Maternal, Infant, and Early Childhood Home Visiting Program

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Stored: Maternal, Infant, and Early Childhood Home Visiting Program

Maternal, Infant, and Early Childhood Home Visiting Program
Type Program
Sponsor Organization Health Resources and Services Administration and Administration for Children and Families
Top Organization Department of Health and Human Services
Creation Legislation Patient Protection and Affordable Care Act of 2010 (Public Law 111-148)
Website Website
Purpose MIECHV Program funds states and tribes for home visits to pregnant women and families, boosting health, school readiness, and cutting abuse and disparities.
Program Start 2010
Initial Funding $100 million
Duration Ongoing
Historic No

The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program, established in 2010 under the Patient Protection and Affordable Care Act (ACA), is co-administered by the Department of Health and Human Services’ Health Resources and Services Administration (HRSA) through its Maternal and Child Health Bureau (MCHB) and the Administration for Children and Families (ACF) to provide grants to states, territories, and tribes, allocating over $5 billion since inception to serve approximately 150,000 families annually by 2025. Initially funded with $100 million, it has grown to distribute $400 million in FY 2024 across 56 awards, funding programs like the Nurse-Family Partnership and Parents as Teachers in rural and urban underserved areas.[1] Despite its impact, challenges like funding uncertainties and rural reach persist (web ID: 4), but it remains a key resource for early childhood development under HHS.

Official Site

Goals

  • Improve maternal and child health outcomes through evidence-based home visiting services.
  • Prevent child maltreatment and enhance school readiness for young children.
  • Reduce health disparities by supporting families in underserved communities with culturally appropriate care.[2]

Organization

The MIECHV Program is co-managed by MCHB within HRSA and ACF within HHS, overseen by HRSA Administrator Carole Johnson and ACF Assistant Secretary Janice Nittoli since 2023, with states and tribes implementing projects under federal oversight. It operates via annual appropriations, guided by the ACA and subsequent funding acts like Public Law 117-328 (2022).[3][4]

Partners

History

Authorized by the Patient Protection and Affordable Care Act of 2010 (Public Law 111-148) and launched in 2010 with $100 million, the MIECHV Program expanded with annual appropriations, reaching $400 million in FY 2024.[5] It grew from serving 50,000 families annually in 2012 to 150,000 by 2025, addressing disparities with evidence-based models like Healthy Families America (web ID: 4). By 2025, it has awarded over $5 billion, though GAO notes funding uncertainties (web ID: 4).

Funding

Initial funding of $100 million in 2010 supported the program’s launch, with over $5 billion appropriated by 2025 via annual HHS budgets—e.g., $400 million in FY 2024.[6] Ongoing appropriations under the ACA sustain its operations, with no fixed end as it addresses ongoing early childhood needs.

Implementation

MIECHV distributes grants annually, requiring states to implement evidence-based home visiting models, tracked via HRSA’s Performance Measures Framework and ACF’s data systems.[7] It progresses through local partnerships—e.g., 150,000 families yearly—and model expansions, adapting to family needs with no set end, though rural reach remains a challenge (web ID: 4).

Related

External links

Social media

References

  1. ↑ "MIECHV Program". Health Resources and Services Administration. https://mchb.hrsa.gov/maternal-child-health-initiatives/home-visiting. 
  2. ↑ "2023 MIECHV Report to Congress". Administration for Children and Families. https://www.acf.hrsa.gov/sites/default/files/documents/mchb/miecv-program-2023-report-to-congress.pdf. 
  3. ↑ "About HRSA Leadership". Health Resources and Services Administration. https://www.hrsa.gov/about/leadership. 
  4. ↑ "About ACF Leadership". Administration for Children and Families. https://www.acf.hrsa.gov/about/leadership. 
  5. ↑ "Patient Protection and Affordable Care Act". U.S. Congress. https://www.congress.gov/bill/111th-congress/house-bill/3590. 
  6. ↑ "MIECHV Program". Health Resources and Services Administration. https://mchb.hrsa.gov/maternal-child-health-initiatives/home-visiting. 
  7. ↑ "Performance Measures". Health Resources and Services Administration. https://mchb.hrsa.gov/data-research/performance-measures. 
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