#aae? ,,congress  #b;d ,session  ,h4 ,r4
 #acah  ,,an ,,act  ,to support ,/ates 9
 _! "w to save & su/a9 ! heal? ( mo!rs  
dur+ pregnancy1 *ildbir?1 & 9 ! po/p>tum
 p]iod1 to elim9ate disp>ities 9 mat]nal
 heal? outcomes = pregnancy-relat$ &    
pregnancy-associat$ dea?s1 to id5tify   
solutions to improve heal? c>e quality &
 heal? outcomes = mo!rs1 & = o!r        
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,prev5t+ ,mat]nal ,dea?s   
,act ( #bjah4  #b4 ,safe mo!rhood       
,section #cag,k ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7 
is am5d$--  7#a7 9 subsection 7a7-- 7,a7
 9 p>agraph 7#a7--  7i7 by /rik+ purpose
 ( ?is subsection is to develop & ins]t+
 purposes ( ?is subsection are to       
e/abli% or cont9ue a ,f$]al initiative  
to support ,/ate & tribal mat]nal       
mortality review committees1 to improve 
data collection & report+ ar\nd mat]nal 
mortality1 & to develop or support2     
7ii7 by /rik+ population at risk ( dea? 
& & ins]t+ populations at risk ( dea? & 

sev]e2 &  7,b7 9 p>agraph 7#b7-- 7i7 by 
am5d+ subp>agraph 7,a7 to read z foll[s3
  7,a7 ,! ,secret>y may cont9ue &       
improve activities relat$ to a national 
mat]nal mortality data collection &     
surveillance program to id5tify &       
support ! review ( pregnancy-associat$  
dea?s & pregnancy-relat$ dea?s t occur  
dur+1 or )9 #a ye> foll[+1 pregnancy4  2
 &  7ii7 by ins]t+ aft] subp>agraph 7,c7
 ! foll[+3  7,d7 ,! ,secret>y may1 9    
coop]ation ) ,/ates1 ,indian tribes1 &  
tribal organizations1 develop a program 
to support ,/ates1 ,indian tribes1 &    
tribal organizations 9 e/abli%+ or      
op]at+ mat]nal mortality review         
committees1 9 accordance ) subsection   
7d74  2  7#b7 9 subsection 7b77#b7--    
7,a7 9 subp>agraph 7,a7-- 7i7 by /rik+  
enc\rag+ preconception & ins]t+         
prepregnancy2 &  7ii7 by /rik+ diabetics
 & ins]t+ wom5 ) diabetes & wom5 )      
sub/ance use disord] be=e ! semicolon2  
7,b7 9 subp>agraph 7,h7--  7i7 by ins]t+
 ! id5tification ( ! det]m9ants (       

disp>ities 9 mat]nal c>e1 heal? risks1 &
 heal? outcomes1 includ+ be=e an        
exam9ation2 &  7ii7 by ins]t+ & o!r     
gr\ps ( wom5 ) disproportionately high  
rates ( mat]nal mortality be=e !        
semicolon2  7,c7 9 subp>agraph 7,i71 by 
/rik+ dome/ic & ins]t+ int]p]sonal2     
7,d7 by r$esignat+ subp>agraphs 7,i7    
?r\gh 7,l7 z subp>agraphs 7,j7 ?r\gh    
7,m71 respectively2  7,e7 by ins]t+ aft]
 subp>agraph 7,h7 ! foll[+3  7,i7       
activities to r$uce disp>ities 9        
mat]nity s]vices & outcomes2  2 &  7,f7 
9 subp>agraph 7,k71 z s r$esignat$1 by  
/rik+ 1 alcohol & illegal drug use &    
ins]t+ & sub/ance abuse & misuse2  7#c7 
9 subsection 7c7--  7,a7 by /rik+ 7#a7  
,9 g5]al--,! ,secret>y & ins]t+ ,!      
,secret>y2  7,b7 by r$esignat+          
subp>agraphs 7,a7 ?r\gh 7,c7 z p>agraphs
 7#a7 ?r\gh 7#c71 respectively1 & adju/+
 ! m>g9s accord+ly2  7,c7 9 p>agraph    
7#a71 z s r$esignat$1 by /rik+ & !      
build+ ( p>tn]%ips ) outside            
organizations conc]n$ ab\t safe         

mo!rhood2  7,d7 9 p>agraph 7#b71 z s    
r$esignat$1 by /rik+ 2 & & ins]t+ a     
semicolon2  7,e7 9 p>agraph 7#c71 z s   
r$esignat$1 by /rik+ ! p]iod & ins]t+ 2 
&2 &  7,f7 by add+ at ! end ! foll[+3   
7#d7 activities to promote physical1    
m5tal1 & behavioral heal? dur+1 & up to 
#a ye> foll[+1 pregnancy1 ) an emphasis 
on prev5tion (1 & treatm5t =1 m5tal     
heal? disord]s & sub/ance use disord]4  
2  7#d7 by r$esignat+ subsection 7d7 z  
subsection 7f72  7#e7 by ins]t+ aft]    
subsection 7c7 ! foll[+3  7d7 ,mat]nal  
mortality review committees  7#a7 ,9    
g5]al ,9 ord] to p>ticipate 9 ! program 
"u subsection 7a77#b77;,d71 ! applicable
 mat]nal mortality review committee ( ! 
,/ate1 ,indian tribe1 or tribal         
organization %all--  7,a7 include       
multidiscipl9>y & div]se memb]%ip t     
repres5ts a v>iety ( cl9ical            
specialties1 ,/ate1 tribal1 or local    
public heal? (ficials1 epidemiologi/s1  
/ati/icians1 community organizations1   
geographic regions )9 ! area cov]$ by   

su* committee1 & individuals or         
organizations t repres5t ! populations 9
 ! area cov]$ by su* committee t are mo/
 affect$ by pregnancy-relat$ dea?s or   
pregnancy-associat$ dea?s & lack (      
access to mat]nal heal? c>e s]vices2 &  
7,b7 demon/rate to ! ,c5t]s = ,disease  
,control & ,prev5tion t su* mat]nal     
mortality review committee's me?ods &   
processes = data collection & review1 z 
requir$ "u p>agraph 7#c71 use be/       
practices to reliably det]m9e & include 
all pregnancy-associat$ dea?s &         
pregnancy-relat$ dea?s1 reg>dless ( !   
outcome ( ! pregnancy4  7#b7 ,process = 
confid5tial report+ ,/ates1 ,indian     
tribes1 & tribal organizations t        
p>ticipate 9 ! program describ$ 9 ?is   
subsection %all1 ?r\gh ! ,/ate mat]nal  
mortality review committee1 develop a   
process t-- 7,a7 provides = confid5tial 
case report+ ( pregnancy-associat$ &    
pregnancy-relat$ dea?s to ! appropriate 
,/ate or tribal heal? ag5cy1 includ+ su*
 report+ by--  7i7 heal? c>e            

pr(essionals2  7ii7 heal? c>e           
facilities2  7iii7 any individual       
responsible = complet+ dea? records1    
includ+ m$ical exam9]s & m$ical coron]s2
 &  7iv7 o!r appropriate individuals or 
entities2 &  7,b7 provides = volunt>y & 
confid5tial case report+ (              
pregnancy-associat$ dea?s &             
pregnancy-relat$ dea?s to ! appropriate 
,/ate or tribal heal? ag5cy by family   
memb]s ( ! deceas$1 & o!r appropriate   
individuals1 = purposes ( review by !   
applicable mat]nal mortality review     
committee2 &  7,c7 %all include--  7i7  
mak+ publicly available contact         
in=mation ( ! committee = use 9 su*     
report+2 &  7ii7 conduct+ outrea* to    
local pr(essional organizations1        
community organizations1 & social       
s]vices ag5cies reg>d+ ! availability ( 
! review committee4  7#c7 ,data         
collection & review ,/ates1 ,indian     
tribes1 & tribal organizations t        
p>ticipate 9 ! program describ$ 9 ?is   
subsection %all-- 7,a7 annually id5tify 

pregnancy-associat$ dea?s &             
pregnancy-relat$ dea?s--  7i7 ?r\gh !   
appropriate vital /ati/ics unit by--    
7,i7 mat*+ ea* dea? record relat$ to a  
pregnancy-associat$ dea? or             
pregnancy-relat$ dea? 9 ! ,/ate or      
tribal area 9 ! applicable ye> to a bir?
 c]tificate ( an infant or fetal dea?   
record1 z applicable2  7,,ii7 to ! ext5t
 practicable1 id5tify+ an und]ly+ or    
contribut+ cause ( ea*                  
pregnancy-associat$ dea? & ea*          
pregnancy-relat$ dea? 9 ! ,/ate or      
tribal area 9 ! applicable ye>2 &       
7,,iii7 collect+ data f m$ical exam9] & 
coron] reports1 z appropriate2  7ii7 us+
 o!r appropriate me?ods or in=mation to 
id5tify pregnancy-associat$ dea?s &     
pregnancy-relat$ dea?s1 includ+ dea?s f 
pregnancy outcomes n id5tifi$ ?r\gh     
clause 7i77,i72  7,b7 ?r\gh ! mat]nal   
mortality review committee1 review data 
& in=mation to id5tify adv]se outcomes t
 may contribute to pregnancy-associat$  
dea? & pregnancy-relat$ dea?1 & to      

id5tify tr5ds1 patt]ns1 & disp>ities 9  
su* adv]se outcomes to all[ ! ,/ate1    
,indian tribe1 or tribal organization to
 make recomm5dations to individuals &   
entities describ$ 9 p>agraph 7#b77;,a71 
z appropriate1 to improve mat]nal c>e & 
r$uce pregnancy-associat$ dea? &        
pregnancy-relat$ dea?2  7,c7 id5tify    
tra9+ available to ! individuals &      
entities describ$ 9 p>agraph 7#b77;,a7 =
 accurate id5tification & report+ (     
pregnancy-associat$ & pregnancy-relat$  
dea?s2  7,d7 ensure t1 to ! ext5t       
practicable1 ! data collect$ & report$  
"u ?is p>agraph is 9 a =mat t all[s =   
analysis by ! ,c5t]s = ,disease ,control
 & ,prev5tion2 &  7,e7 publicly id5tify 
! me?ods us$ to id5tify                 
pregnancy-associat$ dea?s &             
pregnancy-relat$ dea?s 9 accordance )   
?is section4  7#d7 ,confid5tiality      
,/ates1 ,indian tribes1 & tribal        
organizations p>ticipat+ 9 ! program    
describ$ 9 ?is subsection %all e/abli%  
confid5tiality protections to ensure1 at

 a m9imum1 t--  7,a7 !re is no          
disclosure by ! mat]nal mortality review
 committee1 includ+ any individual      
memb]s ( ! committee1 to any p]son1     
includ+ any gov]nm5t (ficial1 ( any     
id5tify+ in=mation ab\t any specific    
mat]nal mortality case2 &  7,b7 no      
in=mation f committee proce$+s1 includ+ 
delib]ation or records1 is made public  
unless specifically au?oriz$ "u ,/ate & 
,f$]al law4  7#e7 ,reports to ,,cdc ,=  
fiscal ye> #bjai1 & ea* subsequ5t fiscal
 ye>1 ea* mat]nal mortality review      
committee p>ticipat+ 9 ! program        
describ$ 9 ?is subsection %all submit to
 ! ,director ( ! ,c5t]s = ,disease      
,control & ,prev5tion a report t        
includes-- 7,a7 data1 f9d+s1 & any      
recomm5dations ( su* committee2 &  7,b7 
z applicable1 in=mation on !            
implem5tation dur+ su* ye> ( any        
recomm5dations submitt$ by ! committee 9
 a previ\s ye>4  7#f7 ,/ate p>tn]%ips   
,/ates may p>tn] ) "o or m neighbor+    
,/ates to c>ry out ! activities "u ?is  

subp>agraph4 ,) respect to ! ,/ates 9   
su* a p>tn]%ip1 any requirem5t "u ?is   
subp>agraph relat+ to ! report+ (       
in=mation relat$ to su* activities %all 
be deem$ to be fulfill$ by ea* su* ,/ate
 if a s+le su* report is submitt$ = !   
p>tn]%ip4  7#g7 ,appropriate me*anisms =
 ,indian tribes & tribal organizations  
,! ,secret>y1 9 consultation ) ,indian  
tribes1 %all id5tify & e/abli%          
appropriate me*anisms = ,indian tribes &
 tribal organizations to demon/rate1    
report data1 & conduct ! activities z   
requir$ = p>ticipation 9 ! program      
describ$ 9 ?is subsection4 ,su*         
me*anisms may include te*nical assi/ance
 ) respect to grant application &       
submission proc$ures1 & aw>d managem5t  
activities4  7#h7 ,rese>* availability  
,! ,secret>y %all develop a process to  
ensure t data collect$ "u p>agraph 7#e7 
is made available1 z appropriate &      
practicable1 = rese>* purposes1 9 a     
mann] t protects individually           
id5tifiable or pot5tially id5tifiable   

in=mation & t is consi/5t ) ,/ate &     
,f$]al privacy law4  7e7 ,def9itions ,9 
?is section-- 7#a7 ! t]ms ,indian tribe 
& tribal organization h ! mean+s giv5   
su* t]ms 9 section #d ( ! ,indian       
,self-,det]m9ation & ,education         
,assi/ance ,act2  7#b7 ! t]m            
pregnancy-associat$ dea? means a dea? ( 
a woman1 by any cause1 t occurs dur+1 or
 )9 #a ye> foll[+1 h] pregnancy1        
reg>dless ( ! outcome1 duration1 or site
 ( ! pregnancy2 &  7#c7 ! t]m           
pregnancy-relat$ dea? means a dea? ( a  
woman t occurs dur+1 or )9 #a ye>       
foll[+1 h] pregnancy1 reg>dless ( !     
outcome1 duration1 or site ( !          
pregnancy--  7,a7 f any cause relat$ to1
 or aggravat$ by1 ! pregnancy or its    
managem5t2 &  7,b7 n f accid5tal or     
incid5tal causes4  2 &  7#f7 9          
subsection 7f71 z s r$esignat$1 by /rik+
 su* sums z may be necess>y = ea* ( !   
fiscal ye>s #bjja ?r\gh #bjje & ins]t+  
#eh1jjj1jjj = ea* ( fiscal ye>s #bjai   
?r\gh #bjbc4  ,pass$ ! ,h\se (          

,repres5tatives ,decemb] #aa1           
#bjah4;,cl]k4