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Introduction / History
Center for Oral Health Systems Integration and Improvement

Title V MCH Services Block Grant Oral Health Toolkit


Enacted in 1935 as a part of the Social Security Act, the federal Title V MCH Services Block Grant Program has provided a foundation for ensuring the health of the nation’s women, children, and adolescents, including children and adolescents with special health care needs, and their families. Title V converted to a block grant program in 1981. Learn more about when this program began in OHRC's timeline, Leadership and Legacy: Oral Health Milestones in Maternal and Child Health.

Many state oral health programs are located within, receive funding from, or work closely with their state MCH programs.

Since the early 1990s, the Health Resources and Services Administration, Maternal and Child Health Bureau (MCHB), has measured oral health through national performance measure (NPM) 9: percent of third grade children who have received protective sealants on at least one permanent molar tooth. All states, territories, and the District of Columbia have been required to report on all of the NPMs, including NPM 9. States have also been allowed to develop their own state performance measures, and many states have developed measures related to oral health.

In 2015, MCHB revised the measures and the process states use for the Title V MCH block grant application, needs assessment, and reporting.