Grants / Department of Health and Human Services / Health Resources and Services Administration

HRSA-26-104: Transforming Pediatrics for Early Childhood (TPEC) Program

Closed Closed July 10, 2026 Opportunity HRSA-26-104 ☆ Save

This grant is closed. A newer notice from the same program is open now: Women's Initiative for Screening and Health (WISH) (HRSA-27-072). Status: Closes January 8, 2027 (62 days left). It is in our archive of Health Resources and Services Administration notices from 2026.

• Award ceiling$950,000
• Total funding$9.5 million
• Expected awards10
• Cost sharingNot required
• Funding typeCooperative Agreement

Key dates

Who can apply

This opportunity was open to any type of organization.

Other Eligibility Criteria"Domestic" means the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. Existing award recipients under the FY 2022 TPEC program funding opportunity (HRSA-22-141) whose period of performance ends September 29, 2027, are eligible to apply for funding under this announcement. If funded, the existing FY 2022 TPEC award will be relinquished, and a new award period of performance will begin. If an existing recipient applies but is not awarded funding under this announcement, their FY 2022 TPEC award will continue at the original level of funding through the end of the project period.

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Is this a realistic fit?

• Past Special Projects of Regional and National Significance awards averaged $1.6 million; this notice allows up to $950,000 per award.
• No cost sharing or match is required.

What the grant funds

The Transforming Pediatrics for Early Childhood Program (TPEC) will advance the U.S. Department of Health and Human Services" Make America Healthy Again (MAHA) priorities by preventing chronic disease early in life and promoting healthy development in early childhood. TPEC recipients - organizations with statewide or tribal reach - will place early childhood development (ECD) experts in local pediatric practices to deliver team-based care to young children and their families. Recipients will improve the quality and cost effectiveness of pediatric primary care by delivering a comprehensive team-based approach that focuses on factors critical to child development. Through this approach, pediatric primary care staff will: ​Screen families for their needs related to mental health, housing, nutrition, and child development; ​Build safe, stable, and nurturing relationships between caregivers and their children; ​Educate caregivers on developmental milestones and how to watch for them; and ​Make sure that families get referrals and access to additional or specialized support. TPEC recipients will:Place early childhood development (ECD) experts in pediatric practices that primarily serve families covered by Medicaid/Children"s Health Insurance Program (CHIP) and deliver high-quality ECD services using a team-based approach. Build the skills of pediatric primary care staff statewide to deliver high-quality ECD services using a team-based approach. Improve statewide administrative policies and financing strategies to expand and sustain team-based pediatric primary care, improving the standard of care for all young children. TPEC will result in measurable improvements in service delivery rates and early childhood development outcomes.

Category: Health.

Applying now

This notice no longer takes applications. Apply under the newer notice, HRSA-27-072, which is open now.

The notice on Grants.gov keeps its full text and attachments, which is useful for planning a resubmission.