This session will engage State Title V Directors and Federal program staff in an interactive discussion on the Title V Maternal and Child Health (MCH) Services Block Grant program and emerging issues impacting maternal and child health populations. This session will be framed around the guiding principles of the Guidance, ongoing implementation of the Guidance and discussion of the revisions for the next iteration. In addition, time to discuss the impact of recent emerging issues on the MCH population and services, and the State Title V program response.