,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #fafd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #aj1 #bjbj,ms4   
,moore 7= h]self1 ,ms4 ,und]wood1 ,ms4  
,adams1 ,ms4 ,sewell ( ,alabama1 ,ms4   
,norton1 ,ms4 ,scanlon1 ,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 gr[ & div]sify
 ! p]9atal work=ce1 & = o!r purposes4   
#a4 ,%ort title2 table ( cont5ts  7a7   
,%ort title ,?is ,act may be cit$ z !   
,p]9atal ,work=ce ,act ( #bjbj4  7b7    
,table ( cont5ts ,! table ( cont5ts (   
?is ,act is z foll[s3 ,sec4 #a4 ,%ort   
title2 table ( cont5ts4,sec4 #b4 ,,hhs  
ag5cy directives4,sec4 #c4 ,grants to   
gr[ & div]sify ! p]9atal work=ce4,sec4  
#d4 ,grants to gr[ & div]sify ! nurs+   
work=ce 9 mat]nal & p]9atal heal?4,sec4 
#e4 ,,gao report on b>ri]s to mat]nity  
c>e4  #b4 ,,hhs ag5cy directives  7a7   
,guidance to ,/ates  7#a7 ,9 g5]al ,n   
lat] ?an #b ye>s aft] ! date ( enactm5t 

( ?is ,act1 ! ,secret>y ( ,heal? &      
,human ,s]vices %all issue & dissem9ate 
guidance to ,/ates to educate provid]s &
 manag$ c>e entities ab\t ! value &     
process ( deliv]+ respectful mat]nal    
heal? c>e ?r\gh div]se c>e provid]      
models4  7#b7 ,cont5ts ,! guidance      
requir$ by p>agraph 7#a7 %all address h[
 ,/ates c enc\rage & inc5tivize         
hospitals1 heal? sy/ems1 free/&+ bir?   
c5t]s1 o!r mat]nity c>e provid] gr\ps1 &
 manag$ c>e entities-- 7,a7 to recruit &
 reta9 mat]nity c>e provid]s1 su* z     
ob/etrician-gynecologi/s1 family        
physicians1 physician assi/ants1        
midwives :o meet at a m9imum !          
int]national def9ition ( ! midwife &    
global /&>ds = midwif]y education z     
e/abli%$ by ! ,int]national ,conf$]ation
 ( ,midwives1 nurse practition]s1 &     
cl9ical nurse speciali/s-- 7i7 f        
racially & e?nically div]se backgr\nds2 
7ii7 ) exp]i5ce practic+ 9 racially &   
e?nically div]se communities2 &  7iii7  
:o h und]gone tra9+s on implicit &      

explicit bias & racism2  7,b7 to        
incorporate into mat]nity c>e teams     
midwives :o meet at a m9imum !          
int]national def9ition ( ! midwife &    
global /&>ds = midwif]y education z     
e/abli%$ by ! ,int]national ,conf$]ation
 ( ,midwives1 d\las1 community heal?    
work]s1 pe] support]s1 c]tifi$ lactation
 consultants1 nutritioni/s & dietitians1
 social work]s1 home visitors1 &        
navigators2  7,c7 to provide            
collaborative1 culturally congru5t c>e2 
&  7,d7 to provide opportunities =      
individuals enroll$ 9 accr$it$ midwif]y 
education programs to p>ticipate 9 job  
%ad[+ ) mat]nity c>e teams 9 hospitals1 
heal? sy/ems1 & free/&+ bir? c5t]s4  7b7
 ,/udy on culturally congru5t mat]nity  
c>e  7#a7 ,/udy ,! ,secret>y ( ,heal? & 
,human ,s]vices act+ ?r\gh ! ,director (
 ! ,national ,in/itutes ( ,heal? 79 ?is 
subsection ref]r$ to z ! ,secret>y7 %all
 conduct a /udy on be/ practices 9      
culturally congru5t mat]nity c>e4  7#b7 
,report ,n lat] ?an #b ye>s aft] ! date 

( enactm5t ( ?is ,act1 ! ,secret>y      
%all-- 7,a7 complete ! /udy requir$ by  
p>agraph 7#a72  7,b7 submit to !        
,congress & make publicly available a   
report on ! results ( su* /udy2 &  7,c7 
include 9 su* report-- 7i7 a comp5dium (
 examples ( hospitals1 heal? sy/ems1    
free/&+ bir? c5t]s1 o!r mat]nity c>e    
provid] gr\ps1 & manag$ c>e entities t  
are deliv]+ culturally congru5t mat]nal 
heal? c>e2  7ii7 a comp5dium ( examples 
( hospitals1 heal? sy/ems1 free/&+ bir? 
c5t]s1 o!r mat]nity c>e provid] gr\ps1 &
 manag$ c>e entities t h l[ levels (    
racial & e?nic disp>ities 9 mat]nal     
heal? outcomes2 &  7iii7 recomm5dations 
to hospitals1 heal? sy/ems1 free/&+ bir?
 c5t]s1 o!r mat]nity c>e provid] gr\ps1 
& manag$ c>e entities = be/ practices 9 
culturally congru5t mat]nity c>e4  7c7  
,def9ition ,9 ?is section1 ! t]m        
culturally congru5t1 ) respect to c>e or
 mat]nity c>e1 means c>e t is 9 agreem5t
 ) ! pref]r$ cultural values1 beliefs1  
worldview1 & practices ( ! heal? c>e    

consum] & o!r /akehold]s4  #c4 ,grants  
to gr[ & div]sify ! p]9atal work=ce     
,title ,,vii ( ! ,public ,heal? ,s]vice 
,act is am5d$ by ins]t+ aft] section    
#geg 7#db ,u4,s4,c4 #bid;f7 ! foll[+ new
 section3  #geh4 ,p]9atal work=ce grants
  7a7 ,9 g5]al ,! ,secret>y may aw>d    
grants to entities to e/abli% or exp&   
programs describ$ 9 subsection 7b7 to   
gr[ & div]sify ! p]9atal work=ce4  7b7  
,use ( funds ,recipi5ts ( grants "u ?is 
section %all use ! grants to gr[ &      
div]sify ! p]9atal work=ce by-- 7#a7    
e/abli%+ s*ools or programs t provide   
education & tra9+ to individuals seek+  
appropriate lic5s+ or c]tification z--  
7,a7 physician assi/ants :o w complete  
cl9ical tra9+ 9 ! field ( mat]nal &     
p]9atal heal?2 &  7,b7 o!r 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 &  7#b7 exp&+ ! capacity (  
exi/+ s*ools or programs describ$ 9     

p>agraph 7#a71 = ! purposes ( increas+ !
 numb] ( /ud5ts enroll$ 9 su* s*ools or 
programs1 includ+ by aw>d+ s*ol>%ips =  
/ud5ts4  7c7 ,prioritization ,9 aw>d+   
grants "u ?is section1 ! ,secret>y %all 
give priority to any in/itution ( high] 
education t-- 7#a7 has demon/rat$ a     
commitm5t to recruit+ & reta9+ m9ority  
/ud5ts1 p>ticul>ly f demographic gr\ps  
exp]i5c+ high rates ( mat]nal mortality 
& sev]e mat]nal morbidity2  7#b7 has    
develop$ a /rategy to recruit & reta9 a 
div]se pool ( /ud5ts into ! p]9atal     
work=ce program or s*ool support$ by    
funds receiv$ ?r\gh ! grant1 p>ticul>ly 
f demographic gr\ps exp]i5c+ high rates 
( mat]nal mortality & sev]e mat]nal     
morbidity2  7#c7 has develop$ a /rategy 
to recruit & reta9 /ud5ts :o plan to    
practice 9 a heal? pr(essional %ortage  
area designat$ "u section #ccb2  7#d7   
has develop$ a /rategy to recruit &     
reta9 /ud5ts :o plan to practice 9 an   
area ) significant racial & e?nic       
disp>ities 9 mat]nal heal? outcomes2 &  

7#e7 includes 9 ! /&>d curriculum = all 
/ud5ts )9 ! p]9atal work=ce program or  
s*ool a bias1 racism1 or discrim9ation  
tra9+ program t includes tra9+ on       
explicit & implicit bias4  7d7 ,report+ 
,z a condition on receipt ( a grant "u  
?is section = a p]9atal work=ce program 
or s*ool1 an entity %all agree to submit
 to ! ,secret>y an annual report on !   
activities conduct$ ?r\gh ! grant1      
includ+-- 7#a7 ! numb] & demographics ( 
/ud5ts p>ticipat+ 9 ! program or s*ool2 
7#b7 ! ext5t to :i* /ud5ts 9 ! program  
or s*ool are ent]+ c>e]s 9-- 7,a7 heal? 
pr(essional %ortage areas designat$ "u  
section #ccb2 &  7,b7 areas )           
significant racial & e?nic disp>ities 9 
mat]nal heal? outcomes2 &  7#c7 :e!r !  
program or s*ool has includ$ 9 ! /&>d   
curriculum = all /ud5ts a bias1 racism1 
or discrim9ation tra9+ program t        
includes explicit & implicit bias1 & if 
s ! effectiv5ess ( su* tra9+ program4   
7e7 ,p]iod ( grants ,! p]iod ( a grant  
"u ?is section %all be up to #e ye>s4   

7f7 ,application ,to seek a grant "u ?is
 section1 an entity %all submit to !    
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require1 includ+ any      
in=mation necess>y = prioritization "u  
subsection 7c74  7g7 ,te*nical assi/ance
 ,! ,secret>y %all provide1 directly or 
by contract1 te*nical assi/ance to      
in/itutions ( high] education seek+ or  
receiv+ a grant "u ?is section on !     
developm5t1 use1 evaluation1 & po/-grant
 p]iod su/a9ability ( ! p]9atal work=ce 
programs or s*ools propos$ to be1 or    
be+1 e/abli%$ or exp&$ ?r\gh ! grant4   
7h7 ,report 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 on !         
effectiv5ess ( ! grant program "u ?is   
section at-- 7#a7 recruit+ m9ority      
/ud5ts1 p>ticul>ly f demographic gr\ps  
exp]i5c+ high rates ( mat]nal mortality 

& sev]e mat]nal morbidity2  7#b7        
increas+ ! numb] ( physician assi/ants  
:o w complete cl9ical tra9+ 9 ! field ( 
mat]nal & p]9atal heal?1 & o!r p]9atal  
heal? work]s1 f demographic gr\ps       
exp]i5c+ high rates ( mat]nal mortality 
& sev]e mat]nal morbidity2  7#c7        
increas+ ! numb] ( physician assi/ants  
:o w complete cl9ical tra9+ 9 ! field ( 
mat]nal & p]9atal heal?1 & o!r p]9atal  
heal? work]s1 work+ 9 heal? pr(essional 
%ortage areas designat$ "u section #ccb2
 &  7#d7 increas+ ! numb] ( physician   
assi/ants :o w complete cl9ical tra9+ 9 
! field ( mat]nal & p]9atal heal?1 & o!r
 p]9atal heal? work]s1 work+ 9 areas )  
significant racial & e?nic disp>ities 9 
mat]nal heal? outcomes4  7i7            
,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  4  #d4 ,grants 
to gr[ & div]sify ! nurs+ work=ce 9     
mat]nal & p]9atal heal? ,title ,,viii ( 
! ,public ,heal? ,s]vice ,act is am5d$  

by ins]t+ aft] section #haa ( t ,act    
7#db ,u4,s4,c4 #bif;j7 ! foll[+3  #hab4 
,p]9atal nurs+ work=ce grants  7a7 ,9   
g5]al ,! ,secret>y may aw>d grants to   
s*ools ( nurs+ to gr[ & div]sify !      
p]9atal nurs+ work=ce4  7b7 ,use ( funds
 ,recipi5ts ( grants "u ?is section %all
 use ! grants to gr[ & div]sify !       
p]9atal nurs+ work=ce by provid+        
s*ol>%ips to /ud5ts seek+ to become--   
7#a7 nurse practition]s ^: education    
includes a focus on mat]nal & p]9atal   
heal?2 or  7#b7 cl9ical nurse speciali/s
 ^: education includes a focus on       
mat]nal & p]9atal heal?4  7c7           
,prioritization ,9 aw>d+ grants "u ?is  
section1 ! ,secret>y %all give priority 
to any s*ool ( nurs+ t-- 7#a7 has       
develop$ a /rategy to recruit & reta9 a 
div]se pool ( /ud5ts seek+ to ent] c>e]s
 focus$ on mat]nal & p]9atal heal?2     
7#b7 has develop$ a p>tn]%ip ) a        
practice sett+ 9 a heal? pr(essional    
%ortage area designat$ "u section #ccb =
 ! cl9ical placem5ts ( ! s*ool's /ud5ts2

  7#c7 has develop$ a /rategy to recruit
 & reta9 /ud5ts :o plan to practice 9 an
 area ) significant racial & e?nic      
disp>ities 9 mat]nal heal? outcomes2 &  
7#d7 includes 9 ! /&>d curriculum = all 
/ud5ts seek+ to ent] c>e]s focus$ on    
mat]nal & p]9atal heal? a bias1 racism1 
or discrim9ation tra9+ program t        
includes education on explicit &        
implicit bias4  7d7 ,report+ ,z a       
condition on receipt ( a grant "u ?is   
section1 a s*ool ( nurs+ %all agree to  
submit to ! ,secret>y an annual report  
on ! activities conduct$ ?r\gh ! grant1 
includ+1 to ! ext5t practicable-- 7#a7 !
 numb] & demographics ( /ud5ts 9 ! s*ool
 ( nurs+ seek+ to ent] c>e]s focus$ on  
mat]nal & p]9atal heal?2  7#b7 ! ext5t  
to :i* su* /ud5ts are prep>+ to ent]    
c>e]s 9-- 7,a7 heal? pr(essional %ortage
 areas designat$ "u section #ccb2 &     
7,b7 areas ) significant racial & e?nic 
disp>ities 9 mat]nal heal? outcomes2 &  
7#c7 :e!r ! /&>d curriculum = all /ud5ts
 seek+ to ent] c>e]s focus$ on mat]nal &

 p]9atal heal? includes a bias1 racism1 
or discrim9ation tra9+ program t        
includes education on explicit &        
implicit bias4  7e7 ,p]iod ( grants ,!  
p]iod ( a grant "u ?is section %all be  
up to #e ye>s4  7f7 ,application ,to    
seek a grant "u ?is section1 an entity  
%all submit to ! ,secret>y an           
application1 at su* "t1 9 su* mann]1 &  
conta9+ su* in=mation z ! ,secret>y may 
require1 includ+ any in=mation necess>y 
= prioritization "u subsection 7c74  7g7
 ,te*nical assi/ance ,! ,secret>y %all  
provide1 directly or by contract1       
te*nical assi/ance to s*ools ( nurs+    
seek+ or receiv+ a grant "u ?is section 
on ! processes ( aw>d+ & evaluat+       
s*ol>%ips ?r\gh ! grant4  7h7 ,report 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 on ! effectiv5ess ( ! grant    
program "u ?is section at-- 7#a7        

recruit+ m9ority /ud5ts1 p>ticul>ly f   
demographic gr\ps exp]i5c+ high rates ( 
mat]nal mortality & sev]e mat]nal       
morbidity2  7#b7 increas+ ! numb] (     
nurse practition]s & cl9ical nurse      
speciali/s ent]+ c>e]s focus$ on mat]nal
 & p]9atal heal? f demographic gr\ps    
exp]i5c+ high rates ( mat]nal mortality 
& sev]e mat]nal morbidity2  7#c7        
increas+ ! numb] ( nurse practition]s & 
cl9ical nurse speciali/s ent]+ c>e]s    
focus$ on mat]nal & p]9atal heal? work+ 
9 heal? pr(essional %ortage areas       
designat$ "u section #ccb2 &  7#d7      
increas+ ! numb] ( nurse practition]s & 
cl9ical nurse speciali/s ent]+ c>e]s    
focus$ on mat]nal & p]9atal heal? work+ 
9 areas ) significant racial & e?nic    
disp>ities 9 mat]nal heal? outcomes4    
7i7 ,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  4  #e4  
,,gao report on b>ri]s to mat]nity c>e  
7a7 ,9 g5]al ,n lat] ?an two ye>s aft] !

 date ( ! enactm5t ( ?is ,act & e five  
ye>s !reaft]1 ! ,comptroll] ,g5]al ( !  
,unit$ ,/ates %all submit to ,congress a
 report on b>ri]s to mat]nity c>e 9 !   
,unit$ ,/ates4 ,su* report %all include 
! in=mation & recomm5dations describ$ 9 
subsection 7b74  7b7 ,cont5t ( report ,!
 report "u subsection 7a7 %all include--
 7#a7 an assessm5t ( curr5t b>ri]s to   
ent]+ accr$it$ midwif]y education       
programs1 & recomm5dations = address+   
su* b>ri]s1 p>ticul>ly = l[-income &    
m9ority wom52  7#b7 an assessm5t (      
curr5t b>ri]s to ent]+ accr$it$         
education programs = o!r mat]nity c>e   
pr(essional c>e]s1 includ+              
ob/etrician-gynecologi/s1 family        
physicians1 physician assi/ants1 nurse  
practition]s1 & cl9ical nurse           
speciali/s1 p>ticul>ly = l[-income &    
m9ority wom52  7#c7 an assessm5t (      
curr5t b>ri]s t prev5t midwives f meet+ 
! int]national def9ition ( ! midwife &  
global /&>ds = midwif]y education z     
e/abli%$ by ! ,int]national ,conf$]ation

 ( ,midwives1 & recomm5dations =        
address+ su* b>ri]s1 p>ticul>ly =       
l[-income & m9ority wom52 &  7#d7       
recomm5dations to promote great] equity 
9 comp5sation = p]9atal heal? work]s1   
p>ticul>ly = su* individuals f racially 
& e?nically div]se backgr\nds4