,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #facb  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #i1 #bjbj,mrs4   
,mc,bath 7= h]self1 ,ms4 ,und]wood1 ,ms4
 ,adams1 ,mr4 ,lewis1 ,ms4 ,sewell (    
,alabama1 ,ms4 ,norton1 ,ms4 ,scanlon1  
,ms4 ,moore1 ,mr4 ,clay1 ,mr4 ,khanna1  
,ms4 ,pressley1 & ,mr4 ,lawson (        
,florida7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce1 & 9 addition to ! ,committees 
on ,f9ancial ,s]vices1 ,agriculture1    
,transportation & ,infra/ructure1 &     
,education & ,labor1 = 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 address social  
det]m9ants ( heal? = wom5 9 ! pr5atal & 
po/p>tum p]iods1 & = o!r purposes4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,social ,det]m9ants = ,moms ,act (      
#bjbj4  #b4 ,task =ce to coord9ate ef=ts
 to address social det]m9ants ( heal? = 
wom5 9 ! pr5atal & po/p>tum p]iods  7a7 

,9 g5]al ,! ,secret>y ( ,heal? & ,human 
,s]vices %all conv5e a task =ce 79 ?is  
section ref]r$ to z ! ,task ,=ce7 to    
develop /rategies to coord9ate ef=ts    
across ! ,f$]al ,gov]nm5t to address    
social det]m9ants ( heal? = wom5 9 !    
pr5atal & po/p>tum p]iods4  7b7 ,memb]s 
,! memb]s ( ! ,task ,=ce %all consi/ ( !
 foll[+3 7#a7 ,! ,secret>y ( ,heal? &   
,human ,s]vices 7or ! ,secret>y's       
designee74  7#b7 ,! ,secret>y ( ,h\s+ & 
,urban ,developm5t 7or ! ,secret>y's    
designee74  7#c7 ,! ,secret>y (         
,transportation 7or ! ,secret>y's       
designee74  7#d7 ,! ,secret>y (         
,agriculture 7or ! ,secret>y's          
designee74  7#e7 ,! ,adm9i/rator ( !    
,environm5tal ,protection ,ag5cy 7or !  
,adm9i/rator's designee74  7#f7 ,!      
,assi/ant ,secret>y = ! ,adm9i/ration = 
,*ildr5 & ,families 7or ! ,assi/ant     
,secret>y's designee74  7#g7 ,!         
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices 7or ! ,adm9i/rator's  
designee74  7#h7 ,! ,director ( !       

,indian ,heal? ,s]vice 7or ! ,director's
 designee74  7#i7 ,! ,director ( !      
,national ,in/itutes ( ,heal? 7or !     
,director's designee74  7#aj7 ,!        
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration 7or !            
,adm9i/rator's designee74  7#aa7 ,!     
,deputy ,assi/ant ,secret>y = ,m9ority  
,heal? ( ! ,dep>tm5t ( ,heal? & ,human  
,s]vices 7or ! ,deputy ,assi/ant        
,secret>y's designee74  7#ab7 ,! ,deputy
 ,assi/ant ,secret>y = ,wom5's ,heal? ( 
! ,dep>tm5t ( ,heal? & ,human ,s]vices  
7or ! ,deputy ,assi/ant ,secret>y's     
designee74  7#ac7 ,! ,director ( !      
,c5t]s = ,disease ,control & ,prev5tion 
7or ! ,director's designee74  7#ad7 ,a  
woman :o has exp]i5c$ sev]e mat]nal     
morbidity or a family memb] ( a woman :o
 has suff]$ a pregnancy-relat$ dea?4    
7#ae7 ,a lead] ( a community-bas$       
organization t addresses mat]nal        
mortality & sev]e mat]nal morbidity ) a 
specific focus on racial & e?nic        
disp>ities4  7#af7 ,a mat]nal heal? c>e 

provid]4  7c7 ,*air ,! ,secret>y (      
,heal? & ,human ,s]vices %all select !  
,*air ( ! ,task ,=ce f among ! memb]s ( 
! ,task ,=ce4  7d7 ,report ,n lat] ?an  
#b ye>s aft] ! date ( enactm5t ( ?is    
,act1 ! ,task ,=ce %all-- 7#a7 f9alize  
/rategies to coord9ate ef=ts across !   
,f$]al ,gov]nm5t to address social      
det]m9ants ( heal? = wom5 9 ! pr5atal & 
po/p>tum p]iods2 &  7#b7 submit a report
 on su* /rategies to ! ,congress1       
includ+-- 7,a7 plans = implem5t+ su*    
/rategies2 &  7,b7 recomm5dations on !  
fund+ am\nts ne$$ by ea* dep>tm5t &     
ag5cy to implem5t su* /rategies4  7e7   
,t]m9ation ,t]m9ation "u section #ad ( !
 ,f$]al ,advisory ,committee ,act 7#e   
,u4,s4,c4 ,app47 %all n apply to ! ,task
 ,=ce4  #c4 ,requirem5ts = guidance     
relat+ to social det]m9ants ( heal? =   
pregnant wom5  7a7 ,9 g5]al ,n lat] ?an 
#a ye> aft] ! date ( ! enactm5t ( ?is   
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all issue guidance ) respect  
to h[ m$icaid manag$ c>e organizations &

 ,/ate ,m$icaid programs c use paym5ts  
made pursuant to section #aijc ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7 to address ! foll[+ issues     
relat$ to social det]m9ants ( heal? =   
high-risk mo!rs dur+ ! presumptive      
eligibility p]iod = pregnant wom53 7#a7 
,h\s+4  7#b7 ,transportation4  7#c7     
,nutrition4  7#d7 ,lactation & o!r      
infant fe$+ options support4  7#e7 ,lead
 te/+ & abatem5t4  7#f7 ,air & wat]     
quality4  7#g7 ,c> seat in/allation4    
7#h7 ,*ild c>e access4  7#i7 ,wellness &
 /ress managem5t programs4  7#aj7 ,o!r  
social det]m9ants ( heal? 7z det]m9$ by 
! ,secret>y74  7b7 ,def9itions ,9 ?is   
section3 7#a7 ,m$icaid manag$ c>e       
organizations ,! t]m m$icaid manag$ c>e 
organization has ! mean+ giv5 su* t]m 9 
section #aijc7m77#a77;,a7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#acif;b7m77#a77;,a774  7#b7 ,presumptive
 eligibility p]iod ,! t]m presumptive   
eligibility p]iod has ! mean+ giv5 su*  
t]m 9 section #aibj7;b77#a7 ( ! ,social 

,security ,act 7#db ,u4,s4,c4           
#acifr-#a7;b77#a774  #d4 ,dep>tm5t (    
,h\s+ & ,urban ,developm5t ,! ,secret>y 
( ,h\s+ & ,urban ,developm5t %all       
e/abli% a new ,h\s+ = ,moms task =ce )9 
! ,dep>tm5t t %all be responsible =     
ensur+ t wom5 9 ! pr5atal & po/p>tum    
p]iods h safe1 /able1 af=dable1 &       
adequate h\s+ = !mselves & _! o!r       
*ildr54 ,! task =ce %all-- 7#a7 /udy h[ 
! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t
 c support wom5 9 ! pr5atal & po/p>tum  
p]iods & make recomm5dations to !       
,secret>y2  7#b7 provide guidance to    
regional (fices ( ! ,dep>tm5t on        
measures to ensure t local h\s+         
infra/ructure is supportive to wom5 9 ! 
pr5atal & po/p>tum p]iods1 includ+      
provid+ in=mation on-- 7,a7             
heal?-promot+ h\s+ codes2  7,b7 en=cem5t
 ( h\s+ codes2  7,c7 proactive r5tal    
inspection programs2  7,d7 code en=cem5t
 (fic] tra9+2 &  7,e7 p>tn]%ips betwe5  
regional (fices ( ! ,dep>tm5t &         
community organizations to ensure h\s+  

laws are und]/ood & violations are      
discov]$2 &  7#c7 n lat] ?an #b ye>s    
aft] ! date ( enactm5t ( ?is ,act1 &    
annually !reaft]1 submit to ! ,congress 
a report summ>iz+ ! activities ( ! task 
=ce4  #e4 ,dep>tm5t ( ,transportation   
7a7 ,report ,n lat] ?an #a ye> aft] !   
date ( enactm5t ( ?is ,act1 ! ,secret>y 
( ,transportation %all submit to        
,congress a report conta9+-- 7#a7 an    
assessm5t ( transportation b>ri]s       
prev5t+ individuals f att5d+ pr5atal &  
po/p>tum appo9tm5ts1 access+ mat]nal    
heal? c>e s]vices1 or access+ s]vices & 
res\rces relat$ to social det]m9ants (  
heal? t affect mat]nal heal? outcomes1  
su* z heal?y foods2  7#b7 recomm5dations
 on h[ to ov]come su* b>ri]s2 &  7#c7 an
 assessm5t ( transportation safety risks
 = pregnant individuals & recomm5dations
 on h[ to mitigate su* risks4  7b7      
,consid]ations ,9 c>ry+ out subsection  
7a71 ! ,secret>y %all give special      
consid]ation to solutions =-- 7#a7 wom5 
liv+ 9 a heal? pr(essional %ortage area 

designat$ "u section #ccb ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bed;e72 &  7#b7 wom5 liv+ 9 areas )    
high mat]nal mortality or sev]e         
morbidity rates & significant racial or 
e?nic disp>ities 9 mat]nal heal?        
outcomes4  #f4 ,dep>tm5t ( ,agriculture 
7a7 ,special supplem5tal nutrition      
program  7#a7 ,ext5sion ( po/p>tum p]iod
 ,section #ag7;b77#aj7 ( ! ,*ild        
,nutrition ,act ( #aiff 7#db ,u4,s4,c4  
#aghf7;b77#aj77 is am5d$ by /rik+ six   
mon?s & ins]t+ #bd mon?s4  7#b7         
,ext5sion ( brea/fe$+ p]iod ,section    
#ag7;d77#c77;,a77ii7 ( ! ,*ild          
,nutrition ,act ( #aiff 7#g ,u4,s4,c4   
#adca7;d77#c77;,a77ii77 is am5d$ by     
/rik+ #a ye> & ins]t+ #bd mon?s4  7#c7  
,report ,n lat] ?an #b ye>s aft] ! date 
( ! enactm5t ( ?is section1 ! ,secret>y 
%all submit to ,congress a report t     
includes an evaluation ( ! effect ( ea* 
( ! am5dm5ts made by ?is subsection on--
 7,a7 mat]nal & infant heal? outcomes1  
includ+ racial & e?nic disp>ities )     

respect to su* outcomes2  7,b7          
qualitative evaluations ( family        
exp]i5ces "u ! special supplem5tal      
nutrition program "u section #ag ( !    
,*ild ,nutrition ,act ( #aiff 7#db      
,u4,s4,c4 #aghf72 &  7,c7 ! co/         
effectiv5ess ( su* special supplem5tal  
nutrition program4  7b7 ,grant program =
 heal?y food & clean wat] = pregnant &  
po/p>tum wom5  7#a7 ,9 g5]al ,!         
,secret>y %all c>ry out a grant program 
to make grants on a competitive basis to
 eligible entities to c>ry out !        
nutritional activities describ$ 9       
p>agraph 7#d74  7#b7 ,application ,to be
 eligible to receive a grant "u ?is     
subsection an eligible entity %all      
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,secret>y may provide4    
7#c7 ,priority ,9 aw>d+ grants "u ?is   
subsection1 ! ,secret>y %all give       
priority to an eligible entity t        
proposes 9 an application "u p>agraph   
7#b7 to use ! grant funds to c>ry out   

activities 9 areas )-- 7,a7 high mat]nal
 mortality or sev]e mat]nal morbidity   
rates2 &  7,b7 significant racial or    
e?nic disp>ities 9 mat]nal heal?        
outcomes4  7#d7 ,use ( funds ,an        
eligible entity t receives a grant "u   
?is subsection %all use funds "u ! grant
 to deliv] heal?y food1 infant =mula1 or
 clean wat] to pregnant & po/p>tum wom5 
locat$ 9 areas t are food des]ts1 z     
det]m9$ by ! ,secret>y us+ data f !     
,food ,access ,rese>* ,atlas ( !        
,dep>tm5t ( ,agriculture4  7#e7 ,report 
,n lat] ?an #b ye>s aft] ! date ( !     
enactm5t ( ?is section1 ! ,secret>y %all
 submit to ,congress a report t         
includes-- 7,a7 an evaluation ( ! effect
 ( ! grant program "u ?is subsection on 
mat]nal & infant heal? outcomes1 includ+
 racial & e?nic disp>ities ) respect to 
su* outcomes2 &  7,b7 recomm5dations )  
respect to ensur+ ! activities describ$ 
9 p>agraph 7#d7 cont9ue aft] ! grant    
p]iod fund+ su* activities expires4     
7#f7 ,au?orization ( appropriations ,!re

 are au?oriz$ to be appropriat$ su* sums
 z may be necess>y to c>ry out ?is      
subsection = fiscal ye>s #bjba ?r\gh    
#bjbc4  7c7 ,def9itions ,9 ?is section3 
7#a7 ,eligible entity ,! t]m eligible   
entity includes 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 #afjc774  7#b7 ,secret>y ,!   
t]m ,secret>y means ! ,secret>y (       
,agriculture4  #g4 ,environm5tal /udy   
?r\gh ,national ,academies  7a7 ,9 g5]al
 ,! ,adm9i/rator ( ! ,environm5tal      
,protection ,ag5cy %all seek to ent] an 
agreem5t1 n lat] ?an #fj days aft] !    
date ( enactm5t ( ?is ,act1 ) !         
,national ,academies ( ,sci5ces1        
,eng9e]+1 & ,m$ic9e 7ref]r$ to 9 ?is    

section z ! ,national ,academies7 "u :i*
 ! ,national ,academies agree to conduct
 a /udy on ! impacts ( wat] & air       
quality1 exposure to extreme            
temp]atures1 & pollution levels on      
mat]nal & infant heal? outcomes4  7b7   
,/udy requirem5ts ,! agreem5t "u        
subsection 7a7 %all direct ! ,national  
,academies to make recomm5dations =--   
7#a7 improv+ environm5tal conditions to 
improve mat]nal & infant heal? outcomes2
 &  7#b7 r$uc+ or elim9at+ racial &     
e?nic disp>ities 9 su* outcomes4  7c7   
,report ,! agreem5t "u subsection 7a7   
%all direct ! ,national ,academies to   
complete ! /udy "u ?is section &        
transmit to ! ,congress a report on !   
results ( ! /udy n lat] ?an #bd mon?s   
aft] ! date ( enactm5t ( ?is ,act4  #h4 
,*ild c>e access  7a7 ,grant program ,! 
,secret>y ( ,heal? & ,human ,s]vices 79 
?is section ref]r$ to z ! ,secret>y7    
%all aw>d grants to eligible            
organizations to provide pregnant &     
po/p>tum wom5 ) free drop-9 *ild c>e    

s]vices dur+ pr5atal & po/p>tum         
appo9tm5ts4  7b7 ,eligible organizations
 ,to be eligible to receive a grant "u  
?is section1 an organization %all-- 7#a7
 be an organization t c>ries out        
programs provid+ pregnant & po/p>tum    
wom5 ) free & accessible drop-9 *ild c>e
 s]vices dur+ pr5atal & po/p>tum        
appo9tm5ts 9 areas :i* ! ,secret>y      
det]m9es h a high mat]nal mortality &   
sev]e morbidity rate & significant      
racial & e?nic disp>ities 9 mat]nal     
heal? outcomes2 &  7#b7 n h previ\sly   
receiv$ a grant "u ?is section4  7c7    
,duration ,! ,secret>y %all comm5ce !   
grant program "u subsection 7a7 n lat]  
?an #a ye> aft] ! date ( ! enactm5t (   
?is ,act4  7d7 ,evaluation ,! ,secret>y 
%all evaluate ea* grant aw>d$ "u ?is    
section to det]m9e ! effects ( ! grant  
on-- 7#a7 pr5atal & po/p>tum appo9tm5t  
att5dance rates2  7#b7 mat]nal heal?    
outcomes ) a specific focus on racial & 
e?nic disp>ities 9 su* outcomes2  7#c7  
pregnant & po/p>tum wom5 p>ticipat+ 9 ! 

fund$ programs1 & ! families ( su* wom52
 &  7#d7 co/ effectiv5ess4  7e7 ,report 
,n lat] ?an ,septemb] #cj1 #bjbc1 !     
,secret>y %all submit to ! ,congress a  
report conta9+ ! foll[+3 7#a7 ,a summ>y 
( ! evaluations "u subsection 7d74  7#b7
 ,a description ( actions ! ,secret>y c 
take to ensure t pregnant & po/p>tum    
wom5 eligible = m$ical assi/ance "u a   
,/ate plan "u title ,,xix ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #aicf et  
seq47 h access to free drop-9 *ild c>e  
s]vices dur+ pr5atal & po/p>tum         
appo9tm5ts1 includ+ id5tification ( !   
fund+ necess>y to c>ry out su* actions4 
7f7 ,drop-,9 *ild c>e s]vices def9$ ,9  
?is section1 ! t]m drop-9 *ild c>e      
s]vices means *ild c>e & e>ly *ildhood  
education s]vices t are-- 7#a7 deliv]$  
at a facility t meets ! requirem5ts (   
all applicable laws & regulations ( !   
,/ate or local gov]nm5t 9 :i* x is      
locat$1 includ+ ! lic5s+ ( ! facility z 
a *ild c>e facility2 &  7#b7 provid$ 9  
s+le enc\nt]s )\t requir+ full-"t       

enrollm5t ( a p]son 9 a *ild c>e        
program4  7g7 ,au?orization (           
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$      
#a1jjj1jjj = ea* ( fiscal ye>s #bjba    
?r\gh #bjbc4  #i4 ,grants to ,/ate1     
local1 & ,tribal public heal? dep>tm5ts 
address+ social det]m9ants ( heal? =    
pregnant & po/p>tum wom5  7a7 ,9 g5]al  
,! ,secret>y ( ,heal? & ,human ,s]vices 
79 ?is section ref]r$ to z ! ,secret>y7 
%all aw>d grants to ,/ate1 local1 &     
,tribal public heal? dep>tm5ts to       
address social det]m9ants ( mat]nal     
heal? 9 ord] to r$uce or elim9ate racial
 & e?nic disp>ities 9 mat]nal heal?     
outcomes4  7b7 ,use ( funds ,a public   
heal? dep>tm5t receiv+ a grant "u ?is   
section may use funds receiv$ ?r\gh !   
grant to-- 7#a7 build capacity & hire   
/aff to coord9ate ef=ts ( ! public heal?
 dep>tm5t to address social det]m9ants (
 mat]nal heal?2  7#b7 develop1 & provide
 = di/ribution (1 res\rce li/s (        
available social s]vices = wom5 9 !     

pr5atal & po/p>tum p]iods1 :i* social   
s]vices may include-- 7,a7              
transportation v\*]s2  7,b7 h\s+        
supports2  7,c7 *ild c>e access2  7,d7  
heal?y food access2  7,e7 nutrition     
c\nsel+2  7,f7 lactation supports2  7,g7
 lead te/+ & abatem5t2  7,h7 clean wat]2
  7,i7 infant =mula2  7,j7 mat]nal m5tal
 & behavioral heal? c>e s]vices2  7,k7  
wellness & /ress managem5t programs2 &  
7,l7 o!r social s]vices z det]m9$ by !  
public heal? dep>tm5t2  7#c7 9          
consultation ) local /akehold]s1 e/abli%
 or designate a "o-/op res\rce c5t] t   
provides coord9at$ social s]vices 9 a   
s+le location = wom5 9 ! pr5atal or     
po/p>tum p]iod2 or  7#d7 directly       
address specific social det]m9ant ne$s =
 ! community t are relat$ to mat]nal    
heal? z id5tifi$ by ! public heal?      
dep>tm5t1 su* z-- 7,a7 transportation2  
7,b7 h\s+2  7,c7 *ild c>e2  7,d7 heal?y 
foods2  7,e7 infant =mula2  7,f7        
nutrition c\nsel+2  7,g7 lactation      
supports2  7,h7 lead te/+ & abatem5t2   

7,i7 air & wat] quality2  7,j7 wellness 
& /ress managem5t programs2 &  7,k7 o!r 
social det]m9ants z det]m9$ by ! public 
heal? dep>tm5t4  7c7 ,special           
consid]ation ,9 aw>d+ grants "u         
subsection 7a71 ! ,secret>y %all give   
special consid]ation to ,/ate1 local1 & 
,tribal public heal? dep>tm5ts t-- 7#a7 
propose to use ! grants to r$uce or end 
racial & e?nic disp>ities 9 mat]nal     
mortality & sev]e morbidity rates2 &    
7#b7 op]ate 9 areas ) high rates (--    
7,a7 mat]nal mortality & sev]e          
morbidity2 or  7,b7 significant racial &
 e?nic disp>ities 9 mat]nal mortality & 
sev]e morbidity rates4  7d7 ,guidance on
 /rategies ,9 c>ry+ out ?is section1 !  
,secret>y %all provide guidance to      
grantees on /rategies = long-t]m        
viability ( programs fund$ ?r\gh ?is    
section aft] su* fund+ ends4  7e7       
,report+  7#a7 ,by grantees ,z a        
condition on receipt ( a grant "u ?is   
section1 a grantee %all agree to-- 7,a7 
evaluate ! activities fund$ ?r\gh !     

grant ) respect to-- 7i7 mat]nal heal?  
outcomes ) a specific focus on racial & 
e?nic disp>ities2  7ii7 ! subjective    
assessm5t ( su* activities by !         
b5efici>ies ( su* activities1 includ+   
mo!rs & _! families2 &  7iii7 co/       
effectiv5ess & return on inve/m5t2 &    
7,b7 n lat] ?an #ahj days aft] ! end ( !
 p]iod ( ! grant1 submit a report on !  
results ( su* evaluation to ! ,secret>y4
  7#b7 ,by ,secret>y ,n lat] ?an ! end (
 fiscal ye> #bjbf1 ! ,secret>y %all     
submit a report to ! ,congress-- 7,a7   
summ>iz+ ! evaluations submitt$ "u      
p>agraph 7#a72 &  7,b7 mak+             
recomm5dations = improv+ mat]nal heal? &
 r$uc+ or elim9at+ racial & e?nic       
disp>ities 9 mat]nal heal? outcomes1    
bas$ on ! results ( grants "u ?is       
section4  7f7 ,au?orization (           
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section     
#ae1jjj1jjj = ea* ( fiscal ye>s #bjba   
?r\gh #bjbe4  #aj4 ,def9ition ,9 ?is    
,act1 ! t]m po/p>tum means ! "o-ye>     

p]iod beg9n+ on ! la/ day ( a woman's   
pregnancy4