#aaf? ,,congress  #b;d ,session  ,h4 ,r4
 #diie  ,,an ,,act  ,to am5d ! ,public  
,heal? ,s]vice ,act to improve ob/etric 
c>e & mat]nal heal? outcomes1 & = o!r   
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,mat]nal ,heal? ,quality   
,improvem5t ,act ( #bjbj4  #b4          
,innovation = mat]nal heal? ,"p ,d (    
title ,,iii ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bed;b et seq47 is  
am5d$--  7#a7 9 ! section designation ( 
section #ccj,m ( su* ,act 7#db ,u4,s4,c4
 #bed;c-#ai7 by ins]t+ a p]iod aft]     
#ccj,m2 &  7#b7 by ins]t+ aft] section  
#ccj,m ( su* ,act 7#db ,u4,s4,c4        
#bed;c-#ai7 ! foll[+3  #ccj,n4          
,innovation = mat]nal heal?  7a7 ,9     
g5]al ,! ,secret>y1 9 consultation )    
exp]ts repres5t+ a v>iety ( cl9ical     
specialties1 ,/ate1 ,tribal1 or local   
public heal? (ficials1 rese>*]s1        
epidemiologi/s1 /ati/icians1 & community
 organizations1 %all e/abli% or cont9ue 
a program to aw>d competitive grants to 
eligible entities = ! purposes (-- 7#a7 

id5tify+1 develop+1 or dissem9at+ be/   
practices to improve mat]nal heal? c>e  
quality & outcomes1 elim9ate prev5table 
mat]nal mortality & sev]e mat]nal       
morbidity1 & improve infant heal?       
outcomes1 :i* may include--  7,a7       
in=mation on evid5ce-bas$ practices to  
improve ! quality & safety ( mat]nal    
heal? c>e 9 hospitals & o!r heal? c>e   
sett+s ( a ,/ate or heal? c>e sy/em1    
includ+ by address+ topics commonly     
associat$ ) heal? complications or risks
 relat$ to pr5atal c>e1 labor c>e1      
bir?+1 & po/p>tum c>e2  7,b7 be/        
practices = improv+ mat]nal heal? c>e   
bas$ on data f9d+s & reviews conduct$ by
 a ,/ate mat]nal mortality review       
committee t address topics ( relevance  
to common complications or heal? risks  
relat$ to pr5atal c>e1 labor c>e1 bir?+1
 & po/p>tum c>e2 &  7,c7 in=mation on   
address+ det]m9ants ( heal? t impact    
mat]nal heal? outcomes = wom5 be=e1     
dur+1 & aft] pregnancy2  7#b7           
collaborat+ ) ,/ate mat]nal mortality   

review committees to id5tify issues = ! 
developm5t & implem5tation (            
evid5ce-bas$ practices to improve       
mat]nal heal? outcomes & r$uce          
prev5table mat]nal mortality & sev]e    
mat]nal morbidity2  7#c7 provid+        
te*nical assi/ance & support+ !         
implem5tation ( be/ practices id5tifi$  
pursuant to p>agraph 7#a7 to entities   
provid+ heal? c>e s]vices to pregnant & 
po/p>tum wom52 &  7#d7 id5tify+1        
develop+1 & evaluat+ new models ( c>e t 
improve mat]nal & infant heal? outcomes1
 :i* may include ! integration (        
community-bas$ s]vices & cl9ical c>e4   
7b7 ,eligible entities ,to be eligible =
 a grant "u subsection 7a71 an entity   
%all-- 7#a7 submit to ! ,secret>y an    
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
require2 &  7#b7 demon/rate 9 su*       
application t ! entity is capable (     
c>ry+ out data-driv5 mat]nal safety &   
quality improvem5t initiatives 9 ! areas
 ( ob/etrics & gynecology or mat]nal    

heal?4  7c7 ,au?orization (             
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$     
#e1jjj1jjj = ea* ( fiscal ye>s #bjba    
?r\gh #bjbe4  4  #c4 ,tra9+ = heal? c>e 
provid]s ,title ,,vii ( ! ,public ,heal?
 ,s]vice ,act is am5d$ by /rik+ section 
#gfc 7#db ,u4,s4,c4 #bidp7 & ins]t+ !   
foll[+3  #gfc4 ,tra9+ = heal? c>e       
provid]s  7a7 ,grant program ,!         
,secret>y %all e/abli% a program to aw>d
 grants to accr$it$ s*ools ( allopa?ic  
m$ic9e1 o/eopa?ic m$ic9e1 & nurs+1 & o!r
 heal? pr(essional tra9+ programs = !   
tra9+ ( heal? c>e pr(essionals to r$uce 
& prev5t discrim9ation 7includ+ tra9+   
relat$ to implicit & explicit biases7 9 
! provision ( heal? c>e s]vices relat$  
to pr5atal c>e1 labor c>e1 bir?+1 &     
po/p>tum c>e4  7b7 ,eligibility ,to be  
eligible = a grant "u subsection 7a71 an
 entity describ$ 9 su* subsection %all  
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,secret>y may require4    

7c7 ,report+ requirem5t ,ea* entity     
aw>d$ a grant "u ?is section %all       
p]iodically submit to ! ,secret>y a     
report on ! /atus ( activities conduct$ 
us+ ! grant1 includ+ a description ( !  
impact ( su* tra9+ on pati5t outcomes1 z
 applicable4  7d7 ,be/ practices ,!     
,secret>y may id5tify & dissem9ate be/  
practices = ! tra9+ ( heal? c>e         
pr(essionals to r$uce & prev5t          
discrim9ation 7includ+ tra9+ relat$ to  
implicit & explicit biases7 9 !         
provision ( heal? c>e s]vices relat$ to 
pr5atal c>e1 labor c>e1 bir?+1 &        
po/p>tum c>e4  7e7 ,au?orization (      
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$     
#e1jjj1jjj = ea* ( fiscal ye>s #bjba    
?r\gh #bjbe4  4  #d4 ,/udy on tra9+ to  
r$uce & prev5t discrim9ation ,n lat] ?an
 #b ye>s aft] date ( enactm5t ( ?is     
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all1 ?r\gh a contract ) an    
indep5d5t rese>* organization1 conduct a
 /udy & make recomm5dations = accr$it$  

s*ools ( allopa?ic m$ic9e1 o/eopa?ic    
m$ic9e1 & nurs+1 & o!r heal? pr(essional
 tra9+ programs1 on be/ practices relat$
 to tra9+ to r$uce & prev5t             
discrim9ation1 includ+ tra9+ relat$ to  
implicit & explicit biases1 9 !         
provision ( heal? c>e s]vices relat$ to 
pr5atal c>e1 labor c>e1 bir?+1 &        
po/p>tum c>e4  #e4 ,p]9atal quality     
collaboratives ,section #cag,k7a77#b7 ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bdg;b-#ab7;a77#b77 is am5d$  
by add+ at ! end ! foll[+3  7,e7  7i7 ,!
 ,secret>y1 act+ ?r\gh ! ,director ( !  
,c5t]s = ,disease ,control & ,prev5tion 
& 9 coord9ation ) o!r (fices & ag5cies1 
z appropriate1 %all e/abli% or cont9ue a
 competitive grant program = !          
e/abli%m5t or support ( p]9atal quality 
collaboratives to improve p]9atal c>e & 
p]9atal heal? outcomes = pregnant &     
po/p>tum wom5 & _! infants4 ,a ,/ate1   
,indian ,tribe1 or ,tribal organization 
may use funds receiv$ ?r\gh su* grant   
to-- 7,i7 support ! use ( evid5ce-bas$  

or evid5ce-in=m$ practices to improve   
outcomes = mat]nal & infant heal?2      
7,,ii7 "w ) cl9ical teams2 exp]ts2      
,/ate1 local1 &1 z appropriate1 ,tribal 
public heal? (ficials2 & /akehold]s1    
includ+ pati5ts & families1 to id5tify1 
develop1 or dissem9ate be/ practices to 
improve p]9atal c>e & outcomes2 &       
7,,iii7 employ /rategies t provide      
opportunities = heal? c>e pr(essionals &
 cl9ical teams to collaborate across    
heal? c>e sett+s & discipl9es1 includ+  
prim>y c>e & m5tal heal?1 z appropriate1
 to improve mat]nal & infant heal?      
outcomes1 :i* may include ! use ( data  
to provide timely fe$back across        
hospital & cl9ical teams to in=m        
responses1 & to provide support & tra9+ 
to hospital & cl9ical teams = quality   
improvem5t1 z appropriate4  7ii7 ,to be 
eligible = a grant "u clause 7i71 an    
entity %all submit to ! ,secret>y an    
application 9 su* =m & mann] & conta9+  
su* in=mation z ! ,secret>y may require4
  4  #f4 ,integrat$ s]vices = pregnant &

 po/p>tum wom5  7a7 ,grants ,title ,,iii
 ( ! ,public ,heal? ,s]vice ,act is     
am5d$ by ins]t+ aft] section #ccj,n (   
su* ,act1 z add$ by section #b1 !       
foll[+3  #ccj,o4 ,integrat$ s]vices =   
pregnant & po/p>tum wom5  7a7 ,9 g5]al  
,! ,secret>y may aw>d grants to ,/ates1 
,indian ,tribes1 & ,tribal organizations
 = ! purpose ( e/abli%+ or op]at+       
evid5ce-bas$ or innovative1             
evid5ce-in=m$ programs to deliv]        
integrat$ heal? c>e s]vices to pregnant 
& po/p>tum wom5 to optimize ! heal? (   
wom5 & _! infants1 includ+ to r$uce     
adv]se mat]nal heal? outcomes1          
pregnancy-relat$ dea?s1 & relat$ heal?  
disp>ities 7includ+ su* disp>ities      
associat$ ) racial & e?nic m9ority      
populations71 &1 z appropriate1 by      
address+ issues rese>*$ "u subsection   
7b77#b7 ( section #cag,k4  7b7          
,integrat$ s]vices = pregnant & po/p>tum
 wom5  7#a7 ,eligibility ,to be eligible
 to receive a grant "u subsection 7a71 a
 ,/ate1 ,indian ,tribe1 or ,tribal      

organization %all "w ) relevant         
/akehold]s t coord9ate c>e 7includ+     
coord9at+ res\rces & ref]rals = heal?   
c>e & social s]vices7 to develop & c>ry 
out ! program1 includ+--  7,a7 ,/ate1   
,tribal1 & local ag5cies responsible =  
,m$icaid1 public heal?1 social s]vices1 
m5tal heal?1 & sub/ance use disord]     
treatm5t & s]vices2  7,b7 heal? c>e     
provid]s :o s]ve pregnant & po/p>tum    
wom52 &  7,c7 community-bas$ heal?      
organizations & heal? work]s1 includ+   
provid]s ( home visit+ s]vices &        
individuals repres5t+ communities )     
disproportionately high rates ( mat]nal 
mortality & sev]e mat]nal morbidity1 &  
includ+ individuals repres5t+ racial &  
e?nic m9ority populations4  7#b7 ,t]ms  
7,a7 ,p]iod ,a grant aw>d$ "u subsection
 7a7 %all be made = a p]iod ( #e ye>s4  
,any supplem5tal aw>d made to a grantee 
"u subsection 7a7 may be made = a p]iod 
( less ?an #e ye>s4  7,b7 ,pref]5ce ,9  
aw>d+ grants "u subsection 7a71 !       
,secret>y %all-- 7i7 give pref]5ce to   

,/ates1 ,indian ,tribes1 & ,tribal      
organizations t h ! highe/ rates (      
mat]nal mortality & sev]e mat]nal       
morbidity relative to o!r su* ,/ates1   
,indian ,tribes1 or ,tribal             
organizations1 respectively2 &  7ii7    
%all consid] heal? disp>ities relat$ to 
mat]nal mortality & sev]e mat]nal       
morbidity1 includ+ su* disp>ities       
associat$ ) racial & e?nic m9ority      
populations4  7,c7 ,priority ,9 aw>d+   
grants "u subsection 7a71 ! ,secret>y   
%all give priority to applications f up 
to #ae entities describ$ 9 subp>agraph  
7,b77i74  7,d7 ,evaluation ,! ,secret>y 
%all require grantees to evaluate !     
outcomes ( ! programs support$ "u !     
grant4  7c7 ,def9itions ,9 ?is section1 
! t]ms ,indian ,tribe & ,tribal         
organization h ! mean+s giv5 ! t]ms     
,indian tribe & tribal organization1    
respectively1 9 section #d ( ! ,indian  
,self-,det]m9ation & ,education         
,assi/ance ,act4  7d7 ,au?orization (   
appropriations ,!re are au?oriz$ to be  

appropriat$ to c>ry out ?is section     
#aj1jjj1jjj = ea* ( fiscal ye>s #bjba   
?r\gh #bjbe4  4  7b7 ,report on grant   
outcomes & dissem9ation ( be/ practices 
7#a7 ,report ,n lat] ?an ,febru>y #a1   
#bjbf1 ! ,secret>y ( ,heal? & ,human    
,s]vices %all submit to ! ,committee on 
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate & ! ,committee on ,en]gy &    
,comm]ce ( ! ,h\se ( ,repres5tatives a  
report t describes--  7,a7 ! outcomes ( 
! activities support$ by ! grants aw>d$ 
"u ! am5dm5t made by ?is section on     
mat]nal & *ild heal?2  7,b7 be/         
practices & models ( c>e us$ by         
recipi5ts ( grants "u su* am5dm5t2 &    
7,c7 ob/acles id5tifi$ by recipi5ts (   
grants "u su* am5dm5t1 & /rategies us$  
by su* recipi5ts to deliv] c>e1 improve 
mat]nal & *ild heal?1 & r$uce heal?     
disp>ities4  7#b7 ,dissem9ation ( be/   
practices ,n lat] ?an ,augu/ #a1 #bjbf1 
! ,secret>y ( ,heal? & ,human ,s]vices  
%all dissem9ate in=mation on be/        
practices & models ( c>e us$ by         

recipi5ts ( grants "u ! am5dm5t made by 
?is section 7includ+ be/ practices &    
models ( c>e relat+ to ! r$uction (     
heal? disp>ities1 includ+ su* disp>ities
 associat$ ) racial & e?nic m9ority     
populations1 9 rates ( mat]nal mortality
 & sev]e mat]nal morbidity7 to relevant 
/akehold]s1 :i* may include heal?       
provid]s1 m$ical s*ools1 nurs+ s*ools1  
relevant ,/ate1 ,tribal1 & local        
ag5cies1 & ! g5]al public4  #g4 ,improv+
 rural mat]nal & ob/etric c>e data  7a7 
,mat]nal mortality & morbidity          
activities ,section #cja7;e7 ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bda7;e77 is am5d$ by ins]t+ 1          
prev5table mat]nal mortality & sev]e    
mat]nal morbidity1 aft] deliv]y4  7b7   
,(fice ( wom5's heal? ,section          
#caj;,a7b77#a7 ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4             
#bdbs7b77#a77 is am5d$ by /rik+ &       
sociocultural contexts1 & ins]t+        
sociocultural 7includ+ among ,am]ican   
,indians1 ,native ,hawaiians1 & ,alaska 

,natives71 & geographical contexts4  7c7
 ,safe mo!rhood ,section #cag,k ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bdg;b-#ab7 is am5d$-- 7#a7 9 
subsection 7a77#b77;,a71 by ins]t+ 1    
includ+ improv+ collection ( data on    
race1 e?nicity1 & o!r demographic       
in=mation be=e ! p]iod2 &  7#b7 9       
subsection 7b77#b7-- 7,a7 9 subp>agraph 
7,l71 by /rik+ & at ! end2  7,b7 by     
r$esignat+ subp>agraph 7,m7 z           
subp>agraph 7,n72 &  7,c7 by ins]t+ aft]
 subp>agraph 7,l7 ! foll[+3  7,m7 an    
exam9ation ( ! relation%ip betwe5       
mat]nal heal? & ob/etric s]vices 9 rural
 areas & outcomes 9 deliv]y & po/p>tum  
c>e2 &  4  7d7 ,(fice ( rese>* on wom5's
 heal? ,section #dhf ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #bhg;d7 is  
am5d$--  7#a7 9 subsection 7b71 by am5d+
 p>agraph 7#c7 to read z foll[s3  7#c7  
c>ry out p>agraphs 7#a7 & 7#b7 ) respect
 to--  7,a7 ! ag+ process 9 wom51 )     
priority giv5 to m5opause2 &  7,b7      
pregnancy1 ) priority giv5 to dea?s     

relat$ to prev5table mat]nal mortality &
 sev]e mat]nal morbidity2  2 &  7#b7 9  
subsection 7d77#d77;,a77iv71 by ins]t+ 1
 includ+ prev5table mat]nal morbidity & 
sev]e mat]nal morbidity be=e !          
semicolon4  #h4 ,rural ob/etric network 
grants ,! ,public ,heal? ,s]vice ,act is
 am5d$ by ins]t+ aft] section #ccj;,a-#a
 7#db ,u4,s4,c4 #bed;c-#a;a7 ! foll[+3  
#ccj;,a-#b4 ,rural ob/etric network     
grants  7a7 ,program e/abli%$ ,!        
,secret>y %all aw>d grants or coop]ative
 agreem5ts to eligible entities to      
e/abli% collaborative improvem5t &      
innovation networks 7ref]r$ to 9 ?is    
section z rural ob/etric networks7 to   
improve mat]nal & infant heal? outcomes 
& r$uce prev5table mat]nal mortality &  
sev]e mat]nal morbidity by improv+      
mat]nity c>e & access to c>e 9 rural    
areas1 fronti] areas1 mat]nity c>e heal?
 pr(essional t>get areas1 or            
jurisdictions ( ,indian ,tribes &       
,tribal organizations4  7b7 ,use ( funds
 ,grants or coop]ative agreem5ts aw>d$  

pursuant to ?is section %all be us$ = ! 
e/abli%m5t or cont9uation (             
collaborative improvem5t & innovation   
networks to improve mat]nal heal? 9     
rural areas by improv+ infant heal? &   
mat]nal outcomes & r$uc+ prev5table     
mat]nal mortality & sev]e mat]nal       
morbidity4 ,rural ob/etric networks     
e/abli%$ 9 accordance ) ?is section     
may--  7#a7 develop a network to improve
 coord9ation & increase access to       
mat]nal heal? c>e & assi/ pregnant wom5 
9 ! areas describ$ 9 subsection 7a7 )   
access+ & utiliz+ mat]nal & ob/etric    
c>e1 includ+ heal? c>e s]vices relat$ to
 pr5atal c>e1 labor c>e1 bir?+1 &       
po/p>tum c>e to improve outcomes 9 bir? 
& mat]nal mortality & morbidity2  7#b7  
id5tify & implem5t evid5ce-bas$ &       
su/a9able deliv]y models = mat]nal &    
ob/etric c>e 7includ+ heal? c>e s]vices 
relat$ to pr5atal c>e1 labor c>e1 bir?+1
 & po/p>tum c>e = wom5 9 ! areas        
describ$ 9 subsection 7a71 includ+ home 
visit+ programs & culturally appropriate

 c>e models t r$uce heal? disp>ities2   
7#c7 develop a model = mat]nal heal? c>e
 collaboration betwe5 heal? c>e sett+s  
to improve access to c>e 9 areas        
describ$ 9 subsection 7a71 :i* may      
include ! use ( teleheal?2  7#d7 provide
 tra9+ = pr(essionals 9 heal? c>e sett+s
 t d n h specialty mat]nity c>e2  7#e7  
collaborate ) academic in/itutions t c  
provide regional exp]tise & help id5tify
 b>ri]s to provid+ mat]nal heal? c>e1   
includ+ /rategies = address+ su* b>ri]s2
 &  7#f7 assess & address disp>ities 9  
infant & mat]nal heal? outcomes1 includ+
 among racial & e?nic m9ority           
populations & und]s]v$ populations 9    
areas describ$ 9 subsection 7a74  7c7   
,def9itions ,9 ?is section3 7#a7        
,eligible entities ,! t]m eligible      
entities means entities provid+ mat]nal 
heal? c>e s]vices 9 rural areas1 fronti]
 areas1 or m$ically und]s]v$ areas1 or  
to m$ically und]s]v$ populations or     
,indian ,tribes or ,tribal              
organizations4  7#b7 ,fronti] area ,!   

t]m fronti] area means a fronti] c\nty1 
z def9$ 9 section                       
#ahhf7;d77#c77;,e77iii77,,iii7 ( !      
,social ,security ,act4  7#c7 ,indian   
,tribes2 ,tribal organization ,! t]ms   
,indian ,tribe & ,tribal organization h 
! mean+s giv5 ! t]ms ,indian tribe &    
tribal organization1 respectively1 9    
section #d ( ! ,indian                  
,self-,det]m9ation & ,education         
,assi/ance ,act4  7#d7 ,mat]nity c>e    
heal? pr(essional t>get area ,! t]m     
mat]nity c>e heal? pr(essional t>get    
area has ! mean+ describ$ 9 section     
#ccb7k77#b74  7d7 ,au?orization (       
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is section     
#c1jjj1jjj = ea* ( fiscal ye>s #bjba    
?r\gh #bjbe4  4  #i4 ,teleheal? network 
& teleheal? res\rce c5t]s grant programs
 ,section #ccj;,i ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#ad7 
is am5d$-- 7#a7 9 subsection 7f77#c71 by
 add+ at ! end ! foll[+3  7,m7 ,provid]s
 ( mat]nal c>e1 includ+ pr5atal1 labor  

c>e1 bir?+1 & po/p>tum c>e s]vices &    
entities op]at+ ob/etric c>e units4  2 &
  7#b7 9 subsection 7h77#a77;,b71 by    
ins]t+ labor c>e1 bir?+ c>e1 po/p>tum   
c>e1 be=e or pr5atal4  #aj4 ,rural      
mat]nal & ob/etric c>e tra9+            
demon/ration ,subp>t #a ( "p ,e ( title 
,,vii ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #bidn et seq47 is am5d$  
by add+ at ! end ! foll[+3  #gfd4 ,rural
 mat]nal & ob/etric c>e tra9+           
demon/ration  7a7 ,9 g5]al ,! ,secret>y 
%all aw>d grants to accr$it$ s*ools (   
allopa?ic m$ic9e1 o/eopa?ic m$ic9e1 &   
nurs+1 & o!r appropriate heal?          
pr(essional tra9+ programs1 to e/abli% a
 tra9+ demon/ration program to support--
  7#a7 tra9+ = physicians1 m$ical       
resid5ts1 fell[s1 nurse practition]s1   
physician assi/ants1 nurses1 c]tifi$    
nurse midwives1 relevant home visit+    
work=ce pr(essionals & p>apr(essionals1 
or o!r pr(essionals :o meet relevant    
,/ate tra9+ & lic5s+ requirem5ts1 z     
applicable1 to provide mat]nal heal? c>e

 s]vices 9 rural community-bas$ sett+s2 
&  7#b7 develop+ recomm5dations = su*   
tra9+ programs4  7b7 ,application ,to be
 eligible to receive a grant "u         
subsection 7a71 an entity %all submit to
 ! ,secret>y an application at su* "t1 9
 su* mann]1 & conta9+ su* in=mation z ! 
,secret>y may require4  7c7 ,activities 
7#a7 ,tra9+ = heal? c>e pr(essionals ,a 
recipi5t ( a grant "u subsection 7a7--  
7,a7 %all use ! grant funds to plan1    
develop1 & op]ate a tra9+ program to    
provide mat]nal heal? c>e 9 rural areas2
 &  7,b7 may use ! grant funds to       
provide additional support = !          
adm9i/ration ( ! program or to meet !   
co/s ( projects to e/abli%1 ma9ta91 or  
improve faculty developm5t1 or          
dep>tm5ts1 divisions1 or o!r units      
necess>y to implem5t su* tra9+4  7#b7   
,tra9+ program requirem5ts ,! recipi5t (
 a grant "u subsection 7a7 %all ensure t
 tra9+ programs c>ri$ out "u ! grant are
 evid5ce-bas$ & address improv+ mat]nal 
heal? c>e 9 rural areas1 & su* programs 

may include tra9+ on topics su* z-- 7,a7
 mat]nal m5tal heal?1 includ+ p]9atal   
depression & anxiety2  7,b7 sub/ance use
 disord]s2  7,c7 social det]m9ants (    
heal? t affect individuals liv+ 9 rural 
areas2 &  7,d7 implicit & explicit bias4
  7d7 ,evaluation & report  7#a7        
,evaluation  7,a7 ,9 g5]al ,! ,secret>y 
%all evaluate ! outcomes ( !            
demon/ration program "u ?is section4    
7,b7 ,data submission ,recipi5ts ( a    
grant "u subsection 7a7 %all submit to !
 ,secret>y p]=mance metrics & o!r relat$
 data 9 ord] to evaluate ! program = !  
report describ$ 9 p>agraph 7#b74  7#b7  
,report to ,congress ,n lat] ?an ,janu>y
 #a1 #bjbe1 ! ,secret>y %all submit to !
 ,committee on ,heal?1 ,education1      
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives a report t      
includes--  7,a7 an analysis ( ! effects
 ( ! demon/ration program "u ?is section
 on ! quality1 quantity1 & di/ribution (
 mat]nal heal? c>e s]vices1 includ+     

heal? c>e s]vices relat$ to pr5atal c>e1
 labor c>e1 bir?+1 & po/p>tum c>e1 & !  
demographics ( ! recipi5ts ( ^? s]vices2
  7,b7 an analysis ( mat]nal & infant   
heal? outcomes 7includ+ quality ( c>e1  
morbidity1 & mortality7 be=e & aft]     
implem5tation ( ! program 9 !           
communities s]v$ by entities p>ticipat+ 
9 ! demon/ration program2 &  7,c7       
recomm5dations on :e!r ! demon/ration   
program %\ld be cont9u$4  7e7           
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to c>ry out  
?is section #e1jjj1jjj = ea* ( fiscal   
ye>s #bjba ?r\gh #bjbe4  4  ,pass$ !    
,h\se ( ,repres5tatives ,septemb] #ba1  
#bjbj4;,cl]k4