Transforming Pediatrics for Early Childhood (TPEC) Program
Can you apply?
This grant is for organizations with statewide or tribal reach that can place early childhood development experts in pediatric practices. Applicants must serve families covered by Medicaid and CHIP through primary care settings. The program targets pediatric practices and state-level organizations capable of building workforce skills and implementing systemic policy changes across multiple locations. Eligible recipients demonstrate capacity to deliver team-based care and partner with multiple pediatric primary care sites.
Key dates
- Jun 8, 2026 Applications open
- Jul 10, 2026 Application deadline in 27 days
- Sep 30, 2026 Award announced
- Sep 30, 2026 Project start
Program description
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.
Who can apply
Eligible applicants
- 501(c)(3) Public Charity
- City / Municipal Government
- County Government
- Nonprofits
- Private University
- Public K-12 School
- Public University
- Small Business (SBA-defined)
- Special District
- State Government
- Tribal Nation
- Tribal Organization
Demographic focus
How to apply
Application links
Key dates & requirements
Required documents
- SF-424 (Application for Federal Assistance)
- Project Narrative/Abstract
- Budget and Budget Narrative
- Organizational Capability Statement
- Letters of Commitment from partner pediatric practices
- Statewide/Tribal documentation of reach and capacity
- Evaluation and Outcome Measurement Plan
- Sustainability Plan
Program contact
- 👤 Maternal and Child Health Bureau - Division of Home Visiting and Early Childhood Systems
- 📧 HomeVisiting@hrsa.gov
- 📞 (301) 443-1440
Funding track record
Recent awards under CFDA 93.110 from the last 3 years — real organizations that won funding through this same program.
Top 10 Largest Recent Awards
-
$51,517,055
-
$48,495,269
-
$47,831,055
-
$37,182,998
-
$30,109,677
-
$20,269,976
-
$19,582,050
-
$16,167,482
-
$15,667,860
-
$14,859,999
Top States by Funding
- DC 8 awards $151.7M
- MA 7 awards $111.9M
- MD 8 awards $66.8M
- OH 2 awards $58.9M
- NC 3 awards $43.2M
Source: USAspending.gov — federal spending transparency. Data covers last 3 years.
Funding history
Annual funding for this program — Federal obligations (CFDA 93.110). How funding has trended year over year.
| 2024 | $274,459,189 | |
| 2025 | $265,688,703 | |
| 2026 est. | $185,664,902 |
FAQ
Who can apply for TPEC funding?
Organizations with statewide or tribal reach that can place ECD experts in pediatric practices and serve Medicaid/CHIP families. State departments of health and tribal health organizations are typical applicants.
What is the deadline for this grant?
The fixed deadline is June 15, 2026. Mark your calendar now and plan accordingly.
What activities does TPEC fund?
Placing ECD experts in pediatric practices, training pediatric staff in team-based care, screening families for social determinants, and improving statewide policies to sustain the model.
Is there a cost-sharing requirement?
No. This is a fully-funded cooperative agreement with no required matching funds.
What is the funding range?
Awards are expected around $950,000 from a $9.5 million total pool. Exact amounts may vary based on review and available funding.
💡 Tips for applicants
- Emphasize your organization's statewide or tribal reach and existing relationships with pediatric practices serving Medicaid/CHIP populations.
- Detail your plan to recruit, train, and support ECD experts in primary care settings over the project period.
- Show how you will change statewide policies and financing to sustain team-based pediatric care beyond grant funding.
- Include letters of commitment from pediatric practices and state agencies that will partner with your work.
- Align your proposed outcomes with HRSA's focus on preventing chronic disease and supporting healthy early childhood development.
⚠️ Common mistakes
Applications lack letters of commitment from pediatric practices. Many fail to articulate a clear sustainability strategy for continuing the program after grant funds end. Weak proposals don't adequately address how they'll measure improvement in early childhood development outcomes.
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