,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #fadc ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #i1 #bjbj,mr4 ,k5n$y 7= himself1 ,ms4 ,und]wood1 ,mr4 ,katko1 ,ms4 ,adams1 ,ms4 ,scanlon1 ,mr4 ,long1 & ,mr4 ,m\lton7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to improve mat]nal m5tal & behavioral heal? outcomes ) a p>ticul> focus on outcomes = m9ority wom51 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,moms ,mat]nal & ,behavioral ,heal? ,scre5+ ,access1 ,treatm5t1 & ,task ,=ce to ,exp& ,innovative ,models to ,r$uce ,mat]nal ,mortality & ,sev]e ,mat]nal ,morbidity ,act ( #bjbj or ! ,moms ,,matt] ,act ( #bjbj4 #b4 ,innovative models ,to r$uce mat]nal mortality ,title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bda et seq47 is am5d$ by add+ at ! end ! foll[+ new "p3 ,w ,innovative models to r$uce mat]nal mortality & sev]e mat]nal morbidity #cii,,oo4 ,def9itions ,9 ?is "p3 7#a7 ,! t]ms po/p>tum & po/p>tum p]iod ref] to ! #a-ye> p]iod beg9n+ on ! la/ day ( ! pregnancy4 7#b7 ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#c7 ,! t]m ,task ,=ce means ! ,mat]nal ,m5tal & ,behavioral ,heal? ,task ,=ce e/abli%$ pursuant to section #cii,,oo-#a4 7#d7 ,! t]m behavioral heal? includes sub/ance use disord] & o!r behavioral heal? conditions4 #cii,,oo-#a4 ,mat]nal ,m5tal & ,behavioral ,heal? ,task ,=ce 7a7 ,e/abli%m5t ,! ,secret>y %all e/abli% a task =ce1 to be kn[n z ! ,mat]nal ,m5tal & ,behavioral ,heal? ,task ,=ce1 to improve mat]nal m5tal & behavioral heal? outcomes ) a p>ticul> focus on outcomes = m9ority wom54 7b7 ,memb]%ip 7#a7 ,composition ,! ,task ,=ce %all be compos$ ( no few] ?an #bj memb]s1 to be appo9t$ by ! ,secret>y4 7#b7 ,co-*airs ,! ,secret>y %all designate #b memb]s ( ! ,task ,=ce to s]ve z ! ,co-*airs ( ! ,task ,=ce4 7#c7 ,memb]s ,! ,task ,=ce %all include ! foll[+3 7,a7 ,mat]nal m5tal & behavioral heal? c>e speciali/s2 mat]nity c>e provid]s2 & rese>*]s1 gov]nm5t (ficials1 & policy exp]ts :o specialize 9 wom5's heal?1 mat]nal m5tal & behavioral heal?1 mat]nal sub/ance use disord]1 or mat]nal mortality & sev]e mat]nal morbidity4 ,9 select+ su* memb]s ( ! ,task ,=ce1 ! ,secret>y %all give special consid]ation to individuals f div]se racial & e?nic backgr\nds or individuals ) exp]i5ce provid+ culturally congru5t mat]nity c>e 9 div]se communities4 7,b7 ,"o or m pati5ts :o h suff]$ f a diagnos$ m5tal or behavioral heal? condition dur+ ! pr5atal or po/p>tum p]iod1 or a sp\se or family memb] ( su* pati5t4 7,c7 ,"o or m repres5tatives ( a community-bas$ organization t addresses adv]se mat]nal heal? outcomes ) a specific focus on racial & e?nic disp>ities 9 mat]nal heal? outcomes4 ,9 select+ su* repres5tatives1 ! ,secret>y %all give special consid]ation to organizations f communities ) significant m9ority populations4 7,d7 ,"o or m p]9atal heal? work]s :o provide non-cl9ical support to pregnant & po/p>tum wom51 su* z a d\la1 community heal? work]1 pe] support]1 c]tifi$ lactation consultant1 nutritioni/ or dietitian1 social work]1 home visitor1 or navigator4 ,9 select+ su* p]9atal heal? work]s1 ! ,secret>y %all give special consid]ation to individuals ) exp]i5ce work+ 9 communities ) significant m9ority populations4 7,e7 ,"o or m repres5tatives ( relevant pati5t advocacy organizations1 ) a p>ticul> focus on organizations t address racial & e?nic disp>ities 9 mat]nal heal? outcomes4 7,f7 ,"o or m repres5tatives ( relevant heal? c>e provid] organizations1 ) a p>ticul> focus on organizations t address racial & e?nic disp>ities 9 mat]nal heal? outcomes4 7,g7 ,"o or m lead]s ( a ,f$]ally qualifi$ heal? c5t] or rural heal? cl9ic 7z su* t]ms are def9$ 9 section #ahfa ( ! ,social ,security ,act74 7,h7 ,"o or m repres5tatives ( heal? insur]s4 7#d7 ,tim+ ( appo9tm5ts ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is "p1 ! ,secret>y %all appo9t all memb]s ( ! ,task ,=ce4 7#e7 ,p]iod ( appo9tm5t2 vacancies 7,a7 ,9 g5]al ,ea* memb] ( ! ,task ,=ce %all be appo9t$ = ! life ( ! ,task ,=ce4 7,b7 ,vacancies ,any vacancy 9 ! ,task ,=ce-- 7i7 %all n affect ! p[]s ( ! ,task ,=ce2 & 7ii7 %all be fill$ 9 ! same mann] z ! orig9al appo9tm5t4 7#f7 ,no pay ,memb]s ( ! ,task ,=ce 7o!r ?an (fic]s or employees ( ! ,unit$ ,/ates7 %all s]ve )\t pay4 ,memb]s ( ! ,task ,=ce :o are full-"t (fic]s or employees ( ! ,unit$ ,/ates may n receive additional pay1 all[ances1 or b5efits by reason ( _! s]vice on ! ,task ,=ce4 7#g7 ,travel exp5ses ,memb]s ( ! ,task ,=ce may be all[$ travel exp5ses1 includ+ p] diem 9 lieu ( subsi/5ce1 at rates au?oriz$ = employees ( ag5cies "u sub*apt] ,i ( *apt] #eg ( title #e1 ,unit$ ,/ates ,code1 :ile away f _! homes or regul> places ( bus9ess 9 ! p]=mance ( s]vices = ! ,task ,=ce4 7c7 ,/aff ,! ,co-*airs ( ! ,task ,=ce may appo9t & fix ! pay ( /aff to ! ,task ,=ce4 7d7 ,detailees ,any ,f$]al ,gov]nm5t employee may be detail$ to ! ,task ,=ce )\t reimbursem5t f ! ,task ,=ce1 & ! detailee %all reta9 ! rights1 /atus1 & privileges ( 8 or h] regul> employm5t )\t int]ruption4 7e7 ,meet+s 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 ! ,task ,=ce %all meet at ! call ( ! ,co-*airs ( ! ,task ,=ce4 7#b7 ,initial meet+ ,! ,task ,=ce %all meet n lat] ?an #cj days aft] ! date on :i* all memb]s ( ! ,task ,=ce h be5 appo9t$4 7#c7 ,quorum ,a majority ( ! memb]s ( ! ,task ,=ce %all con/itute a quorum4 7f7 ,in=mation f ,f$]al ,ag5cies 7#a7 ,9 g5]al ,! ,task ,=ce may secure directly f any ,f$]al dep>tm5t or ag5cy su* in=mation z may be relevant to c>ry+ out ?is "p4 7#b7 ,furni%+ in=mation ,on reque/ ( ! ,co-*airs ( ! ,task ,=ce pursuant to p>agraph 7#a71 ! head ( a ,f$]al dep>tm5t or ag5cy %all1 n lat] ?an #fj days aft] ! date ( receiv+ su* reque/1 furni% to ! ,task ,=ce ! in=mation s reque/$4 7g7 ,t]m9ation ,t]m9ation "u section #ad ( ! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 %all n apply to ! ,task ,=ce4 7h7 ,duties 7#a7 ,national /rategy ,! ,task ,=ce %all make recomm5dations = a national /rategy to improve mat]nal m5tal & behavioral heal? outcomes ) a p>ticul> focus on outcomes = m9ority wom54 ,su* /rategy %all-- 7,a7 def9e collaborative mat]nity c>e2 7,b7 make recomm5dations to ! ,secret>y & ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use on h[ to implem5t collaborative mat]nity c>e models to improve mat]nal m5tal & behavioral heal? ) a p>ticul> focus on su* outcomes = m9ority wom52 7,c7 id5tify b>ri]s to ! implem5tation ( collaborative mat]nity c>e models to improve mat]nal m5tal & behavioral heal? ) a p>ticul> focus on su* outcomes = m9ority wom51 & make recomm5dations to address su* b>ri]s2 7,d7 take into consid]ation z models exi/+ ,/ate & o!r programs t h demon/rat$ effectiv5ess 9 improv+ mat]nal m5tal & behavioral heal? dur+ ! pr5atal & po/p>tum p]iods2 7,e7 promote treatm5t options & r$uce /igma = pregnant & po/p>tum wom5 ) a sub/ance use disord]2 7,f7 assess ! ext5t to :i* insur]s are provid+ cov]age = evid5ce-bas$ m5tal & behavioral heal? scre5+s & s]vices t adh]e to exi/+ pr5atal & po/p>tum guidel9es2 7,g7 assess ! ext5t to :i* exi/+ guidel9es & processes are culturally congru5t = m9ority wom51 specifically-- 7i7 guidel9es = id5tify+ mat]nal m5tal & behavioral heal? conditions1 includ+ sub/ance use disord]s2 7ii7 guidel9es = scre5+ &1 z ne$$1 foll[-up ref]rals1 evaluations1 & treatm5ts aft] positive scre5s =-- 7,i7 depression2 7,,ii7 anxiety2 7,,iii7 trauma2 7,,iv7 sub/ance use disord]s2 & 7,v7 o!r m5tal or behavioral heal? conditions at ! discretion ( ! ,task ,=ce2 7iii7 processes = incorporat+ m5tal & behavioral heal? scre5+s into ! curr5t timel9e ( /&>d scre5+ practices = pregnant & po/p>tum wom51 ) di/9ctions = po/p>tum scre5+ timel9es = uncomplicat$ & complicat$ bir?s2 & 7iv7 processes = ref]r+ wom5 ) positive scre5s = sub/ance use disord] to addiction treatm5t c5t]s (f]+-- 7,i7 on-site wrap>\nd treatm5t or networks = ref]rals2 7,,ii7 multidiscipl9>y /aff2 7,,iii7 psy*o!rapy2 7,,iv7 cont+5cy managem5t2 7,v7 access to all evid5ce-bas$ m$ication-assi/$ treatm5t2 & 7,,vi7 evid5ce-bas$ recov]y supports2 7,h7 propose to ! ,secret>y a multil+ual public aw>5ess campaign = mat]nal m5tal heal? & sub/ance use disord]1 ) a p>ticul> focus on m9ority wom51 t includes in=mation on-- 7i7 symptoms1 trigg]s1 risk factors1 & treatm5t options = mat]nal m5tal & behavioral heal? conditions2 7ii7 us+ ! website develop$ "u p>agraph 7#c72 7iii7 ! physiological process ( recov]y aft] bir?2 7iv7 ! frequ5cy ( occurr5ces = common conditions su* z po/p>tum hemorrhage1 preeclampsia & eclampsia1 infection1 & ?romboembolism2 7v7 be/ practices 9 pati5t report+ ( heal? conc]ns to _! mat]nity c>e provid]s 9 ! pr5atal & po/p>tum p]iods2 7vi7 address+ /igma ar\nd mat]nal m5tal & behavioral heal? conditions2 7vii7 h[ to seek treatm5t = sub/ance use disord] dur+ pregnancy & 9 ! po/p>tum p]iod2 & 7viii7 infant fe$+ options2 & 7,i7 dissem9ate to all ,/ate ,m$icaid programs "u title ,,xix ( ! ,social ,security ,act & ,/ate *ild heal? plans "u title ,,xxi ( ! ,social ,security ,act an assessm5t ( ! ext5t to :i* ,/ates are provid+ cov]age ( evid5ce-bas$ pr5atal & po/p>tum m5tal & behavioral heal? scre5+s ?r\gh su* programs & plans1 & an assessm5t ( ! b5efits ( su* cov]age4 7#b7 ,grant programs ,! ,task ,=ce %all evaluate & advise on ! grant programs "u section #cii,,oo-#b4 7#c7 ,c5traliz$ website ,! ,task ,=ce %all facilitate a coord9at$ ef=t betwe5 ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & ,/ate dep>tm5ts ( heal? to develop1 ei!r directly or ?r\gh a contract1 a c5traliz$ website ) in=mation on f9d+ local m5tal & behavioral heal? provid]s :o treat pr5atal & po/p>tum m5tal & behavioral heal? conditions1 includ+ sub/ance use disord]4 7#d7 ,report ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ! ,moms ,,matt] ,act ( #bjbj1 & e ye> !reaft]1 ! ,task ,=ce %all submit to ! ,congress1 ! ,c5t]s = ,m$ic>e ,m$icaid1 & ! ,c5t] = ,m$ic>e & ,m$icaid ,innovation1 & make publicly available1 a report t-- 7,a7 describes ! activities ( ! ,task ,=ce & ! results ( su* activities1 ) data 9 su* results /ratifi$ racially1 e?nically1 & geographically2 & 7,b7 includes ! /rategy develop$ "u p>agraph 7#a74 7i7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ su* sums z may be necess>y = fiscal ye>s #bjba ?r\gh #bjbe4 #cii,,oo-#b4 ,innovation 9 mat]nity c>e to close racial & e?nic mat]nal heal? disp>ities grants 7a7 ,9 g5]al ,! ,secret>y %all aw>d grants to eligible entities to e/abli%1 implem5t1 evaluate1 or exp& innovative models 9 mat]nity c>e t are design$ to r$uce racial & e?nic disp>ities 9 mat]nal heal? outcomes4 7b7 ,use ( funds ,an eligible entity receiv+ a grant "u ?is section may use ! grant to e/abli%1 implem5t1 evaluate1 or exp& innovative models describ$ 9 subsection 7a7 includ+-- 7#a7 collaborative mat]nity c>e models to improve mat]nal m5tal heal?1 treat mat]nal sub/ance use disord]s1 & r$uce mat]nal mortality & sev]e mat]nal morbidity1 especially = m9ority wom51 consi/5t ) ! national /rategy develop$ by ! ,task ,=ce "u section #cii,o-#a7;h77#a7 & o!r recomm5dations ( ! ,task ,=ce2 7#b7 evid5ce-bas$ programm+ at cl9ics t-- 7,a7 provide wrap>\nd s]vices = wom5 ) sub/ance use disord]s 9 ! pr5atal & po/p>tum p]iods t may include multidiscipl9>y /aff1 access to all evid5ce-bas$ m$ication-assi/$ treatm5t1 psy*o!rapy1 cont+5cy managem5t1 & recov]y supports2 or 7,b7 make ref]rals = any su* s]vices t are n provid$ )9 ! cl9ic2 7#c7 evid5ce-bas$ programs at free/&+ bir? c5t]s t provide culturally congru5t mat]nal m5tal & behavioral heal? c>e education1 treatm5ts1 & s]vices1 & o!r wrap>\nd supports = wom5 ?r\gh\t ! pr5atal & po/p>tum p]iod2 & 7#d7 ! developm5t & implem5tation ( evid5ce-bas$ programs1 includ+ toll-free telephone hotl9es1 t connect mat]nity c>e provid]s ) wom5's m5tal heal? cl9icians to provide mat]nity c>e provid]s ) guidance on address+ mat]nal m5tal & behavioral heal? conditions id5tifi$ 9 pati5ts4 7c7 ,special consid]ation ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give special consid]ation to applications = models t w-- 7#a7 op]ate 9-- 7,a7 areas ) high rates ( adv]se mat]nal heal? outcomes2 7,b7 areas ) significant racial & e?nic disp>ities 9 mat]nal heal? outcomes2 or 7,c7 heal? pr(essional %ortage areas designat$ "u section #ccb2 7#b7 be l$ by m9ority wom5 f demographic gr\ps ) disproportionate rates ( adv]se mat]nal heal? outcomes2 or 7#c7 be implem5t$ ) a culturally congru5t approa* t is focus$ on improv+ outcomes = demographic gr\ps exp]i5c+ disproportionate rates ( adv]se mat]nal heal? outcomes4 7d7 ,evaluation ,z a condition on receipt ( a grant "u ?is section1 an eligible entity %all agree to provide annual evaluations ( ! activities fund$ ?r\gh ! grant to ! ,secret>y & ! ,task ,=ce4 ,su* evaluations may address-- 7#a7 ! effects ( su* activities on mat]nal heal? outcomes & subjective assessm5ts ( pati5t & family exp]i5ces1 especially = m9ority wom5 f demographic gr\ps ) disproportionate rates ( adv]se mat]nal heal? outcomes2 & 7#b7 ! co/-effectiv5ess ( su* activities4 7e7 ,def9itions ,9 ?is section3 7#a7 ,! t]m eligible entity means any public or private entity4 7#b7 ,! t]m collaborative mat]nity c>e means an integrat$ c>e model t includes ! deliv]y ( mat]nal m5tal & behavioral heal? c>e s]vices 9 prim>y cl9ics or o!r c>e sett+s famili> to pregnant & po/p>tum pati5ts4 7#c7 ,! t]m culturally congru5t means c>e t is 9 agreem5t ) ! pref]r$ cultural values1 beliefs1 worldview1 language1 & practices ( ! heal? c>e consum] & o!r /akehold]s4 7#d7 ,! t]m free/&+ bir? c5t] has ! mean+ giv5 t t]m "u section #aije7l77#c77;,a7 ( ! ,social ,security ,act4 7f7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #ae1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 #cii,,oo-#c4 ,gr\p pr5atal & po/p>tum c>e models 7a7 ,9 g5]al ,! ,secret>y %all aw>d grants to eligible entities to e/abli%1 implem5t1 evaluate1 or exp& culturally congru5t gr\p pr5atal c>e models or gr\p po/p>tum c>e models t are design$ to r$uce racial & e?nic disp>ities 9 mat]nal & infant heal? outcomes4 7b7 ,use ( funds ,an eligible entity receiv+ a grant "u ?is section may use ! grant =-- 7#a7 programm+2 7#b7 capital inve/m5ts requir$ to improve exi/+ physical infra/ructure = gr\p pr5atal c>e & gr\p po/p>tum c>e programm+1 su* z build+ space ne$$ to implem5t su* models2 & 7#c7 evaluations ( gr\p pr5atal c>e & gr\p po/p>tum c>e programm+1 ) a p>ticul> focus on ! impacts ( su* programm+ on m9ority wom54 7c7 ,special consid]ation ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give special consid]ation to applicants t w-- 7#a7 op]ate 9-- 7,a7 areas ) high rates ( adv]se mat]nal heal? outcomes2 7,b7 areas ) significant racial & e?nic disp>ities 9 mat]nal heal? outcomes2 or 7,c7 heal? pr(essional %ortage areas designat$ "u section #ccb2 7#b7 be l$ by m9ority wom5 f demographic gr\ps ) disproportionate rates ( adv]se mat]nal heal? outcomes2 or 7#c7 be implem5t$ ) a culturally congru5t approa* t is focus$ on improv+ outcomes = demographic gr\ps exp]i5c+ disproportionate rates ( adv]se mat]nal heal? outcomes4 7d7 ,evaluation ,z a condition on receipt ( a grant "u ?is section1 an eligible entity %all agree to provide annual evaluations ( ! activities fund$ ?r\gh ! grant to ! ,secret>y & ! ,task ,=ce & address 9 ea* su* evaluation-- 7#a7 ! effects ( su* activities on mat]nal heal? outcomes ) a p>ticul> focus on ! effects ( su* activities on m9ority wom51 includ+ measures su* z-- 7,a7 avoidable em]g5cy room visits2 7,b7 po/p>tum c>e visits aft] deliv]y2 7,c7 rates ( pret]m bir?2 7,d7 rates ( brea/fe$+ initiation2 7,f7 psy*ological outcomes2 & 7,g7 subjective measures ( pati5t-report$ exp]i5ce ( c>e2 & 7#b7 ! co/-effectiv5ess ( su* activities4 7e7 ,def9itions ,9 ?is section3 7#a7 ,! t]m eligible entity means any public or private entity4 7#b7 ,! t]m culturally congru5t means c>e t is 9 agreem5t ) ! pref]r$ cultural values1 beliefs1 worldview1 language1 & practices ( ! heal? c>e consum] & o!r /akehold]s4 7f7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4