,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #fabi ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #i1 #bjbj,ms4 ,pressley 7= h]self1 ,ms4 ,und]wood1 ,ms4 ,adams1 ,ms4 ,sewell ( ,alabama1 ,ms4 ,norton1 ,ms4 ,scanlon1 ,ms4 ,moore1 ,mr4 ,clay1 ,mr4 ,khanna1 & ,mr4 ,lawson ( ,florida7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ! ,judici>y1 & 9 addition to ! ,committee on ,en]gy & ,comm]ce1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to provide improv$ c>e & protection to inc>c]at$ mo!rs1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,ju/ice = ,inc>c]at$ ,moms ,act4 #b4 ,s5se ( ,congress ,x is ! s5se ( ,congress t ! respect & prop] c>e t mo!rs des]ve is inclusive1 & :e!r ! mo!rs are transg5d]1 cisg5d]1 or g5d] noncon=m+1 all des]ve dignity4 #c4 ,end+ ! %ackl+ ( pregnant individuals 7a7 ,9 g5]al ,beg9n+ on ! date t is #f mon?s aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft]1 9 ea* ,/ate t receiv$ a grant "u subp>t #a ( "p ,e ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajaea et seq47 7commonly ref]r$ to z ! ,edw>d ,byrne ,memorial ,ju/ice ,grant ,program7 & t does n h 9 effect ?r\gh\t ! ,/ate = su* fiscal ye> laws re/rict+ ! use ( re/ra9ts on pregnant individuals 9 prison t are sub/antially simil> to ! rights1 proc$ures1 requirem5ts1 effects1 & p5alties set =? 9 section #dcbb ( title #ah1 ,unit$ ,/ates ,code1 ! am\nt ( su* grant t w\ld o!rwise be allocat$ to su* ,/ate "u su* subp>t = ! fiscal ye> %all be decreas$ by #be p]c5t4 7b7 ,reallocation ,am\nts n allocat$ to a ,/ate = failure to comply ) subsection 7a7 %all be reallocat$ 9 accordance ) subp>t #a ( "p ,e ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajaea et seq47 to ,/ates t h compli$ ) su* subsection4 #d4 ,creat+ model programs = ! c>e ( inc>c]at$ individuals 9 ! pr5atal & po/p>tum p]iods 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al1 act+ ?r\gh ! ,director ( ! ,bureau ( ,prisons1 %all e/abli%1 9 n m ?an #f ,bureau ( ,prisons facilities1 programs to optimize mat]nal heal? outcomes = pregnant & po/p>tum individuals inc>c]at$ 9 su* facilities4 ,! ,attorney ,g5]al %all e/abli% su* programs 9 consultation ) /akehold]s su* z-- 7#a7 relevant community-bas$ organizations1 p>ticul>ly organizations t repres5t inc>c]at$ & =m]ly inc>c]at$ individuals & organizations t seek to improve mat]nal heal? outcomes = m9ority wom52 7#b7 relevant organizations repres5t+ pati5ts1 ) a p>ticul> focus on m9ority pati5ts2 7#c7 relevant organizations repres5t+ mat]nal heal? c>e provid]s2 7#d7 noncl9ical p]9atal heal? work]s su* z d\las1 community heal? work]s1 pe] support]s1 c]tifi$ lactation consultants1 nutritioni/s & dietitians1 social work]s1 home visitors1 & navigators2 & 7#e7 rese>*]s & policy exp]ts 9 fields relat$ to wom5's heal? c>e = inc>c]at$ individuals4 7b7 ,/>t date ,ea* select$ facility %all beg9 facility programs n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act4 7c7 ,facility priority ,9 c>ry+ out subsection 7a71 ! ,director %all give priority to a facility bas$ on-- 7#a7 ! numb] ( pregnant & po/p>tum individuals inc>c]at$ 9 su* facility &1 among su* individuals1 ! numb] ( pregnant & po/p>tum m9ority individuals2 & 7#b7 ! ext5t to :i* ! lead]s ( su* facility h demon/rat$ a commitm5t to develop+ exempl>y programs = pregnant & po/p>tum individuals inc>c]at$ 9 su* facility4 7d7 ,program duration ,! programs e/abli%$ "u ?is section %all be = a #e-ye> p]iod4 7e7 ,programs ,bureau ( ,prisons facilities select$ by ! ,director %all e/abli% programs = pregnant & po/p>tum inc>c]at$ individuals1 & su* programs may-- 7#a7 provide access to d\las & o!r p]9atal heal? work]s f pregnancy ?r\gh ! po/p>tum p]iod2 7#b7 provide access to heal?y foods & c\nsel+ on nutrition1 recomm5d$ activity levels1 & safety measures ?r\gh\t pregnancy2 7#c7 tra9 correctional (fic]s & m$ical p]sonnel to ensure t pregnant inc>c]at$ individuals receive trauma-in=m$1 culturally congru5t c>e t promotes ! heal? & safety ( ! pregnant individuals2 7#d7 provide c\nsel+ & treatm5t = individuals :o h suff]$ f-- 7,a7 diagnos$ m5tal or behavioral heal? conditions1 includ+ trauma & sub/ance use disord]s2 7,b7 dome/ic viol5ce2 7,c7 human immunodefici5cy virus2 7,d7 sexual abuse2 7,e7 pregnancy or infant loss2 or 7,f7 *ronic conditions1 includ+ he>t disease1 diabetes1 o/eoporosis & o/eop5ia1 hyp]t5sion1 a/hma1 liv] disease1 & ble$+ disord]s2 7#e7 provide pregnancy & *ildbir? education1 p>5t+ support1 & o!r relevant =ms ( heal? lit]acy2 7#f7 (f] opportunities = po/p>tum individuals to ma9ta9 contact ) ! individual's newborn *ild to promote bond+1 includ+ enhanc$ visitation policies1 access to prison nurs]y programs1 or brea/fe$+ support2 7#g7 provide re5try assi/ance1 p>ticul>ly to-- 7,a7 ensure cont9uity ( heal? insurance cov]age if an inc>c]at$ individual exits ! crim9al ju/ice sy/em dur+ su* individual's pregnancy or 9 ! po/p>tum p]iod2 & 7,b7 connect individuals exit+ ! crim9al ju/ice sy/em dur+ pregnancy or 9 ! po/p>tum p]iod to community-bas$ res\rces1 su* z ref]rals to heal? c>e provid]s & social s]vices t address social det]m9ants ( heal? l h\s+1 employm5t opportunities1 transportation1 & nutrition2 or 7#h7 e/abli% p>tn]%ips ) local public entities1 private community entities1 community-bas$ organizations1 ,indian ,tribes & tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 & urban ,indian organizations 7z su* t]m is def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc77 to e/abli% or exp& pretrial div]sion programs z an alt]native to inc>c]ation = pregnant & po/p>tum individuals4 ,su* programs may include-- 7,a7 p>5t+ classes2 7,b7 pr5atal heal? coord9ation2 7,c7 family & individual c\nsel+2 7,d7 evid5ce-bas$ scre5+s1 education1 &1 z ne$$1 treatm5t = m5tal & behavioral heal? conditions1 includ+ drug & alcohol treatm5ts2 7,e7 family case managem5t s]vices2 7,f7 dome/ic viol5ce education & prev5tion2 7,g7 physical & sexual abuse c\nsel+2 & 7,h7 programs to address social det]m9ants ( heal? su* z employm5t1 h\s+1 education1 transportation1 & nutrition4 7f7 ,implem5tation & report+ ,a select$ facility %all be responsible =-- 7#a7 implem5t+ programs1 :i* may include ! programs describ$ 9 subsection 7e72 & 7#b7 n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 & n #f ye>s aft] ! date ( enactm5t ( ?is ,act1 report+ results ( ! programs to ! ,director1 includ+ in=mation describ+-- 7,a7 relevant quantitative indicators ( success 9 improv+ ! /&>d ( c>e & heal? outcomes = pregnant & po/p>tum inc>c]at$ individuals :o p>ticipat$ 9 su* programs1 includ+ data /ratifi$ by race1 e?nicity1 sex1 age1 geography1 disability /atus1 ! category ( ! crim9al *>ge aga9/ su* individual1 rates ( pregnancy-relat$ dea?s1 pregnancy-associat$ dea?s1 cases ( infant mortality1 cases ( sev]e mat]nal morbidity1 cases ( viol5ce aga9/ pregnant or po/p>tum individuals1 diagnoses ( mat]nal m5tal or behavioral heal? conditions1 & o!r su* in=mation z appropriate2 7,b7 relevant qualitative evaluations f pregnant & po/p>tum inc>c]at$ individuals :o p>ticipat$ 9 su* programs1 includ+ subjective measures ( pati5t-report$ exp]i5ce ( c>e2 7,c7 evaluations ( co/ effectiv5ess2 & 7,d7 /rategies to su/a9 su* programs beyond #bjbf4 7g7 ,report ,n lat] ?an #g ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,director %all submit to ! ,attorney ,g5]al & to ! ,committee on ! ,judici>y ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report describ+ ! results ( ! programs fund$ "u ?is section4 7h7 ,ov]sight ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all aw>d a contract to an indep5d5t organization or indep5d5t organizations to conduct ov]sight ( ! programs describ$ 9 subsection 7e74 7i7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 #e4 ,grant program to improve mat]nal heal? outcomes = individuals 9 ,/ate & local prisons & jails 7a7 ,e/abli%m5t ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al1 act+ ?r\gh ! ,director ( ! ,bureau ( ,ju/ice ,assi/ance1 %all aw>d ,ju/ice = ,inc>c]at$ ,moms grants to ,/ates to e/abli% or exp& programs 9 ,/ate & local prisons & jails = pregnant & po/p>tum inc>c]at$ individuals4 ,! ,attorney ,g5]al %all aw>d su* grants 9 consultation ) /akehold]s su* z-- 7#a7 relevant community-bas$ organizations1 p>ticul>ly organizations t repres5t inc>c]at$ & =m]ly inc>c]at$ individuals & organizations t seek to improve mat]nal heal? outcomes = m9ority wom52 7#b7 relevant organizations repres5t+ pati5ts1 ) a p>ticul> focus on m9ority pati5ts2 7#c7 relevant organizations repres5t+ mat]nal heal? c>e provid]s2 7#d7 noncl9ical p]9atal heal? work]s su* z d\las1 community heal? work]s1 pe] support]s1 c]tifi$ lactation consultants1 nutritioni/s & dietitians1 social work]s1 home visitors1 & navigators2 & 7#e7 rese>*]s & policy exp]ts 9 fields relat$ to wom5's heal? c>e = inc>c]at$ individuals4 7b7 ,applications ,ea* applicant = a grant "u ?is section %all submit to ! ,director ( ! ,bureau ( ,ju/ice ,assi/ance an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,director may require4 7c7 ,use ( funds ,a ,/ate t is aw>d$ a grant "u ?is section %all use su* grant to e/abli% or exp& programs = pregnant & po/p>tum inc>c]at$ individuals1 & su* programs may-- 7#a7 provide access to d\las & o!r p]9atal heal? work]s f pregnancy ?r\gh ! po/p>tum p]iod2 7#b7 provide access to heal?y foods & c\nsel+ on nutrition1 recomm5d$ activity levels1 & safety measures ?r\gh\t pregnancy2 7#c7 tra9 correctional (fic]s & m$ical p]sonnel to ensure t pregnant inc>c]at$ individuals receive trauma-in=m$1 culturally congru5t c>e t promotes ! heal? & safety ( ! pregnant individuals2 7#d7 provide c\nsel+ & treatm5t = individuals :o h suff]$ f-- 7,a7 diagnos$ m5tal or behavioral heal? conditions1 includ+ trauma & sub/ance use disord]s2 7,b7 dome/ic viol5ce2 7,c7 human immunodefici5cy virus2 7,d7 sexual abuse2 7,e7 pregnancy or infant loss2 or 7,f7 *ronic conditions1 includ+ he>t disease1 diabetes1 o/eoporosis & o/eop5ia1 hyp]t5sion1 a/hma1 liv] disease1 & ble$+ disord]s2 7#e7 provide pregnancy & *ildbir? education1 p>5t+ support1 & o!r relevant =ms ( heal? lit]acy2 7#f7 (f] opportunities = po/p>tum individuals to ma9ta9 contact ) ! individual's newborn *ild to promote bond+1 includ+ enhanc$ visitation policies1 access to prison nurs]y programs1 or brea/fe$+ support2 7#g7 provide re5try assi/ance1 p>ticul>ly to-- 7,a7 ensure cont9uity ( heal? insurance cov]age if an inc>c]at$ individual exits ! crim9al ju/ice sy/em dur+ su* individual's pregnancy or 9 ! po/p>tum p]iod2 & 7,b7 connect individuals exit+ ! crim9al ju/ice sy/em dur+ pregnancy or 9 ! po/p>tum p]iod to community-bas$ res\rces1 su* z ref]rals to heal? c>e provid]s & social s]vices t address social det]m9ants ( heal? l h\s+1 employm5t opportunities1 transportation1 & nutrition2 or 7#h7 e/abli% p>tn]%ips ) local public entities1 private community entities1 community-bas$ organizations1 ,indian ,tribes & tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 & urban ,indian organizations 7z su* t]m is def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc77 to e/abli% or exp& pretrial div]sion programs z an alt]native to inc>c]ation = pregnant & po/p>tum individuals4 ,su* programs may include-- 7,a7 p>5t+ classes2 7,b7 pr5atal heal? coord9ation2 7,c7 family & individual c\nsel+2 7,d7 evid5ce-bas$ scre5+s1 education1 &1 z ne$$1 treatm5t = m5tal & behavioral heal? conditions1 includ+ drug & alcohol treatm5ts2 7,e7 family case managem5t s]vices2 7,f7 dome/ic viol5ce education & prev5tion2 7,g7 physical & sexual abuse c\nsel+2 & 7,h7 programs to address social det]m9ants ( heal? su* z employm5t1 h\s+1 education1 transportation1 & nutrition4 7d7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,director ( ! ,bureau ( ,ju/ice ,assi/ance %all give priority to applicants bas$ on-- 7#a7 ! numb] ( pregnant & po/p>tum individuals inc>c]at$ 9 ! ,/ate &1 among su* individuals1 ! numb] ( pregnant & po/p>tum m9ority individuals2 & 7#b7 ! ext5t to :i* ! ,/ate has demon/rat$ a commitm5t to develop+ exempl>y programs = pregnant & po/p>tum individuals inc>c]at$ ! prisons & jails 9 ! ,/ate4 7e7 ,grant duration ,a grant aw>d$ "u ?is section %all be = a #e-ye> p]iod4 7f7 ,implem5t+ & report+ ,a ,/ate t receives a grant "u ?is section %all be responsible =-- 7#a7 implem5t+ ! program fund$ by ! grant2 & 7#b7 n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 & #f ye>s aft] ! date ( enactm5t ( ?is ,act1 report+ results ( su* program to ! ,attorney ,g5]al1 includ+ in=mation describ+-- 7,a7 relevant quantitative indicators ( ! program's success 9 improv+ ! /&>d ( c>e & heal? outcomes = pregnant & po/p>tum inc>c]at$ individuals :o p>ticipat$ 9 su* program1 includ+ data /ratifi$ by race1 e?nicity1 sex1 age1 geography1 disability /atus1 category ( ! crim9al *>ge aga9/ su* individual1 incid5ce rates ( pregnancy-relat$ dea?s1 pregnancy-associat$ dea?s1 cases ( infant mortality1 cases ( sev]e mat]nal morbidity1 cases ( viol5ce aga9/ pregnant or po/p>tum individuals1 diagnoses ( mat]nal m5tal or behavioral heal? conditions1 & o!r su* in=mation z appropriate2 7,b7 relevant qualitative evaluations f pregnant & po/p>tum inc>c]at$ individuals :o p>ticipat$ 9 su* programs1 includ+ subjective measures ( pati5t-report$ exp]i5ce ( c>e2 7,c7 evaluations ( co/ effectiv5ess2 & 7,d7 /rategies to su/a9 su* programs beyond ! duration ( ! grant4 7g7 ,report ,n lat] ?an #g ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all submit to ! ,committee on ! ,judici>y ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report describ+ ! results ( su* grant programs4 7h7 ,ov]sight ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all aw>d a contract to an indep5d5t organization or indep5d5t organizations to conduct ov]sight ( ! programs describ$ 9 subsection 7c74 7i7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 #f4 ,,gao report 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report on adv]se mat]nal heal? outcomes among inc>c]at$ individuals1 ) a p>ticul> focus on racial & e?nic disp>ities 9 mat]nal heal? outcomes = inc>c]at$ individuals4 7b7 ,cont5ts ( report ,! report describ$ 9 ?is section %all include-- 7#a7 to ! ext5t practicable-- 7,a7 ! numb] ( inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local correctional facilities1 :o h exp]i5c$ a pregnancy-relat$ dea? or pregnancy-associat$ dea? 9 ! mo/ rec5t #aj ye>s ( available data2 7,b7 ! numb] ( cases ( sev]e mat]nal morbidity among inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local det5tion facilities1 9 ! mo/ rec5t ye> ( available data2 & 7,c7 /ati/ics on ! racial & e?nic disp>ities 9 mat]nal & infant heal? outcomes & sev]e mat]nal morbidity rates among inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local det5tion facilities2 7#b7 9 ! case t ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates is unable det]m9e ! in=mation requir$ 9 p>agraphs 7#a7 ?r\gh 7#d71 an assessm5t ( ! b>ri]s to det]m9+ su* in=mation & recomm5dations = improvem5ts 9 track+ mat]nal heal? outcomes among inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local det5tion facilities2 7#c7 causes ( adv]se mat]nal heal? outcomes t are unique to inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local det5tion facilities2 7#d7 causes ( adv]se mat]nal heal? outcomes & sev]e mat]nal morbidity t are unique to inc>c]at$ individuals ( color2 7#e7 recomm5dations to r$uce mat]nal mortality & sev]e mat]nal morbidity among inc>c]at$ individuals & to address racial & e?nic disp>ities 9 mat]nal heal? outcomes = inc>c]at$ individuals 9 ,bureau ( ,prisons facilities & ,/ate & local prisons & jails2 & 7#f7 su* o!r in=mation z may be appropriate to r$uce ! occurr5ce ( adv]se mat]nal heal? outcomes among inc>c]at$ individuals & to address racial & e?nic disp>ities 9 mat]nal heal? outcomes = su* individuals4 #g4 ,,macpac report 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,m$icaid & ,,*ip ,paym5t & ,access ,commission 7ref]r$ to 9 ?is section z ,,macpac7 %all publi% a report on ! implications ( pregnant & po/p>tum inc>c]at$ individuals be+ ineligible = m$ical assi/ance "u a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7b7 ,cont5ts ( report ,! report describ$ 9 ?is section %all include-- 7#a7 in=mation on ! effect ( ineligibility = m$ical assi/ance "u a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 on mat]nal heal? outcomes = pregnant & po/p>tum inc>c]at$ individuals1 conc5trat+ on ! effects ( su* ineligibility = pregnant & po/p>tum individuals ( color2 & 7#b7 ! pot5tial implications on mat]nal heal? outcomes result+ f susp5d+ eligibility = m$ical assi/ance "u a ,/ate plan "u su* title ( su* ,act :5 a pregnant or po/p>tum individual is inc>c]at$4 #h4 ,def9itions ,9 ?is ,act3 7#a7 ,culturally congru5t ,! t]m culturally congru5t means 9 agreem5t ) ! pref]r$ cultural values1 beliefs1 worldview1 & practices ( ! heal? c>e consum] & o!r /akehold]s4 7#b7 ,po/p>tum ,! t]m po/p>tum means ! "o-ye> p]iod beg9n+ on ! la/ day ( an individual's pregnancy4