Opportunity Information: Apply for HRSA 23 078

The Family Engagement and Leadership in Systems of Care (FELSC) opportunity is a federal funding competition from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). It is offered as a discretionary cooperative agreement (Funding Opportunity Number HRSA-23-078; CFDA 93.110) focused on strengthening how families of children and youth with special health care needs (CYSHCN) and other people with lived experience are meaningfully involved in the systems designed to serve them. In this program, "family engagement" is described as an active partnership among patients, families (and their representatives), and health professionals at multiple levels of the health care system, with the goal of improving both health outcomes and the care experience.

The overall aim of FELSC is to increase and improve family engagement and leadership across systems of care for CYSHCN. Instead of treating families as passive recipients of services, the program is designed to elevate them as partners and leaders who can shape policies, programs, and service delivery. HRSA frames this as systems-level work, meaning the focus goes beyond individual patient encounters and extends into how programs are designed, how stakeholders collaborate, and how families can influence decision-making structures within maternal and child health (MCH) and related service systems.

The grant requires applicants to propose and carry out two connected projects as part of a single application, and applicants must apply for both projects to be considered. Project 1 centers on providing national leadership on family engagement in support of MCH programs that serve CYSHCN. In practical terms, this implies developing or strengthening national-level direction, alignment, and momentum around family engagement practices, likely including setting priorities, sharing evidence-informed approaches, convening partners, and promoting consistent engagement strategies that MCH programs can adopt and adapt.

Project 2 focuses on providing technical assistance and training to HRSA-funded Family-to-Family Health Information Centers (F2F HICs). There are 59 of these centers, and they play a key role in helping families navigate health care and related systems, understand coverage and services, and advocate effectively for CYSHCN. Under FELSC, the awardee would support these centers through structured technical assistance and capacity-building, which typically includes training curricula, coaching, tools and resources, peer learning opportunities, and other supports aimed at improving their ability to engage families, strengthen family leadership, and spread effective engagement practices in their states or territories.

Because this is a cooperative agreement, applicants should expect substantial involvement from HRSA compared with a standard grant. Cooperative agreements generally mean the federal agency anticipates an active partnership with the recipient, such as collaboration on workplan refinement, coordination with other HRSA initiatives, shared dissemination efforts, and ongoing programmatic oversight to ensure the work meets national goals for family engagement and systems improvement.

In terms of funding specifics, the award ceiling is $600,000, and HRSA expected to make one award under this opportunity. Eligible applicants are broad and include various levels of government (state, county, city/township, special districts), independent school districts, Native American tribal organizations (other than federally recognized tribal governments), nonprofit organizations with 501(c)(3) status (excluding institutions of higher education), for-profit organizations (including small businesses), and other entities as permitted under the opportunity's eligibility clarification. The opportunity was posted on September 22, 2022, with an original application closing date of January 3, 2023.

In short, FELSC is designed to fund one lead organization to drive national leadership and hands-on capacity-building that increases the influence and partnership of families and people with lived experience within systems serving CYSHCN, while simultaneously strengthening and training the nationwide network of HRSA-funded Family-to-Family Health Information Centers.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Family Engagement and Leadership in Systems of Care" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.110.
  • This funding opportunity was created on Sep 22, 2022.
  • Applicants must submit their applications by Jan 03, 2023. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $600,000.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 23 078

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