H.R. 8876 would reauthorize the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program through fiscal year 2027 and appropriate funds for the program for each fiscal year from 2023 through 2027. CBO estimates that enacting the bill would cost about $3 billion over the 2023-2032 period.
The Health Resources and Services Administration manages the MIECHV grant program. Program funding is distributed to states, territories, and tribal entities to develop and implement evidence-based, voluntary programs that aim to improve maternal and child health, prevent child abuse and neglect, encourage positive parenting, and promote child development and school readiness. In fiscal year 2022, the MIECHV program received $400 million.
H.R. 8876 would appropriate $500 million for each fiscal year 2023 through 2027 for federal base grants for the program. Starting in fiscal year 2024, H.R. 8876 would also appropriate funding to make federal matching grants available subject to a rate of 75 percent federal funds and 25 percent nonfederal funds. Any unobligated federal matching funds in a fiscal year would be redistributed to eligible entities subject to their capacity to provide the required match.