OREGON HEALTH AUTHORITY-PUBLIC HEALTH

What this award covers

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - 2026 PROJECT ABSTRACT THE OR MIECHV GRANT PROGRAM SUPPORTS THE GOALS OF THE MIECHV PROGRAM WHICH ARE TO: (1) STRENGTHEN AND IMPROVE THE PROGRAMS AND ACTIVITIES CARRIED OUT UNDER TITLE V OF THE SOCIAL SECURITY ACT; (2) IMPROVE COORDINATION OF SERVICES WITHIN AT-RISK COMMUNITIES, AND (3) IDENTIFY AND PROVIDE COMPREHENSIVE SERVICES TO IMPROVE OUTCOMES FOR ELIGIBLE FAMILIES LIVING IN AT-RISK COMMUNITIES. OREGON MIECHV WILL PROVIDE EVIDENCE-BASED HOME VISITING SERVICES TO POPULATIONS AT RISK OF ADVERSE OUTCOMES AS PER THE AT-RISK POPULATIONS SPECIFIED IN STATUTE WITHIN COUNTIES APPROVED AS MEETING THE STIPULATIONS OF THE CURRENT HRSA MIECHV NEEDS ASSESSMENT. EVIDENCE-BASED HOME VISITING MODELS IMPLEMENTED IN OREGON THROUGH MIECHV FUNDING WILL INCLUDE HEALTHY FAMILIES AMERICA, EARLY HEAD START-HOME BASED, AND NURSE-FAMILY PARTNERSHIP. OREGON HAS IDENTIFIED STATE GENERAL FUNDS AT THE REQUIRED LEVEL TO BE ELIGIBLE FOR THE FULL MATCHING GRANT AMOUNT IN ADDITION TO THE FULL BASE GRANT AMOUNT AS SPECIFIED IN THE BUDGET SUBMITTED WITH THIS APPLICATION. FOCUSED EFFORT IN THIS GRANT PERIOD WILL SUSTAIN HOME VISITING SYSTEMS AND WORKFORCE ACROSS OREGON IN ELIGIBLE COUNTIES. FUNDING WILL SHORE UP RECENT (2026) EXPANSION IN DOUGLAS COUNTY. IN THIS GRANT PERIOD, WE ARE INITIATING A MULTI-STAGE STRATEGIC PLANNING PROCESS WITH INVOLVEMENT FROM OR MIECHV PROGRAM TEAM, EXTERNAL SYSTEM AND CONTRACTED PARTNERS, AND FAMILIES TO COLLABORATIVELY CONSIDER THE BEST PATH FORWARD IN RESPONSE TO MIECHV REAUTHORIZATION AND ANY FUNDING OR POLICY RESPONSES THAT MAY BE REQUIRED. ONE ONSITE MEETING IS PLANNED FOR YACHATS, LINCOLN COUNTY: A COUNTY APPROVED BY OUR NEEDS ASSESSMENT AND ONE OF THE TEN CITIES/TOWNS IN OREGON FACING THE GREATEST UNMET HEALTH NEEDS. THIS WILL SITUATE OUR CONVERSATION IN PROXIMITY TO SOME OF THE MOST ELIGIBLE FAMILIES AND HOUSEHOLDS, WHILE ALSO GETTING US OUTSIDE OUR TYPICAL OFFICE LOCATIONS TO ALLOW FOR GREATER CREATIVITY AND FOCUS ON MIECHV GOALS WITHOUT THE CONSTRAINTS OF TYPICAL OFFICE DEMANDS. OREGON MIECHV PLANS TO SERVE UP TO 846 FAMILIES IN 13 COUNTIES THROUGH THE WORK OF 18 LIAS, INCLUDING SUBRECIPIENTS. OREGON MIECHV PLANS TO CONTINUE SERVING THE SAME 13 COUNTIES AS ARE EXPECTED FOR 2026 AND 2027, ALL OF WHICH MET THE 2020 NEEDS ASSESSMENT THRESHOLD: CLATSOP, CROOK, DOUGLAS, JACKSON, KLAMATH, LANE, LINCOLN, MALHEUR, MARION, MORROW, MULTNOMAH, UMATILLA, AND YAMHILL. STATE GENERAL FUNDS SUPPORTING THE WORK OF THE OREGON DEPARTMENT OF EARLY LEARNING AND CARE (DELC) IDENTIFIED TO FUND EVIDENCE-BASED HOME VISITING SERVICES IMPLEMENTING HEALTHY FAMILIES AMERICA (HFA) WILL FUND SERVICES TO AN ESTIMATED 68 FAMILIES IN FOUR COUNTIES (LANE, MARION, MULTNOMAH, POLK) THAT MEET THE THRESHOLD FOR THE CURRENT NEEDS ASSESSMENT DURING THE PERIOD OF THIS GRANT FUNDING. (BASED ON THE TOTAL AMOUNT OF IDENTIFIED FUNDING ($651,293) DIVIDED BY THE ANNUAL PER FAMILY COST INCLUDING INFRASTRUCTURE ($9,563.90), IT IS ESTIMATED THAT 68 FAMILIES ARE SERVED BY HFA FUNDED BY THE DELC NON-FEDERAL MATCH IN OREGON.) MATCHING FUNDS WILL BE USED TO MAINTAIN THE EXPANSION OF SERVICES INTO DOUGLAS COUNTY AND SUSTAINING FUNDING FOR WORKFORCE IN PARTNER LIAS ACROSS OREGON. IN ADDITION, MATCHING FUNDS WILL COVER THE INCREASED COST OF ADMINISTRATION, SERVICE COORDINATION, AND PROGRAM IMPLEMENTATION, ALONG WITH SOME HV SERVICES COORDINATION COSTS THAT WERE SHIFTED TO YEAR 1 SPENDING AND TRACKED AND DOCUMENTED, ACCORDINGLY. GIVEN THE FOCUS ON SERVICE DELIVERY, ALL MATCHING AND NON-FEDERAL MATCHING FUNDS ARE ALLOCATED FOR CONTRACTUAL SERVICES.