Goal 1: By August 31, 2030, award recipients and their partners will: Serve at least 30% of people with SCD in their region. Increase the percent of eligible people receiving disease-modifying therapies (DMTs) by 5% compared to baseline established at the end of year 1. Collect and report annual data in two areas: 1. Quality of care: Emergency department use among people served. 2. Quality of life: High school graduation (or equivalent) rate among people served. Note: Award recipients are required to report data each year.