The Tribal Maternal, Infant, and Early Childhood Home Visiting Program (Tribal MIECHV) is funded by a 3% set-aside from the larger Affordable Care Act (ACA) Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV). Tribal MIECHV grants, to the greatest extent practicable, are to be consistent with the MIECHV grants to States, including conducting a needs assessment and establishing 3- and 5-year benchmarks for demonstrating results for participating families.
To date, the Administration for Children and Families (ACF), in partnership with the Health Resources and Services Administration (HRSA), has awarded 25 grants (cooperative agreements) totaling $32.5 million to three "cohorts" of Tribes, consortia of Tribes, Tribal Organizations, and Urban Indian Organizations. Grants for all three cohorts were awarded competitively for 5 years, contingent on availability of funds.