Making Obstetrics Care Smart (MOCS) – ARPA-H

Executive Summary:

ARPA-H’s Making Obstetrics Care Smart (MOCS) program, run by the Scalable Solutions Office (SSO), is soliciting proposals under ISO ARPA-H-SOL-26-143 to develop new placenta health tests and noninvasive, wireless, AI-backed monitoring tools that can better predict fetal oxygen status and guide intervention during labor and delivery. Pre-proposal discussions are required between December 15–19, 2025, and full proposals are due by 12:00 PM ET on January 21, 2026 via the ARPA-H Solutions Portal.

How much funding would I receive?

Specific funding amounts are not listed so practically, you should assume that budgets must be tailored to the technical scope required to:

• Develop and validate placenta risk-stratification tools, and/or

• Design, build, and test noninvasive, wireless fetal monitoring technologies integrated with AI/ML decision support.

What could I use the funding for?

Based on the stated technical objectives, allowable work is expected to focus on R&D activities according to these guidelines:

The Problem

• The United States has the highest rate of maternal and infant morbidity and mortality of any wealthy country, despite spending more per capita on maternal care.

• This unacceptable status quo is largely the result of a 50-year-old, imprecise tool used during labor and delivery to monitor babies and determine whether they are getting enough oxygen—a tool called the fetal electronic monitor.  

• Without reliable data, confusion prevails and it’s tough to make smart, informed decisions. Women end up having unnecessary cesarean sections and babies are born with low oxygen levels, which sometimes cause lifelong complications.  

• This confusion leads to the dissolution of trust between patients and the medical system, massive lawsuits, and ultimately can cause medical providers to quit obstetrics, exacerbating the healthcare provider shortage.   

The Solution

• The Making Obstetrics Care Smart (MOCS) program aims to address this combination of problems by developing technology to help families and care teams plan for and have safe deliveries.  

• Our goal is ambitious: use advanced diagnostics and smart technology to make births safe. The program seeks to generate tools to predict both chronic and acute fetal status and provide the best recommendations for intervention, giving peace of mind to the care providers, mothers, and families making choices for critical labor and delivery care.

• MOCS will develop better ways to track a baby’s status during labor. First, developing a new test that will assess the health of the placenta to understand which patients are at high risk for complications during labor. Second, designing new types of noninvasive, wireless sensors and AI-backed technology to gain real-time information about a baby’s oxygen levels and make smart decisions during delivery.  

• If successful, MOCS will enable safe deliveries for all, drastically improving the health of women and children.

Are there any additional benefits I would receive?

Beyond direct funding, competitive ARPA-H programs like MOCS typically create several strategic benefits for companies and teams:

• Government validation and credibility
  Being selected by ARPA-H signals strong technical merit and alignment with high-priority national health goals in maternal and infant outcomes. That endorsement can de-risk you in the eyes of hospitals, payers, strategic partners, and investors.

• Visibility in a critical health domain
  MOCS targets one of the most pressing and visible failures in U.S. healthcare: maternal and infant morbidity and mortality tied to inadequate fetal monitoring. Demonstrated progress here can drive significant attention from media, advocacy groups, and professional societies.

• Access to a curated ecosystem
  The program explicitly aims to convene “the best researchers and collaborators in labor and delivery, including healthcare providers, hospitals, payers, attorneys, and families,” creating a structured network of stakeholders that can accelerate pilots, studies, and adoption.

• Non-dilutive capital to mature your product
  ARPA-H support is non-dilutive, enabling you to build and validate high-risk capabilities—advanced diagnostics, sensors, and AI—without giving up equity. That can translate into stronger valuations in later private rounds or at exit.

• Stronger exit and partnership potential
  A validated, government-funded platform for safer labor and delivery can be attractive to medical device manufacturers, hospital system partners, payers, and women’s health platforms looking to expand into perinatal safety and monitoring.

These strategic benefits are not guaranteed, but they are typical of successful participation in high-profile federal health R&D programs.

What is the timeline to apply and when would I receive funding?

From the publicly available materials:

• Proposers’ Day: December 11, 2025 (hybrid; Washington, DC + virtual).

• Required pre-proposal discussions: December 15–19, 2025 (request via ARPA-H Solutions Portal).

• Full Proposal Due: January 21, 2026 at 12:00 PM ET (submitted via ARPA-H Solutions Portal).

The documents provided do not specify:

• Exact dates for selection decisions,

• Award announcement dates, or

• When funds will be obligated or projects will start.

Where does this funding come from?

Funding is provided by the Advanced Research Projects Agency for Health (ARPA-H), specifically through its Scalable Solutions Office (SSO), under ISO ARPA-H-SOL-26-143 for the Making Obstetric Care Smart (MOCS) program.

Who is eligible to apply?

Academia, non-profit organizations, for-profit entities, hospitals, community health centers, and non-federal research centers. Non-U.S. entities may participate if compliant with all applicable laws.

What companies and projects are likely to win?

Official scoring criteria have not been released but typical criteria for ARPA-H opportunities are below (in descending importance):

1. Scientific/technical merit—innovative, complete plans with clear deliverables, risks, and mitigations;

2. Contribution & relevance to ARPA-H’s mission—transformative potential, unmet need, commercialization/transition thinking, and IP/software approaches that enable adoption (preference for open standards/OSS where appropriate);

3. Team capabilities/experience—track record delivering similar efforts on budget/schedule;

4. Cost/budget alignment with the technical approach. ARPA-H encourages proposing the best technical solution over low-risk/minimal-uncertainty concepts.

Are there any restrictions I should know about?

• Attendance at Proposers’ Day is optional.
  It is not required for submission or selection, though ARPA-H notes it may help with teaming.

• Pre-proposal discussions are required.
  Pre-proposal discussions between December 15–19, 2025 must be scheduled via the ARPA-H Solutions Portal and are a required step before full proposal submission.

How long will it take me to prepare an application?

For a first-time applicant, preparing a competitive full proposal will likely take 120–160 hours in total.

How can BW&CO help?

Our team specializes in complex federal R&D proposals and can:

• Triple your likelihood of success through proven strategy and insider-aligned proposal development

• Reduce your time spent on the proposal by 50–80%, letting your team focus on technology and operations

• Ensure you are targeting the best opportunity for your project and positioning your company for long-term growth under Federal & State R&D Initiatives.

How much would BW&CO Charge?

Our support is available for $300 per hour.

For startups, we offer a discounted rate of $250 per hour to make top-tier grant consulting more accessible while maintaining the same level of strategic guidance and proposal quality.