Opportunity Information: Apply for HRSA 23 063

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Emergency Medical Services for Children State Partnership" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.127.
  • This funding opportunity was created on Aug 09, 2022.
  • Applicants must submit their applications by Nov 07, 2022. (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 $205,000.00 in funding.
  • The number of recipients for this funding is limited to 59 candidate(s).
  • Eligible applicants include: State governments, Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 23 063

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Opportunity Summary:

The Emergency Medical Services for Children (EMSC) State Partnership (SP) Program is a discretionary grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). It funds state-level demonstration projects designed to expand and improve emergency medical services for children, particularly those who need trauma care or other forms of critical care. The overall focus is on strengthening pediatric capabilities across the full emergency care continuum, from prehospital response to emergency department care, with an emphasis on making pediatric readiness a consistent, everyday standard rather than something that varies widely by location or facility.

A central priority of the program is increasing adoption and use of Pediatric Readiness Guidelines in emergency departments. In practical terms, this means helping hospitals and emergency departments put the right structures in place for pediatric emergencies, such as appropriate policies and procedures, staff training and competencies, pediatric-focused quality improvement activities, and access to child-sized equipment and medications. By promoting pediatric readiness as a measurable and actionable set of expectations, the program aims to reduce gaps in how prepared different emergency departments are to care for children, especially in settings that do not primarily specialize in pediatrics.

The grant also targets pediatric readiness within emergency medical services (EMS) systems, recognizing that many high-stakes pediatric emergencies begin in the field. This includes improving the capacity of EMS agencies and systems to assess, treat, and transport children safely and effectively, and to coordinate smoothly with receiving facilities. Projects supported under this program are intended to strengthen system-level readiness, not just isolated training events, by encouraging stronger protocols, better integration of pediatric considerations into routine EMS operations, and improvements that can be sustained over time.

Another major element is pediatric disaster readiness. The opportunity specifically calls for integrating pediatrics into both hospital and prehospital disaster plans. This reflects the reality that disasters and large-scale incidents can create unique risks for children, including differences in physiology, medication dosing, reunification needs, communication needs, and requirements for age-appropriate equipment and staffing. By supporting the inclusion of pediatric requirements in disaster planning, exercises, and response frameworks, the program seeks to ensure that children are not an afterthought in emergency preparedness and that systems are prepared to handle pediatric needs during crises as well as during day-to-day emergencies.

The program also highlights family partnership and leadership as a priority strategy to improve EMSC systems of care. This signals an expectation that states will meaningfully involve families and caregivers in planning, decision-making, and evaluation, rather than treating family input as purely advisory or symbolic. Incorporating family perspectives can improve the relevance and usability of emergency care improvements, particularly around communication, consent, cultural responsiveness, care transitions, and the practical realities families face when seeking emergency care for children.

Equity is explicitly woven into the program goals. The stated aim is to achieve equitable access to pediatric emergency care and everyday readiness for all children nationwide, with particular attention to children in racial and ethnic minority communities, tribal communities, and rural areas. This emphasis suggests the program is intended to address persistent disparities in access and readiness, such as long transport times, limited specialty resources, workforce shortages, under-resourced facilities, and barriers rooted in geography, systemic inequities, or differences in local infrastructure.

From an administrative standpoint, this funding opportunity is identified as HRSA-23-063 under CFDA 93.127. It is a grant mechanism with an award ceiling of $205,000 per award, with an expectation of 59 awards, consistent with a broad state partnership model. Eligible applicants include state governments, with additional eligibility details referenced in the full notice. The opportunity was posted on August 9, 2022, and the original application closing date was November 7, 2022.

Emergency Medical Services for Children (EMSC) State Partnership (SP) Program (HRSA-23-063) FAQs

1. What is the EMSC State Partnership (SP) Program?

The Emergency Medical Services for Children (EMSC) State Partnership (SP) Program is a discretionary grant opportunity from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA). It supports state-level demonstration projects to expand and improve emergency medical services for children, especially children who need trauma care or other critical care.

2. What is the main goal of this funding opportunity?

The overall goal is to strengthen pediatric capabilities across the full emergency care continuum, from prehospital response through emergency department (ED) care, so pediatric readiness becomes a consistent, everyday standard rather than something that varies widely by location or facility.

3. What parts of the emergency care system does the program focus on?

The program is designed to strengthen pediatric readiness across:

  • Prehospital response (EMS field care and transport)
  • Emergency department care
  • System-level coordination between EMS and receiving facilities
  • Disaster planning and preparedness (hospital and prehospital)

4. What does the program mean by "pediatric readiness" in emergency departments?

In this opportunity, pediatric readiness is framed as a measurable and actionable set of expectations for emergency departments. It includes having appropriate structures in place to care for children during emergencies, rather than relying on ad hoc approaches that can differ from facility to facility.

5. What are Pediatric Readiness Guidelines, and how does this grant address them?

A central priority is increasing the adoption and use of Pediatric Readiness Guidelines in emergency departments. The grant emphasizes helping hospitals and EDs implement the structures and practices associated with these guidelines so pediatric readiness becomes more consistent across settings.

6. What types of improvements in emergency departments are highlighted in the notice?

The notice points to practical areas EDs may strengthen to improve pediatric readiness, including:

  • Policies and procedures for pediatric emergencies
  • Staff training and pediatric competencies
  • Pediatric-focused quality improvement (QI) activities
  • Access to child-sized equipment and pediatric-appropriate medications

7. How does the grant address pediatric readiness in EMS systems?

The opportunity also targets pediatric readiness within emergency medical services (EMS) systems, recognizing that many high-stakes pediatric emergencies begin in the field. It supports improvements that help EMS agencies and systems assess, treat, and transport children safely and effectively, and coordinate smoothly with receiving facilities.

8. Does the program emphasize one-time training events or longer-term system changes?

Based on the description, projects are intended to strengthen system-level readiness rather than focusing on isolated training events. The opportunity emphasizes protocols, integration of pediatric considerations into routine EMS operations, and improvements that can be sustained over time.

9. What is pediatric disaster readiness, and why is it part of this grant?

Pediatric disaster readiness refers to integrating pediatrics into both hospital and prehospital disaster plans. The program includes this because disasters and large-scale incidents can create unique risks and requirements for children, and the goal is to ensure pediatric needs are built into preparedness and response frameworks.

10. What pediatric-specific considerations in disasters are mentioned in the notice?

The opportunity highlights that children can have distinct needs in disasters, including differences in:

  • Physiology
  • Medication dosing
  • Reunification needs
  • Communication needs
  • Age-appropriate equipment and staffing requirements

11. What does the program say about family partnership and leadership?

Family partnership and leadership is listed as a priority strategy to improve EMSC systems of care. The notice signals an expectation that states will meaningfully involve families and caregivers in planning, decision-making, and evaluation, rather than treating family input as purely advisory.

12. How can involving families improve emergency care for children (based on the notice)?

The description notes that incorporating family perspectives can improve the relevance and usability of emergency care improvements, particularly in areas such as communication, consent, cultural responsiveness, care transitions, and the practical realities families face when seeking emergency care for children.

13. How is equity addressed in this grant opportunity?

Equity is explicitly woven into the program goals. The stated aim is equitable access to pediatric emergency care and everyday readiness for all children nationwide, with particular attention to children in racial and ethnic minority communities, tribal communities, and rural areas.

14. What disparities or barriers does the opportunity suggest states should address?

The notice suggests the program is intended to address persistent disparities and barriers that can affect access and readiness, including:

  • Long transport times
  • Limited specialty resources
  • Workforce shortages
  • Under-resourced facilities
  • Barriers rooted in geography, systemic inequities, or local infrastructure differences

15. Who is the funding agency for this opportunity?

The funding agency is the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA).

16. Is this a discretionary or formula-based grant?

This opportunity is described as a discretionary grant.

17. What is the funding opportunity number and CFDA number?

The funding opportunity is identified as HRSA-23-063 under CFDA 93.127.

18. Who is eligible to apply?

Eligible applicants include state governments. The notice indicates that additional eligibility details are referenced in the full announcement.

19. What is the maximum award amount (award ceiling)?

The award ceiling is $205,000 per award.

20. How many awards does HRSA expect to make?

The opportunity indicates an expectation of 59 awards, consistent with a broad state partnership model.

21. When was this opportunity posted?

The opportunity was posted on August 9, 2022.

22. What was the original application due date?

The original application closing date was November 7, 2022.

23. What kinds of projects does the program fund?

The program funds state-level demonstration projects designed to expand and improve emergency medical services for children. The description emphasizes strengthening pediatric readiness in emergency departments, EMS systems, and disaster planning, with family partnership and equity as key priorities.

24. Is the program focused only on hospitals that specialize in pediatrics?

No. The description specifically emphasizes reducing gaps in readiness across emergency departments, including settings that do not primarily specialize in pediatrics.

25. What is meant by strengthening the "full emergency care continuum"?

In the context of this opportunity, the full emergency care continuum includes care and coordination from the first response in the field (prehospital/EMS) through transport and into emergency department care, along with preparedness for disasters and large-scale incidents.

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