,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #behf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bf1 #bjai   
,ms4 ,mc,sally 7= h]self & ,mr4 ,jones7 
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to improve mat]nal heal?    
c>e4  #a4 ,%ort title  ,?is ,act may be 
cit$ z ! ,mat]nal ,outcomes ,matt] ,act 
( #bjai or ! ,,mom ,act4  #b4           
,innovation = mat]nal heal? ,title ,,iii
 ( ! ,public ,heal? ,s]vice ,act is     
am5d$ by ins]t+ aft] section #ccj,m (   
su* ,act 7#db ,u4,s4,c4 #bed;c-#ai7 !   
foll[+3  #ccj,n4 ,innovation = mat]nal  
heal?  7a7 ,9 g5]al ,! ,secret>y1 9     
consultation ) exp]ts repres5t+ a v>iety
 ( cl9ical specialties1 ,/ate1 ,tribal1 
or local public heal? (ficials1         
rese>*]s1 epidemiologi/s1 /ati/icians1 &
 community organizations1 %all e/abli%  
or cont9ue a program to aw>d competitive
 grants to eligible entities = ! purpose
 (--  7#a7 id5tify+1 develop+1 or       

dissem9at+ be/ practices to improve     
mat]nal heal? c>e quality & outcomes1   
elim9ate prev5table mat]nal mortality & 
sev]e mat]nal morbidity1 & improve      
infant heal? outcomes1 :i* may include--
  7,a7 in=mation on evid5ce-bas$        
practices to improve ! quality & safety 
( mat]nal heal? c>e 9 hospitals & o!r   
heal? c>e sett+s ( a ,/ate or heal? c>e 
sy/em1 includ+ by address+ topics       
commonly associat$ ) heal? complications
 or risks relat$ to pr5atal c>e1 labor  
c>e1 bir?+1 & po/p>tum c>e2  7,b7 be/   
practices = improv+ mat]nal heal? c>e   
bas$ on data f9d+s & reviews conduct$ by
 a ,/ate mat]nal mortality review       
committee t address topics ( relevance  
to common complications or heal? risks  
relat$ to pr5atal c>e1 labor c>e1 bir?+1
 & po/p>tum c>e2 &  7,c7 in=mation on   
address+ det]m9ants ( heal? t impact    
mat]nal heal? outcomes = wom5 be=e1     
dur+1 & aft] pregnancy2  7#b7           
collaborat+ ) ,/ate mat]nal mortality   
review committees to id5tify issues = ! 

developm5t & implem5tation (            
evid5ce-bas$ practices to improve       
mat]nal heal? outcomes & r$uce          
prev5table mat]nal mortality & sev]e    
mat]nal morbidity2  7#c7 provid+        
te*nical assi/ance & support+ !         
implem5tation ( be/ practices id5tifi$ 9
 p>agraph 7#a7 to entities provid+ heal?
 c>e s]vices to pregnant & po/p>tum     
wom52 &  7#d7 id5tify+1 develop+1 &     
evaluat+ new models ( c>e t improve     
mat]nal & infant heal? outcomes1 :i* may
 include ! integration ( community-bas$ 
s]vices & cl9ical c>e4  7b7 ,eligible   
entities ,to be eligible = a grant "u   
subsection 7a71 an entity %all-- 7#a7   
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,secret>y may require2 &  
7#b7 demon/rate 9 su* application t !   
entity is capable ( c>ry+ out data-driv5
 mat]nal safety & quality improvem5t    
initiatives 9 ! areas ( ob/etrics &     
gynecology or mat]nal heal?4  7c7       
,au?orization ( appropriations ,to c>ry 

out ?is section1 !re is au?oriz$ to be  
appropriat$ su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjbj ?r\gh #bjbd4  4
  #c4 ,tra9+ = heal? c>e provid]s ,title
 ,,vii ( ! ,public ,heal? ,s]vice ,act  
is am5d$ by /rik+ section #gfc 7#db     
,u4,s4,c4 #bidp7 & ins]t+ ! foll[+3     
#gfc4 ,tra9+ = heal? c>e provid]s  7a7  
,grant program ,! ,secret>y %all e/abli%
 a program to aw>d grants to accr$it$   
s*ools ( allopa?ic m$ic9e1 o/eopa?ic    
m$ic9e1 & nurs+1 & o!r heal? pr(essional
 tra9+ programs = ! tra9+ ( heal? c>e   
pr(essionals to r$uce & prev5t          
discrim9ation 7includ+ tra9+ relat$ to  
implicit biases7 9 ! provision ( heal?  
c>e s]vices relat$ to pr5atal c>e1 labor
 c>e1 bir?+1 & po/p>tum c>e4  7b7       
,eligibility ,to be eligible = a grant  
"u subsection 7a71 an entity describ$ 9 
su* subsection %all submit to !         
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7c7 ,report+    
requirem5t ,ea* entity aw>d$ a grant "u 

?is section %all p]iodically submit to !
 ,secret>y a report on ! /atus (        
activities conduct$ us+ ! grant1 includ+
 a description ( ! impact ( su* tra9+ on
 pati5t outcomes1 z applicable4  7d7    
,be/ practices ,! ,secret>y may id5tify 
& dissem9ate be/ practices = ! tra9+ (  
heal? c>e pr(essionals to r$uce & prev5t
 discrim9ation 7includ+ tra9+ relat$ to 
implicit biases7 9 ! provision ( heal?  
c>e s]vices relat$ to pr5atal c>e1 labor
 c>e1 bir?+1 & po/p>tum c>e4  7e7       
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjbj ?r\gh #bjbd4  4
  #d4 ,/udy on tra9+ to r$uce & prev5t  
discrim9ation ,n lat] ?an #b ye>s aft]  
date ( enactm5t ( ?is ,act1 ! ,secret>y 
( ,heal? & ,human ,s]vices %all1 ?r\gh a
 contract ) an indep5d5t rese>*         
organization1 conduct a /udy & make     
recomm5dations = accr$it$ s*ools (      
allopa?ic m$ic9e1 o/eopa?ic m$ic9e1 &   
nurs+1 & o!r heal? pr(essional tra9+    

programs on be/ practices relat$ to     
tra9+ to r$uce & prev5t discrim9ation1  
includ+ tra9+ relat$ to implicit biases1
 9 ! provision ( heal? c>e s]vices      
relat$ to pr5atal c>e1 labor c>e1 bir?+1
 & po/p>tum c>e4  #e4 ,p]9atal quality  
collaboratives ,section #cag,k7a77#b7 ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bdg;b-#ab7;a77#b77 is am5d$  
by add+ at ! end ! foll[+3  7,e7 7i7 ,! 
,secret>y1 act+ ?r\gh ! ,director ( !   
,c5t]s = ,disease ,control & ,prev5tion 
& 9 coord9ation ) o!r (fices & ag5cies1 
z appropriate1 %all e/abli% or cont9ue a
 competitive grant program = !          
e/abli%m5t or support ( p]9atal quality 
collaboratives to improve p]9atal c>e & 
p]9atal heal? outcomes = pregnant &     
po/p>tum wom5 & _! infants4 ,a ,/ate1   
,indian ,tribe1 or ,tribal organization 
may use funds receiv$ ?r\gh su* grant   
to--  7,i7 support ! use ( evid5ce-bas$ 
or evid5ce-in=m$ practices to improve   
outcomes = mat]nal & infant heal?2      
7,,ii7 "w ) cl9ical teams2 exp]ts2      

,/ate1 local1 &1 z appropriate1 ,tribal 
public heal? (ficials2 & /akehold]s1    
includ+ pati5ts & families1 to id5tify1 
develop1 or dissem9ate be/ practices to 
improve p]9atal c>e & outcomes2 &       
7,,iii7 employ /rategies t provide      
opportunities = heal? c>e pr(essionals &
 cl9ical teams to collaborate across    
heal? c>e sett+s & discipl9es1 includ+  
prim>y c>e & m5tal heal?1 z appropriate1
 to improve mat]nal & infant heal?      
outcomes1 :i* may include ! use ( data  
to provide timely fe$back across        
hospital & cl9ical teams to in=m        
responses1 & to provide support & tra9+ 
to hospital & cl9ical teams = quality   
improvem5t1 z appropriate4  7ii7 ,to be 
eligible = a grant "u clause 7i71 an    
entity %all submit to ! ,secret>y an    
application 9 su* =m & mann] & conta9+  
su* in=mation z ! ,secret>y may require4
  4  #f4 ,integrat$ s]vices = pregnant &
 po/p>tum wom5  7a7 ,grants ,title ,,iii
 ( ! ,public ,heal? ,s]vice ,act is     
am5d$ by ins]t+ aft] section #ccj,n (   

su* ,act1 z add$ by section #b1 !       
foll[+3  #ccj,o4 ,integrat$ s]vices =   
pregnant & po/p>tum wom5  7a7 ,9 g5]al  
,! ,secret>y may aw>d grants = ! purpose
 ( e/abli%+ or op]at+ evid5ce-bas$ or   
innovative1 evid5ce-in=m$ programs to   
deliv] integrat$ heal? c>e s]vices to   
pregnant & po/p>tum wom5 to optimize !  
heal? ( wom5 & _! infants1 includ+ to   
r$uce adv]se mat]nal heal? outcomes1    
pregnancy-relat$ dea?s1 & relat$ heal?  
disp>ities 7includ+ su* disp>ities      
associat$ ) racial & e?nic m9ority      
populations71 &1 z appropriate1 by      
address+ issues rese>*$ "u subsection   
7b77#b7 ( section #cag,k4  7b7          
,integrat$ s]vices = pregnant & po/p>tum
 wom5  7#a7 ,eligibility ,to be eligible
 to receive a grant "u subsection 7a71 a
 ,/ate1 ,indian ,tribe1 or ,tribal      
organization 7z su* t]ms are def9$ 9    
section #d ( ! ,indian                  
,self-,det]m9ation & ,education         
,assi/ance ,act7 %all "w ) relevant     
/akehold]s t coord9ate c>e 7includ+     

coord9at+ res\rces & ref]rals = heal?   
c>e & social s]vices7 to develop & c>ry 
out ! program1 includ+--  7,a7 ,/ate1   
,tribal1 & local ag5cies responsible =  
,m$icaid1 public heal?1 social s]vices1 
m5tal heal?1 & sub/ance use disord]     
treatm5t & s]vices2  7,b7 heal? c>e     
provid]s :o s]ve pregnant & po/p>tum    
wom52 &  7,c7 community-bas$ heal?      
organizations & heal? work]s1 includ+   
provid]s ( home visit+ s]vices &        
individuals repres5t+ communities )     
disproportionately high rates ( mat]nal 
mortality & sev]e mat]nal morbidity1 &  
includ+ ^? repres5t+ racial & e?nicity  
m9ority populations4  7#b7 ,t]ms  7,a7  
,p]iod ,a grant aw>d$ "u subsection 7a7 
%all be made = a p]iod ( #e ye>s4 ,any  
supplem5tal aw>d made to a grantee "u   
subsection 7a7 may be made = a p]iod (  
less ?an #e ye>s4  7,b7 ,pref]5ce ,9    
aw>d+ grants "u subsection 7a71 !       
,secret>y %all-- 7i7 give pref]5ce to   
,/ates1 ,indian ,tribes1 & ,tribal      
organizations t h ! highe/ rates (      

mat]nal mortality & sev]e mat]nal       
morbidity relative to o!r su* ,/ates1   
,indian ,tribes1 or ,tribal             
organizations1 respectively2 &  7ii7    
%all consid] heal? disp>ities relat$ to 
mat]nal mortality & sev]e mat]nal       
morbidity1 includ+ su* disp>ities       
associat$ ) racial & e?nic m9ority      
populations4  7,c7 ,priority ,9 aw>d+   
grants "u subsection 7a71 ! ,secret>y   
%all give priority to applications f up 
to #ae entities describ$ 9 subp>agraph  
7,b77i74  7,d7 ,evaluation ,! ,secret>y 
%all require grantees to evaluate !     
outcomes ( ! programs support$ "u !     
grant4  7c7 ,au?orization (             
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is section su* 
sums z may be necess>y = ea* ( fiscal   
ye>s #bjbj ?r\gh #bjbd4  4  7b7 ,report 
on grant outcomes & dissem9ation ( be/  
practices  7#a7 ,report ,n lat] ?an     
,febru>y #a1 #bjbf1 ! ,secret>y ( ,heal?
 & ,human ,s]vices %all submit to !     
,committee on ,heal?1 ,education1       

,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives a report t      
describes--  7,a7 ! outcomes ( !        
activities support$ by ! grants aw>d$ "u
 ! am5dm5ts made by ?is section on      
mat]nal & *ild heal?2  7,b7 be/         
practices & models ( c>e us$ by         
recipi5ts ( grants "u su* am5dm5ts2 &   
7,c7 ob/acles id5tifi$ by recipi5ts (   
grants "u su* am5dm5ts1 & /rategies us$ 
by su* recipi5ts to deliv] c>e1 improve 
mat]nal & *ild heal?1 & r$uce heal?     
disp>ities4  7#b7 ,dissem9ation ( be/   
practices ,n lat] ?an ,augu/ #a1 #bjbf1 
! ,secret>y ( ,heal? & ,human ,s]vices  
%all dissem9ate in=mation on be/        
practices & models ( c>e us$ by         
recipi5ts ( grants "u ! am5dm5ts made by
 ?is section 7includ+ be/ practices &   
models ( c>e relat+ to ! r$uction (     
heal? disp>ities1 includ+ su* disp>ities
 associat$ ) racial & e?nic m9ority     
populations1 9 rates ( mat]nal mortality
 & sev]e mat]nal morbidity7 to relevant 

/akehold]s1 :i* may include heal?       
provid]s1 m$ical s*ools1 nurs+ s*ools1  
relevant ,/ate1 ,tribal1 & local        
ag5cies1 & ! g5]al public4