,i #aafth ,,congress #ast ,session ,h4 ,r4 #ccdd ,,in ,,the ,,house ,,of ,,representatives ,june #ai1 #bjai ,ms4 ,moore introduced the following bill2 which was referred to the ,committee on ,ways and ,means ,a ,,bill ,to provide grants for the conduct of demonstration projects designed to provide education and training for eligible individuals to enter and follow a career pathway in the field of pregnancy or childbirth1 under the health profession opportunity grant program under section #bjjh of the ,social ,security ,act4 #a4 ,short title ,this ,act may be cited as the ,opportunities to ,support ,mothers and ,deliver ,children ,act4 #b4 ,grants for demonstration projects to provide career pathways in the field of pregnancy or childbirth ,section #bjjh of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;g7 is amended by redesignating subsection 7d7 as subsection 7e7 and inserting after subsection 7c7 the following3 7c7 ,demonstration projects ,to provide career pathways in the field of pregnancy or childbirth 7#a7 ,grant authority ,the ,secretary1 in consultation with the ,secretary of ,labor and the ,secretary of ,education1 shall award grants in accordance with this subsection to eligible entities to conduct demonstration projects for the purpose of providing education and training for eligible individuals to enter and follow a career pathway in the field of pregnancy or childbirth1 in a ,state that recognizes doulas or midwives as health care providers and that provides payment for services provided by doulas or midwives1 as the case may be1 under the ,state plan approved under title ,,xix4 7#b7 ,duration ,a demonstration project shall be conducted under this subsection for not less than #c years4 7#c7 ,application requirements ,an applicant seeking a grant under this subsection for a demonstration project shall submit to the ,secretary an application for the grant1 that includes the following3 7,a7 ,a description of the partnerships1 strategic staff hiring decisions1 tailored program activities1 or other programmatic elements of the project that are designed to support a strong career pathway in pregnancy1 birth1 or post-partum services4 7,b7 ,a demonstration that the ,state in which the project is to be conducted recognizes and permits doulas and midwives to practice in the ,state4 7,c7 ,a demonstration that the applicant has experience working with low-income populations1 or a description of the plan of the applicant to work with a partner that has the experience4 7#d7 ,evaluations ,the ,secretary shall1 by grant1 contract1 or interagency agreement1 conduct rigorous and well-designed evaluations of the demonstration projects for which a grant is made under this section1 which shall include identification of successful activities for creating opportunities for developing and sustaining1 particularly with respect to low-income individuals and other entry-level workers1 a doula-to-midwife workforce career pathway that has accessible entry points1 that meets high standards for education1 training1 certification1 and professional development1 and that provides increased wages and affordable benefits1 including health care coverage1 that are responsive to the needs of the workforce4 7#e7 ,definitions ,in this subsection3 7,a7 ,eligible entity ,the term eligible entity means any of the following entities that demonstrates in an application submitted under this subsection that the entity has the capacity to fully develop and administer the demonstration project described in the application3 7i7 ,a local workforce development board established under section #ajg of the ,workforce ,innovation and ,opportunity ,act4 7ii7 ,a ,state or territory1 a political subdivision of a ,state or territory1 or an agency of a ,state1 territory1 or such a political subdivision4 7iii7 ,an ,indian tribe1 a tribal organization1 or a tribal college or university4 7iv7 ,an institution of higher education 7as defined in the ,higher ,education ,act of #aife74 7v7 ,a hospital 7as defined in section #ahfa7;e774 7vi7 ,a skilled nursing facility 7as defined in section #ahai7;h77#a77;,a774 7vii7 ,a ,federally qualified health center 7as defined in section #ahfa7;aa77#d774 7viii7 ,a nonprofit organization described in section #eja7;c77#c7 of the ,internal ,revenue ,code of #aihf1 a labor organization1 or an entity with shared labor-management oversight1 that has a demonstrated history of providing health profession training to eligible individuals4 7ix7 ,an entity recognized by a ,state1 ,indian tribe1 or tribal organization as qualified to train doulas or midwives1 if midwives or doulas1 as the case may be1 are permitted to practice medicine in the ,state involved4 7x7 ,an opioid treatment program 7as defined in section #ahfa7;iii77#b774 7,b7 ,eligible individual ,the term eligible individual means an individual whose income does not exceed #ach percent of the ,federal poverty level4 7,c7 ,midwife ,the term midwife means a certified midwife1 certified professional midwife1 licensed midwife1 and tribally-recognized midwife4 7,d7 ,certified midwife ,the term certified midwife means an individual who is certified by the ,american ,midwifery ,certification ,board to practice midwifery4 7,e7 ,certified professional midwife ,the term certified professional midwife means an individual who-- 7i7 is certified by the ,north ,american ,registry of ,midwives to practice midwifery for normal1 low-risk pregnancies and childbirths2 and 7ii7 has completed-- 7,i7 a midwifery education program accredited by the ,midwifery ,education and ,accreditation ,council or any other entity recognized by the ,department of ,education2 or 7,,ii7 the requirements to obtain a ,midwifery ,bridge ,certificate from the ,north ,american ,registry of ,midwives1 and maintains the certification by completing any required continuing education for the certification4 7,f7 ,licensed midwife ,the term licensed midwife means1 with respect to a ,state1 an individual who is licensed under ,state law to practice midwifery4 7,g7 ,tribally-recognized midwife ,the term tribally-recognized midwife means an individual who is recognized by an ,indian tribe 7as defined in section #d of the ,indian ,health ,care ,improvement ,act7 to practice midwifery for the tribe4 7#f7 ,appropriation ,out of any funds in the ,treasury of the ,united ,states not otherwise appropriated1 there are appropriated to the ,secretary to carry out this subsection #aj1jjj1jjj for fiscal year #bjbj4 4 #c4 ,effective date ,the amendment made by this ,act shall take effect on ,october #a1 #bjai4