,,ii #aaf? ,,congress #b;d ,session ,s4 #cdbd ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #aj1 #bjbj ,ms4 ,h>ris 7= h]self1 ,mr4 ,book]1 ,mr4 ,pet]s1 ,mrs4 ,gillibr&1 ,ms4 ,baldw91 ,ms4 ,w>r51 ,mr4 ,s&]s1 ,ms4 ,duckwor?1 ,mr4 ,blum5?al1 ,mr4 ,b5net1 ,ms4 ,klobu*>1 ,mr4 ,m55dez1 & ,mr4 ,m]kley7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to end prev5table mat]nal mortality & sev]e mat]nal morbidity 9 ! ,unit$ ,/ates & close disp>ities 9 mat]nal heal? outcomes1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,black ,mat]nal ,heal? ,momnibus ,act ( #bjbj4 #b4 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title4 ,sec4 #b4 ,table ( cont5ts4 ,sec4 #c4 ,def9itions4 ,title ,i--,social ,det]m9ants = ,moms ,sec4 #aja4 ,task =ce to coord9ate ef=ts to address social det]m9ants ( heal? = wom5 9 ! pr5atal & po/p>tum p]iods4 ,sec4 #ajb4 ,requirem5ts = guidance relat+ to social det]m9ants ( heal? = pregnant wom54 ,sec4 #ajc4 ,dep>tm5t ( ,h\s+ & ,urban ,developm5t4 ,sec4 #ajd4 ,dep>tm5t ( ,transportation4 ,sec4 #aje4 ,dep>tm5t ( ,agriculture4 ,sec4 #ajf4 ,environm5tal /udy ?r\gh ,national ,academies4 ,sec4 #ajg4 ,*ild c>e access4 ,sec4 #ajh4 ,grants to ,/ate1 local1 & ,tribal public heal? dep>tm5ts address+ social det]m9ants ( heal? = pregnant & po/p>tum wom54 ,title ,,ii--,honor+ ,kira ,johnson ,sec4 #bja4 ,inve/m5ts 9 community-bas$ organizations to improve ,black mat]nal heal? outcomes4 ,sec4 #bjb4 ,tra9+ = all employees 9 mat]nity c>e sett+s4 ,sec4 #bjc4 ,/udy on r$uc+ & prev5t+ bias1 racism1 & discrim9ation 9 mat]nity c>e sett+s4 ,sec4 #bjd4 ,respectful mat]nity c>e compliance program4 ,sec4 #bje4 ,,gao report4 ,title ,,iii--,protect+ ,moms ,:o ,s]v$ ,sec4 #cja4 ,support = mat]nity c>e coord9ation4 ,sec4 #cjb4 ,s5se ( ,congress on vet]an /atus requirem5ts4 ,sec4 #cjc4 ,report on mat]nal mortality & sev]e mat]nal morbidity among wom5 vet]ans4 ,title ,,iv--,p]9atal ,work=ce ,sec4 #dja4 ,,hhs ag5cy directives4 ,sec4 #djb4 ,grants to gr[ & div]sify ! p]9atal work=ce4 ,sec4 #djc4 ,grants to gr[ & div]sify ! nurs+ work=ce 9 mat]nal & p]9atal heal?4 ,sec4 #djd4 ,,gao report on b>ri]s to mat]nity c>e4 ,title ,v--,data ,to ,save ,moms ,sec4 #eja4 ,fund+ = mat]nal mortality review committees to promote repres5tative community engagem5t4 ,sec4 #ejb4 ,data collection & review4 ,sec4 #ejc4 ,task =ce on mat]nal heal? data & quality measures4 ,sec4 #ejd4 ,indian ,heal? ,s]vice /udy on mat]nal mortality4 ,sec4 #eje4 ,grants to m9ority-s]v+ in/itutions to /udy mat]nal mortality1 sev]e mat]nal morbidity1 & o!r adv]se mat]nal heal? outcomes4 ,title ,,vi--,moms ,,matt] ,sec4 #fja4 ,innovative models to r$uce mat]nal mortality4 ,title ,,vii--,ju/ice = ,inc>c]at$ ,moms ,sec4 #gja4 ,s5se ( ,congress4 ,sec4 #gjb4 ,end+ ! %ackl+ ( pregnant individuals4 ,sec4 #gjc4 ,creat+ model programs = ! c>e ( inc>c]at$ individuals 9 ! pr5atal & po/p>tum p]iods4 ,sec4 #gjd4 ,grant program to improve mat]nal heal? outcomes = individuals 9 ,/ate & local prisons & jails4 ,sec4 #gje4 ,,gao report4 ,sec4 #gjf4 ,,macpac report4 ,title ,,viii--,te* ,to ,save ,moms ,sec4 #hja4 ,,cmi model+ ( integrat$ teleheal? models 9 mat]nity c>e s]vices4 ,sec4 #hjb4 ,grants to exp& ! use ( te*nology-enabl$ collaborative le>n+ & capacity models t provide c>e to pregnant & po/p>tum wom54 ,sec4 #hjc4 ,grants to promote equity 9 mat]nal heal? outcomes by increas+ access to digital tools4 ,sec4 #hjd4 ,report on ! use ( te*nology to r$uce mat]nal mortality & sev]e mat]nal morbidity & to close racial & e?nic disp>ities 9 outcomes4 ,title ,,ix--,,impact ,to ,save ,moms ,sec4 #ija4 ,p]9atal ,c>e ,alt]native ,paym5t ,model ,demon/ration ,project4 ,sec4 #ijb4 ,,macpac report4 #c4 ,def9itions ,9 ?is ,act3 7#a7 ,culturally congru5t ,! t]m culturally congru5t1 ) respect to c>e or mat]nity c>e1 means c>e t is 9 agreem5t ) ! pref]r$ cultural values1 beliefs1 worldview1 & practices ( ! heal? c>e consum] & o!r /akehold]s4 7#b7 ,mat]nal mortality ,! t]m mat]nal mortality means a dea? occurr+ dur+ or )9 a #a-ye> p]iod aft] pregnancy t is caus$ by pregnancy or *ildbir? complications4 7#c7 ,po/p>tum ,! t]m po/p>tum means ! #a-ye> p]iod beg9n+ on ! la/ day ( a woman's pregnancy4 7#d7 ,sev]e mat]nal morbidity ,! t]m sev]e mat]nal morbidity means an unexpect$ outcome caus$ by labor & deliv]y ( a woman t results 9 significant %ort-t]m or long-t]m consequ5ces to ! heal? ( ! woman4 ,i ,social ,det]m9ants = ,moms #aja4 ,task =ce to coord9ate ef=ts to address social det]m9ants ( heal? = wom5 9 ! pr5atal & po/p>tum p]iods 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all conv5e a task =ce 79 ?is section ref]r$ to z ! ,task ,=ce7 to develop /rategies to coord9ate ef=ts across ! ,f$]al ,gov]nm5t to address social det]m9ants ( heal? = wom5 9 ! pr5atal & po/p>tum p]iods4 7b7 ,memb]s ,! memb]s ( ! ,task ,=ce %all consi/ ( ! foll[+3 7#a7 ,! ,secret>y ( ,heal? & ,human ,s]vices 7or ! ,secret>y's designee74 7#b7 ,! ,secret>y ( ,h\s+ & ,urban ,developm5t 7or ! ,secret>y's designee74 7#c7 ,! ,secret>y ( ,transportation 7or ! ,secret>y's designee74 7#d7 ,! ,secret>y ( ,agriculture 7or ! ,secret>y's designee74 7#e7 ,! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy 7or ! ,adm9i/rator's designee74 7#f7 ,! ,assi/ant ,secret>y = ! ,adm9i/ration = ,*ildr5 & ,families 7or ! ,assi/ant ,secret>y's designee74 7#g7 ,! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices 7or ! ,adm9i/rator's designee74 7#h7 ,! ,director ( ! ,indian ,heal? ,s]vice 7or ! ,director's designee74 7#i7 ,! ,director ( ! ,national ,in/itutes ( ,heal? 7or ! ,director's designee74 7#aj7 ,! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration 7or ! ,adm9i/rator's designee74 7#aa7 ,! ,deputy ,assi/ant ,secret>y = ,m9ority ,heal? ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices 7or ! ,deputy ,assi/ant ,secret>y's designee74 7#ab7 ,! ,deputy ,assi/ant ,secret>y = ,wom5's ,heal? ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices 7or ! ,deputy ,assi/ant ,secret>y's designee74 7#ac7 ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 7or ! ,director's designee74 7#ad7 ,a woman :o has exp]i5c$ sev]e mat]nal morbidity or a family memb] ( a woman :o has suff]$ a pregnancy-relat$ dea?4 7#ae7 ,a lead] ( a community-bas$ organization t addresses mat]nal mortality & sev]e mat]nal morbidity ) a specific focus on racial & e?nic disp>ities4 7#af7 ,a mat]nal heal? c>e provid]4 7c7 ,*air ,! ,secret>y ( ,heal? & ,human ,s]vices %all select ! ,*air ( ! ,task ,=ce f among ! memb]s ( ! ,task ,=ce4 7d7 ,report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,task ,=ce %all-- 7#a7 f9alize /rategies to coord9ate ef=ts across ! ,f$]al ,gov]nm5t to address social det]m9ants ( heal? = wom5 9 ! pr5atal & po/p>tum p]iods2 & 7#b7 submit a report on su* /rategies to ! ,congress1 includ+-- 7,a7 plans = implem5t+ su* /rategies2 & 7,b7 recomm5dations on ! fund+ am\nts ne$$ by ea* ,f$]al dep>tm5t & ag5cy to implem5t su* /rategies4 7e7 ,t]m9ation ,! t]m9ation provisions "u section #ad ( ! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 %all n apply to ! ,task ,=ce4 #ajb4 ,requirem5ts = guidance relat+ to social det]m9ants ( heal? = pregnant wom5 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue guidance ) respect to h[ m$icaid manag$ c>e organizations & ,/ate ,m$icaid programs c use paym5ts made pursuant to section #aijc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7 to address ! foll[+ issues relat$ to social det]m9ants ( heal? = high-risk mo!rs dur+ ! presumptive eligibility p]iod = pregnant wom53 7#a7 ,h\s+4 7#b7 ,transportation4 7#c7 ,nutrition4 7#d7 ,lactation & o!r infant fe$+ options support4 7#e7 ,lead te/+ & abatem5t4 7#f7 ,air & wat] quality4 7#g7 ,c> seat in/allation4 7#h7 ,*ild c>e access4 7#i7 ,wellness & /ress managem5t programs4 7#aj7 ,o!r social det]m9ants ( heal? 7z det]m9$ by ! ,secret>y74 7b7 ,def9itions ,9 ?is section3 7#a7 ,m$icaid manag$ c>e organizations ,! t]m m$icaid manag$ c>e organization has ! mean+ giv5 su* t]m 9 section #aijc7m77#a77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7m77#a77;,a774 7#b7 ,presumptive eligibility p]iod ,! t]m presumptive eligibility p]iod has ! mean+ giv5 su* t]m 9 section #aibj7;b77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#a7;b77#a774 #ajc4 ,dep>tm5t ( ,h\s+ & ,urban ,developm5t 7a7 ,def9itions ,9 ?is section-- 7#a7 ! t]m ,dep>tm5t means ! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t2 7#b7 ! t]m ,secret>y means ! ,secret>y ( ,h\s+ & ,urban ,developm5t2 & 7#c7 ! t]m task =ce means ! ,h\s+ = ,moms ,task ,=ce e/abli%$ "u subsection 7b74 7b7 ,task ,=ce 7#a7 ,e/abli%m5t ,! ,secret>y %all e/abli% )9 ! ,dep>tm5t a ,h\s+ = ,moms ,task ,=ce t %all be responsible = ensur+ t wom5 9 ! pr5atal & po/p>tum p]iods h safe1 /able1 af=dable1 & adequate h\s+ = !mselves & _! o!r *ildr54 7#b7 ,responsibilities ,! task =ce %all-- 7,a7 /udy h[ ! ,dep>tm5t c support wom5 9 ! pr5atal & po/p>tum p]iods & make recomm5dations to ! ,secret>y2 7,b7 provide guidance to regional (fices ( ! ,dep>tm5t on measures to ensure t local h\s+ infra/ructure is supportive to wom5 9 ! pr5atal & po/p>tum p]iods1 includ+ provid+ in=mation on-- 7i7 heal?-promot+ h\s+ codes2 7ii7 en=cem5t ( h\s+ codes2 7iii7 proactive r5tal inspection programs2 7iv7 code en=cem5t (fic] tra9+2 & 7v7 p>tn]%ips betwe5 regional (fices ( ! ,dep>tm5t & community organizations to ensure h\s+ laws are und]/ood & violations are discov]$2 & 7,c7 n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft]1 submit to ,congress a report summ>iz+ ! activities ( ! task =ce4 #ajd4 ,dep>tm5t ( ,transportation 7a7 ,report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,transportation %all submit to ,congress a report conta9+-- 7#a7 an assessm5t ( transportation b>ri]s prev5t+ individuals f att5d+ pr5atal & po/p>tum appo9tm5ts1 access+ mat]nal heal? c>e s]vices1 or access+ s]vices & res\rces relat$ to social det]m9ants ( heal? t affect mat]nal heal? outcomes1 su* z heal?y foods2 7#b7 recomm5dations on h[ to ov]come su* b>ri]s2 & 7#c7 an assessm5t ( transportation safety risks = pregnant individuals & recomm5dations on h[ to mitigate su* risks4 7b7 ,consid]ations ,9 c>ry+ out subsection 7a71 ! ,secret>y %all give special consid]ation to solutions =-- 7#a7 wom5 liv+ 9 a heal? pr(essional %ortage area designat$ "u section #ccb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;e72 & 7#b7 wom5 liv+ 9 areas ) high mat]nal mortality or sev]e mat]nal morbidity rates & significant racial or e?nic disp>ities 9 mat]nal heal? outcomes4 #aje4 ,dep>tm5t ( ,agriculture 7a7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means-- 7,a7 a public entity2 7,b7 a private community entity2 7,c7 a community-bas$ organization2 7,d7 an ,indian tribe or tribal organization 7z ^? t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd772 & 7,e7 an urban ,indian organization 7z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc774 7#b7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,agriculture4 7b7 ,special supplem5tal nutrition program = wom51 infants1 & *ildr5 7#a7 ,ext5sion ( po/p>tum p]iod ,section #ag7;b77#aj7 ( ! ,*ild ,nutrition ,act ( #aiff 7#db ,u4,s4,c4 #aghf7;b77#aj77 is am5d$ by /rik+ six mon?s & ins]t+ #bd mon?s4 7#b7 ,ext5sion ( brea/fe$+ p]iod ,section #ag7;d77#c77;,a77ii7 ( ! ,*ild ,nutrition ,act ( #aiff 7#db ,u4,s4,c4 #aghf7;d77#c77;,a77ii77 is am5d$ by /rik+ #a ye> & ins]t+ #bd mon?s4 7#c7 ,report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report t includes an evaluation ( ! effect ( ea* ( ! am5dm5ts made by ?is subsection on-- 7,a7 mat]nal & infant heal? outcomes1 includ+ racial & e?nic disp>ities ) respect to ^? outcomes2 7,b7 qualitative evaluations ( family exp]i5ces "u ! special supplem5tal nutrition program = wom51 infants1 & *ildr5 "u section #ag ( ! ,*ild ,nutrition ,act ( #aiff 7#db ,u4,s4,c4 #aghf72 & 7,c7 ! co/ effectiv5ess ( t special supplem5tal nutrition program4 7c7 ,grant program = heal?y food & clean wat] = pregnant & po/p>tum wom5 7#a7 ,9 g5]al ,! ,secret>y %all c>ry out a grant program to make grants on a competitive basis to eligible entities to c>ry out ! activities describ$ 9 p>agraph 7#d74 7#b7 ,application ,to be eligible to receive a grant "u ?is subsection1 an eligible entity %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#c7 ,priority ,9 aw>d+ grants "u ?is subsection1 ! ,secret>y %all give priority to an eligible entity t proposes 9 an application "u p>agraph 7#b7 to use ! grant funds to c>ry out activities 9 areas )-- 7,a7 high mat]nal mortality or sev]e mat]nal morbidity rates2 & 7,b7 significant racial or e?nic disp>ities 9 mat]nal heal? outcomes4 7#d7 ,use ( funds ,an eligible entity t receives a grant "u ?is subsection %all use funds "u ! grant to deliv] heal?y food1 infant =mula1 or clean wat] to pregnant wom5 & po/p>tum wom5 7z ^? t]ms are def9$ 9 section #ag7;b7 ( ! ,*ild ,nutrition ,act ( #aiff 7#db ,u4,s4,c4 #aghf7;b77 locat$ 9 areas t are food des]ts1 z det]m9$ by ! ,secret>y us+ data f ! ,food ,access ,rese>* ,atlas ( ! ,dep>tm5t ( ,agriculture4 7#e7 ,report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report t includes-- 7,a7 an evaluation ( ! effect ( ! grant program "u ?is subsection on mat]nal & infant heal? outcomes1 includ+ racial & e?nic disp>ities ) respect to ^? outcomes2 & 7,b7 recomm5dations ) respect to ensur+ ! activities describ$ 9 p>agraph 7#d7 cont9ue aft] ! p]iod = grant fund+ = ^? activities expires4 7#f7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ su* sums z are necess>y to c>ry out ?is subsection = ea* ( fiscal ye>s #bjba ?r\gh #bjbc4 #ajf4 ,environm5tal /udy ?r\gh ,national ,academies 7a7 ,9 g5]al ,! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy %all seek to ent] an agreem5t1 n lat] ?an #fj 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 agree to conduct a /udy on ! impacts ( wat] & air quality1 exposure to extreme temp]atures1 & pollution levels on mat]nal & infant heal? outcomes4 7b7 ,/udy requirem5ts ,! agreem5t "u subsection 7a7 %all direct ! ,national ,academies to make recomm5dations =-- 7#a7 improv+ environm5tal conditions to improve mat]nal & infant heal? outcomes2 & 7#b7 r$uc+ or elim9at+ racial & e?nic disp>ities 9 ^? outcomes4 7c7 ,report ,! agreem5t "u subsection 7a7 %all direct ! ,national ,academies to complete ! /udy "u subsection 7a7 & submit to ,congress a report on ! results ( ! /udy n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act4 #ajg4 ,*ild c>e access 7a7 ,grant program ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all aw>d grants to eligible organizations to provide pregnant & po/p>tum wom5 ) free drop-9 *ild c>e s]vices dur+ pr5atal & po/p>tum appo9tm5ts4 7b7 ,eligible organizations ,to be eligible to receive a grant "u ?is section1 an organization %all-- 7#a7 be an organization t c>ries out programs provid+ pregnant & po/p>tum wom5 ) free & accessible drop-9 *ild c>e s]vices dur+ pr5atal & po/p>tum appo9tm5ts 9 areas :i* ! ,secret>y det]m9es h a high mat]nal mortality & sev]e mat]nal morbidity rate & significant racial & e?nic disp>ities 9 mat]nal heal? outcomes2 & 7#b7 n h previ\sly receiv$ a grant "u ?is section4 7c7 ,duration ,! ,secret>y %all comm5ce ! grant program "u subsection 7a7 n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act4 7d7 ,evaluation ,! ,secret>y %all evaluate ea* grant aw>d$ "u ?is section to det]m9e ! effects ( ! grant on-- 7#a7 pr5atal & po/p>tum appo9tm5t att5dance rates2 7#b7 mat]nal heal? outcomes ) a specific focus on racial & e?nic disp>ities 9 su* outcomes2 7#c7 pregnant & po/p>tum wom5 p>ticipat+ 9 ! fund$ programs1 & ! families ( su* wom52 & 7#d7 co/ effectiv5ess4 7e7 ,report ,n lat] ?an ,septemb] #cj1 #bjbc1 ! ,secret>y %all submit to ! ,congress a report conta9+ ! foll[+3 7#a7 ,a summ>y ( ! evaluations "u subsection 7d74 7#b7 ,a description ( actions ! ,secret>y c take to ensure t pregnant & po/p>tum wom5 eligible = m$ical assi/ance "u a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 h access to free drop-9 *ild c>e s]vices dur+ pr5atal & po/p>tum appo9tm5ts1 includ+ id5tification ( ! fund+ necess>y to c>ry out su* actions4 7f7 ,drop-,9 *ild c>e s]vices def9$ ,9 ?is section1 ! t]m drop-9 *ild c>e s]vices means *ild c>e & e>ly *ildhood education s]vices t are-- 7#a7 deliv]$ at a facility t meets ! requirem5ts ( all applicable laws & regulations ( ! ,/ate or local gov]nm5t 9 :i* x is locat$1 includ+ ! lic5s+ ( ! facility z a *ild c>e facility2 & 7#b7 provid$ 9 s+le enc\nt]s )\t requir+ full-"t enrollm5t ( a p]son 9 a *ild c>e program4 7g7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #a1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbc4 #ajh4 ,grants to ,/ate1 local1 & ,tribal public heal? dep>tm5ts address+ social det]m9ants ( heal? = pregnant & po/p>tum wom5 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all aw>d grants to ,/ate1 local1 & ,tribal public heal? dep>tm5ts to address social det]m9ants ( mat]nal heal? 9 ord] to r$uce or elim9ate racial & e?nic disp>ities 9 mat]nal heal? outcomes4 7b7 ,use ( funds ,a public heal? dep>tm5t receiv+ a grant "u ?is section may use funds receiv$ ?r\gh ! grant to-- 7#a7 build capacity & hire /aff to coord9ate ef=ts ( ! public heal? dep>tm5t to address social det]m9ants ( mat]nal heal?2 7#b7 develop1 & provide = di/ribution (1 res\rce li/s ( available social s]vices = wom5 9 ! pr5atal & po/p>tum p]iods1 :i* social s]vices may include-- 7,a7 transportation v\*]s2 7,b7 h\s+ supports2 7,c7 *ild c>e access2 7,d7 heal?y food access2 7,e7 nutrition c\nsel+2 7,f7 lactation supports2 7,g7 lead te/+ & abatem5t2 7,h7 clean wat]2 7,i7 infant =mula2 7,j7 mat]nal m5tal & behavioral heal? c>e s]vices2 7,k7 wellness & /ress managem5t programs2 & 7,l7 o!r social s]vices z det]m9$ by ! public heal? dep>tm5t2 7#c7 9 consultation ) local /akehold]s1 e/abli% or designate a "o-/op res\rce c5t] t provides coord9at$ social s]vices 9 a s+le location = wom5 9 ! pr5atal or po/p>tum p]iod2 or 7#d7 directly address specific social det]m9ant ne$s = ! community t are relat$ to mat]nal heal? z id5tifi$ by ! public heal? dep>tm5t1 su* z-- 7,a7 transportation2 7,b7 h\s+2 7,c7 *ild c>e2 7,d7 heal?y foods2 7,e7 infant =mula2 7,f7 nutrition c\nsel+2 7,g7 lactation supports2 7,h7 lead te/+ & abatem5t2 7,i7 air & wat] quality2 7,j7 wellness & /ress managem5t programs2 & 7,k7 o!r social det]m9ants z det]m9$ by ! public heal? dep>tm5t4 7c7 ,special consid]ation ,9 aw>d+ grants "u subsection 7a71 ! ,secret>y %all give special consid]ation to ,/ate1 local1 & ,tribal public heal? dep>tm5ts t-- 7#a7 propose to use ! grants to r$uce or end racial & e?nic disp>ities 9 mat]nal mortality & sev]e mat]nal morbidity rates2 & 7#b7 op]ate 9 areas ) high rates (-- 7,a7 mat]nal mortality & sev]e mat]nal morbidity2 or 7,b7 significant racial & e?nic disp>ities 9 mat]nal mortality & sev]e mat]nal morbidity rates4 7d7 ,guidance on /rategies ,9 c>ry+ out ?is section1 ! ,secret>y %all provide guidance to grantees on /rategies = long-t]m viability ( programs fund$ ?r\gh ?is section aft] su* fund+ ends4 7e7 ,report+ 7#a7 ,by grantees ,z a condition on receipt ( a grant "u ?is section1 a grantee %all agree to-- 7,a7 evaluate ! activities fund$ ?r\gh ! grant ) respect to-- 7i7 mat]nal heal? outcomes ) a specific focus on racial & e?nic disp>ities2 7ii7 ! subjective assessm5t ( su* activities by ! b5efici>ies ( su* activities1 includ+ mo!rs & _! families2 & 7iii7 co/ effectiv5ess & return on inve/m5t2 & 7,b7 n lat] ?an #ahj days aft] ! end ( ! p]iod ( ! grant1 submit a report on ! results ( su* evaluation to ! ,secret>y4 7#b7 ,by ,secret>y ,n lat] ?an ! end ( fiscal ye> #bjbf1 ! ,secret>y %all submit a report to ! ,congress-- 7,a7 summ>iz+ ! evaluations submitt$ "u p>agraph 7#a72 & 7,b7 mak+ recomm5dations = improv+ mat]nal heal? & r$uc+ or elim9at+ racial & e?nic disp>ities 9 mat]nal heal? outcomes1 bas$ on ! results ( grants "u ?is section4 7f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #ae1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 ,,ii ,honor+ ,kira ,johnson #bja4 ,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 ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 #bjb4 ,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]$ at local ag5cies 7z def9$ 9 subsection 7b7 ( section #ag ( ! ,*ild ,nutrition ,act ( #aiff 7#db ,u4,s4,c4 #aghf77 t provide b5efits or s]vices "u ! special supplem5tal nutrition program = wom51 infants1 & *ildr5 e/abli%$ by t section2 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 ! #a-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 ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 #bjc4 ,/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 agree 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 #bjd4 ,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 #bje4 ,,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 support$ "u section #bjd )9 hospitals1 heal? sy/ems1 & o!r mat]nity c>e sett+s4 7b7 ,matt]s includ$ ,! report "u subsection 7a7 %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 (fices support$ "u section #bjd1 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 #bjd has be5 suffici5t &1 if applicable1 recomm5dations = additional appropriations to c>ry out su* section4 7#c7 ,su* o!r in=mation z ! ,comptroll] ,g5]al det]m9es appropriate4 ,,iii ,protect+ ,moms ,:o ,s]v$ #cja4 ,support = mat]nity c>e coord9ation 7a7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,!re is au?oriz$ to be appropriat$ to ! ,secret>y ( ,vet]ans ,affairs #ae1jjj1jjj = fiscal ye> #bjbb to improve mat]nity c>e coord9ation = wom5 vet]ans ?r\gh\t pregnancy & ! #a-ye> po/p>tum p]iod beg9n+ on ! la/ day ( ! pregnancy4 7#b7 ,supplem5t n supplant ,am\nts au?oriz$ "u p>agraph 7#a7 are 9 addition to any o!r am\nts au?oriz$ = ! purpose specifi$ 9 t p>agraph4 7b7 ,plan 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a plan to improve mat]nity c>e coord9ation to fulfill ! responsibilities & requirem5ts describ$ 9 ! ,vet]ans ,heal? ,adm9i/ration ,h&book #accj4jc dat$ ,octob] #e1 #bjab1 & entitl$ ,mat]nity ,heal? ,c>e & ,coord9ation1 or any successor h&book4 7#b7 ,elem5ts ,! plan "u p>agraph 7#a7 %all include ! foll[+3 7,a7 ,) respect to ! am\nts au?oriz$ to be appropriat$ "u subsection 7a71 a description ( h[ ! ,secret>y w ensure su* am\nts are us$ to-- 7i7 hire full-"t mat]nity c>e coord9ators2 7ii7 tra9 mat]nity c>e coord9ators2 & 7iii7 improve support programs l$ by mat]nity c>e coord9ators4 7,b7 ,recomm5dations = ! am\nt ( fund+ ! ,secret>y det]m9es appropriate to improve mat]nity c>e coord9ation z describ$ 9 p>agraph 7#a7 = ea* ( ! #e fiscal ye>s foll[+ ! date ( ! plan4 7#c7 ,consultation ,! ,secret>y %all develop ! plan "u p>agraph 7#a7 9 consultation ) vet]ans s]vice organizations1 milit>y s]vice organizations1 wom5's heal? c>e provid]s1 & community-bas$ organizations repres5t+ wom5 f demographic gr\ps disproportionately impact$ by poor mat]nal heal? outcomes1 t ! ,secret>y det]m9es appropriate4 #cjb4 ,s5se ( ,congress on vet]an /atus requirem5ts ,x is ! s5se ( ,congress t ea* ,/ate %\ld li/ ! vet]an /atus ( a "m-- 7#a7 9 fetal dea? records2 & 7#b7 9 mat]nal mortality review committee reviews ( pregnancy-relat$ dea?s & pregnancy-associat$ dea?s4 #cjc4 ,report on mat]nal mortality & sev]e mat]nal morbidity among wom5 vet]ans 7a7 ,,gao report ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives1 & make publicly available1 a report on mat]nal mortality & sev]e mat]nal morbidity among wom5 vet]ans1 ) a p>ticul> focus on racial & e?nic disp>ities 9 mat]nal heal? outcomes = wom5 vet]ans4 7b7 ,matt]s includ$ ,! report "u subsection 7a7 %all include ! foll[+3 7#a7 ,to ! ext5t practicable-- 7,a7 ! numb] ( wom5 vet]ans :o h exp]i5c$ a pregnancy-relat$ dea? or pregnancy-associat$ dea? 9 ! mo/ rec5t #aj ye>s ( available data2 7,b7 ! rate ( pregnancy-relat$ dea?s p] #ajj1jjj live bir?s = wom5 vet]ans2 7,c7 ! numb] ( cases ( sev]e mat]nal morbidity among wom5 vet]ans 9 ! mo/ rec5t ye> ( available data2 7,d7 ! racial & e?nic disp>ities 9 mat]nal mortality & sev]e mat]nal morbidity rates among wom5 vet]ans2 7,e7 id5tification ( ! causes ( mat]nal mortality & sev]e mat]nal morbidity t are unique to wom5 :o h s]v$ 9 ! milit>y1 includ+ po/-traumatic /ress disord]1 milit>y sexual trauma1 & inf]tility or misc>riages t may be caus$ by su* s]vice2 7,f7 id5tification ( ! causes ( mat]nal mortality & sev]e mat]nal morbidity t are unique to wom5 vet]ans ( color2 & 7,g7 id5tification ( any correlations betwe5 ! =m] rank ( wom5 vet]ans & _! mat]nal heal? outcomes4 7#b7 ,an assessm5t ( ! b>ri]s to det]m9+ ! in=mation requir$ "u p>agraph 7#a7 & recomm5dations = improvem5ts 9 track+ mat]nal heal? outcomes among-- 7,a7 wom5 vet]ans :o h heal? c>e cov]age ?r\gh ! ,dep>tm5t2 7,b7 wom5 vet]ans enroll$ 9 ! ,,tric>e program 7z def9$ 9 section #ajgb ( title #aj1 ,unit$ ,/ates ,code72 7,c7 wom5 vet]ans ) employ]-bas$ or private insurance2 & 7,d7 wom5 vet]ans enroll$ 9 ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7#c7 ,recomm5dations = legislative & adm9i/rative actions to increase access to m5tal & behavioral heal? c>e = wom5 vet]ans :o scre5 positively = po/p>tum m5tal or behavioral heal? conditions4 7#d7 ,recomm5dations to address homelessness among pregnant & po/p>tum wom5 vet]ans4 7#e7 ,recomm5dations on h[ to effectively educate mat]nity c>e provid]s on be/ practices = provid+ mat]nity c>e s]vices to wom5 vet]ans t addresses ! unique mat]nal heal? c>e ne$s ( vet]an populations4 7#f7 ,recomm5dations to r$uce mat]nal mortality & sev]e mat]nal morbidity among wom5 vet]ans & to address racial & e?nic disp>ities 9 mat]nal heal? outcomes = ea* ( ! gr\ps describ$ 9 subp>agraphs 7,a7 ?r\gh 7,d7 ( p>agraph 7#b74 7#g7 ,recomm5dations to improve coord9ation ( c>e betwe5 ! ,dep>tm5t & non-,dep>tm5t facilities = pregnant & po/p>tum wom5 vet]ans1 includ+ recomm5dations to improve tra9+ = ! directors ( ! ,vet]ans ,integrat$ ,s]vice ,networks1 directors ( m$ical facilities ( ! ,dep>tm5t1 *iefs ( /aff ( su* facilities1 mat]nity c>e coord9ators1 & relevant non-,dep>tm5t facilities4 7#h7 ,an assessm5t ( ! au?ority ( ! ,secret>y ( ,vet]ans ,affairs to access mat]nal heal? data collect$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices &1 if applicable1 recomm5dations to increase su* au?ority4 7#i7 ,any o!r in=mation ! ,comptroll] ,g5]al det]m9es appropriate ) respect to ! r$uction ( mat]nal mortality & sev]e mat]nal morbidity among wom5 vet]ans & to address racial & e?nic disp>ities 9 mat]nal heal? outcomes = wom5 vet]ans4 ,,iv ,p]9atal ,work=ce #dja4 ,,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 7at a m9imum7 ! 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]vices1 act+ ?r\gh ! ,director ( ! ,national ,in/itutes ( ,heal? 79 ?is subsection ref]r$ to z ! ,secret>y71 %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 #djb4 ,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[+3 #geh4 ,p]9atal work=ce grants 7a7 ,9 g5]al ,! ,secret>y may aw>d grants to entities to e/abli% or exp& s*ools or 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 entity 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 into1 & reta91 a div]se pool ( /ud5ts ! 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 s1 ! 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 ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #ae1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 #djc4 ,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 ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #ae1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 #djd4 ,,gao report on b>ri]s to mat]nity c>e 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act & e #e 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 ,v ,data ,to ,save ,moms #eja4 ,fund+ = mat]nal mortality review committees to promote repres5tative community engagem5t 7a7 ,9 g5]al ,section #cag,k7d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7;d77 is am5d$ by add+ at ! end ! foll[+3 7#i7 ,grants to promote repres5tative community engagem5t 9 mat]nal mortality review committees 7,a7 ,9 g5]al ,! ,secret>y may1 us+ funds made available pursuant to subp>agraph 7,c71 provide assi/ance to an applicable mat]nal mortality review committee ( a ,/ate1 ,indian tribe1 tribal organization1 or urban ,indian organization 7z su* t]m is def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc77-- 7i7 to select = inclusion 9 ! memb]%ip ( su* a committee community memb]s f ! ,/ate1 ,indian tribe1 tribal organization1 or urban ,indian organization by-- 7,i7 prioritiz+ community memb]s :o c increase ! div]sity ( ! committee's memb]%ip ) respect to race & e?nicity1 location1 & pr(essional backgr\nd1 includ+ memb]s ) non-cl9ical exp]i5ces2 & 7,,ii7 to ! ext5t applicable1 to address b>ri]s to mat]nal mortality review committee p>ticipation = community memb]s1 includ+ requir$ tra9+1 transportation b>ri]s1 comp5sation1 & o!r supports z may be necess>y2 7ii7 to e/abli% initiatives to conduct outrea* & community engagem5t ef=ts )9 communities ?r\gh\t ! ,/ate or ,indian tribe to seek input f community memb]s on ! "w ( su* mat]nal mortality review committee1 ) a p>ticul> focus on outrea* to m9ority wom52 & 7iii7 to release public reports assess+-- 7,i7 ! pregnancy-relat$ dea? & pregnancy-associat$ dea? review processes ( ! mat]nal mortality review committee1 ) a p>ticul> focus on ! mat]nal mortality review committee's s5sitivity to ! unique circum/ances ( m9ority wom5 :o h suff]$ pregnancy-relat$ dea?s2 & 7,,ii7 ! impact ( ! use ( funds made available "u subp>agraph 7,c7 on increas+ ! div]sity ( ! mat]nal mortality review committee memb]%ip & promot+ community engagem5t ef=ts ?r\gh\t ! ,/ate or ,indian tribe4 7,b7 ,te*nical assi/ance ,! ,secret>y %all provide 7ei!r directly ?r\gh ! ,dep>tm5t ( ,heal? & ,human ,s]vices or by contract7 te*nical assi/ance to any mat]nal mortality review committee receiv+ a grant "u ?is p>agraph on be/ practices = increas+ ! div]sity ( ! mat]nal mortality review committee's memb]%ip & = conduct+ effective community engagem5t ?r\gh\t ! ,/ate or ,indian tribe4 7,c7 ,au?orization ( appropriations ,9 addition to any funds made available "u subsection 7f71 !re are au?oriz$ to be appropriat$ to c>ry out ?is p>agraph #aj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 7b7 ,res]vation ( funds ,section #cag,k7f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7;f77 is am5d$ by add+ at ! end ! foll[+3 ,( ! am\nt made available "u ! prec$+ s5t5ce = a fiscal ye>1 n less ?an #a1ejj1jjj %all be res]v$ = grants to ,indian tribes1 tribal organizations1 or urban ,indian organizations 7z su* t]m is def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc774 #ejb4 ,data collection & review 7a7 ,9 g5]al ,section #cag,k7d77#c77;,a77i7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7;d77#c77;,a77i77 is am5d$-- 7#a7 by r$esignat+ subclauses 7,,ii7 & 7,,iii7 z subclauses 7,,iv7 & 7,v71 respectively2 & 7#b7 by ins]t+ aft] subclause 7,i7 ! foll[+3 7,,ii7 to ! ext5t practicable1 review+ cases ( sev]e mat]nal morbidity 9 :i* ! pati5t receiv$ a transfusion ( f\r or m units ( blood & 0 admitt$ to an int5sive c>e unit2 7,,iii7 to ! ext5t practicable1 consult+ ) local community-bas$ organizations repres5t+ wom5 f demographic gr\ps disproportionately impact$ by poor mat]nal heal? outcomes to ensure t1 9 addition to cl9ical factors1 non-cl9ical factors t might h contribut$ to a pregnancy-relat$ dea? are appropriately consid]$2 4 7b7 ,sev]e mat]nal morbidity def9$ ,section #cag,k7e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7;e77 is am5d$-- 7#a7 9 p>agraph 7#b71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#c71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#d7 ! t]m sev]e mat]nal morbidity means "o or m unexpect$ outcomes ( labor & deliv]y t result 9 significant %ort-t]m or long-t]m consequ5ces to a woman's heal?4 4 #ejc4 ,task =ce on mat]nal heal? data & quality measures 7a7 ,e/abli%m5t ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a task =ce1 to be kn[n z ! ,task ,=ce on ,mat]nal ,heal? ,data & ,quality ,measures 79 ?is section ref]r$ to z ! ,task ,=ce74 7b7 ,duties ( task =ce 7#a7 ,9 g5]al ,! ,task ,=ce %all use all available relevant in=mation1 includ+ in=mation f ,/ate-level s\rces1 to prep>e & submit a report conta9+ ! foll[+3 7,a7 ,an evaluation ( curr5t ,/ate & ,tribal practices = mat]nal heal?1 mat]nal mortality1 & sev]e mat]nal morbidity data collection & dissem9ation1 includ+ consid]ation (-- 7i7 ! timel9ess ( processes = am5d+ a dea? c]tificate :5 new in=mation p]ta9+ to ! dea? becomes available to reflect :e!r ! dea? 0 a pregnancy-relat$ dea?2 7ii7 mat]nal heal? data collect$ ) electronic heal? records1 includ+ data on race & e?nicity2 7iii7 ! b>ri]s prev5t+ ,/ates f correlat+ mat]nal outcome data ) race & e?nicity data2 7iv7 processes = det]m9+ ! cause ( a pregnancy-associat$ dea? 9 ,/ates t d n h a mat]nal mortality review committee2 7v7 :e!r mat]nal mortality review committees include multidiscipl9>y & div]se memb]%ip 7z describ$ 9 section #cag,k7d77#a77;,a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7;d77#a77;,a772 7vi7 :e!r memb]s ( mat]nal mortality review committees p>ticipate 9 tra9+s on bias1 racism1 or discrim9ation1 & ! quality ( su* tra9+s2 7vii7 ! ext5t to :i* ,/ates h implem5t$ sy/ematic processes ( li/5+ to ! /ories ( pregnant & po/p>tum wom5 & _! family memb]s1 ) a p>ticul> focus on m9ority wom5 & _! family memb]s1 to fully und]/& ! causes (1 & in=m pot5tial solutions to1 ! mat]nal mortality & sev]e mat]nal morbidity crisis )9 _! respective ,/ates2 7viii7 ! consid]ation ( social det]m9ants ( heal? by mat]nal mortality review committees :5 exam9+ ! causes ( pregnancy-associat$ & pregnancy-relat$ dea?s2 7ix7 ! legal b>ri]s prev5t+ ! collation ( ,/ate mat]nity c>e data2 7x7 ! effectiv5ess ( data collection & report+ processes 9 sep>at+ pregnancy-associat$ dea?s f pregnancy-relat$ dea?s2 & 7xi7 ! curr5t ,f$]al1 ,/ate1 local1 & ,tribal fund+ support = ! activities ref]r$ to 9 clauses 7i7 ?r\gh 7x74 7,b7 ,an assessm5t ( :e!r ! fund+ ref]r$ to 9 subp>agraph 7,a77xi7 is adequate = ,/ates to c>ry out optimal data collection & dissem9ation processes ) respect to mat]nal heal?1 mat]nal mortality1 & sev]e mat]nal morbidity4 7,c7 ,an evaluation ( curr5t quality measures = mat]nity c>e1 includ+ pr5atal measures1 labor & deliv]y measures1 & po/p>tum measures up to "o ye> po/p>tum4 ,su* evaluation %all be conduct$ 9 consultation ) ! ,national ,quality ,=um & %all include consid]ation (-- 7i7 effective quality measures = mat]nity c>e us$ by hospitals1 heal? sy/ems1 bir? c5t]s1 heal? plans1 & o!r relevant entities2 7ii7 ! suffici5cy ( curr5t outcome measures us$ to evaluate mat]nity c>e = te/+ & validat+ new mat]nal heal? c>e paym5t & s]vice deliv]y models2 7iii7 quality measures = ! *ildbir? exp]i5ces ( wom5 t o!r c\ntries effectively use2 7iv7 curr5t mat]nity c>e quality measures t may be elim9at$ because !y are n a*iev+ _! int5d$ effect2 7v7 b>ri]s prev5t+ mat]nity c>e provid]s f implem5t+ quality measures t are align$ f be/ practices2 7vi7 ! frequ5cy ) :i* mat]nity c>e quality measures are review$ & revis$2 7vii7 ! /r5g?s & weaknesses ( ! ,pr5atal & ,po/p>tum ,c>e measures ( ! ,heal? ,plan ,employ] ,data & ,in=mation ,set measures e/abli%$ by ! ,national ,committee = ,quality ,assurance2 7viii7 ! /r5g?s & weaknesses ( mat]nity c>e quality measures "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 & ! ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig;aa et seq471 includ+ ! ext5t to :i* ,/ates volunt>ily report relevant measures2 7ix7 ! ext5t to :i* mat]nity c>e quality measures are in=m$ by pati5t exp]i5ces t include subjective measures ( pati5t-report$ exp]i5ce ( c>e2 7x7 ! curr5t processes = collect+ /ratifi$ data on ! race & e?nicity ( pregnant & po/p>tum wom5 9 hospitals1 heal? sy/ems1 & bir? c5t]s1 & = incorporat+ su* racially & e?nically /ratifi$ data 9 mat]nity c>e quality measures2 7xi7 ! ext5t to :i* mat]nity c>e quality measures acc\nt = ! unique exp]i5ces ( m9ority wom5 & _! families2 & 7xii7 ! ext5t to :i* hospitals1 heal? sy/ems1 & bir? c5t]s are implem5t+ exi/+ mat]nity c>e quality measures4 7,d7 ,recomm5dations on au?oriz+ additional funds to improve mat]nal mortality review committees & relevant mat]nal heal? initiatives by ! ag5cies & organizations )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7,e7 ,recomm5dations = new au?orities t may be grant$ to mat]nal mortality review committees to be able to-- 7i7 access records f o!r ,f$]al & ,/ate ag5cies & dep>tm5ts t may be necess>y to id5tify causes ( pregnancy-associat$ dea?s t are unique to wom5 f specific populations1 su* z wom5 vet]ans & wom5 :o are inc>c]at$2 & 7ii7 "w ) relevant exp]ts :o are n memb]s ( ! mat]nal mortality review committee to assi/ 9 ! review ( pregnancy-associat$ dea?s ( wom5 f specific populations1 su* z wom5 vet]ans & wom5 :o are inc>c]at$4 7,f7 ,recomm5dations to improve curr5t quality measures = mat]nity c>e1 includ+ recomm5dations on updat+ ! ,pregnancy ,deliv]y ,c>e measures on ! ,hospital ,comp>e website ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices or any successor website1 ) a p>ticul> focus on racial & e?nic disp>ities 9 mat]nal heal? outcomes4 7,g7 ,recomm5dations to improve ! coord9ation by ! ,dep>tm5t ( ,heal? & ,human ,s]vices ( ! ef=ts und]tak5 by ! ag5cies & organizations )9 ! ,dep>tm5t relat$ to mat]nal heal? data & quality measures4 7#b7 ,public comm5t ,n lat] ?an #fj days aft] ! date on :i* a majority ( ! memb]s ( ! ,task ,=ce h be5 appo9t$1 ! ,task ,=ce %all publi% 9 ! ,f$]al ,regi/] a notice = a #ij-;day public comm5t p]iod1 beg9n+ on ! date ( publication1 on ! issues describ$ 9 p>agraph 7#a74 7c7 ,memb]%ip 7#a7 ,9 g5]al ,! ,task ,=ce %all be compos$ ( #ah memb]s appo9t$ by ! ,secret>y ( ,heal? & ,human ,s]vices4 ,! ,secret>y %all give special consid]ation to individuals :o are repres5tative ( populations mo/ affect$ by mat]nal mortality & sev]e mat]nal morbidity4 7#b7 ,memb] crit]ia ,to be eligible to be appo9t$ z a memb] ( ! ,task ,=ce1 an individual %all be-- 7,a7 a woman :o has exp]i5c$ sev]e mat]nal morbidity2 7,b7 a family memb] ( a woman :o _h a pregnancy-relat$ dea?2 7,c7 an individual :o provides non-cl9ical support to wom5 f pregnancy ?r\gh ! po/p>tum p]iod1 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 a pati5t navigator2 7,d7 a lead] ( a community-bas$ organization t addresses adv]se mat]nal heal? outcomes ) a specific focus on racial & e?nic disp>ities2 7,e7 an academic rese>*] 9 a field or policy area relat$ to ! duties ( ! ,task ,=ce2 7,f7 a mat]nal heal? c>e provid]2 7,g7 an elect$ or duly appo9t$ lead] f an ,indian ,tribe2 7,h7 an exp]t 9 a field or policy area relat$ to ! duties ( ! ,task ,=ce2 or 7,i7 an individual :o has exp]i5ce ) ,f$]al or ,/ate gov]nm5t programs relat$ to ! duties ( ! ,task ,=ce4 7#c7 ,appo9tm5t tim+ ,appo9tm5ts to ! ,task ,=ce %all be made n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act4 7#d7 ,duration ,ea* memb] %all be appo9t$ = ! life ( ! ,task ,=ce4 7#e7 ,co-,*air selection ,n lat] ?an #cj days aft] ! date on :i* a majority ( ! memb]s ( ! ,task ,=ce h be5 appo9t$1 ! ,secret>y %all select two ( ! memb]s ( ! ,task ,=ce to s]ve z ,co-,*airs ( ! ,task ,=ce4 7#f7 ,vacancies 7,a7 ,9 g5]al ,a vacancy 9 ! ,task ,=ce-- 7i7 %all n affect ! p[]s ( ! ,task ,=ce2 & 7ii7 %all be fill$ 9 ! same mann] z ! orig9al appo9tm5t4 7,b7 ,co-,*air vacancy ,9 ! ev5t ( a vacancy ( a ,co-,*air ( ! ,task ,=ce1 a replacem5t ,co-,*air %all be select$ 9 ! same mann] z ! orig9al selection4 7#g7 ,comp5sation ,except z provid$ 9 p>agraph 7#h71 memb]s ( ! ,task ,=ce %all s]ve )\t pay4 7#h7 ,travel exp5ses ,memb]s ( ! ,task ,=ce %all 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]vice = ! ,task ,=ce4 7d7 ,meet+s 7#a7 ,9 g5]al ,! ,task ,=ce %all meet at ! call ( ! ,co-,*airs ( ! ,task ,=ce4 7#b7 ,quorum ,a majority ( ! memb]s ( ! ,task ,=ce %all con/itute a quorum4 7#c7 ,initial meet+ ,! ,task ,=ce %all meet n lat] ?an #fj days aft] ! date on :i* a majority ( ! memb]s ( ! ,task ,=ce h be5 appo9t$4 7e7 ,/aff ( task =ce 7#a7 ,additional /aff ,! ,co-,*airs ( ! ,task ,=ce may appo9t & fix ! pay ( additional /aff to ! ,task ,=ce z ! ,co-,*airs consid] appropriate4 7#b7 ,applicability ( c]ta9 civil s]vice laws ,! /aff ( ! ,task ,=ce may be appo9t$ )\t reg>d to ! provisions ( title #e1 ,unit$ ,/ates ,code1 gov]n+ appo9tm5ts 9 ! competitive s]vice1 & may be paid )\t reg>d to ! provisions ( *apt] #ea & sub*apt] ,,iii ( *apt] #ec ( t title relat+ to classification & ,g5]al ,s*$ule pay rates4 7#c7 ,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 7f7 ,p[]s ( task =ce 7#a7 ,te/imony & evid5ce ,! ,task ,=ce may take su* te/imony & receive su* evid5ce z ! ,task ,=ce consid]s advisable to c>ry out ?is section4 7#b7 ,obta9+ (ficial data ,! ,task ,=ce may secure directly f any ,f$]al dep>tm5t or ag5cy in=mation necess>y to c>ry out its duties "u ?is section4 ,on reque/ ( ! ,co-,*airs ( ! ,task ,=ce1 ! head ( t dep>tm5t or ag5cy %all furni% su* in=mation to ! ,task ,=ce4 7#c7 ,po/al s]vices ,! ,task ,=ce may use ! ,unit$ ,/ates mails 9 ! same mann] & "u ! same conditions z o!r ,f$]al dep>tm5ts & ag5cies4 7g7 ,report ,n lat] ?an #b ye>s aft] ! date on :i* ! initial #ah memb]s ( ! ,task ,=ce are appo9t$ "u subsection 7c77#a71 ! ,task ,=ce %all submit to ! ,committee on ,en]gy & ,comm]ce1 ! ,committee on ,education & ,labor1 & ! ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives & ! ,committee on ,f9ance & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & make publicly available1 a report t-- 7#a7 conta9s ! in=mation1 evaluations1 & recomm5dations describ$ 9 subsection 7b72 & 7#b7 is sign$ by m ?an half ( ! memb]s ( ! ,task ,=ce4 7h7 ,t]m9ation ,section #ad ( ! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 %all n apply to ! ,task ,=ce4 7i7 ,def9itions ,9 ?is section3 7#a7 ,mat]nal heal? c>e provid] ,! t]m mat]nal heal? c>e provid] means an individual :o is an ob/etrician-gynecologi/1 family physician1 midwife :o meets at a m9imum ! int]national def9ition ( ! midwife & global /&>ds = midwif]y education z e/abli%$ by ! ,int]national ,conf$]ation ( ,midwives1 nurse practition]1 or cl9ical nurse speciali/4 7#b7 ,mat]nal mortality review committee ,! t]m mat]nal mortality review committee means a mat]nal mortality review committee duly au?oriz$ by a ,/ate & receiv+ fund+ "u section #cag,k7a77#b77;,d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7;a77#b77;,d774 7#c7 ,pregnancy-associat$ dea? ,! t]m pregnancy-associat$ dea? means a dea? ( a woman1 by any cause1 t occurs dur+1 or )9 #a ye> foll[+1 h] pregnancy1 reg>dless ( ! outcome1 duration1 or site ( ! pregnancy4 7#d7 ,pregnancy-relat$ dea? ,! t]m pregnancy-relat$ dea? means a dea? ( a woman t occurs dur+1 or )9 #a ye> foll[+1 h] pregnancy1 reg>dless ( ! outcome1 duration1 or site ( ! pregnancy-- 7,a7 f any cause relat$ to1 or aggravat$ by1 ! pregnancy or its managem5t2 & 7,b7 n f accid5tal or incid5tal causes4 7j7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ su* sums z may be necess>y to c>ry out ?is section = fiscal ye>s #bjba ?r\gh #bjbd4 #ejd4 ,indian ,heal? ,s]vice /udy on mat]nal mortality 7a7 ,9 g5]al ,! ,director ( ! ,indian ,heal? ,s]vice 7ref]r$ to 9 ?is section z ! ,director7 %all1 9 coord9ation ) ! individuals describ$ 9 subsection 7b77#a7-- 7#a7 n lat] ?an #ij days aft] ! date ( enactm5t ( ?is ,act1 (f] to ent] into a contract ) an indep5d5t rese>* organization or ,tribal epidemiology c5t] e/abli%$ "u section #bad ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afbam7 to conduct a compreh5sive /udy on mat]nal mortality & sev]e mat]nal morbidity 9 ! populations ( ,am]ican ,indian & ,alaska ,native wom52 & 7#b7 n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 submit to ,congress a report describ+ ! results ( t /udy t conta9s recomm5dations = policies & practices t c be adopt$ to improve mat]nal heal? outcomes = ^? wom54 7b7 ,p>ticipat+ entities 7#a7 ,9 g5]al ,! individuals ref]r$ to 9 subsection 7a7 are #ab individuals1 select$ by ! ,director f among individuals nom9at$ by ,indian tribes1 tribal organizations1 & urban ,indian organizations 7z ^? t]ms are def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc774 7#b7 ,requirem5t ,9 select+ individuals "u p>agraph 7#a71 ! ,director %all ensure t ea* ( ! #ab s]vice areas ( ! ,indian ,heal? ,s]vice is repres5t$4 7c7 ,cont5ts ( /udy ,! /udy conduct$ pursuant to subsection 7a7 %all-- 7#a7 exam9e ! causes ( mat]nal mortality & sev]e mat]nal morbidity t are unique to ,am]ican ,indian & ,alaska ,native wom52 7#b7 include a sy/ematic process ( li/5+ to ! /ories ( ,am]ican ,indian & ,alaska ,native wom5 to fully und]/& ! causes (1 & in=m pot5tial solutions to1 ! mat]nal mortality & sev]e mat]nal morbidity crisis )9 _! respective communities2 7#c7 di/+ui% betwe5 ! causes (1 l&scape ( mat]nity c>e at1 & recomm5dations to improve mat]nal heal? outcomes )91 ! diff]5t sett+s 9 :i* ,am]ican ,indian & ,alaska ,native wom5 receive mat]nity c>e1 su* z-- 7,a7 facilities op]at$ by ! ,indian ,heal? ,s]vice2 7,b7 an ,indian heal? program op]at$ by an ,indian tribe or tribal organization pursuant to a contract1 grant1 coop]ative agreem5t1 or compact ) ! ,indian ,heal? ,s]vice pursuant to ! ,indian ,self-,det]m9ation ,act 7#be ,u4,s4,c4 #ecba et seq472 & 7,c7 an urban ,indian heal? program op]at$ by an urban ,indian organization pursuant to a grant or contract ) ! ,indian ,heal? ,s]vice pursuant to title ,v ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afea et seq472 7#d7 review processes = coord9at+ programs ( ! ,indian ,heal? ,s]vice ) social s]vices provid$ ?r\gh o!r programs adm9i/]$ by ! ,secret>y ( ,heal? & ,human ,s]vices 7o!r ?an ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq471 ! ,m$icaid program "u title ,,xix ( t ,act 7#db ,u4,s4,c4 #acif et seq471 & ! ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi ( t ,act 7#db ,u4,s4,c4 #acig;aa et seq4771 includ+ coord9ation ) ! ef=ts ( ! ,task ,=ce e/abli%$ "u section #ejc2 7#e7 review curr5t data collection & quality measurem5t processes & practices2 7#f7 consid] social det]m9ants ( heal?1 includ+ pov]ty1 lack ( heal? insurance1 unemploym5t1 sexual viol5ce1 & environm5tal conditions 9 ,tribal areas2 7#g7 consid] ! role t hi/orical mi/reatm5t ( ,am]ican ,indian & ,alaska ,native wom5 has play$ 9 caus+ curr5tly high rates ( mat]nal mortality & sev]e mat]nal morbidity2 7#h7 consid] h[ curr5t fund+ ( ! ,indian ,heal? ,s]vice affects ! ability ( ! ,indian ,heal? ,s]vice to deliv] quality mat]nity c>e2 7#i7 consid] ! ext5t to :i* ! deliv]y ( mat]nity c>e s]vices is culturally appropriate = ,am]ican ,indian & ,alaska ,native wom52 7#aj7 make recomm5dations to r$uce misclassification ( ,am]ican ,indian & ,alaska ,native wom51 includ+ consid]ation ( be/ practices 9 tra9+ = mat]nal mortality review committee memb]s to be able to correctly classify ,am]ican ,indian & ,alaska ,native wom52 & 7#aa7 make recomm5dations in=m$ by ! /ories %>$ by ,am]ican ,indian & ,alaska ,native wom5 "u p>agraph 7#b7 to improve mat]nal heal? outcomes = su* wom54 7d7 ,report ,! contract ent]$ into "u subsection 7a77#a7 ) an indep5d5t rese>* organization or ,tribal epidemiology c5t] e/abli%$ "u section #bad ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afbam7 %all require t ! organization or c5t] submit to ,congress a report on ! results ( ! /udy conduct$ pursuant to t contract n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act4 7e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #b1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbc4 #eje4 ,grants to m9ority-s]v+ in/itutions to /udy mat]nal mortality1 sev]e mat]nal morbidity1 & o!r adv]se mat]nal heal? outcomes 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a program "u :i* ! ,secret>y %all aw>d grants to m9ority-s]v+ in/itutions to /udy specific aspects ( ! mat]nal heal? crisis among m9ority wom54 ,su* rese>* may-- 7#a7 include ! developm5t & implem5tation ( sy/ematic processes ( li/5+ to ! /ories ( m9ority wom5 to fully und]/& ! causes (1 & in=m pot5tial solutions to1 ! mat]nal mortality & sev]e mat]nal morbidity crisis )9 _! respective communities2 & 7#b7 assess ! pot5tial causes ( l[ rates ( mat]nal mortality among ,hispanic wom51 includ+ pot5tial racial misclassification & o!r data collection & report+ issues t might be misrepres5t+ mat]nal mortality rates among ,hispanic wom5 9 ! ,unit$ ,/ates4 7b7 ,application ,to be eligible to receive 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 ,te*nical assi/ance ,! ,secret>y may use n m ?an #aj p]c5t ( ! funds made available "u subsection 7f7-- 7#a7 to conduct outrea* to m9ority-s]v+ in/itutions to raise aw>5ess ( ! availability ( grants "u ?is subsection 7a72 7#b7 to provide te*nical assi/ance 9 ! application process = su* a grant2 & 7#c7 to promote capacity build+ z ne$$ to enable entities describ$ 9 su* subsection to submit su* an application4 7d7 ,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+ ! grant4 7e7 ,evaluation ,beg9n+ "o ye> aft] ! date on :i* ! fir/ grant is aw>d$ "u ?is section1 ! ,secret>y %all submit to ,congress an annual report summ>iz+ ! f9d+s ( rese>* conduct$ us+ funds made available "u ?is section4 7f7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 7g7 ,m9ority-,s]v+ in/itutions def9$ ,9 ?is section1 ! t]m m9ority-s]v+ in/itution means an eligible in/itution describ$ 9 section #cga7;a7 ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajfgq7a774 ,,vi ,moms ,,matt] #fja4 ,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/s1 mat]nity c>e provid]s1 & 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 individuals :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* individual4 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 ! ,/ate ,*ildr5's ,heal? ,insurance ,program "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 ( ! ,black ,mat]nal ,heal? ,momnibus ,act ( #bjbj1 & e ye> !reaft]1 ! ,task ,=ce %all submit to ! ,congress1 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 & ! ,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,,oo-#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$+ initiation2 7,e7 psy*ological outcomes2 & 7,f7 subjective measures ( pati5t-report$ 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 ,,vii ,ju/ice = ,inc>c]at$ ,moms #gja4 ,s5se ( ,congress ,x is ! s5se ( ,congress t ! respect & prop] c>e t mo!rs des]ve are inclusive1 & :e!r ! mo!rs are transg5d]1 cisg5d]1 or g5d] noncon=m+1 all des]ve dignity4 #gjb4 ,end+ ! %ackl+ ( pregnant individuals 7a7 ,9 g5]al ,beg9n+ on ! date t is #f mon?s aft] ! date ( enactm5t ( ?is ,act1 & 9 ea* fiscal ye> !reaft]1 ! total am\nt ( a grant to be allocat$ to a ,/ate = a fiscal ye> "u subp>t #a ( "p ,e ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajaea et seq47 7commonly ref]r$ to z ! ,edw>d ,byrne ,memorial ,ju/ice ,grant ,program7 %all be decreas$ by #be p]c5t if ! ,/ate does n h 9 effect = su* fiscal ye> laws re/rict+1 ?r\gh\t ! ,/ate1 ! use ( re/ra9ts on pregnant individuals 9 prison t are sub/antially simil> to ! rights1 proc$ures1 requirem5ts1 effects1 & p5alties set =? 9 section #dcbb ( title #ah1 ,unit$ ,/ates ,code4 7b7 ,reallocation ,am\nts n allocat$ to a ,/ate because ( a decrease "u subsection 7a7 %all be reallocat$ 9 accordance ) subp>t #a ( "p ,e ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajaea et seq47 to ,/ates t are n subject to ! decrease "u subsection 7a74 #gjc4 ,creat+ model programs = ! c>e ( inc>c]at$ individuals 9 ! pr5atal & po/p>tum p]iods 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al1 act+ ?r\gh ! ,director ( ! ,bureau ( ,prisons1 %all e/abli%1 9 n m ?an #f ,bureau ( ,prisons facilities1 programs to optimize mat]nal heal? outcomes = pregnant & po/p>tum individuals inc>c]at$ 9 su* facilities4 7b7 ,consultation ,! ,attorney ,g5]al %all e/abli% ! programs requir$ "u subsection 7a7 9 consultation ) int]e/$ entities su* z-- 7#a7 relevant community-bas$ organizations1 p>ticul>ly organizations t repres5t inc>c]at$ & =m]ly inc>c]at$ individuals & organizations t seek to improve mat]nal heal? outcomes = m9ority wom52 7#b7 relevant organizations repres5t+ pati5ts1 ) a p>ticul> focus on m9ority pati5ts2 7#c7 relevant organizations repres5t+ mat]nal heal? c>e provid]s2 7#d7 noncl9ical 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#e7 rese>*]s & policy exp]ts 9 fields relat$ to wom5's heal? c>e = inc>c]at$ individuals4 7c7 ,/>t date ,ea* facility select$ by ! ,director ( ! ,bureau ( ,prisons "u subsection 7a7 %all beg9 facility programs n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act4 7d7 ,facility priority ,9 c>ry+ out subsection 7a71 ! ,director ( ! ,bureau ( ,prisons %all give priority to a facility bas$ on-- 7#a7 ! numb] ( pregnant & po/p>tum individuals inc>c]at$ 9 su* facility &1 among su* individuals1 ! numb] ( pregnant & po/p>tum m9ority individuals2 & 7#b7 ! ext5t to :i* ! lead]s ( su* facility h demon/rat$ a commitm5t to develop+ exempl>y programs = pregnant & po/p>tum individuals inc>c]at$ 9 su* facility4 7e7 ,program duration ,ea* program e/abli%$ "u ?is section %all be = a #e-ye> p]iod4 7f7 ,programs ,ea* ,bureau ( ,prisons facility select$ "u subsection 7a7 %all e/abli% programs = pregnant & po/p>tum inc>c]at$ individuals1 & su* programs may-- 7#a7 provide access to d\las & o!r p]9atal heal? work]s f pregnancy ?r\gh ! po/p>tum p]iod2 7#b7 provide access to heal?y foods & c\nsel+ on nutrition1 recomm5d$ activity levels1 & safety measures ?r\gh\t pregnancy2 7#c7 tra9 correctional (fic]s & m$ical p]sonnel to ensure t pregnant inc>c]at$ individuals receive trauma-in=m$1 culturally congru5t c>e t promotes ! heal? & safety ( ! pregnant individuals2 7#d7 provide c\nsel+ & treatm5t = individuals :o h suff]$ f-- 7,a7 diagnos$ m5tal or behavioral heal? conditions1 includ+ trauma & sub/ance use disord]s2 7,b7 dome/ic viol5ce2 7,c7 human immunodefici5cy virus2 7,d7 sexual abuse2 7,e7 pregnancy or infant loss2 or 7,f7 *ronic conditions1 includ+ he>t disease1 diabetes1 o/eoporosis & o/eop5ia1 hyp]t5sion1 a/hma1 liv] disease1 & ble$+ disord]s2 7#e7 provide pregnancy & *ildbir? education1 p>5t+ support1 & o!r relevant =ms ( heal? lit]acy2 7#f7 (f] opportunities = po/p>tum individuals to ma9ta9 contact ) ! individual's newborn *ild to promote bond+1 includ+ enhanc$ visitation policies1 access to prison nurs]y programs1 or brea/fe$+ support2 7#g7 provide re5try assi/ance1 p>ticul>ly to-- 7,a7 ensure cont9uity ( heal? insurance cov]age if an inc>c]at$ individual exits ! crim9al ju/ice sy/em dur+ su* individual's pregnancy or 9 ! po/p>tum p]iod2 & 7,b7 connect individuals exit+ ! crim9al ju/ice sy/em dur+ pregnancy or 9 ! po/p>tum p]iod to community-bas$ res\rces1 su* z ref]rals to heal? c>e provid]s & social s]vices t address social det]m9ants ( heal? l h\s+1 employm5t opportunities1 transportation1 & nutrition2 or 7#h7 e/abli% p>tn]%ips ) local public entities1 private community entities1 community-bas$ organizations1 ,indian ,tribes & tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 & urban ,indian organizations 7z su* t]m is def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc77 to e/abli% or exp& pretrial div]sion programs z an alt]native to inc>c]ation = pregnant & po/p>tum individuals4 ,su* programs may include-- 7,a7 p>5t+ classes2 7,b7 pr5atal heal? coord9ation2 7,c7 family & individual c\nsel+2 7,d7 evid5ce-bas$ scre5+s1 education1 &1 z ne$$1 treatm5t = m5tal & behavioral heal? conditions1 includ+ drug & alcohol treatm5ts2 7,e7 family case managem5t s]vices2 7,f7 dome/ic viol5ce education & prev5tion2 7,g7 physical & sexual abuse c\nsel+2 & 7,h7 programs to address social det]m9ants ( heal? su* z employm5t1 h\s+1 education1 transportation1 & nutrition4 7g7 ,implem5tation & report+ ,ea* ,bureau ( ,prisons facility select$ "u subsection 7a7 %all be responsible =-- 7#a7 implem5t+ programs1 :i* may include ! programs describ$ 9 subsection 7f72 & 7#b7 n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 & #f ye>s aft] ! date ( enactm5t ( ?is ,act1 report+ results ( ! programs to ! ,director ( ! ,bureau ( ,prisons1 includ+ in=mation describ+-- 7,a7 relevant quantitative indicators ( success 9 improv+ ! /&>d ( c>e & heal? outcomes = pregnant & po/p>tum inc>c]at$ individuals :o p>ticipat$ 9 su* programs1 includ+ data /ratifi$ by race1 e?nicity1 sex1 age1 geography1 disability /atus1 ! category ( ! crim9al *>ge aga9/ su* individual1 rates ( pregnancy-relat$ dea?s1 pregnancy-associat$ dea?s1 cases ( infant mortality1 cases ( sev]e mat]nal morbidity1 cases ( viol5ce aga9/ pregnant or po/p>tum individuals1 diagnoses ( mat]nal m5tal or behavioral heal? conditions1 & o!r su* in=mation z appropriate2 7,b7 relevant qualitative evaluations f pregnant & po/p>tum inc>c]at$ individuals :o p>ticipat$ 9 su* programs1 includ+ subjective measures ( pati5t-report$ exp]i5ce ( c>e2 7,c7 evaluations ( co/ effectiv5ess2 & 7,d7 /rategies to su/a9 su* programs beyond #bjbf4 7h7 ,report ,n lat] ?an #g ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,director ( ! ,bureau ( ,prisons %all submit to ! ,attorney ,g5]al & to ! ,committee on ! ,judici>y ( ! ,h\se ( ,repres5tatives & ! ,committee on ! ,judici>y ( ! ,s5ate a report describ+ ! results ( ! programs fund$ "u ?is section4 7i7 ,ov]sight ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all aw>d a contract to an indep5d5t organization or indep5d5t organizations to conduct ov]sight ( ! programs describ$ 9 subsection 7f74 7j7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 #gjd4 ,grant program to improve mat]nal heal? outcomes = individuals 9 ,/ate & local prisons & jails 7a7 ,e/abli%m5t ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al1 act+ ?r\gh ! ,director ( ! ,bureau ( ,ju/ice ,assi/ance1 %all aw>d ,ju/ice = ,inc>c]at$ ,moms grants to ,/ates to e/abli% or exp& programs 9 ,/ate & local prisons & jails = pregnant & po/p>tum inc>c]at$ individuals4 7b7 ,consultation ,! ,attorney ,g5]al %all aw>d ! grants au?oriz$ "u subsection 7a7 9 consultation ) int]e/$ entities su* z-- 7#a7 relevant community-bas$ organizations1 p>ticul>ly organizations t repres5t inc>c]at$ & =m]ly inc>c]at$ individuals & organizations t seek to improve mat]nal heal? outcomes = m9ority wom52 7#b7 relevant organizations repres5t+ pati5ts1 ) a p>ticul> focus on m9ority pati5ts2 7#c7 relevant organizations repres5t+ mat]nal heal? c>e provid]s2 7#d7 noncl9ical 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#e7 rese>*]s & policy exp]ts 9 fields relat$ to wom5's heal? c>e = inc>c]at$ individuals4 7c7 ,applications ,ea* applicant = a grant "u ?is section %all submit to ! ,director ( ! ,bureau ( ,ju/ice ,assi/ance an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,director may require4 7d7 ,use ( funds ,a ,/ate t is aw>d$ a grant "u ?is section %all use su* grant to e/abli% or exp& programs = pregnant & po/p>tum inc>c]at$ individuals1 & su* programs may-- 7#a7 provide access to d\las & o!r p]9atal heal? work]s f pregnancy ?r\gh ! po/p>tum p]iod2 7#b7 provide access to heal?y foods & c\nsel+ on nutrition1 recomm5d$ activity levels1 & safety measures ?r\gh\t pregnancy2 7#c7 tra9 correctional (fic]s & m$ical p]sonnel to ensure t pregnant inc>c]at$ individuals receive trauma-in=m$1 culturally congru5t c>e t promotes ! heal? & safety ( ! pregnant individuals2 7#d7 provide c\nsel+ & treatm5t = individuals :o h suff]$ f-- 7,a7 diagnos$ m5tal or behavioral heal? conditions1 includ+ trauma & sub/ance use disord]s2 7,b7 dome/ic viol5ce2 7,c7 human immunodefici5cy virus2 7,d7 sexual abuse2 7,e7 pregnancy or infant loss2 or 7,f7 *ronic conditions1 includ+ he>t disease1 diabetes1 o/eoporosis & o/eop5ia1 hyp]t5sion1 a/hma1 liv] disease1 & ble$+ disord]s2 7#e7 provide pregnancy & *ildbir? education1 p>5t+ support1 & o!r relevant =ms ( heal? lit]acy2 7#f7 (f] opportunities = po/p>tum individuals to ma9ta9 contact ) ! individual's newborn *ild to promote bond+1 includ+ enhanc$ visitation policies1 access to prison nurs]y programs1 or brea/fe$+ support2 7#g7 provide re5try assi/ance1 p>ticul>ly to-- 7,a7 ensure cont9uity ( heal? insurance cov]age if an inc>c]at$ individual exits ! crim9al ju/ice sy/em dur+ su* individual's pregnancy or 9 ! po/p>tum p]iod2 & 7,b7 connect individuals exit+ ! crim9al ju/ice sy/em dur+ pregnancy or 9 ! po/p>tum p]iod to community-bas$ res\rces1 su* z ref]rals to heal? c>e provid]s & social s]vices t address social det]m9ants ( heal? l h\s+1 employm5t opportunities1 transportation1 & nutrition2 or 7#h7 e/abli% p>tn]%ips ) local public entities1 private community entities1 community-bas$ organizations1 ,indian ,tribes & tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 & urban ,indian organizations 7z su* t]m is def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc77 to e/abli% or exp& pretrial div]sion programs z an alt]native to inc>c]ation = pregnant & po/p>tum individuals4 ,su* programs may include-- 7,a7 p>5t+ classes2 7,b7 pr5atal heal? coord9ation2 7,c7 family & individual c\nsel+2 7,d7 evid5ce-bas$ scre5+s1 education1 &1 z ne$$1 treatm5t = m5tal & behavioral heal? conditions1 includ+ drug & alcohol treatm5ts2 7,e7 family case managem5t s]vices2 7,f7 dome/ic viol5ce education & prev5tion2 7,g7 physical & sexual abuse c\nsel+2 & 7,h7 programs to address social det]m9ants ( heal? su* z employm5t1 h\s+1 education1 transportation1 & nutrition4 7e7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,director ( ! ,bureau ( ,ju/ice ,assi/ance %all give priority to applicants bas$ on-- 7#a7 ! numb] ( pregnant & po/p>tum individuals inc>c]at$ 9 ! ,/ate &1 among su* individuals1 ! numb] ( pregnant & po/p>tum m9ority individuals2 & 7#b7 ! ext5t to :i* ! ,/ate has demon/rat$ a commitm5t to develop+ exempl>y programs = pregnant & po/p>tum individuals inc>c]at$ 9 ! prisons & jails 9 ! ,/ate4 7f7 ,grant duration ,a grant aw>d$ "u ?is section %all be = a #e-ye> p]iod4 7g7 ,implem5t+ & report+ ,a ,/ate t receives a grant "u ?is section %all be responsible =-- 7#a7 implem5t+ ! program fund$ by ! grant2 & 7#b7 n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 & #f ye>s aft] ! date ( enactm5t ( ?is ,act1 report+ results ( su* program to ! ,attorney ,g5]al1 includ+ in=mation describ+-- 7,a7 relevant quantitative indicators ( ! program's success 9 improv+ ! /&>d ( c>e & heal? outcomes = pregnant & po/p>tum inc>c]at$ individuals :o p>ticipat$ 9 su* program1 includ+ data /ratifi$ by race1 e?nicity1 sex1 age1 geography1 disability /atus1 category ( ! crim9al *>ge aga9/ su* individual1 incid5ce rates ( pregnancy-relat$ dea?s1 pregnancy-associat$ dea?s1 cases ( infant mortality1 cases ( sev]e mat]nal morbidity1 cases ( viol5ce aga9/ pregnant or po/p>tum individuals1 diagnoses ( mat]nal m5tal or behavioral heal? conditions1 & o!r su* in=mation z appropriate2 7,b7 relevant qualitative evaluations f pregnant & po/p>tum inc>c]at$ individuals :o p>ticipat$ 9 su* programs1 includ+ subjective measures ( pati5t-report$ exp]i5ce ( c>e2 7,c7 evaluations ( co/ effectiv5ess2 & 7,d7 /rategies to su/a9 su* programs beyond ! duration ( ! grant4 7h7 ,report ,n lat] ?an #g ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all submit to ! ,committee on ! ,judici>y ( ! ,h\se ( ,repres5tatives & ! ,committee on ! ,judici>y ( ! ,s5ate a report describ+ ! results ( ! grant program au?oriz$ "u ?is section4 7i7 ,ov]sight ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all aw>d a contract to an indep5d5t organization or indep5d5t organizations to conduct ov]sight ( ! programs describ$ 9 subsection 7d74 7j7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 #gje4 ,,gao report 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report on adv]se mat]nal heal? outcomes among inc>c]at$ individuals1 ) a p>ticul> focus on racial & e?nic disp>ities 9 mat]nal heal? outcomes = inc>c]at$ individuals4 7b7 ,cont5ts ( report ,! report requir$ "u subsection 7a7 %all include-- 7#a7 to ! ext5t practicable-- 7,a7 ! numb] ( inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local correctional facilities1 :o h exp]i5c$ a pregnancy-relat$ dea? or pregnancy-associat$ dea? 9 ! mo/ rec5t #aj ye>s ( available data2 7,b7 ! numb] ( cases ( sev]e mat]nal morbidity among inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local det5tion facilities1 9 ! mo/ rec5t ye> ( available data2 & 7,c7 /ati/ics on ! racial & e?nic disp>ities 9 mat]nal & infant heal? outcomes & sev]e mat]nal morbidity rates among inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local det5tion facilities2 7#b7 9 ! case t ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates is unable to det]m9e ! in=mation requir$ 9 subp>agraphs 7,a7 ?r\gh 7,c7 ( p>agraph 7#a71 an assessm5t ( ! b>ri]s to det]m9+ su* in=mation & recomm5dations = improvem5ts 9 track+ mat]nal heal? outcomes among inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local det5tion facilities2 7#c7 causes ( adv]se mat]nal heal? outcomes t are unique to inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local det5tion facilities2 7#d7 causes ( adv]se mat]nal heal? outcomes & sev]e mat]nal morbidity t are unique to inc>c]at$ individuals ( color2 7#e7 recomm5dations to r$uce mat]nal mortality & sev]e mat]nal morbidity among inc>c]at$ individuals & to address racial & e?nic disp>ities 9 mat]nal heal? outcomes = inc>c]at$ individuals 9 ,bureau ( ,prisons facilities & ,/ate & local prisons & jails2 & 7#f7 su* o!r in=mation z may be appropriate to r$uce ! occurr5ce ( adv]se mat]nal heal? outcomes among inc>c]at$ individuals & to address racial & e?nic disp>ities 9 mat]nal heal? outcomes = su* individuals4 #gjf4 ,,macpac report 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,m$icaid & ,,*ip ,paym5t & ,access ,commission 7ref]r$ to 9 ?is section z ,,macpac7 %all publi% a report on ! implications ( pregnant & po/p>tum inc>c]at$ individuals be+ ineligible = m$ical assi/ance "u a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7b7 ,cont5ts ( report ,! report describ$ 9 ?is section %all include-- 7#a7 in=mation on ! effect ( ineligibility = m$ical assi/ance "u a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 on mat]nal heal? outcomes = pregnant & po/p>tum inc>c]at$ individuals1 conc5trat+ on ! effects ( su* ineligibility = pregnant & po/p>tum individuals ( color2 & 7#b7 ! pot5tial implications on mat]nal heal? outcomes result+ f susp5d+ eligibility = m$ical assi/ance "u a ,/ate plan "u su* title ( su* ,act :5 a pregnant or po/p>tum individual is inc>c]at$4 ,,viii ,te* ,to ,save ,moms #hja4 ,,cmi model+ ( integrat$ teleheal? models 9 mat]nity c>e s]vices 7a7 ,9 g5]al ,section #aaae;,a7b77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae;a7b77#b77;,b77 is am5d$ by add+ at ! end ! foll[+ new clauses3 7xxviii7 ,focus+ on title ,,xix1 provid+ = ! adoption ( & use ( teleheal? tools t all[ = scre5+ & treatm5t ( common pregnancy-relat$ complications 7includ+ anxiety & depression1 sub/ance use disord]1 hemorrhage1 infection1 amniotic fluid embolism1 ?rombotic pulmon>y or o!r embolism1 hyp]t5sive disord]s ( pregnancy1 c]ebrovascul> accid5ts1 c>diomyopa?y1 & o!r c>diovascul> conditions7 = a pregnant woman receiv+ m$ical assi/ance "u su* title dur+ h] pregnancy & = n m ?an a #a-ye> p]iod beg9n+ on ! la/ day ( h] pregnancy4 4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all take effect #a ye> aft] ! date ( ! enactm5t ( ?is ,act4 #hjb4 ,grants to exp& ! use ( te*nology-enabl$ collaborative le>n+ & capacity models t provide c>e to pregnant & po/p>tum wom5 ,title ,,iii ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ccj,m 7#db ,u4,s4,c4 #bed;c-#ai7 ! foll[+3 #ccj,n4 ,exp&+ capacity = mat]nal heal? outcomes 7a7 ,program e/abli%$ ,beg9n+ n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all1 z appropriate1 aw>d grants to eligible entities to evaluate1 develop1 & exp& ! use ( te*nology-enabl$ collaborative le>n+ & capacity build+ models1 to improve mat]nal heal? outcomes-- 7#a7 9 heal? pr(essional %ortage areas2 7#b7 9 areas ) high rates ( mat]nal mortality & sev]e mat]nal morbidity1 & significant racial & e?nic disp>ities 9 mat]nal heal? outcomes2 & 7#c7 = m$ically und]s]v$ populations or ,am]ican ,indians & ,alaska ,natives1 includ+ ,indian tribes1 tribal organizations1 & urban ,indian organizations4 7b7 ,use ( ,funds 7#a7 ,requir$ uses ,grants aw>d$ "u subsection 7a7 %all be us$ =-- 7,a7 ! developm5t & acquisition ( in/ructional programm+1 & ! tra9+ ( mat]nal heal? c>e provid]s & o!r pr(essionals t provide or assi/ 9 ! provision ( s]vices1 ?r\gh models su* z-- 7i7 tra9+ on adopt+ & effectively implem5t+ ,alliance = ,innovation on ,mat]nal ,heal? 7ref]r$ to 9 ?is section z ,,aim7 safety & quality improvem5t bundles2 7ii7 tra9+ on implicit & explicit bias1 racism1 & discrim9ation = provid]s ( mat]nity c>e2 7iii7 tra9+ on be/ practices 9 scre5+ = &1 z ne$$1 evaluat+ & treat+ mat]nal m5tal heal? conditions & sub/ance use disord]s2 7iv7 tra9+ on h[ to scre5 = social det]m9ants ( heal? risks 9 ! pr5atal & po/p>tum p]iods su* z inadequate h\s+1 lack ( access to nutrition1 environm5tal risks1 & transportation b>ri]s2 & 7v7 tra9+ on ! use ( remote pati5t monitor+ tools = pregnancy-relat$ complications2 7,b7 in=mation collection & evaluation activities to-- 7i7 /udy ! impact ( su* models on-- 7,i7 access to & quality ( c>e2 7,,ii7 pati5t outcomes2 7,,iii7 subjective measures ( pati5t exp]i5ce2 & 7,,iv7 co/-effectiv5ess2 & 7ii7 id5tify be/ practices = ! expansion & use ( su* models2 7,c7 in=mation collection & evaluation activities to /udy ! impact ( su* models on pati5t outcomes & mat]nal heal? c>e provid]s1 & to id5tify be/ practices = ! expansion & use ( su* models2 & 7,d7 any o!r activity consi/5t ) a*iev+ ! objectives ( grants aw>d$ "u ?is section1 z det]m9$ by ! ,secret>y4 7#b7 ,p]missible uses ,9 addition to any ( ! uses "u p>agraph 7#a71 grants aw>d$ "u subsection 7a7 may be us$ =-- 7,a7 equipm5t to support ! use & expansion ( te*nology-enabl$ collaborative le>n+ & capacity build+ models1 includ+ = h>dw>e & s(tw>e t enables di/ance le>n+1 mat]nal heal? c>e provid] support1 & ! secure ex*ange ( electronic heal? in=mation2 & 7,b7 support = mat]nal heal? c>e provid]s & o!r pr(essionals t provide or assi/ 9 ! provision ( mat]nity c>e s]vices ?r\gh su* models4 7c7 ,limitations 7#a7 ,numb] ,! ,secret>y may n aw>d m ?an #a grant "u ?is section to an eligible entity4 7#b7 ,duration ,ea* grant "u ?is section %all be made = a p]iod ( up to #e ye>s4 7#c7 ,am\nt ,! ,secret>y %all det]m9e ! maximum am\nt ( ea* grant "u ?is section4 7d7 ,grant requirem5ts 7#a7 ,9 g5]al ,! ,secret>y %all require entities aw>d$ a grant "u ?is section to collect in=mation on ! effect ( ! use ( te*nology-enabl$ collaborative le>n+ & capacity build+ models1 su* z on mat]nal heal? outcomes1 access to mat]nal heal? c>e s]vices1 quality ( mat]nal heal? c>e1 & mat]nal heal? c>e provid] ret5tion 9 areas & = populations describ$ 9 subsection 7a74 7#b7 ,coord9ation support ,! ,secret>y may aw>d a grant or contract to assi/ 9 ! coord9ation ( models describ$ 9 p>agraph 7#a71 includ+ to assess outcomes associat$ ) ! use ( su* models 9 grants aw>d$ "u subsection 7a71 includ+ grants aw>d$ = ! purpose describ$ 9 subsection 7b77#a77;,b74 7e7 ,application 7#a7 ,9 g5]al ,an eligible entity t seeks to receive a grant "u subsection 7a7 %all submit to ! ,secret>y an application1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#b7 ,matt]s to be includ$ ,su* application %all include plans to assess ! effect ( te*nology-enabl$ collaborative le>n+ & capacity build+ models on indicators1 includ+ access to & quality ( c>e1 pati5t outcomes1 subjective measures ( pati5t exp]i5ce1 & co/-effectiv5ess4 ,su* indicators may focus on-- 7,a7 heal? pr(essional %ortage areas2 7,b7 areas ) high rates ( mat]nal mortality & sev]e mat]nal morbidity1 & significant racial & e?nic disp>ities 9 mat]nal heal? outcomes2 & 7,c7 m$ically und]s]v$ populations or ,am]ican ,indians & ,alaska ,natives1 includ+ ,indian tribes1 tribal organizations1 & urban ,indian organizations4 7f7 ,access to broadb& ,9 adm9i/]+ grants "u ?is section1 ! ,secret>y may coord9ate ) o!r ag5cies to ensure t fund+ opportunities are available to support access to reliable1 high-spe$ int]net = grantees4 7g7 ,te*nical assi/ance ,! ,secret>y %all provide 7ei!r directly ?r\gh ! ,dep>tm5t ( ,heal? & ,human ,s]vices or by contract7 te*nical assi/ance to eligible entities1 includ+ recipi5ts ( grants "u subsection 7a71 on ! developm5t1 use1 & po/-grant su/a9ability ( te*nology-enabl$ collaborative le>n+ & capacity build+ models 9 ord] to exp& access to mat]nal heal? c>e s]vices provid$ by su* entities1 includ+-- 7#a7 = heal? pr(essional %ortage areas2 7#b7 = areas ) high rates ( mat]nal mortality & sev]e mat]nal morbidity1 & significant racial & e?nic disp>ities 9 mat]nal heal? outcomes2 & 7#c7 to m$ically und]s]v$ populations or ,am]ican ,indians & ,alaska ,natives1 includ+ ,indian tribes1 tribal organizations1 & urban ,indian organizations4 7h7 ,rese>* & evaluation ,! ,secret>y1 9 consultation ) /akehold]s ) appropriate exp]tise 9 su* models1 %all develop a /rategic plan to rese>* & evaluate ! evid5ce = su* models4 ,! ,secret>y %all use su* plan to in=m ! activities c>ri$ out "u ?is section4 7i7 ,report+ 7#a7 ,by eligible entities ,an eligible entity t receives a grant "u subsection 7a7 %all submit to ! ,secret>y a report1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#b7 ,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 includ+1 at m9imum-- 7,a7 a description ( any new & cont9u+ grants aw>d$ "u subsection 7a7 & ! specific purpose & am\nts ( su* grants2 7,b7 an ov]view (-- 7i7 ! evaluation activities conduct$ "u subsection 7b77#a77;,b77i72 7ii7 te*nical assi/ance provid$ "u subsection 7g72 & 7iii7 activities conduct$ by entities aw>d$ grants "u subsection 7a72 & 7,c7 a description ( any significant f9d+s relat$ to pati5t outcomes or mat]nal heal? c>e provid]s & be/ practices = eligible entities exp&+1 us+1 or evaluat+ te*nology-enabl$ collaborative le>n+ & capacity build+ models4 7j7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #f1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 7k7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity 7,a7 ,9 g5]al ,! t]m eligible entity means an entity t provides1 or supports ! provision (1 mat]nal heal? c>e s]vices or o!r evid5ce-bas$ s]vices = pregnant & po/p>tum wom5-- 7i7 9 heal? pr(essional %ortage areas2 7ii7 9 areas ) high rates ( adv]se mat]nal heal? outcomes & significant racial & e?nic disp>ities 9 mat]nal heal? outcomes2 or 7iii7 f m$ically und]s]v$ populations or ,am]ican ,indians & ,alaska ,natives1 includ+ ,indian tribes1 tribal organizations1 & urban ,indian organizations4 7,b7 ,inclusions ,an eligible entity may include entities lead+1 or capable ( lead+1 a te*nology-enabl$ collaborative le>n+ & capacity build+ model or engag+ 9 te*nology-enabl$ collaborative tra9+ ( p>ticipants 9 su* model4 7#b7 ,heal? pr(essional %ortage area ,! t]m heal? pr(essional %ortage area means a heal? pr(essional %ortage area designat$ "u section #ccb4 7#c7 ,indian tribe ,! t]m ,indian tribe has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#d7 ,mat]nal mortality ,! t]m mat]nal mortality means a dea? occurr+ dur+ or )9 #a-ye> p]iod aft] pregnancy caus$ by pregnancy or *ildbir? complications4 7#e7 ,m$ically und]s]v$ population ,! t]m m$ically und]s]v$ population has ! mean+ giv5 su* t]m 9 section #ccj7;b77#c74 7#f7 ,po/p>tum ,! t]m po/p>tum means ! #a-ye> p]iod beg9n+ on ! la/ date ( ! pregnancy ( a woman4 7#g7 ,sev]e mat]nal morbidity ,! t]m sev]e mat]nal morbidity means an unexpect$ outcome caus$ by labor & deliv]y ( a woman t results 9 significant %ort-t]m or long-t]m consequ5ces to ! heal? ( ! woman4 7#h7 ,te*nology-enabl$ collaborative le>n+ & capacity build+ model ,! t]m te*nology-enabl$ collaborative le>n+ & capacity build+ model means a di/ance heal? education model t connects heal? c>e pr(essionals1 & p>ticul>ly speciali/s1 ) multiple o!r heal? c>e pr(essionals ?r\gh simultane\s int]active videoconf]5c+ = ! purpose ( facilitat+ case-bas$ le>n+1 dissem9at+ be/ practices1 & evaluat+ outcomes 9 ! context ( mat]nal heal? c>e4 7#i7 ,tribal organization ,! t]m tribal organization has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#aj7 ,urban ,indian organization ,! t]m urban ,indian organization has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc74 4 #hjc4 ,grants to promote equity 9 mat]nal heal? outcomes by increas+ access to digital tools 7a7 ,9 g5]al ,beg9n+ n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all c>ry out a program1 to be kn[n z ! ,inve/m5ts 9 ,digital ,tools to ,promote ,equity 9 ,mat]nal ,heal? ,outcomes ,program1 "u :i* ! ,secret>y makes grants to eligible entities to r$uce racial & e?nic disp>ities 9 mat]nal heal? outcomes by increas+ access to digital tools relat$ to mat]nal heal? c>e4 7b7 ,applications ,to be eligible to receive a grant "u ?is section1 an eligible entity %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7c7 ,limitations 7#a7 ,numb] ,! ,secret>y may n aw>d m ?an #a grant "u ?is section to an eligible entity4 7#b7 ,duration ,ea* grant "u ?is section %all be made = a p]iod ( n m ?an #e ye>s4 7#c7 ,am\nt ,! ,secret>y %all det]m9e ! maximum am\nt ( ea* grant "u ?is section4 7#d7 ,prioritization ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all prioritize ! selection ( an eligible entity t-- 7,a7 op]ates 9 an area ) high rates ( adv]se mat]nal heal? outcomes & significant racial & e?nic disp>ities 9 mat]nal heal? outcomes2 & 7,b7 promotes te*nology t addresses racial & e?nic disp>ities 9 mat]nal heal? outcomes4 7d7 ,te*nical assi/ance ,! ,secret>y %all provide te*nical assi/ance to an eligible entity on ! developm5t1 use1 evaluation1 & po/-grant su/a9ability ( digital tools = purposes ( promot+ equity 9 mat]nal heal? outcomes4 7e7 ,report+ 7#a7 ,by eligible entities ,an eligible entity t receives a grant "u subsection 7a7 %all submit to ! ,secret>y a report1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#b7 ,by ! ,secret>y ,n lat] ?an #d ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report t-- 7,a7 evaluates ! effectiv5ess ( grants aw>d$ "u ?is section 9 improv+ mat]nal heal? outcomes = m9ority wom52 7,b7 makes recomm5dations = future grant programs t promote ! use ( te*nology to improve mat]nal heal? outcomes = m9ority wom52 & 7,c7 makes recomm5dations t address-- 7i7 privacy & security safegu>ds t %\ld be implem5t$ 9 ! use ( te*nology 9 mat]nal heal? c>e2 7ii7 reimbursem5t rates = mat]nal teleheal? s]vices2 7iii7 ! use ( digital tools to analyze l>ge data sets = ! purposes ( id5tify+ pot5tial pregnancy-relat$ complications z e>ly z possible2 7iv7 b>ri]s t prev5t mat]nal heal? c>e provid]s f provid+ teleheal? s]vices across ,/ates & recomm5dations f ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices = address+ su* b>ri]s 9 ,/ate ,m$icaid programs2 7v7 ! use ( consum] digital tools su* z mobile phone applications1 pati5t portals1 & we>able te*nologies to improve mat]nal heal? outcomes2 7vi7 b>ri]s t prev5t consum]s f access+ teleheal? s]vices or o!r digital te*nologies to improve mat]nal heal? outcomes1 includ+ a lack ( access to reliable1 high-spe$ int]net or lack ( access to electronic devices ne$$ to use su* s]vices & te*nologies2 & 7vii7 any o!r relat$ issues z det]m9$ by ! ,secret>y4 7f7 ,eligible entity def9$ ,9 ?is section1 ! t]m eligible entity is an entity t is describ$ 9 section #ea;a4#c7;a7 ( title #db1 ,code ( ,f$]al ,regulations or any successor regulation1 includ+ dome/ic fai?-bas$ & community-bas$ organizations4 7g7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #f1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 #hjd4 ,report on ! use ( te*nology to r$uce mat]nal mortality & sev]e mat]nal morbidity & to close racial & e?nic disp>ities 9 outcomes 7a7 ,9 g5]al ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all seek to ent] an agreem5t ) ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e 7ref]r$ to 9 ?is section z ! ,national ,academies7 "u :i* ! ,national ,academies %all conduct a /udy on ! use ( te*nology to r$uce prev5table mat]nal mortality & sev]e mat]nal morbidity1 & close racial & e?nic disp>ities 9 mat]nal heal? outcomes 9 ! ,unit$ ,/ates4 ,! /udy %all assess curr5t & future uses ( artificial intellig5ce 9 mat]nity c>e1 includ+ issues su* z-- 7#a7 ! ext5t to :i* artificial intellig5ce te*nologies are curr5tly be+ us$ 9 mat]nal heal? c>e2 7#b7 ! ext5t to :i* artificial intellig5ce te*nologies h exac]bat$ racial or e?nic biases 9 mat]nal heal? c>e2 7#c7 recomm5dations = r$uc+ racial or e?nic biases 9 artificial intellig5ce te*nologies us$ 9 mat]nal heal? c>e2 7#d7 recomm5dations = pot5tial applications ( artificial intellig5ce te*nologies t c\ld improve mat]nal heal? outcomes1 p>ticul>ly = m9ority wom52 & 7#e7 recomm5dations = privacy & security safegu>ds t %\ld be implem5t$ 9 ! developm5t ( artificial intellig5ce te*nologies 9 mat]nal heal? c>e4 7b7 ,report ,z a condition ( any agreem5t "u subsection 7a71 ! ,adm9i/rator %all require t ! ,national ,academies transmit to ,congress a report on ! results ( ! /udy "u subsection 7a7 n lat] ?an #bd mon?s aft] ! date ( enactm5t ( ?is ,act4 ,,ix ,,impact ,to ,save ,moms #ija4 ,p]9atal ,c>e ,alt]native ,paym5t ,model ,demon/ration ,project 7a7 ,9 g5]al ,= ! p]iod ( fiscal ye>s #bjbb ?r\gh #bjbf1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 act+ ?r\gh ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 %all e/abli% & implem5t1 9 accordance ) ! requirem5ts ( ?is section1 a demon/ration project1 to be kn[n z ! ,p]9atal ,c>e ,alt]native ,paym5t ,model ,demon/ration ,project 7ref]r$ to 9 ?is section z ! ,demon/ration ,project71 = purposes ( all[+ ,/ates to te/ paym5t models "u _! ,/ate plans "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 & ,/ate *ild heal? plans "u title ,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig;aa et seq47 ) respect to mat]nity c>e provid$ to pregnant & po/p>tum wom5 enroll$ 9 su* ,/ate plans & ,/ate *ild heal? plans4 7b7 ,coord9ation ,9 e/abli%+ ! ,demon/ration ,project1 ! ,secret>y %all coord9ate ) /akehold]s su* z-- 7#a7 ,/ate ,m$icaid programs2 7#b7 relevant organizations repres5t+ mat]nal heal? c>e provid]s2 7#c7 relevant organizations repres5t+ pati5ts1 ) a p>ticul> focus on wom5 f demographic gr\ps ) disproportionate rates ( adv]se mat]nal heal? outcomes2 7#d7 relevant community-bas$ organizations1 p>ticul>ly organizations t seek to improve mat]nal heal? outcomes = wom5 f demographic gr\ps ) disproportionate rates ( adv]se mat]nal heal? outcomes2 7#e7 non-cl9ical p]9atal heal? work]s su* z d\las1 community heal? work]s1 pe] support]s1 c]tifi$ lactation consultants1 nutritioni/s & dieticians1 social work]s1 home visitors1 & navigators2 7#f7 relevant heal? insurance issu]s2 7#g7 hospitals1 heal? sy/ems1 free/&+ bir? c5t]s 7z su* t]m is def9$ 9 p>agraph 7#c77;,b7 ( section #aije7l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7l771 ,f$]ally-qualifi$ heal? c5t]s 7z su* t]m is def9$ 9 p>agraph 7#b77;,b7 ( su* section71 & rural heal? cl9ics 7z su* t]m is def9$ 9 section #ahfa7;aa7 ( su* ,act 7#db ,u4,s4,c4 #aciex7aa7772 7#h7 rese>*]s & policy exp]ts 9 fields relat$ to mat]nity c>e paym5t models2 & 7#i7 any o!r /akehold]s z ! ,secret>y det]m9es appropriate1 ) a p>ticul> focus on /akehold]s f demographic gr\ps ) disproportionate rates ( adv]se mat]nal heal? outcomes4 7c7 ,consid]ations ,9 e/abli%+ ! ,demon/ration ,project1 ! ,secret>y %all consid] ea* ( ! foll[+3 7#a7 ,f9d+s f any evaluations ( ! ,/rong ,/>t = ,mo!rs & ,newborns initiative c>ri$ out by ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 & ! ,adm9i/ration on ,*ildr5 & ,families4 7#b7 ,any alt]native paym5t model t-- 7,a7 is design$ to improve mat]nal heal? outcomes = racial & e?nic gr\ps ) disproportionate rates ( adv]se mat]nal heal? outcomes2 7,b7 includes me?ods = /ratify+ pati5ts by pregnancy risk level &1 z appropriate1 adju/+ paym5ts "u su* model to take into acc\nt pregnancy risk level2 7,c7 e/abli%es evid5ce-bas$ quality metrics = su* paym5ts2 7,d7 includes consid]ation ( non-hospital bir? sett+s su* z free/&+ bir? c5t]s 7z s def9$72 7,e7 includes consid]ation ( social det]m9ants ( heal? t are relevant to mat]nal heal? outcomes su* z h\s+1 transportation1 nutrition1 & o!r non-cl9ical factors t influ5ce mat]nal heal? outcomes2 or 7,f7 includes div]se mat]nity c>e teams t include-- 7i7 mat]nity c>e provid]s1 includ+ ob/etrician-gynecologi/s1 family physicians1 physician assi/ants1 midwives :o meet1 at a m9imum1 ! int]national def9ition ( ! t]m midwife & global /&>ds = midwif]y education 7z e/abli%$ by ! ,int]national ,conf$]ation ( ,midwives71 & nurse practition]s-- 7,i7 f racially1 e?nically1 & pr(essionally div]se backgr\nds2 7,,ii7 ) exp]i5ce practic+ 9 racially & e?nically div]se communities2 or 7,,iii7 :o h und]gone tra9+s on racism1 implicit bias1 & explicit bias2 & 7ii7 non-cl9ical p]9atal heal? work]s su* z d\las1 community heal? work]s1 pe] support]s1 c]tifi$ lactation consultants1 nutritioni/s & dieticians1 social work]s1 home visitors1 & navigators4 7d7 ,eligibility ,to be eligible to p>ticipate 9 ! ,demon/ration ,project1 a ,/ate %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7e7 ,evaluation ,! ,secret>y %all conduct an evaluation ( ! ,demon/ration ,project to det]m9e ! impact ( ! ,demon/ration ,project on-- 7#a7 mat]nal heal? outcomes1 ) data /ratifi$ by race1 e?nicity1 socioeconomic indicators1 & any o!r factors z ! ,secret>y det]m9es appropriate2 7#b7 sp5d+ on mat]nity c>e by ,/ates p>ticipat+ 9 ! ,demon/ration ,project2 7#c7 to ! ext5t practicable1 subjective measures ( pati5t exp]i5ce2 & 7#d7 any o!r areas ( assessm5t t ! ,secret>y det]m9es relevant4 7f7 ,report ,n lat] ?an #a ye> aft] ! completion or t]m9ation date ( ! ,demon/ration ,project1 ! ,secret>y %all submit to ! ,committee on ,en]gy & ,comm]ce1 ! ,committee on ,ways & ,means1 & ! ,committee on ,education & ,labor ( ! ,h\se ( ,repres5tatives & ! ,committee on ,f9ance & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & make publicly available1 a report conta9+-- 7#a7 ! results ( any evaluation conduct$ "u subsection 7e72 & 7#b7 a recomm5dation reg>d+ :e!r ! ,demon/ration ,project %\ld be cont9u$ aft] fiscal ye> #bjbf & exp&$ on a national basis4 7g7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ su* sums z are necess>y to c>ry out ?is section4 7h7 ,def9itions ,9 ?is section3 7#a7 ,alt]native paym5t model ,! t]m alt]native paym5t model has ! mean+ giv5 su* t]m 9 section #ahcc7z77#c77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7z77#c77;,c774 7#b7 ,p]9atal ,! t]m p]9atal means ! p]iod beg9n+ on ! day a woman becomes pregnant & end+ on ! la/ day ( ! #a-ye> p]iod beg9n+ on ! la/ day ( su* woman's pregnancy4 #ijb4 ,,macpac report ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,m$icaid & ,,*ip ,paym5t & ,access ,commission %all publi% a report on issues relat+ to ! cont9uity ( cov]age "u ,/ate plans "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 & ,/ate *ild heal? plans "u title ,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig;aa et seq47 = pregnant & po/p>tum wom54 ,su* report %all1 at a m9imum1 include ! foll[+3 7#a7 ,an assessm5t ( any exi/+ policies "u su* ,/ate plans & su* ,/ate *ild heal? plans reg>d+ presumptive eligibility = pregnant wom5 :ile _! application = enrollm5t 9 su* a ,/ate plan or su* a ,/ate *ild heal? plan is be+ process$4 7#b7 ,an assessm5t ( any exi/+ policies "u su* ,/ate plans & su* ,/ate *ild heal? plans reg>d+ measures to ensure cont9uity ( cov]age "u su* a ,/ate plan or su* a ,/ate *ild heal? plan = pregnant & po/p>tum wom51 includ+ su* wom5 :o ne$ to *ange _! heal? insurance cov]age dur+ _! pregnancy or ! po/p>tum p]iod foll[+ _! pregnancy4 7#c7 ,an assessm5t ( any exi/+ policies "u su* ,/ate plans & su* ,/ate *ild heal? plans reg>d+ measures to automatically re5roll wom5 :o are eligible to enroll "u su* a ,/ate plan or su* a ,/ate *ild heal? plan z a p>5t4 7#d7 ,if det]m9$ appropriate by ! ,commission1 any recomm5dations = ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 or su* ,/ate plans & su* ,/ate *ild heal? plans1 to ensure cont9uity ( cov]age "u su* a ,/ate plan or su* a ,/ate *ild heal? plan = pregnant & po/p>tum wom54