,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #fada ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #i1 #bjbj,ms4 ,und]wood 7= h]self1 ,mr4 ,bilirakis1 & ,ms4 ,adams7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to improve mat]nity c>e coord9ation provid$ by ! ,dep>tm5t ( ,vet]ans ,affairs1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,protect+ ,moms ,:o ,s]v$ ,act4 #b4 ,support = mat]nity c>e coord9ation 7a7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to ! ,secret>y ( ,vet]ans ,affairs #ae1jjj1jjj = fiscal ye> #bjbb to improve mat]nity c>e coord9ation = wom5 vet]ans ?r\gh\t pregnancy & ! "o-ye> po/p>tum p]iod beg9n+ on ! la/ day ( ! pregnancy4 ,su* am\nts are au?oriz$ 9 addition to any o!r am\nts au?oriz$ = su* purpose4 7b7 ,plan 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a plan to improve mat]nity c>e coord9ation to fulfill ! responsibilities & requirem5ts describ$ 9 ! ,vet]ans ,heal? ,adm9i/ration ,h&book #accj4jc1 or any successor h&book4 7#b7 ,elem5ts ,! plan "u p>agraph 7#a7 %all include ! foll[+3 7,a7 ,) respect to ! am\nts au?oriz$ to be appropriat$ by subsection 7a71 a description ( h[ ! ,secret>y w ensure su* am\nts are us$ to-- 7i7 hire full-"t mat]nity c>e coord9ators2 7ii7 tra9 mat]nity c>e coord9ators2 & 7iii7 improve support programs l$ by mat]nity c>e coord9ators4 7,b7 ,recomm5dations = ! am\nt ( fund+ ! ,secret>y det]m9es appropriate to improve mat]nity c>e coord9ation z describ$ 9 p>agraph 7#a7 = ea* ( ! five fiscal ye>s foll[+ ! date ( ! plan4 7#c7 ,consultation ,! ,secret>y %all develop ! plan "u p>agraph 7#a7 9 consultation ) vet]ans s]vice organizations1 milit>y s]vice organizations1 wom5's heal? c>e provid]s1 & community-bas$ organizations repres5t+ wom5 f demographic gr\ps disproportionately impact$ by poor mat]nal heal? outcomes1 t ! ,secret>y det]m9es appropriate4 #c4 ,s5se ( ,congress on vet]an /atus requirem5ts ,x is ! s5se ( ,congress t ea* ,/ate %\ld li/ ! vet]an /atus ( a "m-- 7#a7 9 fetal dea? records2 & 7#b7 9 mat]nal mortality review committee reviews ( pregnancy-relat$ dea?s & pregnancy-associat$ dea?s4 #d4 ,report on mat]nal mortality & sev]e mat]nal morbidity among wom5 vet]ans 7a7 ,,gao report ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives1 & make publicly available1 a report on mat]nal mortality & sev]e mat]nal morbidity among wom5 vet]ans1 ) a p>ticul> focus on racial & e?nic disp>ities 9 mat]nal heal? outcomes = wom5 vet]ans4 7b7 ,matt]s includ$ ,! report "u subsection 7a7 %all include ! foll[+3 7#a7 ,to ! ext5t practicable-- 7,a7 ! numb] ( wom5 vet]ans :o h exp]i5c$ a pregnancy-relat$ dea? or pregnancy-associat$ dea? 9 ! mo/ rec5t #aj ye>s ( available data2 7,b7 ! rate ( pregnancy-relat$ dea?s p] #ajj1jjj live bir?s = wom5 vet]ans2 7,c7 ! numb] ( cases ( sev]e mat]nal morbidity among wom5 vet]ans 9 ! mo/ rec5t ye> ( available data2 7,d7 ! racial & e?nic disp>ities 9 mat]nal mortality & sev]e mat]nal morbidity rates among wom5 vet]ans2 7,e7 id5tification ( ! causes ( mat]nal mortality & sev]e mat]nal morbidity t are unique to wom5 :o h s]v$ 9 ! milit>y1 includ+ po/-traumatic /ress disord]1 milit>y sexual trauma1 & inf]tility or misc>riages t may be caus$ by su* s]vice2 7,f7 id5tification ( ! causes ( mat]nal mortality & sev]e mat]nal morbidity t are unique to wom5 vet]ans ( color2 & 7,g7 id5tification ( any correlations betwe5 ! =m] rank ( wom5 vet]ans & _! mat]nal heal? outcomes4 7#b7 ,an assessm5t ( ! b>ri]s to det]m9+ ! in=mation requir$ "u p>agraph 7#a7 & recomm5dations = improvem5ts 9 track+ mat]nal heal? outcomes among-- 7,a7 wom5 vet]ans :o h heal? c>e cov]age ?r\gh ! ,dep>tm5t2 7,b7 wom5 vet]ans enroll$ 9 ! ,,tric>e program2 7,c7 wom5 vet]ans ) employ]-bas$ or private insurance2 & 7,d7 wom5 vet]ans enroll$ 9 ! ,m$icaid program4 7#c7 ,recomm5dations = legislative & adm9i/rative actions to increase access to m5tal & behavioral heal? c>e = wom5 vet]ans :o scre5 positively = po/p>tum m5tal or behavioral heal? conditions4 7#d7 ,recomm5dations to address homelessness among pregnant & po/p>tum wom5 vet]ans4 7#e7 ,recomm5dations on h[ to effectively educate mat]nity c>e provid]s on be/ practices = provid+ mat]nity c>e s]vices to wom5 vet]ans t addresses ! unique mat]nal heal? c>e ne$s ( vet]an populations4 7#f7 ,recomm5dations to r$uce mat]nal mortality & sev]e mat]nal morbidity among wom5 vet]ans & to address racial & e?nic disp>ities 9 mat]nal heal? outcomes = ea* ( ! gr\ps describ$ 9 subp>agraphs 7,a7 ?r\gh 7,d7 ( p>agraph 7#b74 7#g7 ,recomm5dations to improve coord9ation ( c>e betwe5 ! ,dep>tm5t & non-,dep>tm5t facilities = pregnant & po/p>tum wom5 vet]ans1 includ+ recomm5dations to improve tra9+ = ! directors ( ! ,vet]ans ,integrat$ ,s]vice ,networks1 directors ( m$ical facilities ( ! ,dep>tm5t1 *iefs ( /aff ( su* facilities1 mat]nity c>e coord9ators1 & relevant non-,dep>tm5t facilities4 7#h7 ,an assessm5t ( ! au?ority ( ! ,secret>y ( ,vet]ans ,affairs to access mat]nal heal? data collect$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices &1 if applicable1 recomm5dations to increase su* au?ority4 7#i7 ,any o!r in=mation ! ,comptroll] ,g5]al det]m9es appropriate ) respect to ! r$uction ( mat]nal mortality & sev]e mat]nal morbidity among wom5 vet]ans & to address racial & e?nic disp>ities 9 mat]nal heal? outcomes = wom5 vet]ans4