maternal and Child Health Services Block Grant.
Fiscal Year 2025
AMCHP’s FY25 Funding Ask Sheets
For the Fiscal Year 2025 appropriations cycle, AMCHP led:
- Support for funding federal maternal and child health programs
- National and academic organization letter on Title V MCH Block Grant
- Bipartisan Senate letter on Title V MCH Block Grant, Healthy Start, Safe Motherhood, and National Institutes of Health (NIH)
- Bipartisan House letter on Title V MCH Block Grant, Healthy Start, Safe Motherhood, and NIH
- Senate letter on Alliance for Innovation in Maternal Health and Rural Maternal Health
- National and academic organization letter on SPRANS
- Support for funding the CDC Surveillance for Emerging Threat to Mothers and Babies (SET-NET) initiative:
Fiscal Year 2024
For the Fiscal Year 2024 appropriations cycle, AMCHP led:
- Support for funding federal maternal and child health programs
- National and Academic Organization Letter on Healthy Start
- AMCHP Title V Maternal and Child Health Services Block Grant: Fiscal Year 2024 Funding Ask Sheet
- AMCHP CDC’s Safe Motherhood Portfolio: Fiscal Year 2024 Funding Ask Sheet
- National and academic organization letter on SPRANS
- National and academic organization letter on Title V
- Bipartisan Senate letter on Title V, Healthy Start, Safe Motherhood, and NIH
- Bipartisan House letter on Title V, Healthy Start, Safe Motherhood, and NIH
- Bipartisan House letter on Alliance for Innovation in Maternal Health and Rural Maternal Health
- AMCHP FY24 End-of-Year Appropriations Letter
- Support for funding the CDC Surveillance for Emerging Threat to Mothers and Babies (SET-NET) initiative:
Fiscal Year 2023
For the Fiscal Year 2023 appropriations cycle, AMCHP led:
- Support for funding federal maternal and child health programs:
- National and academic organization letter on Title V
- Bipartisan Senate letter on Title V, Healthy Start, Safe Motherhood, and NIH
- Bipartisan House letter on Title V, Healthy Start, Safe Motherhood, and NIH
- Bipartisan House letter on Alliance for Innovation in Maternal Health and Rural Maternal Health
- AMCHP Board President Testifies Before House Appropriations Subcommittee on Fiscal Year 2023 Funding for Title V
- Support for funding the CDC Surveillance for Emerging Threat to Mothers and Babies (SET-NET) initiative:
Maternal Health Bill Tracker
Learn more about pending federal legislation to improve maternal health by searching the below table. This page will be updated regularly to track legislation through the 117th Congress. If you experience issues loading the tracker in Internet Explorer, we recommend using Chrome, FireFox or Edge. For questions, comments, or corrections, please email govtaffairs@amchp.org.
Policy & Partnerships Town Hall Series
Join the AMCHP Government Affairs team to learn about the latest updates in federal maternal and child health policy and to hear from our national, federal, and state partners in the AMCHP Policy and Partnerships Town Hall Series! We convene the second Thursday of every month, 2-3 pm EST. Register for all scheduled Town Halls.
View past AMCHP Policy & Partnerships Town Hall recordings:
Policy Digest
The AMCHP Policy Digest strives to enhance and streamline your awareness of maternal and child health (MCH) policy issues spanning Congress, the Executive Branch, and the Judiciary Branch. Within this newsletter, you will find key information and insights on the growing complexities of government affairs, the MCH policy landscape, and AMCHP’s policy and advocacy initiatives.
Subscribe to this digest to stay up to date on the latest policy information.
Click the images below to view past recent AMCHP Policy Digests:
AMCHP Leads National Organization Letter Supporting Funding for HRSA’s Title V MCH Block Grant, including SPRANS
The Association of Maternal & Child Health Programs (AMCHP) continues to lead partners and collaborate with Congressional champions in support of the Title V Maternal and Child Health Services Block Grant (Title V MCH Block Grant) through the annual federal...
President Biden Signs the Maternal and Child Health Stillbirth Prevention Act into Law
On Friday, July 12, 2024, President Biden signed the Maternal and Child Health Stillbirth Prevention Act into law. The legislation clarifies that stillbirth prevention activities are an allowable use of Title V funds — the single largest funding mechanism to address...
House Appropriations Bill Proposes Slight Decrease to Title V Block Grant in Fiscal Year 2025
On Wednesday, July 10, the U.S. House Appropriations Committee passed the fiscal year 2025 (FY25) Department of Labor, Health and Human Services, and Education (L-HHS) bill, including a slight decrease to the Title V Maternal and Child Health Services Block Grant...