Opportunity Information: Apply for HRSA 26 104
The Transforming Pediatrics for Early Childhood (TPEC) Program is a Health Resources and Services Administration (HRSA) cooperative agreement (Funding Opportunity Number: HRSA 26 104; CFDA: 93.110) designed to strengthen pediatric primary care for young children by embedding early childhood development (ECD) expertise directly into everyday clinical practice. The program aligns with U.S. Department of Health and Human Services Make America Healthy Again (MAHA) priorities by aiming to prevent chronic disease earlier in life and improve healthy development during the most formative years. The core idea is to move beyond a traditional, visit-by-visit medical model and instead build a practical, team-based approach inside pediatric practices that can consistently address the developmental and family factors that shape long-term health.
Under TPEC, recipients are expected to have statewide or tribal reach and to place ECD experts in local pediatric practices, especially practices that primarily serve children covered by Medicaid and the Children’s Health Insurance Program (CHIP). These ECD experts work alongside pediatric clinicians and staff to provide a comprehensive set of supports that are often difficult to deliver in busy primary care settings without specialized team members. The approach emphasizes routine screening and follow-through on key drivers of child wellbeing, including family needs related to mental health, housing stability, nutrition, and child development. It also prioritizes strengthening safe, stable, and nurturing caregiver-child relationships, helping caregivers understand developmental milestones and how to monitor them, and ensuring families are connected to referrals and specialized services when additional support is needed.
TPEC is not limited to improving services inside a handful of practices. A major expectation is that recipients will build the skills of pediatric primary care staff across the state (or tribal service area) to deliver high-quality ECD services using a team-based model, creating broader workforce capability rather than isolated pockets of expertise. In addition, recipients are expected to work on statewide administrative policies and financing strategies that make this team-based pediatric model easier to implement, expand, and sustain over time. In practice, that means addressing the real-world operational barriers that determine whether the model can scale, such as reimbursement and financing approaches, administrative processes, and other policy levers that influence how pediatric primary care is delivered and paid for.
The program is structured to produce measurable improvements, both in service delivery (for example, higher rates of developmental screening, needs screening, referral completion, and caregiver education) and in early childhood development outcomes. By strengthening early identification of developmental and social needs and improving connections to supports, the program aims to improve quality and cost effectiveness in pediatric primary care, reflecting a long-term goal of reducing downstream health and developmental complications.
Eligibility is broad and includes state, county, and city or township governments; special district governments; independent school districts; public and private institutions of higher education; federally recognized tribal governments and other tribal organizations; nonprofits with or without 501(c)(3) status; for-profit organizations other than small businesses; small businesses; and other unrestricted applicants, as long as they can credibly demonstrate statewide or tribal reach consistent with program expectations. The opportunity is open to domestic applicants, with “domestic” defined to include the 50 states, Washington, DC, 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.
This funding opportunity is also specifically available to existing FY 2022 TPEC recipients funded under HRSA-22-141 whose project period currently runs through September 29, 2027. Those current recipients may apply for this new announcement; if selected, their existing FY 2022 award would be relinquished and replaced with a new award with a new period of performance. If an existing recipient applies but is not selected, their original FY 2022 TPEC award would continue at the current funding level through the end of its approved project period.
Key funding details include an application deadline of July 10, 2026, an anticipated 10 awards, and an award ceiling of $950,000. The program is offered as a cooperative agreement, which typically indicates HRSA expects substantial involvement in the project beyond standard grant monitoring, often through ongoing collaboration, technical assistance, and shared responsibility for achieving program goals.Apply for HRSA 26 104
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Transforming Pediatrics for Early Childhood (TPEC) Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.110.
- This funding opportunity was created on 2026-06-08.
- Applicants must submit their applications by 2026-07-10. (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 $950,000.00 in funding.
- The number of recipients for this funding is limited to 10 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For-profit organizations other than small businesses, Small businesses, Unrestricted.
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Transforming Pediatrics for Early Childhood (TPEC) Program FAQs
What is the Transforming Pediatrics for Early Childhood (TPEC) Program?
The Transforming Pediatrics for Early Childhood (TPEC) Program is a Health Resources and Services Administration (HRSA) cooperative agreement (Funding Opportunity Number: HRSA 26 104; CFDA: 93.110) focused on strengthening pediatric primary care for young children by embedding early childhood development (ECD) expertise into everyday clinical practice.
What is the main goal of TPEC?
The program aims to move beyond a traditional visit-by-visit medical model and build a practical, team-based approach inside pediatric practices that consistently addresses developmental and family factors that influence long-term health and wellbeing.
How does TPEC align with federal priorities?
TPEC aligns with U.S. Department of Health and Human Services Make America Healthy Again (MAHA) priorities by focusing on preventing chronic disease earlier in life and supporting healthy development during the most formative early childhood years.
What does it mean to “embed” early childhood development (ECD) expertise in pediatric practices?
Under TPEC, recipients place ECD experts in local pediatric practices so that specialized early childhood development knowledge is available as part of routine care. These experts work alongside pediatric clinicians and staff to support screening, caregiver education, and connections to needed services.
Which pediatric practices are prioritized for support?
The program emphasizes local pediatric practices that primarily serve children covered by Medicaid and the Children’s Health Insurance Program (CHIP).
What types of supports are ECD experts expected to provide in practices?
ECD experts are expected to help practices deliver supports that can be difficult to provide in busy primary care settings without specialized team members, including routine screening and follow-through related to key drivers of child wellbeing and healthy development.
What topics or needs are emphasized in TPEC-supported screening and follow-through?
The approach emphasizes routine screening and follow-through on drivers of child wellbeing including family needs related to mental health, housing stability, nutrition, and child development.
How does TPEC address caregiver-child relationships?
TPEC prioritizes strengthening safe, stable, and nurturing caregiver-child relationships as part of supporting healthy early development in pediatric primary care settings.
Does TPEC include caregiver education?
Yes. The program prioritizes helping caregivers understand developmental milestones, how to monitor them, and what to do when additional support may be needed.
How does the program handle referrals and connections to services?
TPEC emphasizes ensuring families are connected to referrals and specialized services when additional support is needed, and aims to improve follow-through such as referral completion.
Is TPEC intended to improve only a small number of pediatric practices?
No. A major expectation is that recipients build broader workforce capability by strengthening the skills of pediatric primary care staff across the state (or tribal service area) to deliver high-quality ECD services using a team-based model.
What does “statewide or tribal reach” mean in the context of this opportunity?
Recipients are expected to have statewide reach or tribal service area reach, consistent with the program’s intent to strengthen pediatric primary care beyond isolated sites and to build capacity broadly across a state or tribal area.
What workforce development expectations are included in TPEC?
Recipients are expected to build the skills of pediatric primary care staff across their state or tribal service area to deliver high-quality early childhood development services using a team-based model, creating broader capability rather than isolated pockets of expertise.
Does TPEC involve changes beyond clinical practice, such as policy or financing?
Yes. Recipients are expected to work on statewide administrative policies and financing strategies that make the team-based pediatric model easier to implement, expand, and sustain, including addressing operational barriers such as reimbursement and administrative processes.
What kinds of outcomes is TPEC expected to improve?
The program is structured to produce measurable improvements in service delivery (such as higher rates of developmental screening, needs screening, referral completion, and caregiver education) and to improve early childhood development outcomes.
How is quality and cost effectiveness addressed in TPEC?
By strengthening early identification of developmental and social needs and improving connections to supports, TPEC aims to improve quality and cost effectiveness in pediatric primary care and reduce downstream health and developmental complications over time.
What is the Funding Opportunity Number (FON) and CFDA listing for this program?
The Funding Opportunity Number is HRSA 26 104 and the CFDA number listed is 93.110.
What type of award is TPEC?
TPEC is offered as a cooperative agreement, which typically indicates HRSA expects substantial involvement beyond standard grant monitoring, often through ongoing collaboration, technical assistance, and shared responsibility for achieving program goals.
How many awards does HRSA expect to make?
The opportunity anticipates approximately 10 awards.
What is the maximum funding amount per award?
The award ceiling is $950,000.
When is the application deadline?
The application deadline is July 10, 2026.
Who is eligible to apply for TPEC?
Eligibility includes a wide range of domestic applicants: state, county, and city or township governments; special district governments; independent school districts; public and private institutions of higher education; federally recognized tribal governments and other tribal organizations; nonprofits with or without 501(c)(3) status; for-profit organizations other than small businesses; small businesses; and other unrestricted applicants, as long as they can credibly demonstrate statewide or tribal reach consistent with program expectations.
Is this opportunity limited to nonprofit organizations?
No. The eligibility list includes nonprofits (with or without 501(c)(3) status), for-profit organizations other than small businesses, small businesses, and government entities, among others, provided they can demonstrate statewide or tribal reach consistent with program expectations.
Are small businesses eligible to apply?
Yes. Small businesses are included among the eligible applicant types, as long as they can credibly demonstrate statewide or tribal reach consistent with program expectations.
Are for-profit organizations eligible to apply?
Yes. For-profit organizations other than small businesses are explicitly included, and small businesses are also listed as eligible, provided the applicant can demonstrate statewide or tribal reach consistent with program expectations.
What locations are considered “domestic” for eligibility purposes?
Domestic applicants include the 50 states, Washington, DC, 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.
Can existing FY 2022 TPEC recipients apply?
Yes. The funding opportunity is specifically available to existing FY 2022 TPEC recipients funded under HRSA-22-141 whose project period runs through September 29, 2027.
What happens if an FY 2022 TPEC recipient is selected under this new announcement?
If selected, the recipient would relinquish the existing FY 2022 award and it would be replaced with a new award with a new period of performance.
What happens if an FY 2022 TPEC recipient applies but is not selected?
If an existing recipient applies but is not selected, their original FY 2022 TPEC award would continue at the current funding level through the end of its approved project period.
What is the overall model of care that TPEC promotes?
TPEC promotes a practical, team-based model embedded within pediatric primary care that integrates ECD expertise and emphasizes routine screening, caregiver education, relationship support, and effective referral connections.
What is the long-term health rationale behind focusing on early childhood in pediatric primary care?
The program’s rationale is that improving healthy development and identifying needs early can help prevent chronic disease earlier in life and reduce downstream health and developmental complications over time.
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