GOVERNMENT AFFAIRS

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.

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.

AMCHP Title V Maternal and Child Health Services Block Grant: Fiscal Year 2023 Ask Sheet

AMCHP Board President Testifies Before House Appropriations Subcommittee on Fiscal Year 2023 Funding for Title V

Learn more about AMCHP’s advocacy work on Fiscal Year 2023 appropriations with the linked AMCHP-led letters sent to leadership of the House and Senate Labor – Health and Human Services Appropriations Subcommittees.

• AMCHP Leads Coalition in Support of Senate Bipartisan Dear Colleague Letter Urging Fiscal Year 2023 Funding for Federal Maternal Health Programs
• AMCHP Leads Coalition in Support of Senate Dear Colleague Letter Urging Fiscal Year 2023 Funding for CDC’s Surveillance for Emerging Threats and to Mothers and Babies Network
• AMCHP Leads Coalition in Support of Bipartisan House Dear Colleague Letter Urging Fiscal Year 2023 Funding for Federal Maternal Health Programs
• AMCHP Leads Coalition in Support of Bipartisan House Dear Colleague Letter Urging Fiscal Year 2023 Funding for CDC’s Surveillance for Emerging Threats to Mothers and Babies Network
• AMCHP Leads Coalition in Support of Bipartisan House Dear Colleague Letter Supporting Fiscal Year 2023 Funding for two Newly Authorized Federal Maternal Health Programs
• AMCHP Leads 55 National Organizations Urging Fiscal Year 2023 Funding for CDC’s Surveillance for Emerging Threats to Mothers and Babies Network in Letter to House and Senate L-HHS Appropriations Leadership
• AMCHP Leads 108 National and Academic Organizations Supporting Title V Funding in Fiscal Year 2023 in Letter to House and Senate L-HHS Appropriations Leadership

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.

Visit the tracker