,,ii #aae? ,,congress #b;d ,session ,s4 #ccib ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,augu/ #bh1 #bjah ,mrs4 ,gillibr& 7= h]self1 ,mr4 ,book]1 & ,ms4 ,h>ris7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to address mat]nal mortality & morbidity4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,mod]niz+ ,ob/etric ,m$ic9e ,/&>ds ,act ( #bjah or ! ,,moms ,act4 #b4 ,mat]nal mortality & morbidity prev5tion ,section #cag,k ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7 is am5d$-- 7#a7 by r$esignat+ subsection 7d7 z subsection 7g72 & 7#b7 by ins]t+ aft] subsection 7c7 ! foll[+3 7d7 ,pregnancy & po/p>tum safety & monitor+ practices & mat]nal mortality & morbidity prev5tion 7#a7 ,alliance = ,innovation on ,mat]nal ,heal? ,! ,secret>y1 act+ ?r\gh ! ,associate ,adm9i/rator ( ! ,mat]nal & ,*ild ,heal? ,bureau ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all e/abli% a program1 kn[n z ! ,alliance = ,innovation on ,mat]nal ,heal? program1 to-- 7,a7 ent] into a contract ) an int]discipl9>y1 multi-/akehold]1 national organization promulgat+ a national data-driv5 mat]nal safety & quality improvem5t initiative bas$ on evid5ce-bas$ be/ practices to improve mat]nal safety & outcomes2 7,b7 assi/ ,/ates ) ! developm5t & implem5tation ( po/p>tum safety & monitor+ practices & mat]nal mortality & morbidity prev5tion1 bas$ on ! be/ practices develop$ "u p>agraph 7#b72 & 7,c7 improve ,/ate-specific mat]nal heal? outcomes & r$uce v>iation 9 response to mat]nity & po/p>tum c>e1 9 ord] to elim9ate prev5table mat]nal mortality & sev]e mat]nal morbidity4 7#b7 ,be/ practices 7,a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,mod]niz+ ,ob/etric ,m$ic9e ,/&>ds ,act ( #bjah1 ! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all "w ) ! contract+ entity "u p>agraph 7#a77;,a7 to-- 7i7 create & assi/ ,/ate-bas$ collaborative teams 9 ! implem5tation ( /&>diz$ be/ practices1 to be kn[n z mat]nal safety bundles1 = ! purpose ( mat]nal mortality & morbidity prev5tion2 & 7ii7 collect & analyze data relat$ to process /ructure & pati5t outcomes to drive cont9u\s quality improvem5t 9 ! implem5tation ( ! mat]nal safety bundles by su* ,/ate-bas$ teams4 7,b7 ,mat]nal safety bundles ,! be/ practices issu$ "u subp>agraph 7,a7 may address ! foll[+ topics3 7i7 ,ob/etric hemorrhage4 7ii7 ,mat]nal m5tal1 behavioral1 & emotional heal?4 7iii7 ,mat]nal v5\s & ?romboembolism4 7iv7 ,sev]e hyp]t5sion 9 pregnancy1 includ+ preeclampsia4 7v7 ,ob/etric c>e = wom5 ) sub/ance abuse disord]4 7vi7 ,po/p>tum c>e basics = mat]nal safety4 7vii7 ,r$uction ( racial & e?nic disp>ities 9 mat]nity c>e4 7viii7 ,safe r$uction ( prim>y ces>ean bir?4 7ix7 ,sev]e mat]nal morbidity review4 7x7 ,support aft] a sev]e mat]nal morbidity ev5t4 7xi7 ,ways to emp[] & li/5 to wom5 be=e1 dur+1 & aft] *ildbir? to ensure bett] communication betwe5 pati5ts & heal? c>e provid]s4 7xii7 ,o!r lead+ causes ( mat]nal mortality & morbidity1 includ+ infection or sepsis & c>diomyopa?y4 7#c7 ,au?orization ( appropriations ,to c>ry out ?is subsection1 9 addition to am\nts appropriat$ "u subsection 7g71 !re are au?oriz$ to be appropriat$ #e1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 4 #c4 ,mat]nal mortality & morbidity prev5tion grants ,section #cag,k ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab71 z am5d$ by section #b1 is fur!r am5d$ by ins]t+ aft] subsection 7d7 ! foll[+3 7e7 ,mat]nal mortality & morbidity prev5tion grant program 7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,associate ,adm9i/rator ( ! ,mat]nal & ,*ild ,heal? ,bureau ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all aw>d grants to ,/ates or hospitals to assi/ 9 ! developm5t & implem5tation ( ! mat]nal safety bundles describ$ 9 subsection 7d77#b74 7#b7 ,use ( funds 7,a7 ,9 g5]al ,a ,/ate or hospital receiv+ a grant "u ?is subsection may use su* funds-- 7i7 to pur*ase equipm5t & supplies to effectively implem5t & execute ! mat]nal safety bundles describ$ 9 subsection 7d77#b72 & 7ii7 to develop tra9+ on1 & evaluation ( ! effectiv5ess (1 su* mat]nal safety bundles4 7,b7 ,priority use ( funds = ,/ate grantees ,a ,/ate receiv+ a grant "u ?is subsection %all allocate su* funds giv+ priority to ! hospitals 9 su* ,/ate t s]ve high volumes ( l[-income1 at-risk1 or rural populations4 7#c7 ,prioritization ( ,grant applications ,9 aw>d+ grants "u ?is subsection1 ! ,secret>y %all prioritize applications f ,/ates1 or hospitals )9 ,/ates1 t-- 7,a7 h a function+ mat]nal mortality review committee 9 accordance ) be/ practices promulgat$ by ! ,build+ ,u4,s4 ,capacity to ,review & ,prev5t ,mat]nal ,dea?s ,initiative ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,,cdc ,f\ndation1 & ! ,association ( ,mat]nal & ,*ild ,heal? ,programs2 or 7,b7 s]ve high volumes ( l[-income1 at-risk1 or rural populations4 7#d7 ,report+ ,requirem5ts 7,a7 ,9 g5]al ,n lat] ?an #b ye>s aft] receipt ( a grant "u ?is subsection1 ea* recipi5t ( su* a grant %all submit a report to ! ,secret>y describ+-- 7i7 implem5tation ( ! mat]nal safety bundles ) use ( ! grant funds2 7ii7 any incid5ts ( pregnancy-relat$ dea?s or pregnancy-associat$ dea?s1 & any pregnancy-relat$ complications or pregnancy-associat$ complications occurr+ 9 ! #a-ye> p]iod prior to implem5tation ( su* proc$ures2 & 7iii7 any incid5ts ( pregnancy-relat$ dea?s or pregnancy-associat$ dea?s1 & any pregnancy-relat$ complications or pregnancy-associat$ complications occurr+ aft] implem5tation ( su* proc$ures4 7,b7 ,public availability2 report to ,congress ,)9 #a ye> ( receiv+ ! reports "u subp>agraph 7,a71 ! ,secret>y %all-- 7i7 make ! reports submitt$ "u subp>agraph 7,a7 publicly available2 & 7ii7 submit a report to ,congress t describes ! grants aw>d$ "u ?is subsection1 ! effectiv5ess ( ! grant program "u ?is subsection1 ! activities = :i* grant funds 7 us$1 & any recomm5dations to fur!r prev5t mat]nal mortality & morbidity4 7,c7 ,au?orization ( appropriations ,to c>ry out ?is subsection1 9 addition to am\nts appropriat$ "u subsection 7g71 !re are au?oriz$ to be appropriat$ #dj1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc4 7f7 ,def9itions ,9 ?is section-- 7#a7 ! t]ms pregnancy-associat$ dea? & pregnancy-associat$ complication mean ! dea? or m$ical complication1 respectively1 ( a woman t occurs dur+1 or )9 #a ye> foll[+1 h] pregnancy1 reg>dless ( ! outcome1 duration1 or site ( ! pregnancy2 7#b7 ! t]ms pregnancy-relat$ dea? & pregnancy-relat$ complication mean ! dea? or m$ical complication1 respectively1 ( a woman t-- 7,a7 occurs dur+1 or )9 #a ye> foll[+1 h] pregnancy1 reg>dless ( ! outcome1 duration1 or site ( ! pregnancy2 7,b7 is f any cause relat$ to1 or aggravat$ by1 ! pregnancy or its managem5t2 & 7,c7 is n f an accid5tal or incid5tal cause2 & 7#c7 ! t]m sev]e mat]nal morbidity means ! unexpect$ outcomes ( labor & deliv]y t result 9 significant %ort- or long-t]m consequ5ces to a woman's heal?4 4 #d4 ,report+ on pregnancy-relat$ & pregnancy-associat$ dea?s & complications 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all enc\rage ea* ,/ate to volunt>ily submit to ! ,secret>y ea* ye> a report conta9+ ! f9d+s ( a ,/ate mat]nal mortality review committee ) respect to ea* mat]nal dea? 9 ! ,/ate t ! committee review$ dur+ ! ye>4 7b7 ,mat]nal & infant heal? ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion %all-- 7#a7 update ! ,pregnancy ,mortality ,surveillance ,sy/em or develop a sep>ate sy/em s t su* sy/em is capable ( includ+ data obta9$ f ,/ate mat]nal mortality review committees2 & 7#b7 provide te*nical assi/ance to ,/ates 9 review+ cases ( pregnancy-relat$ complications & pregnancy-associat$ complications4 7c7 ,def9itions ,9 ?is section1 ! t]ms pregnancy-associat$ complication & pregnancy-relat$ complication h ! mean+s giv5 su* t]ms 9 section #cag,k ( ! ,public ,heal? ,s]vice ,act1 z am5d$ by section #c4