,,ii #aaeth ,,congress #b;d ,session ,s4 #ccib ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,august #bh1 #bjah ,mrs4 ,gillibrand 7for herself1 ,mr4 ,booker1 and ,ms4 ,harris7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to address maternal mortality and morbidity4 #a4 ,short title ,this ,act may be cited as the ,modernizing ,obstetric ,medicine ,standards ,act of #bjah or the ,,moms ,act4 #b4 ,maternal mortality and morbidity prevention ,section #cag,k of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b-#ab7 is amended-- 7#a7 by redesignating subsection 7d7 as subsection 7g72 and 7#b7 by inserting after subsection 7c7 the following3 7d7 ,pregnancy and postpartum safety and monitoring practices and maternal mortality and morbidity prevention 7#a7 ,alliance for ,innovation on ,maternal ,health ,the ,secretary1 acting through the ,associate ,administrator of the ,maternal and ,child ,health ,bureau of the ,health ,resources and ,services ,administration1 shall establish a program1 known as the ,alliance for ,innovation on ,maternal ,health program1 to-- 7,a7 enter into a contract with an interdisciplinary1 multi-stakeholder1 national organization promulgating a national data-driven maternal safety and quality improvement initiative based on evidence-based best practices to improve maternal safety and outcomes2 7,b7 assist ,states with the development and implementation of postpartum safety and monitoring practices and maternal mortality and morbidity prevention1 based on the best practices developed under paragraph 7#b72 and 7,c7 improve ,state-specific maternal health outcomes and reduce variation in response to maternity and postpartum care1 in order to eliminate preventable maternal mortality and severe maternal morbidity4 7#b7 ,best practices 7,a7 ,in general ,not later than #a year after the date of enactment of the ,modernizing ,obstetric ,medicine ,standards ,act of #bjah1 the ,secretary1 acting through the ,administrator of the ,health ,resources and ,services ,administration1 shall work with the contracting entity under paragraph 7#a77;,a7 to-- 7i7 create and assist ,state-based collaborative teams in the implementation of standardized best practices1 to be known as maternal safety bundles1 for the purpose of maternal mortality and morbidity prevention2 and 7ii7 collect and analyze data related to process structure and patient outcomes to drive continuous quality improvement in the implementation of the maternal safety bundles by such ,state-based teams4 7,b7 ,maternal safety bundles ,the best practices issued under subparagraph 7,a7 may address the following topics3 7i7 ,obstetric hemorrhage4 7ii7 ,maternal mental1 behavioral1 and emotional health4 7iii7 ,maternal venous and thromboembolism4 7iv7 ,severe hypertension in pregnancy1 including preeclampsia4 7v7 ,obstetric care for women with substance abuse disorder4 7vi7 ,postpartum care basics for maternal safety4 7vii7 ,reduction of racial and ethnic disparities in maternity care4 7viii7 ,safe reduction of primary cesarean birth4 7ix7 ,severe maternal morbidity review4 7x7 ,support after a severe maternal morbidity event4 7xi7 ,ways to empower and listen to women before1 during1 and after childbirth to ensure better communication between patients and health care providers4 7xii7 ,other leading causes of maternal mortality and morbidity1 including infection or sepsis and cardiomyopathy4 7#c7 ,authorization of appropriations ,to carry out this subsection1 in addition to amounts appropriated under subsection 7g71 there are authorized to be appropriated #e1jjj1jjj for each of fiscal years #bjai through #bjbc4 4 #c4 ,maternal mortality and morbidity prevention grants ,section #cag,k of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b-#ab71 as amended by section #b1 is further amended by inserting after subsection 7d7 the following3 7e7 ,maternal mortality and morbidity prevention grant program 7#a7 ,in general ,the ,secretary1 acting through the ,associate ,administrator of the ,maternal and ,child ,health ,bureau of the ,health ,resources and ,services ,administration1 shall award grants to ,states or hospitals to assist in the development and implementation of the maternal safety bundles described in subsection 7d77#b74 7#b7 ,use of funds 7,a7 ,in general ,a ,state or hospital receiving a grant under this subsection may use such funds-- 7i7 to purchase equipment and supplies to effectively implement and execute the maternal safety bundles described in subsection 7d77#b72 and 7ii7 to develop training on1 and evaluation of the effectiveness of1 such maternal safety bundles4 7,b7 ,priority use of funds for ,state grantees ,a ,state receiving a grant under this subsection shall allocate such funds giving priority to the hospitals in such ,state that serve high volumes of low-income1 at-risk1 or rural populations4 7#c7 ,prioritization of ,grant applications ,in awarding grants under this subsection1 the ,secretary shall prioritize applications from ,states1 or hospitals within ,states1 that-- 7,a7 have a functioning maternal mortality review committee in accordance with best practices promulgated by the ,building ,u4,s4 ,capacity to ,review and ,prevent ,maternal ,deaths ,initiative of the ,centers for ,disease ,control and ,prevention1 the ,,cdc ,foundation1 and the ,association of ,maternal and ,child ,health ,programs2 or 7,b7 serve high volumes of low-income1 at-risk1 or rural populations4 7#d7 ,reporting ,requirements 7,a7 ,in general ,not later than #b years after receipt of a grant under this subsection1 each recipient of such a grant shall submit a report to the ,secretary describing-- 7i7 implementation of the maternal safety bundles with use of the grant funds2 7ii7 any incidents of pregnancy-related deaths or pregnancy-associated deaths1 and any pregnancy-related complications or pregnancy-associated complications occurring in the #a-year period prior to implementation of such procedures2 and 7iii7 any incidents of pregnancy-related deaths or pregnancy-associated deaths1 and any pregnancy-related complications or pregnancy-associated complications occurring after implementation of such procedures4 7,b7 ,public availability2 report to ,congress ,within #a year of receiving the reports under subparagraph 7,a71 the ,secretary shall-- 7i7 make the reports submitted under subparagraph 7,a7 publicly available2 and 7ii7 submit a report to ,congress that describes the grants awarded under this subsection1 the effectiveness of the grant program under this subsection1 the activities for which grant funds were used1 and any recommendations to further prevent maternal mortality and morbidity4 7,c7 ,authorization of appropriations ,to carry out this subsection1 in addition to amounts appropriated under subsection 7g71 there are authorized to be appropriated #dj1jjj1jjj for each of fiscal years #bjai through #bjbc4 7f7 ,definitions ,in this section-- 7#a7 the terms pregnancy-associated death and pregnancy-associated complication mean the death or medical complication1 respectively1 of a woman that occurs during1 or within #a year following1 her pregnancy1 regardless of the outcome1 duration1 or site of the pregnancy2 7#b7 the terms pregnancy-related death and pregnancy-related complication mean the death or medical complication1 respectively1 of a woman that-- 7,a7 occurs during1 or within #a year following1 her pregnancy1 regardless of the outcome1 duration1 or site of the pregnancy2 7,b7 is from any cause related to1 or aggravated by1 the pregnancy or its management2 and 7,c7 is not from an accidental or incidental cause2 and 7#c7 the term severe maternal morbidity means the unexpected outcomes of labor and delivery that result in significant short- or long-term consequences to a woman's health4 4 #d4 ,reporting on pregnancy-related and pregnancy-associated deaths and complications 7a7 ,in general ,the ,secretary of ,health and ,human ,services shall encourage each ,state to voluntarily submit to the ,secretary each year a report containing the findings of a ,state maternal mortality review committee with respect to each maternal death in the ,state that the committee reviewed during the year4 7b7 ,maternal and infant health ,the ,director of the ,centers for ,disease ,control and ,prevention shall-- 7#a7 update the ,pregnancy ,mortality ,surveillance ,system or develop a separate system so that such system is capable of including data obtained from ,state maternal mortality review committees2 and 7#b7 provide technical assistance to ,states in reviewing cases of pregnancy-related complications and pregnancy-associated complications4 7c7 ,definitions ,in this section1 the terms pregnancy-associated complication and pregnancy-related complication have the meanings given such terms in section #cag,k of the ,public ,health ,service ,act1 as amended by section #c4