,,ii #aafth ,,congress #ast ,session ,s4 #behf ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,september #bf1 #bjai ,ms4 ,mc,sally 7for herself and ,mr4 ,jones7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to improve maternal health care4 #a4 ,short title ,this ,act may be cited as the ,maternal ,outcomes ,matter ,act of #bjai or the ,,mom ,act4 #b4 ,innovation for maternal health ,title ,,iii of the ,public ,health ,service ,act is amended by inserting after section #ccj,m of such ,act 7#db ,u4,s4,c4 #bed;c-#ai7 the following3 #ccj,n4 ,innovation for maternal health 7a7 ,in general ,the ,secretary1 in consultation with experts representing a variety of clinical specialties1 ,state1 ,tribal1 or local public health officials1 researchers1 epidemiologists1 statisticians1 and community organizations1 shall establish or continue a program to award competitive grants to eligible entities for the purpose of-- 7#a7 identifying1 developing1 or disseminating best practices to improve maternal health care quality and outcomes1 eliminate preventable maternal mortality and severe maternal morbidity1 and improve infant health outcomes1 which may include-- 7,a7 information on evidence-based practices to improve the quality and safety of maternal health care in hospitals and other health care settings of a ,state or health care system1 including by addressing topics commonly associated with health complications or risks related to prenatal care1 labor care1 birthing1 and postpartum care2 7,b7 best practices for improving maternal health care based on data findings and reviews conducted by a ,state maternal mortality review committee that address topics of relevance to common complications or health risks related to prenatal care1 labor care1 birthing1 and postpartum care2 and 7,c7 information on addressing determinants of health that impact maternal health outcomes for women before1 during1 and after pregnancy2 7#b7 collaborating with ,state maternal mortality review committees to identify issues for the development and implementation of evidence-based practices to improve maternal health outcomes and reduce preventable maternal mortality and severe maternal morbidity2 7#c7 providing technical assistance and supporting the implementation of best practices identified in paragraph 7#a7 to entities providing health care services to pregnant and postpartum women2 and 7#d7 identifying1 developing1 and evaluating new models of care that improve maternal and infant health outcomes1 which may include the integration of community-based services and clinical care4 7b7 ,eligible entities ,to be eligible for a grant under subsection 7a71 an entity shall-- 7#a7 submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require2 and 7#b7 demonstrate in such application that the entity is capable of carrying out data-driven maternal safety and quality improvement initiatives in the areas of obstetrics and gynecology or maternal health4 7c7 ,authorization of appropriations ,to carry out this section1 there is authorized to be appropriated such sums as may be necessary for each of fiscal years #bjbj through #bjbd4 4 #c4 ,training for health care providers ,title ,,vii of the ,public ,health ,service ,act is amended by striking section #gfc 7#db ,u4,s4,c4 #bidp7 and inserting the following3 #gfc4 ,training for health care providers 7a7 ,grant program ,the ,secretary shall establish a program to award grants to accredited schools of allopathic medicine1 osteopathic medicine1 and nursing1 and other health professional training programs for the training of health care professionals to reduce and prevent discrimination 7including training related to implicit biases7 in the provision of health care services related to prenatal care1 labor care1 birthing1 and postpartum care4 7b7 ,eligibility ,to be eligible for a grant under subsection 7a71 an entity described in such subsection shall submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require4 7c7 ,reporting requirement ,each entity awarded a grant under this section shall periodically submit to the ,secretary a report on the status of activities conducted using the grant1 including a description of the impact of such training on patient outcomes1 as applicable4 7d7 ,best practices ,the ,secretary may identify and disseminate best practices for the training of health care professionals to reduce and prevent discrimination 7including training related to implicit biases7 in the provision of health care services related to prenatal care1 labor care1 birthing1 and postpartum care4 7e7 ,authorization of appropriations ,to carry out this section1 there is authorized to be appropriated such sums as may be necessary for each of fiscal years #bjbj through #bjbd4 4 #d4 ,study on training to reduce and prevent discrimination ,not later than #b years after date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall1 through a contract with an independent research organization1 conduct a study and make recommendations for accredited schools of allopathic medicine1 osteopathic medicine1 and nursing1 and other health professional training programs on best practices related to training to reduce and prevent discrimination1 including training related to implicit biases1 in the provision of health care services related to prenatal care1 labor care1 birthing1 and postpartum care4 #e4 ,perinatal quality collaboratives ,section #cag,k7a77#b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b-#ab7;a77#b77 is amended by adding at the end the following3 7,e7 7i7 ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention and in coordination with other offices and agencies1 as appropriate1 shall establish or continue a competitive grant program for the establishment or support of perinatal quality collaboratives to improve perinatal care and perinatal health outcomes for pregnant and postpartum women and their infants4 ,a ,state1 ,indian ,tribe1 or ,tribal organization may use funds received through such grant to-- 7,i7 support the use of evidence-based or evidence-informed practices to improve outcomes for maternal and infant health2 7,,ii7 work with clinical teams2 experts2 ,state1 local1 and1 as appropriate1 ,tribal public health officials2 and stakeholders1 including patients and families1 to identify1 develop1 or disseminate best practices to improve perinatal care and outcomes2 and 7,,iii7 employ strategies that provide opportunities for health care professionals and clinical teams to collaborate across health care settings and disciplines1 including primary care and mental health1 as appropriate1 to improve maternal and infant health outcomes1 which may include the use of data to provide timely feedback across hospital and clinical teams to inform responses1 and to provide support and training to hospital and clinical teams for quality improvement1 as appropriate4 7ii7 ,to be eligible for a grant under clause 7i71 an entity shall submit to the ,secretary an application in such form and manner and containing such information as the ,secretary may require4 4 #f4 ,integrated services for pregnant and postpartum women 7a7 ,grants ,title ,,iii of the ,public ,health ,service ,act is amended by inserting after section #ccj,n of such ,act1 as added by section #b1 the following3 #ccj,o4 ,integrated services for pregnant and postpartum women 7a7 ,in general ,the ,secretary may award grants for the purpose of establishing or operating evidence-based or innovative1 evidence-informed programs to deliver integrated health care services to pregnant and postpartum women to optimize the health of women and their infants1 including to reduce adverse maternal health outcomes1 pregnancy-related deaths1 and related health disparities 7including such disparities associated with racial and ethnic minority populations71 and1 as appropriate1 by addressing issues researched under subsection 7b77#b7 of section #cag,k4 7b7 ,integrated services for pregnant and postpartum women 7#a7 ,eligibility ,to be eligible to receive a grant under subsection 7a71 a ,state1 ,indian ,tribe1 or ,tribal organization 7as such terms are defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act7 shall work with relevant stakeholders that coordinate care 7including coordinating resources and referrals for health care and social services7 to develop and carry out the program1 including-- 7,a7 ,state1 ,tribal1 and local agencies responsible for ,medicaid1 public health1 social services1 mental health1 and substance use disorder treatment and services2 7,b7 health care providers who serve pregnant and postpartum women2 and 7,c7 community-based health organizations and health workers1 including providers of home visiting services and individuals representing communities with disproportionately high rates of maternal mortality and severe maternal morbidity1 and including those representing racial and ethnicity minority populations4 7#b7 ,terms 7,a7 ,period ,a grant awarded under subsection 7a7 shall be made for a period of #e years4 ,any supplemental award made to a grantee under subsection 7a7 may be made for a period of less than #e years4 7,b7 ,preference ,in awarding grants under subsection 7a71 the ,secretary shall-- 7i7 give preference to ,states1 ,indian ,tribes1 and ,tribal organizations that have the highest rates of maternal mortality and severe maternal morbidity relative to other such ,states1 ,indian ,tribes1 or ,tribal organizations1 respectively2 and 7ii7 shall consider health disparities related to maternal mortality and severe maternal morbidity1 including such disparities associated with racial and ethnic minority populations4 7,c7 ,priority ,in awarding grants under subsection 7a71 the ,secretary shall give priority to applications from up to #ae entities described in subparagraph 7,b77i74 7,d7 ,evaluation ,the ,secretary shall require grantees to evaluate the outcomes of the programs supported under the grant4 7c7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section such sums as may be necessary for each of fiscal years #bjbj through #bjbd4 4 7b7 ,report on grant outcomes and dissemination of best practices 7#a7 ,report ,not later than ,february #a1 #bjbf1 the ,secretary of ,health and ,human ,services shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report that describes-- 7,a7 the outcomes of the activities supported by the grants awarded under the amendments made by this section on maternal and child health2 7,b7 best practices and models of care used by recipients of grants under such amendments2 and 7,c7 obstacles identified by recipients of grants under such amendments1 and strategies used by such recipients to deliver care1 improve maternal and child health1 and reduce health disparities4 7#b7 ,dissemination of best practices ,not later than ,august #a1 #bjbf1 the ,secretary of ,health and ,human ,services shall disseminate information on best practices and models of care used by recipients of grants under the amendments made by this section 7including best practices and models of care relating to the reduction of health disparities1 including such disparities associated with racial and ethnic minority populations1 in rates of maternal mortality and severe maternal morbidity7 to relevant stakeholders1 which may include health providers1 medical schools1 nursing schools1 relevant ,state1 ,tribal1 and local agencies1 and the general public4