,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #egfa  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #aj1 #bjah,mr4   
,kri%namoor?i 7= himself1 ,ms4 ,h]r]a   
,beutl]1 ,mr4 ,ryan ( ,ohio1 ,ms4 ,blunt
 ,ro*e/]1 ,ms4 ,norton1 ,mr4 ,johnson ( 
,georgia1 ,ms4 ,wilson ( ,florida1 ,ms4 
,mi*elle ,lujan ,gri%am ( ,new ,mexico1 
,mr4 ,coh51 ,mr4 ,ha/+s1 & ,ms4         
,hanabusa7 introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,en]gy &    
,comm]ce  ,a ,,bill  ,to direct !       
,secret>y ( ,heal? & ,human ,s]vices to 
submit to ! ,congress on a bi5nial basis
 a national plan to r$uce ! rate (      
mat]nal mortality4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,end+ ,mat]nal    
,mortality ,act ( #bjah4  #b4 ,f9d+s ,! 
,congress f9ds z foll[s3  7#a7 ,f\r     
million ,am]ican wom5 give bir? ea* ye>1
 & an e/imat$ #gjj w die annually dur+  
pregnancy1 *ildbir?1 or ! po/p>tum      
p]iod4  7#b7 ,! ,unit$ ,/ates ranks #dg?
 = mat]nal mortality rate globally1 & is
 "o ( only eight c\ntries 9 :i* !       

mat]nal mortality rate is ris+4 ,x is   
e/imat$ t1 betwe5 #bjjj & #bjad1 !      
,unit$ ,/ates mat]nal mortality rate    
grew by #bf4f p]c5t4  7#c7 ,common      
causes ( mat]nal mortality include      
ob/etric hemorrhage1 hyp]t5sion &       
preeclampsia1 sepsis1 & sub/ance use    
disord] & ov]dose4  7#d7 ,m ?an half (  
mat]nal dea?s are likely prev5table4    
7#e7 ,additionally1 #fe1jjj ,am]ican    
wom5 exp]i5ce sev]e mat]nal morbidity   
7,,smm7 annually1 mean+ ! physical &    
psy*ological conditions t result f1 or  
are aggravat$ by1 pregnancy h an adv]se 
effect on ! heal? ( a woman4  7#f7      
,racial & e?nic disp>ities p]si/ across 
! ,nation1 & ,black wom5 are ?ree to f\r
 times m likely to die f complications (
 pregnancy or *ildbir? ?an ,:ite wom54  
#c4 ,plan = r$uc+ mat]nal mortality ,!  
,public ,heal? ,s]vice ,act is am5d$ by 
ins]t+ aft] section #bbi ( su* ,act 7#db
 ,u4,s4,c4 #bcg;a7 ! foll[+ new section3
  #bbi;,a4 ,plan = r$uc+ mat]nal        
mortality  7a7 ,9 g5]al ,n lat] ?an #a  

ye> aft] ! date ( enactm5t ( ! ,end+    
,mat]nal ,mortality ,act ( #bjah1 &     
bi5nially !reaft]1 ! ,secret>y %all     
develop & submit to ! ,congress a       
national plan to r$uce ! rate (         
prev5table mat]nal mortality1 ) ! goals 
(--  7#a7 cutt+ ! rate 9 half ov] ! #aj 
ye>s foll[+ su* date ( enactm5t2 &  7#b7
 elim9at+ prev5table mat]nal dea?s by ! 
date t is #bj ye>s aft] su* date (      
enactm5t4  7b7 ,objectives2 /rategy ,9  
ea* bi5nial plan "u subsection 7a71 !   
,secret>y %all include-- 7#a7 a li/ (   
objectives = meet+ ! goals describ$ 9   
subsection 7a72 &  7#b7 a /rategy =     
implem5t+ ! plan across ! ag5cies &     
(fices ( ! ,dep>tm5t ( ,heal? & ,human  
,s]vices4  7c7 ,specific issues ,9 ea*  
bi5nial plan "u subsection 7a71 !       
,secret>y %all address ! foll[+3 7#a7   
,increas+ public und]/&+ ( mat]nal      
mortality & sev]e mat]nal morbidity1    
includ+ risk factors1 w>n+ signs1 &     
prev5tion ( common causes l hemorrhage1 
preeclampsia1 & sub/ance use disord]s & 

o!r m5tal heal? conditions4  7#b7       
,improv+ und]/&+ ( ! root causes (      
mat]nal mortality & sev]e mat]nal       
morbidity1 includ+ bo? m$ical &         
socioeconomic factors4  7#c7 ,improv+   
data collection1 includ+ ,/ate-level    
report+4  7#d7 ,id5tify+ at-risk        
populations & elim9at+ disp>ities t     
p]si/ bas$ on a "m's race1 e?nicity1    
socioeconomic /atus1 & geographic       
location4  7#e7 ,support+ & exp&+       
mat]nal mortality review committees t   
br+ toge!r public & private relevant    
/akehold]s to review cases (            
pregnancy-relat$ & pregnancy-associat$  
complications & dea?s to make           
recomm5dations to improve ! quality (   
c>e & outcomes4  7#f7 ,assess+ hospital 
culture ( safety 9 mat]nity c>e & h[ be/
 to provide res\rces to improve         
outcomes4  7#g7 ,improv+ heal? &        
treatm5t s]vices = expectant mo!rs      
/ruggl+ ) sub/ance use & m5tal heal?    
disord]s4  7#h7 ,/udy+ & support+ local 
& t>get$ responses to mat]nal dea?4     

7#i7 ,id5tify+ ,f$]al programs &        
activities to r$uce mat]nal mortality & 
mak+ recomm5dations = improv+ !         
effectiv5ess & coord9ation ( su*        
programs & activities4  7d7 ,public po/+
 ,! ,secret>y %all make ea* plan        
submitt$ to ! ,congress "u ?is section  
publicly accessible on ! website ( !    
,dep>tm5t ( ,heal? & ,human ,s]vices4   
7e7 ,consultation ,9 develop+ ea*       
bi5nial plan "u ?is section1 ! ,secret>y
 %all solicit input f organizations     
repres5t+ pati5ts1 heal? c>e provid]s1  
hospitals1 o!r treatm5t facilities1     
public heal? dep>tm5ts & practition]s1 &
 o!r entities1 z appropriate4  7f7      
,def9itions ,9 ?is section3 7#a7 ,! t]m 
mat]nal mortality ref]s to mat]nal dea?s
 t occur dur+1 or )9 ! #ab mon?s foll[+1
 pregnancy4  7#b7 ,! t]m mat]nal        
morbidity ref]s to pregnancy-relat$ &   
pregnancy-associat$ complications t d n 
result 9 mat]nal dea?4  7#c7 ,! t]m     
sev]e mat]nal morbidity includes        
unexpect$ outcomes ( labor & deliv]y t  

result 9 significant %ort- or long-t]m  
consequ5ces to a woman's heal?4  4