Title V of the federal Social Security Act is designed to improve the health of mothers and children by investing in prenatal programs to enable mothers to give birth to healthy babies and by preventing children from exposure to disabling diseases, injuries, and other health problems.
Title V also:
provides the funding for a variety of toll-free helplines that link families to health services in every state;
establishes health programs in places where people need them;
provides access to health care;
creates guidelines and standards to assure that families get the appropriate, quality health care they need;
stresses and supports the enhancement of a public health infrastructure including community collaboration to maximize scarce resources and improve access for clients with integrated services;
creates safe and healthy communities by:
educating parents about childhood threats like SIDS,
supporting innovative community-based programs to encourage youth and pregnant women to stop smoking, and
working with communities to assess, define, and address their local health needs; and
sets aside specific funding to ensure health services to women and children, including children with special health care needs.
Within the Title, there are two major funding components.
MCH Block Grants to States are awarded to state health agencies on the basis of specified formulas, and represent roughly 85% of appropriated funding.
Discretionary Grants, referred to as Special Projects of Regional and National Significance (SPRANS), comprise the other 15% of the annual appropriation.
Community Integrated Service Systems (CISS) Grants are also awarded. These are awarded on a competitive basis to a variety of applicant organizations.
There are few non-federal funds appropriated to public health in Nebraska. According to the American Public Health Association survey of a few years ago, Nebraska ranked last in per capita state public health support. Due to increasing costs associated with providing programs and the increased demand for services, Title V dollars does not support all that they have in the past.
Title V also requires states to offer a toll-free number to parents highlighting information about health care providers and practitioners who provide services under Title V and Title XIX (Medicaid).
In Nebraska, the Healthy Mothers/Healthy Babies Helpline is open 24-hours a day at 1-800-862-1889.
helps callers with their questions,
refers them to health care, and
provides them with information on how to improve their chances of having a healthy baby.
The line is for anyone who is pregnant or planning a baby, new parents, or those who need help finding medical, financial, emotional, and other health related assistance.
If you'd like to help spread the word about this valuable resource; resource brochures, stickers, and magnets are available by calling Jan Heusinkvelt at (402) 471-0165.
Spanish speaking clients can call the National Hispanic Prenatal Hotline at 1-800-504-7081. The line provides answers to questions about prenatal issues in English and Spanish, mails out culturally appropriate information, and acts as a resource to providers who work with Hispanic families around prenatal care issues.
For more information
If you would like more information about Title V and Maternal and Child Health issues, you may want to visit these other sites:
Maternal and Child Health Bureau (MCHB): http://www/hrsa/mchb/
Health Resources and Services Administration (HRSA): http://www.hrsa.DHHS.gov/
Rayma Delaney, Title V Administrator
P.O. Box 95026
Lincoln, NE 68509-5007
Phone: (402) 471-2907
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