,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #fadd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #i1 #bjbj,ms4    
,adams 7= h]self1 ,ms4 ,und]wood1 ,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 make inve/m5ts 
9 community-bas$ organizations & o!r    
initiatives to prev5t mat]nal mortality 
& sev]e mat]nal morbidity1 especially = 
,black wom51 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,kira ,johnson ,act4  #b4 ,inve/m5ts 9  
community-bas$ organizations ,to improve
 ,black mat]nal heal? outcomes  7a7     
,aw>ds ,foll[+ ! #a-ye> p]iod describ$ 9
 subsection 7c71 ! ,secret>y ( ,heal? & 
,human ,s]vices 79 ?is section ref]r$ to
 z ! ,secret>y71 act+ ?r\gh !           
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 %all aw>d grants
 to eligible entities to e/abli% or exp&

 programs to prev5t mat]nal mortality & 
sev]e mat]nal morbidity among ,black    
wom54  7b7 ,eligibility ,to be eligible 
to seek a grant "u ?is section1 an      
entity %all be a community-bas$         
organization (f]+ programs & res\rces   
align$ ) evid5ce-bas$ practices =       
improv+ mat]nal heal? outcomes = ,black 
wom54  7c7 ,outrea* & te*nical assi/ance
 p]iod ,dur+ ! #a-ye> p]iod beg9n+ on ! 
date ( enactm5t ( ?is ,act1 ! ,secret>y 
%all-- 7#a7 conduct outrea* to enc\rage 
eligible entities to apply = grants "u  
?is section2 &  7#b7 provide te*nical   
assi/ance to eligible entities on be/   
practices = apply+ = grants "u ?is      
section4  7d7 ,special consid]ation     
7#a7 ,outrea* ,9 conduct+ outrea* "u    
subsection 7c71 ! ,secret>y %all give   
special consid]ation to eligible        
entities t-- 7,a7 are bas$ 91 & provide 
support =1 communities )-- 7i7 high     
rates ( adv]se mat]nal heal? outcomes2 &
  7ii7 significant racial & e?nic       
disp>ities 9 mat]nal heal? outcomes2    

7,b7 are l$ by ,black wom52 &  7,c7 (f] 
programs & res\rces t are align$ )      
evid5ce-bas$ practices = improv+ mat]nal
 heal? outcomes = ,black wom54  7#b7    
,aw>ds ,9 aw>d+ grants "u ?is section1 !
 ,secret>y %all give special            
consid]ation to eligible entities t--   
7,a7 are describ$ 9 subp>agraphs 7,a71  
7,b71 & 7,c7 ( p>agraph 7#a72  7,b7 (f] 
programs & res\rces design$ 9           
consultation ) & int5d$ = ,black wom52 &
  7,c7 (f] programs & res\rces 9 !      
communities 9 :i* ! respective eligible 
entities are locat$ t-- 7i7 promote     
mat]nal m5tal heal? & mat]nal sub/ance  
use disord] treatm5ts t are align$ )    
evid5ce-bas$ practices = improv+ mat]nal
 m5tal heal? outcomes = ,black wom52    
7ii7 address social det]m9ants ( heal? =
 wom5 9 ! pr5atal & po/p>tum p]iods1    
includ+-- 7,i7 h\s+2  7,,ii7            
transportation2  7,,iii7 nutrition      
c\nsel+2  7,,iv7 heal?y foods2  7,v7    
lactation support2  7,,vi7 lead abatem5t
 & o!r ef=ts to improve air & wat]      

quality2  7,,vii7 *ild c>e access2      
7,,viii7 c> seat in/allation2  7,,ix7   
wellness & /ress managem5t programs2 or 
7,x7 coord9ation across safety-net &    
social support s]vices & programs2      
7iii7 promote evid5ce-bas$ heal? lit]acy
 & pregnancy1 *ildbir?1 & p>5t+         
education = wom5 9 ! pr5atal & po/p>tum 
p]iods2  7iv7 provide support f d\las & 
o!r p]9atal heal? work]s to wom5 f      
pregnancy ?r\gh ! po/p>tum p]iod2  7v7  
provide culturally congru5t tra9+ to    
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    
7vi7 conduct or support rese>* on ,black
 mat]nal heal? issues2 or  7vii7 h      
develop$ o!r programs & res\rces t      
address community-specific ne$s = wom5 9
 ! pr5atal & po/p>tum p]iods & are      
align$ ) evid5ce-bas$ practices =       
improv+ mat]nal heal? outcomes = ,black 
wom54  7e7 ,te*nical assi/ance ,!       

,secret>y %all provide to grant         
recipi5ts "u ?is section te*nical       
assi/ance on-- 7#a7 capacity build+ to  
e/abli% or exp& programs to prev5t      
adv]se mat]nal heal? outcomes among     
,black wom52  7#b7 be/ practices 9 data 
collection1 measurem5t1 evaluation1 &   
report+2 &  7#c7 plann+ = su/a9+        
programs to prev5t mat]nal mortality &  
sev]e mat]nal morbidity among ,black    
wom5 aft] ! p]iod ( ! grant4  7f7       
,evaluation ,n lat] ?an ! end ( fiscal  
ye> #bjbf1 ! ,secret>y %all submit to ! 
,congress an evaluation ( ! grant       
program "u ?is section t-- 7#a7 assesses
 ! effectiv5ess ( outrea* ef=ts dur+ !  
application process 9 div]sify+ ! pool (
 grant recipi5ts2  7#b7 makes           
recomm5dations = future outrea* ef=ts to
 div]sify ! pool ( grant recipi5ts =    
,dep>tm5t ( ,heal? & ,human ,s]vices    
grant programs & fund+ opportunities2   
7#c7 assesses ! effectiv5ess ( programs 
fund$ by grants "u ?is section 9 improv+
 mat]nal heal? outcomes = ,black wom52 &

  7#d7 makes recomm5dations = future    
,dep>tm5t ( ,heal? & ,human ,s]vices    
grant programs & fund+ opportunities t  
deliv] fund+ to community-bas$          
organizations to improve ,black mat]nal 
heal? outcomes ?r\gh programs & res\rces
 t are align$ ) evid5ce-bas$ practices =
 improv+ mat]nal heal? outcomes = ,black
 wom54  7g7 ,au?orization (             
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$      
#e1jjj1jjj = ea* ( fiscal ye>s #bjba    
?r\gh #bjbe4  #c4 ,tra9+ = all employees
 9 mat]nity c>e sett+s ,"p ,b ( title   
,,vii ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #bic et seq47 is am5d$ by
 add+ at ! end ! foll[+ new section3    
#gdb4 ,tra9+ = all employees 9 mat]nity 
c>e sett+s  7a7 ,grants ,! ,secret>y    
%all aw>d grants = programs to r$uce &  
prev5t bias1 racism1 & discrim9ation 9  
mat]nity c>e sett+s4  7b7 ,special      
consid]ation ,9 aw>d+ grants "u         
subsection 7a71 ! ,secret>y %all give   
special consid]ation to applications =  

programs t w\ld-- 7#a7 apply to all     
bir?+ pr(essionals & any employees :o   
int]act ) pregnant & po/p>tum wom5 9 !  
provid] sett+1 includ+ front desk       
employees1 sonograph]s1 s*$ul]s1 heal?  
c>e pr(essionals1 hospital or heal?     
sy/em adm9i/rators1 & security /aff2    
7#b7 emphasize p]iodic1 z oppos$ to     
"o-"t1 tra9+s = all bir?+ pr(essionals &
 employees describ$ 9 p>agraph 7#a72    
7#c7 address implicit bias & explicit   
bias2  7#d7 be deliv]$ 9 ongo+ education
 sett+s = provid]s ma9ta9+ _! lic5ses1 )
 a pref]5ce = tra9+s t provide cont9u+  
education units & cont9u+ m$ical        
education2  7#e7 include trauma-in=m$   
c>e be/ practices & an emphasis on %>$  
decision mak+ betwe5 provid]s & pati5ts2
  7#f7 include a s]vice-le>n+ compon5t t
 s5ds provid]s to "w 9 und]s]v$         
communities to bett] und]/& pati5ts'    
liv$ exp]i5ces2  7#g7 be deliv]$ 9      
und]graduate programs t funnel into     
m$ical s*ools1 l biology & pre-m$ic9e   
majors2  7#h7 be deliv]$ 9 sett+s t     

apply to provid]s ( ! special           
supplem5tal nutrition program = wom51   
infants1 & *ildr5 "u section #ag ( !    
,*ild ,nutrition ,act ( #aiff2  7#i7    
integrate bias tra9+ 9 ob/etric em]g5cy 
simulation tra9+s2  7#aj7 (f] tra9+ to  
all mat]nity c>e provid]s on ! value (  
racially1 e?nically1 & pr(essionally    
div]se mat]nity c>e teams to provide    
culturally congru5t c>e1 includ+ d\las1 
community heal? work]s1 pe] support]s1  
c]tifi$ lactation consultants1          
nutritioni/s & dietitians1 social       
work]s1 home visitors1 & navigators2 or 
7#aa7 be bas$ on "o or m programs       
design$ by a hi/orically ,black college 
or univ]sity4  7c7 ,application ,to seek
 a grant "u subsection 7a71 an entity   
%all submit an application at su* "t1 9 
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7d7 ,report+    
,ea* recipi5t ( a grant "u ?is section  
%all annually submit to ! ,secret>y a   
report on ! /atus ( activities conduct$ 
us+ ! grant1 includ+1 z applicable1 a   

description ( ! impact ( tra9+ provid$  
?r\gh ! grant on pati5t outcomes &      
pati5t exp]i5ce = wom5 ( color & _!     
families4  7e7 ,be/ practices ,bas$ on !
 annual reports submitt$ pursuant to    
subsection 7d71 ! ,secret>y-- 7#a7 %all 
produce an annual report on ! f9d+s     
result+ f programs fund$ ?r\gh ?is      
section2  7#b7 %all dissem9ate su*      
report to all recipi5ts ( grants "u ?is 
section & to ! public2 &  7#c7 may      
include 9 su* report f9d+s on be/       
practices = improv+ pati5t outcomes &   
pati5t exp]i5ce = wom5 ( color & _!     
families 9 mat]nity c>e sett+s4  7f7    
,def9itions ,9 ?is section3 7#a7 ,! t]m 
po/p>tum means ! "o-ye> p]iod beg9n+ on 
! la/ day ( a woman's pregnancy4  7#b7  
,! t]m culturally congru5t means 9      
agreem5t ) ! pref]r$ cultural values1   
beliefs1 worldview1 & practices ( !     
heal? c>e consum] & o!r /akehold]s4  7g7
 ,au?orization ( appropriations ,to c>ry
 out ?is section1 !re is au?oriz$ to be 
appropriat$ #e1jjj1jjj = ea* ( fiscal   

ye>s #bjba ?r\gh #bjbe4  4  #d4 ,/udy on
 r$uc+ & prev5t+ bias1 racism1 &        
discrim9ation 9 mat]nity c>e sett+s  7a7
 ,9 g5]al ,! ,secret>y ( ,heal? & ,human
 ,s]vices %all seek to ent] into an     
agreem5t1 n lat] ?an #ij days aft] !    
date ( enactm5t ( ?is ,act1 ) !         
,national ,academies ( ,sci5ces1        
,eng9e]+1 & ,m$ic9e 7ref]r$ to 9 ?is    
section z ! ,national ,academies7 "u :i*
 ! ,national ,academies agrees to-- 7#a7
 conduct a /udy on ! design &           
implem5tation ( programs to r$uce &     
prev5t bias1 racism1 & discrim9ation 9  
mat]nity c>e sett+s2 &  7#b7 n lat] ?an 
#bd mon?s aft] ! date ( enactm5t ( ?is  
,act1 complete ! /udy & transmit a      
report on ! results ( ! /udy to !       
,congress4  7b7 ,possible topics ,!     
agreem5t ent]$ into pursuant to         
subsection 7a7 may provide = ! /udy (   
any ( ! foll[+3 7#a7 ,! developm5t ( a  
scorec>d = programs design$ to r$uce &  
prev5t bias1 racism1 & discrim9ation 9  
mat]nity c>e sett+s to assess !         

effectiv5ess ( su* programs 9 improv+   
pati5t outcomes & pati5t exp]i5ce = wom5
 ( color & _! families4  7#b7           
,det]m9ation ( ! types ( tra9+ to r$uce 
& prev5t bias1 racism1 & discrim9ation 9
 mat]nity c>e sett+s t are demon/rat$ to
 improve pati5t outcomes or pati5t      
exp]i5ce = wom5 ( color & _! families4  
#e4 ,respectful mat]nity c>e compliance 
program  7a7 ,9 g5]al ,! ,secret>y (    
,heal? & ,human ,s]vices 7ref]r$ to 9   
?is section z ! ,secret>y7 %all aw>d    
grants to accr$it$ hospitals1 heal?     
sy/ems1 & o!r mat]nity c>e deliv]y      
sett+s to e/abli% )9 "o or m hospitals  
or o!r bir? sett+s a respectful mat]nity
 c>e compliance (fice4  7b7 ,(fice      
requirem5ts ,a respectful mat]nity c>e  
compliance (fice fund$ ?r\gh a grant "u 
?is section %all-- 7#a7 in/itutionalize 
me*anisms to all[ pati5ts receiv+       
mat]nity c>e s]vices1 ! families ( su*  
pati5ts1 or d\las or o!r p]9atal work]s 
support+ su* pati5ts to report in/ances 
( disrespect or evid5ce ( bias on !     

basis ( race1 e?nicity1 or ano!r        
protect$ class2  7#b7 in/itutionalize   
response me*anisms ?r\gh :i*            
repres5tatives ( ! (fice c directly     
foll[ up ) ! pati5t1 if possible1 & !   
pati5t's family 9 a timely mann]2  7#c7 
prep>e & make publicly available a      
hospital- or heal? sy/em-wide /rategy to
 r$uce bias on ! basis ( race1 e?nicity1
 or ano!r protect$ class 9 ! deliv]y (  
mat]nity c>e t includes-- 7,a7 in=mation
 on ! tra9+ programs to r$uce & prev5t  
bias1 racism1 & discrim9ation on ! basis
 ( race1 e?nicity1 or ano!r protect$    
class = all employees 9 mat]nity c>e    
sett+s2 &  7,b7 ! developm5t ( me?ods to
 r\t9ely assess ! ext5t to :i* bias1    
racism1 or discrim9ation on ! basis (   
race1 e?nicity1 or ano!r protect$ class 
are pres5t 9 ! deliv]y ( mat]nity c>e to
 m9ority pati5ts2 &  7#d7 provide annual
 reports to ! ,secret>y ) in=mation ab\t
 ea* case report$ to ! compliance (fice 
ov] ! c\rse ( ! ye> conta9+ su*         
in=mation z ! ,secret>y may require1 su*

 z-- 7,a7 de-id5tifi$ demographic       
in=mation on ! pati5t 9 ! case1 su* z   
race1 e?nicity1 g5d] id5tity1 & prim>y  
language2  7,b7 ! cont5t ( ! report f ! 
pati5t or ! family ( ! pati5t to !      
compliance (fice2 &  7,c7 ! response f !
 compliance (fice4  7c7 ,secret>y       
requirem5ts  7#a7 ,processes ,n lat] ?an
 #ahj days aft] ! date ( enactm5t ( ?is 
,act1 ! ,secret>y %all e/abli% processes
 =-- 7,a7 dissem9at+ be/ practices =    
e/abli%+ & implem5t+ a respectful       
mat]nity c>e compliance (fice )9 a      
hospital or o!r bir? sett+2  7,b7       
promot+ coord9ation & collaboration     
betwe5 hospitals1 heal? sy/ems1 & o!r   
mat]nity c>e deliv]y sett+s on !        
e/abli%m5t & implem5tation ( respectful 
mat]nity c>e compliance (fices2 &  7,c7 
evaluat+ ! effectiv5ess ( respectful    
mat]nity c>e compliance (fices on       
mat]nal heal? outcomes & pati5t & family
 exp]i5ces1 especially = m9ority pati5ts
 & _! families4  7#b7 ,/udy  7,a7 ,9    
g5]al ,n lat] ?an #b ye>s aft] ! date ( 

enactm5t ( ?is ,act1 ! ,secret>y %all1  
?r\gh a contract ) an indep5d5t rese>*  
organization1 conduct a /udy on         
/rategies to address disrespect or bias 
on ! basis ( race1 e?nicity1 or ano!r   
protect$ class 9 ! deliv]y ( mat]nity   
c>e s]vices4  7,b7 ,compon5ts ( /udy ,! 
/udy %all include ! foll[+3 7i7 ,an     
assessm5t ( ! reports submitt$ to !     
,secret>y f ! respectful mat]nity c>e   
compliance (fices pursuant to subsection
 7b77#d74  7ii7 ,bas$ on su* assessm5t1 
recomm5dations = pot5tial acc\ntability 
me*anisms relat$ to cases ( disrespect  
or bias on ! basis ( race1 e?nicity1 or 
ano!r protect$ class 9 ! deliv]y (      
mat]nity c>e s]vices at hospitals & o!r 
bir? sett+s4 ,su* recomm5dations %all   
take into consid]ation m$ical &         
non-m$ical factors t contribute to      
adv]se pati5t exp]i5ces & mat]nal heal? 
outcomes4  7,c7 ,report ,! ,secret>y    
%all submit to ! ,congress & make       
publicly available a report on ! results
 ( ! /udy "u ?is p>agraph4  7d7         

,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ su* sums z may be necess>y =
 fiscal ye>s #bjba ?r\gh #bjbf4  #f4    
,,gao report  7a7 ,9 g5]al ,n lat] ?an  
#b ye>s aft] date ( enactm5t ( ?is ,act 
& e #b ye>s !reaft]1 ! ,comptroll]      
,g5]al ( ! ,unit$ ,/ates %all submit to 
! ,congress & make publicly available a 
report on ! e/abli%m5t ( respectful     
mat]nity c>e compliance (fices )9       
hospitals1 heal? sy/ems1 & o!r mat]nity 
c>e sett+s4  7b7 ,matt]s includ$ ,!     
report "u p>agraph 7#a7 %all include !  
foll[+3 7#a7 ,in=mation reg>d+ ! ext5t  
to :i* hospitals1 heal? sy/ems1 & o!r   
mat]nity c>e sett+s h elect$ to e/abli% 
respectful mat]nity c>e compliance      
(fices1 includ+-- 7,a7 :i* hospitals &  
o!r bir? sett+s elect to e/abli%        
compliance (fices & :5 su* (fices are   
e/abli%$2  7,b7 to ! ext5t practicable1 
impacts ( ! e/abli%m5t ( su* (fices on  
mat]nal heal? outcomes & pati5t & family
 exp]i5ces 9 ! hospitals & o!r bir?     

sett+s t h e/abli%$ su* (fices1         
especially = m9ority wom5 & _! families2
  7,c7 in=mation on geographic areas1 & 
types ( hospitals or o!r bir? sett+s1   
:]e respectful mat]nity c>e compliance  
(fices are n be+ e/abli%$ & in=mation on
 factors contribut+ to decisions to n   
e/abli% su* (fices2 &  7,d7             
recomm5dations = e/abli%+ respectful    
mat]nity c>e compliance (fices 9        
geographic areas1 & types ( hospitals or
 o!r bir? sett+s1 :]e su* (fices are n  
be+ e/abli%$4  7#b7 ,:e!r ! fund+ made  
available to c>ry out section #f has be5
 suffici5t &1 if applicable1            
recomm5dations = additional             
appropriations to c>ry out section #f4  
7#c7 ,su* o!r in=mation z ! ,comptroll] 
,g5]al det]m9es appropriate4  #g4       
,def9itions ,9 ?is ,act3 7#a7 ,! t]m    
po/p>tum means ! "o-ye> p]iod beg9n+ on 
! la/ day ( a woman's pregnancy4  7#b7  
,! t]m culturally congru5t means 9      
agreem5t ) ! pref]r$ cultural values1   
beliefs1 worldview1 & practices ( !     

heal? c>e consum] & o!r /akehold]s4