,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #fach  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #i1 #bjbj,ms4    
,johnson ( ,texas 7= h]self1 ,ms4       
,und]wood1 ,ms4 ,adams1 ,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]ce  ,a ,,bill  ,to improve mat]nal
 heal? outcomes1 especially = und]s]v$  
populations1 ?r\gh inve/m5ts 9          
te*nology1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,te* to 
,save ,moms ,act4  #b4 ,,cmi model+ (   
integrat$ teleheal? models 9 mat]nity   
c>e s]vices  7a7 ,9 g5]al ,section      
#aaae;,a7b77#b77;,b7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#acae;a7b77#b77;,b77 is am5d$ by add+ at
 ! end ! foll[+ new clauses3  7xxviii7  
,focus+ on title ,,xix1 provid+ = !     
adoption ( & use ( teleheal? tools t    
all[ = scre5+ & treatm5t ( common       

pregnancy-relat$ complications 7includ+ 
anxiety & depression1 sub/ance use      
disord]1 hemorrhage1 infection1 amniotic
 fluid embolism1 ?rombotic pulmon>y or  
o!r embolism1 hyp]t5sive disord]s (     
pregnancy1 c]ebrovascul> accid5ts1      
c>diomyopa?y1 & o!r c>diovascul>        
conditions7 = a pregnant woman receiv+  
m$ical assi/ance "u su* title dur+ h]   
pregnancy & = n m ?an a #a-ye> p]iod    
beg9n+ on ! la/ day ( h] pregnancy4  4  
7b7 ,effective date ,! am5dm5t made by  
subsection 7a7 %all take effect #a ye>  
aft] ! date ( ! enactm5t ( ?is ,act4    
#c4 ,grants to exp& ! use (             
te*nology-enabl$ collaborative le>n+ &  
capacity models t provide c>e to        
pregnant & po/p>tum wom5 ,title ,,iii ( 
! ,public ,heal? ,s]vice ,act is am5d$  
by ins]t+ aft] section #ccj,m 7#db      
,u4,s4,c4 #bed;c-#ai7 ! foll[+3  #ccj,n4
 ,exp&+ capacity = mat]nal heal?        
outcomes  7a7 ,program e/abli%$ ,beg9n+ 
n lat] ?an #a ye> aft] ! date ( enactm5t
 ( ?is ,act1 ! ,secret>y ( ,heal? &     

,human ,s]vices %all1 z appropriate1    
aw>d grants to eligible entities to     
evaluate1 develop1 &1 z appropriate1    
exp& ! use ( te*nology-enabl$           
collaborative le>n+ & capacity build+   
models1 to improve mat]nal heal?        
outcomes 9 heal? pr(essional %ortage    
areas2 areas ) high rates ( mat]nal     
mortality & sev]e mat]nal morbidity1 &  
significant racial & e?nic disp>ities 9 
mat]nal heal? outcomes2 & = m$ically    
und]s]v$ populations or ,am]ican        
,indians & ,alaska ,natives1 includ+    
,indian tribes1 ,tribal organizations1 &
 urban ,indian organizations4  7b7 ,use 
( ,funds  7#a7 ,requir$ uses ,grants    
aw>d$ "u subsection 7a7 %all be us$ =-- 
7,a7 ! developm5t & acquisition (       
in/ructional programm+1 & ! tra9+ (     
mat]nal heal? c>e provid]s & o!r        
pr(essionals t provide or assi/ 9 !     
provision ( s]vices ?r\gh models su* z--
 7i7 tra9+ on adopt+ & effectively      
implem5t+ ,alliance = ,innovation on    
,mat]nal ,heal? 7ref]r$ to 9 ?is section

 z ,,aim7 safety & quality improvem5t   
bundles2  7ii7 tra9+ on implicit &      
explicit bias1 racism1 & discrim9ation =
 provid]s ( mat]nity c>e2  7iii7 tra9+  
on be/ practices 9 scre5+ = &1 z ne$$1  
evaluat+ & treat+ mat]nal m5tal heal?   
conditions & sub/ance use disord]s2     
7iv7 tra9+ on h[ to scre5 = social      
det]m9ants ( heal? risks 9 ! pr5atal &  
po/p>tum p]iods su* z inadequate h\s+1  
lack ( access to nutrition1 environm5tal
 risks1 & transportation b>ri]s2 &  7v7 
tra9+ on ! use ( remote pati5t monitor+ 
tools = pregnancy-relat$ complications  
describ$ 9 section                      
#aaae;,a7b77#b77;,b77xxviii72  7,b7     
in=mation collection & evaluation       
activities to-- 7i7 /udy ! impact ( su* 
models on-- 7,i7 access to & quality (  
c>e2  7,,ii7 pati5t outcomes2  7,,iii7  
subjective measures ( pati5t exp]i5ce2 &
  7,,iv7 co/-effectiv5ess2 &  7ii7      
id5tify be/ practices = ! expansion &   
use ( su* models2  7,c7 in=mation       
collection & evaluation activities to   

/udy ! impact ( su* models on pati5t    
outcomes & mat]nal heal? c>e provid]s1 &
 to id5tify be/ practices ! expansion & 
use ( su* models2 &  7,d7 any o!r       
activity consi/5t ) a*iev+ ! objectives 
( grants aw>d$ "u ?is section1 z det]m9$
 by ! ,secret>y4  7#b7 ,p]missible uses 
,9 addition to any ( ! uses "u p>agraph 
7#a71 grants aw>d$ "u subsection 7a7 may
 be us$ =-- 7,a7 equipm5t to support !  
use & expansion ( te*nology-enabl$      
collaborative le>n+ & capacity build+   
models1 includ+ = h>dw>e & s(tw>e t     
enables di/ance le>n+1 mat]nal heal? c>e
 provid] support1 & ! secure ex*ange (  
electronic heal? in=mation2 &  7,b7     
support = mat]nal heal? c>e provid]s &  
o!r pr(essionals t provide or assi/ 9 ! 
provision ( mat]nity c>e s]vices ?r\gh  
su* models4  7c7 ,limitations  7#a7     
,numb] ,! ,secret>y may n aw>d m ?an #a 
grant "u ?is section to an eligible     
entity4  7#b7 ,duration ,ea* grant "u   
?is section %all be made = a p]iod ( up 
to #e ye>s4  7#c7 ,am\nt ,! ,secret>y   

%all det]m9e ! maximum am\nt ( ea* grant
 "u ?is section4  7d7 ,grant requirem5ts
 ,! ,secret>y %all require entities     
aw>d$ a grant "u ?is section to collect 
in=mation on ! effect ( ! use (         
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models1 su* z on mat]nal
 heal? outcomes1 access to mat]nal heal?
 c>e s]vices1 quality ( mat]nal heal?   
c>e1 & mat]nal heal? c>e provid]        
ret5tion 9 areas & populations describ$ 
9 subsection 7a74 ,! ,secret>y may aw>d 
a grant or contract to assi/ 9 !        
coord9ation ( su* models1 includ+ to    
assess outcomes associat$ ) ! use ( su* 
models 9 grants aw>d$ "u subsection 7a71
 includ+ = ! purpose describ$ 9         
subsection 7b77#a77;,b74  7e7           
,application  7#a7 ,9 g5]al ,an eligible
 entity t seeks to receive a grant "u   
subsection 7a7 %all submit to !         
,secret>y an application1 at su* "t1 9  
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7#b7 ,matt]s to 
be includ$ ,su* application %all include

 plans to assess ! effect (             
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models on indicators1   
includ+ access to & quality ( c>e1      
pati5t outcomes1 subjective measures (  
pati5t exp]i5ce1 & co/-effectiv5ess4    
,su* indicators may focus on-- 7,a7     
heal? pr(essional %ortage areas2  7,b7  
areas ) high rates ( mat]nal mortality &
 sev]e mat]nal morbidity1 & significant 
racial & e?nic disp>ities 9 mat]nal     
heal? outcomes2 &  7,c7 m$ically        
und]s]v$ populations or ,am]ican        
,indians & ,alaska ,natives1 includ+    
,indian tribes1 ,tribal organizations1 &
 urban ,indian organizations4  7f7      
,access to broadb& ,9 adm9i/]+ grants "u
 ?is section1 ! ,secret>y may coord9ate 
) o!r ag5cies to ensure t fund+         
opportunities are available to support  
access to reliable1 high-spe$ int]net = 
grantees4  7g7 ,te*nical assi/ance ,!   
,secret>y %all provide 7ei!r directly   
?r\gh ! ,dep>tm5t ( ,heal? & ,human     
,s]vices or by contract7 te*nical       

assi/ance to eligible entities1 includ+ 
recipi5ts ( grants "u subsection 7a71 on
 ! developm5t1 use1 & po/-grant         
su/a9ability ( te*nology-enabl$         
collaborative le>n+ & capacity build+   
models 9 ord] to exp& access to mat]nal 
heal? c>e s]vices provid$ by su*        
entities1 includ+ = heal? pr(essional   
%ortage areas & areas ) high rates (    
mat]nal mortality & sev]e mat]nal       
morbidity1 & significant racial & e?nic 
disp>ities 9 mat]nal heal? outcomes1 &  
to m$ically und]s]v$ populations or     
,am]ican ,indians & ,alaska ,natives1   
includ+ ,indian tribes1 ,tribal         
organizations1 & urban ,indian          
organizations4  7h7 ,rese>* & evaluation
 ,! ,secret>y1 9 consultation )         
/akehold]s ) appropriate exp]tise 9 su* 
models1 %all develop a /rategic plan to 
rese>* & evaluate ! evid5ce = su*       
models4 ,! ,secret>y %all use su* plan  
to in=m ! activities c>ri$ out "u ?is   
section4  7i7 ,report+  7#a7 ,by        
eligible entities ,an eligible entity t 

receives a grant "u subsection 7a7 %all 
submit to ! ,secret>y a report1 at su*  
"t1 9 su* mann]1 & conta9+ su* in=mation
 z ! ,secret>y may require4  7#b7 ,by ! 
,secret>y ,n lat] ?an #d ye>s aft] !    
date ( enactm5t ( ?is section1 !        
,secret>y %all prep>e & submit to !     
,congress1 & po/ on ! int]net website ( 
! ,dep>tm5t ( ,heal? & ,human ,s]vices1 
a report includ+1 at m9imum-- 7,a7 a    
description ( any new & cont9u+ grants  
aw>d$ "u subsection 7a7 & ! specific    
purpose & am\nts ( su* grants2  7,b7 an 
ov]view (-- 7i7 ! evaluations conduct$  
"u subsection 7b72  7ii7 te*nical       
assi/ance provid$ "u subsection 7g72 &  
7iii7 activities conduct$ by entities   
aw>d$ grants "u subsection 7a72 &  7,c7 
a description ( any significant f9d+s   
relat$ to pati5t outcomes or mat]nal    
heal? c>e provid]s & be/ practices =    
eligible entities exp&+1 us+1 or        
evaluat+ te*nology-enabl$ collaborative 
le>n+ & capacity build+ models4  7j7    
,au?orization ( appropriations ,!re is  

au?oriz$ to be appropriat$ to c>ry out  
?is section1 #f1jjj1jjj = ea* ( fiscal  
ye>s #bjba ?r\gh #bjbe4  7k7 ,def9itions
 ,9 ?is section3 7#a7 ,eligible entity  
7,a7 ,9 g5]al ,! t]m eligible entity    
means an entity t provides1 or supports 
! provision (1 mat]nal heal? c>e s]vices
 or o!r evid5ce-bas$ s]vices = pregnant 
& po/p>tum wom5-- 7i7 9 heal?           
pr(essional %ortage areas2  7ii7 9 areas
 ) high rates ( adv]se mat]nal heal?    
outcomes & significant racial & e?nic   
disp>ities 9 mat]nal heal? outcomes2 or 
7iii7 m$ically und]s]v$ populations or  
,am]ican ,indians & ,alaska ,natives1   
includ+ ,indian tribes1 ,tribal         
organizations1 & urban ,indian          
organizations4  7,b7 ,inclusions ,an    
eligible entity may include entities    
lead+1 or capable ( lead+1 a            
te*nology-enabl$ collaborative le>n+ &  
capacity build+ model or engag+ 9       
te*nology-enabl$ collaborative tra9+ (  
p>ticipants 9 su* model4  7#b7 ,heal?   
pr(essional %ortage area ,! t]m heal?   

pr(essional %ortage area means a heal?  
pr(essional %ortage area designat$ "u   
section #ccb4  7#c7 ,indian tribe ,! t]m
 ,indian tribe has ! mean+ giv5 su* t]m 
9 section #d ( ! ,indian                
,self-,det]m9ation & ,education         
,assi/ance ,act4  7#d7 ,mat]nal         
mortality ,! t]m mat]nal mortality means
 a dea? occurr+ dur+ or )9 a #a-ye>     
p]iod aft] pregnancy caus$ by pregnancy 
or *ildbir? complications4  7#e7        
,m$ically und]s]v$ population ,! t]m    
m$ically und]s]v$ population has ! mean+
 giv5 su* t]m 9 section #ccj7;b77#c74   
7#f7 ,po/p>tum ,! t]m po/p>tum means !  
#a-ye> p]iod beg9n+ on ! la/ date ( !   
pregnancy ( a woman4  7#g7 ,sev]e       
mat]nal mortality ,! t]m sev]e mat]nal  
morbidity means an unexpect$ outcome    
caus$ by labor & deliv]y ( a woman t    
results 9 a significant %ort-t]m or     
long-t]m consequ5ces to ! heal? ( !     
woman4  7#h7 ,te*nology-enabl$          
collaborative le>n+ & capacity build+   
model ,! t]m te*nology-enabl$           

collaborative le>n+ & capacity build+   
model means a di/ance heal? education   
model t connects heal? c>e pr(essionals1
 & p>ticul>ly speciali/s1 ) multiple o!r
 heal? c>e pr(essionals ?r\gh           
simultane\s int]active videoconf]5c+ = !
 purpose ( facilitat+ case-bas$ le>n+1  
dissem9at+ be/ practices1 & evaluat+    
outcomes 9 ! context ( mat]nal heal?    
c>e4  7#i7 ,tribal organization ,! t]m  
,tribal organization has ! mean+ giv5   
su* t]m 9 section #d ( ! ,indian        
,self-,det]m9ation & ,education         
,assi/ance ,act4  7#aj7 ,urban ,indian  
organization ,! t]m urban ,indian       
organization has ! mean+ giv5 su* t]m 9 
section #d ( ! ,indian ,heal? ,c>e      
,improvem5t ,act4  4  #d4 ,grants to    
promote equity 9 mat]nal heal? outcomes 
by increas+ access to digital tools  7a7
 ,9 g5]al ,beg9n+ n lat] ?an #a ye> aft]
 ! date ( ! enactm5t ( ?is ,act1 !      
,secret>y ( ,heal? & ,human ,s]vices    
%all c>ry out a program 79 ?is section  
ref]r$ to z ,inve/m5ts 9 ,digital ,tools

 to ,promote ,equity 9 ,mat]nal ,heal?  
,outcomes ,program or ,program7 "u :i* !
 ,secret>y makes grants to eligible     
entities r$uce racial & e?nic disp>ities
 9 mat]nal heal? outcomes by increas+   
access to digital tools relat$ to       
mat]nal heal? c>e4  7b7 ,applications   
,to be eligible to receive a grant "u   
?is section1 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 require4    
7c7 ,limitations  7#a7 ,numb] ,!        
,secret>y may n aw>d m ?an #a grant "u  
?is section to an eligible entity4  7#b7
 ,duration ,ea* grant "u ?is section    
%all be made = a p]iod ( n m ?an #e     
ye>s4  7#c7 ,am\nt ,! ,secret>y %all    
det]m9e ! maximum am\nt ( ea* grant "u  
?is section4  7#d7 ,prioritization ,9   
aw>d+ grants "u ?is section1 ! ,secret>y
 %all prioritize ! selection ( an       
eligible entity t-- 7,a7 op]ates 9 an   
area ) high rates ( adv]se mat]nal heal?
 outcomes & significant racial & e?nic  

disp>ities 9 mat]nal heal? outcomes2 &  
7,b7 promotes te*nology t address racial
 & e?nic disp>ities 9 mat]nal heal?     
outcomes4  7d7 ,te*nical assi/ance ,!   
,secret>y %all provide te*nical         
assi/ance to an eligible entity on !    
developm5t1 use1 evaluation1 & po/-grant
 su/a9ability ( digital tools = purposes
 ( promot+ equity 9 mat]nal heal?       
outcomes4  7e7 ,report+  7#a7 ,by       
eligible entities ,an eligible entity t 
receives a grant "u subsection 7a7 %all 
submit to ! ,secret>y a report1 at su*  
"t1 9 su* mann]1 & conta9+ su* in=mation
 z ! ,secret>y may require4  7#b7 ,by ! 
,secret>y ,n lat] ?an #d ye>s aft] !    
date ( ! enactm5t ( ?is ,act1 !         
,secret>y %all submit to ,congress a    
report t-- 7,a7 evaluates ! effectiv5ess
 ( grants aw>d$ "u ?is section 9 improv+
 mat]nal heal? outcomes = m9ority wom52 
7,b7 makes recomm5dations = future grant
 programs t promote ! use ( te*nology to
 improve mat]nal heal? outcomes =       
m9ority wom52 &  7,c7 makes             

recomm5dations t address-- 7i7 privacy &
 security safegu>ds t %\ld implem5t$ 9 !
 use ( te*nology 9 mat]nal heal? c>e2   
7ii7 reimbursem5t rates = mat]nal       
teleheal? s]vices2  7iii7 ! use (       
digital tools to analyze l>ge data sets 
= ! purposes ( id5tify+ pot5tial        
pregnancy-relat$ complications z e>ly z 
possible2  7iv7 b>ri]s t prev5t mat]nal 
heal? c>e provid]s f provid+ teleheal?  
s]vices across ,/ates & recomm5dations f
 ! ,c5t]s = ,m$ic>e & ,m$icaid ,s]vices 
= address+ su* b>ri]s 9 ,/ate ,m$icaid  
programs2  7v7 ! use ( consum] digital  
tool su* z mobile phone applications1   
pati5t portals1 & we>able te*nologies to
 improve mat]nal heal? outcomes2  7vi7  
b>ri]s t prev5t consum]s f access+      
teleheal? s]vices or o!r digital        
te*nologies to improve mat]nal heal?    
outcomes1 includ+ a lack ( access to    
reliable1 high-spe$ int]net or lack (   
access to electronic devices ne$$ to use
 su* s]vices & te*nologies2 &  7vii7 any
 o!r relat$ issues z det]m9$ by !       

,secret>y4  7f7 ,au?orization (         
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section1    
#f1jjj1jjj = ea* ( fiscal ye>s #bjba    
?r\gh #bjbe4  7g7 ,eligible entity def9$
 ,9 ?is section1 ! t]m eligible entity  
is an entity t is describ$ 9 section    
#ea;a4#c7;a7 ( title #db1 ,code ( ,f$]al
 ,regulations1 includ+ dome/ic fai?-bas$
 & community-bas$ organizations4  #e4   
,report on ! use ( te*nology to r$uce   
mat]nal mortality & sev]e mat]nal       
morbidity & to close racial & e?nic     
disp>ities 9 outcomes  7a7 ,9 g5]al ,n  
lat] ?an #fj days aft] ! date ( enactm5t
 ( ?is ,act1 ! ,secret>y ( ,heal? &     
,human ,s]vices %all seek to ent] an    
agreem5t ) ! ,national ,academies (     
,sci5ces1 ,eng9e]+1 & ,m$ic9e 7ref]r$ to
 9 ?is ,act z ! ,national ,academies7 "u
 :i* ! ,national ,academies %all conduct
 a /udy on ! use ( te*nology to r$uce   
prev5table mat]nal mortality & sev]e    
mat]nal morbidity1 & close racial &     
e?nic disp>ities 9 mat]nal heal?        

outcomes 9 ! ,unit$ ,/ates4 ,! /udy %all
 assess curr5t & future uses (          
artificial intellig5ce 9 mat]nity c>e1  
includ+ issues su* z-- 7#a7 ! ext5t to  
:i* artificial intellig5ce te*nologies  
are curr5tly be+ us$ 9 mat]nal heal?    
c>e2  7#b7 ! ext5t to :i* artificial    
intellig5ce te*nologies h exac]bat$     
racial or e?nic biases 9 mat]nal heal?  
c>e2  7#c7 recomm5dations = r$uc+ racial
 or e?nic biases 9 artificial           
intellig5ce te*nologies us$ 9 mat]nal   
heal? c>e2  7#d7 recomm5dations =       
pot5tial applications ( artificial      
intellig5ce te*nologies t c\ld improve  
mat]nal heal? outcomes1 p>ticul>ly =    
m9ority wom52 &  7#e7 recomm5dations =  
privacy & security safegu>ds t %\ld     
implem5t$ 9 ! developm5t ( artificial   
intellig5ce te*nologies 9 mat]nal heal? 
c>e4  7b7 ,report ,z a condition ( any  
agreem5t "u subsection 7a71 !           
,adm9i/rator %all require t ! ,national 
,academies transmit to ,congress a      
report on ! results ( ! /udy "u         

subsection 7a7 n lat] ?an #bd mon?s aft]
 ! date ( enactm5t ( ?is ,act4  #f4     
,def9itions ,9 ?is section3 7#a7        
,mat]nal mortality ,! t]m mat]nal       
mortality means a dea? occurr+ dur+ or  
)9 a #a-ye> p]iod aft] pregnancy caus$  
by pregnancy or *ildbir? complications4 
7#b7 ,sev]e mat]nal mortality ,! t]m    
sev]e mat]nal morbidity means an        
unexpect$ outcome caus$ by labor &      
deliv]y ( a woman t results 9           
significant %ort-t]m or long-t]m        
consequ5ces to ! heal? ( ! woman4