Federal EMSC Program

Contact HRSA Staff

The federal EMSC Program is funded at approximately $21 million per year and is administered by the U.S. Department of Health and Human Services, Health Resources and Services Administration's Maternal and Child Health Bureau. Since its establishment in 1985, all 50 states, the District of Columbia, five U.S. territories, and the freely associated states of Micronesia, Palau, and the Mashall Islands have received funding from the federal Program. In addition to funding the EMSC NRC and the EMSC Data Coordinating Center, the Program administers three types of grants:

  • State Partnership. These grants fund activities that improve, refine, and integrate pediatric care within the state EMS system. In addition, all EMSC State Partnership grantees are required to collect and report data on ten performance measures. These measures align with Healthy People 2020 (see Healthy People 2020 Crosswalk to EMSC Performance Measures). State Partnership grants are funded between $115,000 to $130,000 per year for a three-year project period.

  • State Partnership Regionalization of Care (SPROC). The purpose of SPROC grants is two-fold: (1) to continue its work with state governments and/or accredited schools of medicine to develop regionalized systems that encompass the sharing of resources and improve access to pediatric health care services for children and families in tribal, territorial, insular, and rural ares of the United States and (2) to develop "Models of Inclusive Care" that may be replicated in other regions where access to specialized pediatric medical treatment is limited due to geographical distances or jurisdictional borders. A total of $1.2 million was awarded to six grantees in 2012; each receiving up to $200,000 per year for a four-year project period. For more information about SPROC grants see EMSC State Partnership Regionalization of Care fact sheet or read Regionalization of Care for Pediatric Patients: A Brief Overview.

  • Targeted Issue (TI).These grants fund schools of medicines. Typically, the projects result in a new product or resource or demonstrate the effectiveness of a model system component or service of value. In fiscal year 2013, six new TI grants were awarded. All six grants focus solely on pediatric prehospital research, representing one of the largest investments, $5.4 million over three years, in pediatric prehospital research. The Health Resources and Services Administration's EMSC Targeted Issue Grants, 2013 briefly describes each of the 2013 TI projects. A database of all TI grants is also available to search all previous and current TI grant projects.

In addition, the federal EMSC Program funds the Pediatric Emergency Care Applied Research Network (PECARN), the first federally-funded, multi-institutional network for research in pediatric emergency medicine. PECARN consists of six research node centers, each of which is comprised of three hospital emergency department affiliates and one prehospital Emergency Medical Services (EMS) agency affiliate. Together, these entities conduct multi-institutional research on the prevention and management of acute illnesses and injuries in children and youth of all ages. The 18 emergency departments (representing academic, community, urban, general, and children’s hospitals) and the six EMS agencies serve approximately 1.1 million pediatric patients and conduct more than 43,000 pediatric EMS runs annually. Since its inception, PECARN has published 88 peer-reviewed manuscripts.

PECARN also collaborates on prehospital emergency research with Brooke Lerner, PhD, principal investigator of the Charlotte, Houston, Milwaukee Prehospital EMS Research Node (CHaMP) by conducting research in the prehospital setting. The CHaMP project sites conduct more than 25,000 pediatric runs annually. For more information on the six research centers, CHaMP, and PECARN in general, visit the PECARN web site.

To determine which type(s) of funding your state or territory currently receives, review EMSC Activities by State.

Note that a new Funding Opportunity Announcement (FOA) will be posted for SPROC, Targeted Issue, and the EMSC Innovation and Improvement Center Cooperative Agreement Program in 2015. For more information, go to http://www.acf.hhs.gov/hhsgrantsforecast/ and click on "HRSA" under Agency name or download the FOA flyer.