Awards support 56 state and jurisdiction recipients and expand access to evidence-based home visiting services for families nationwide
The Health Resources and Services Administration (HRSA) today announced more than $525 million in fiscal year (FY) 2026 Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program awards to 56 state and jurisdiction recipients — the largest federal investment in the program’s history.
HRSA Administrator Tom Engels announced the awards in Columbus, Ohio on Child Health Day, joined by U.S. Senator Jon Husted and U.S. Representative Mike Carey (OH-15). The awards will expand access to evidence-based home visiting services that improve maternal and child health, promote healthy child development, and connect families with the support they need during pregnancy and early childhood.
“MIECHV reflects a simple idea: supporting parents early gives children a stronger start. Parents are a child’s first and most important teacher, and by giving them the tools and support they need, we help create a strong foundation for children to thrive,” said HRSA Administrator Tom Engels. “These awards will help states and jurisdictions provide pregnant women and families the support they need during the critical early years of a child's life. Home visiting is a key pillar of the Trump Administration’s work to Make America Healthy Again. When children receive the support they need early in life, we’re promoting their development and laying the foundation for better health throughout their lives.”
The MIECHV program reaches families where services are needed most, including those who are rural, low-income, and at greater risk of poor health outcomes. Trained home visitors meet regularly with expecting mothers and families with young children. Decades of gold-standard scientific research show that voluntary home visits during pregnancy and early childhood can help prevent chronic disease and child abuse and neglect, promote school readiness, and boost families’ economic self-sufficiency.
These awards include both base and matching grants. Base grants provide foundational support for evidence-based home visiting programs in every eligible state and jurisdiction, while matching grants help recipients expand services and reach more eligible families. In FY 2026, 55 of the 56 award recipients applied for and received matching grant awards, reflecting the continued commitment of our state partners to expand evidence-based home visiting services in communities across the country.
Since its reauthorization in 2022, the MIECHV program has served 15 percent more parents and children and delivered 23 percent more home visits. In FY 2025, the program provided more than 1 million home visits to more than 158,000 parents and children across one-third of all U.S. counties, helping connect families with services that support healthy pregnancies, positive parenting, child development, and family economic well-being.
As home visiting services expand, a strong and well-supported workforce is essential to meeting the needs of more families. To meet this goal, HRSA released a National Strategy for the Home Visiting Workforce in April 2026, which provides a roadmap to recruiting and retaining a skilled and supported home visiting workforce.
