Opportunity Overview
North Carolina RFA A426 funds the Adolescent Pregnancy Prevention Program (AP3), supporting evidence-based primary-prevention work intended to reduce unintended adolescent pregnancy and strengthen youth health outcomes. The current RFA was issued August 21, 2026.
Funding and Deadline
North Carolina projects approximately $1.35 million in Year 1 funding and anticipates up to 10 awards. Applicants may request up to $135,000 for the first grant year. Applications are due October 9, 2026 at 5:00 PM (timezone not specified in the RFA). The optional Notice of Intent and written-question deadline are September 9 at 5:00 PM, and answers are scheduled for September 16.
Who Is Eligible
Eligible applicants include North Carolina public or private nonprofit entities, including schools, local health departments and nonprofit community-based organizations, provided they meet the RFA’s experience and administrative requirements. For-profit entities are not eligible. Priority consideration is given to 25 identified high-fertility counties.
Match and Cost Rules
A local match is required annually and ranges from $10,000 to $25,000 depending on total program budget. Cash or in-kind contributions may qualify, but other state or federal funds may not be used as match. The RFA prohibits clinical services and caps equipment at $2,000 per item.
Strategic Value
Atlas Opportunity Score: 88/100. This is a substantial youth-health prevention opportunity with multi-year continuation potential through May 2031, subject to funding and performance.
N9+ Fit Score: 5/100. Clinical services are expressly out of scope and equipment purchases are capped at $2,000 per item. The opportunity therefore does not support a legitimate N9+ remote-examination or telehealth acquisition strategy, and N9+ should not be forced into the application.
Application Strategy
Applicants should confirm nonprofit/public eligibility, the five-year youth-program experience requirement, county priority status, program-model fit, match capacity and evaluation plan; use the September 16 Addendum 1 together with the controlling RFA; and email the complete application package by October 9 at 5:00 PM. The controlling RFA does not specify a time zone.
September 16 Addendum 1
NCDHHS released the official RFA A426 Questions and Answers on September 16, 2026. The addendum confirms that agencies may submit separate applications for different counties, the Notice of Intent is optional and non-binding, AP2 secondary-prevention grantees may also apply for AP3, school-based implementation is not required, and the five-year youth-program experience requirement may be satisfied by qualifying youth health, education, healthcare, or engagement work regardless of funding source. It also confirms that the AP3 program coordinator must equal 1.0 FTE and that applicants should propose participant reach based on local need and capacity rather than a fixed application-stage minimum.
Verified source: North Carolina Division of Public Health RFA A426 and official Addendum 1, rechecked September 18, 2026.