,,ii #aaf? ,,congress #b;d ,session ,s4 #chbf ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,may #ba1 #bjbj,mr4 ,blum5?al 7= himself & ,mrs4 ,gillibr&7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,arm$ ,s]vices ,a ,,bill ,to require ! ,secret>y ( ,def5se to provide additional res\rces1 includ+ d\la support1 = pregnant b5efici>ies "u ! ,,tric>e program1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,,tric>e ,cov]age = ,d\la ,support ,act4 #b4 ,additional res\rces1 includ+ d\la support1 = pregnant b5efici>ies "u ! ,,tric>e program 7a7 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,9 #bjah1 #eb1ece memb]s ( ! ,arm$ ,=ces & _! dep5d5ts gave bir? at milit>y m$ical treatm5t facilities or civilian hospitals :]e ! ,dep>tm5t ( ,def5se pur*as$ c>e4 7#b7 ,z requir$ pursuant to ! ,h\se report accompany+ ,h4,r4 #eeae1 #aae? ,congress 7,h\se ,report #aae-hgd71 "u ! head+ ,report on rate ( mat]nal mortality among memb]s ( ! ,arm$ ,=ces "u ! head+ ,legislative provisions n adopt$1 ! report submitt$ by ! ,secret>y ( ,def5se titl$ ,mat]nal & ,infant ,mortality ,rates 9 ! ,milit>y ,heal? ,sy/em %[$ t rates ( mat]nal & infant mortality 9 ! milit>y heal? sy/em are l[] ?an national av]ages b also recomm5d$ exp&+ available res\rces = pr5atal1 *ildbir?1 & po/natal communication1 z well z education = pregnant b5efici>ies "u ! ,,tric>e program4 7#c7 ,d\la support1 :i* includes cont9u\s non-cl9ical "o-to-"o emotional1 physical1 & in=mational support ar\nd ! "t ( bir?1 z well z support dur+ pregnancy & po/p>tum1 c\ld be "o su* res\rce = pregnant b5efici>ies4 7#d7 ,/udies h %[n t d\la support c decrease mat]nal anxiety & depression t c contribute to po/p>tum depression1 & also t d\la support r$uces ! likelihood ( consequ5tial & co/ly int]v5tions1 su* z ces>ean bir? & epidural pa9 relief4 7#e7 ,rese>* has also %[n t d\la support increases ! likelihood ( a %ort] labor1 a spontane\s vag9al bir?1 high] ,apg> scores = babies1 & a positive *ildbir? exp]i5ce1 :i* subsequ5tly l[]s ! co/ ( mat]nity c>e :ile improv+ ! heal? ( wom5 & infants4 7#f7 ,! ,exp]t ,panel on ,improv+ ,mat]nal & ,infant ,heal? ,outcomes 9 ,m$icaid & ! ,*ildr5's ,heal? ,insurance ,program ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices recomm5ds provid+ cov]age = cont9u\s d\la support dur+ labor4 7#g7 ,memb]s ( ! ,arm$ ,=ces & milit>y sp\ses are uniquely position$ to maximize ! b5efits ( d\la support due to ! nature ( tra9+1 deploym5ts1 frequ5t p]man5t *anges ( /ation1 & o!r mission requirem5ts t c contribute to isolation dur+ pregnancy & bir?1 or prev5t bir?+ p>tn]s f be+ pres5t dur+ *ildbir?4 7#h7 ,memb]s ( ! ,arm$ ,=ces :o are s+le1 memb]s ( ! ,arm$ ,=ces & milit>y sp\ses ) deploy$ bir?+ p>tn]s1 & m9ority wom5 :o face racial bias 9 access to heal? c>e might f9d d\la support p>ticul>ly b5eficial4 7#i7 ,!re are curr5tly no specific programs ( ! ,dep>tm5t ( ,def5se = labor support1 b ! ,my ,c>e] ,advancem5t ,acc\nt program ( ! ,dep>tm5t provides fund+ = milit>y sp\ses to receive tra9+ to become d\las4 7b7 ,additional res\rces = pregnant ,,tric>e b5efici>ies 7#a7 ,9 g5]al ,9 provid+ mat]nity c>e = pregnant b5efici>ies "u ! ,,tric>e program "u *apt] #ee ( title #aj1 ,unit$ ,/ates ,code1 ! ,secret>y ( ,def5se %all provide to su* b5efici>ies additional res\rces = pr5atal & po/natal communication & education1 includ+ d\la support4 7#b7 ,prohibition on co/ %>+ ,! ,secret>y %all n require a b5efici>y "u ! ,,tric>e program to pay any fee or o!r co/-%>+ requirem5t = ! receipt ( additional res\rces "u p>agraph 7#a74 7#c7 ,implem5tation ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all f9alize implem5tation ( ! provision ( additional res\rces requir$ "u p>agraph 7#a74 7c7 ,advisory committee 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,def5se %all e/abli% an advisory committee to assi/ ! ,dep>tm5t ( ,def5se 9 c>ry+ out ! requirem5ts "u ?is section4 7#b7 ,selection ( memb]s ,! ,secret>y %all select ! memb]s ( ! advisory committee requir$ "u p>agraph 7#a71 :i* %all include ! selection (-- 7,a7 memb]s :o are racially & e?nically div]se2 7,b7 memb]s :o are tra9$ d\las2 & 7,c7 memb]s :o are memb]s ( ! ,arm$ ,=ces or family memb]s ( memb]s ( ! ,arm$ ,=ces4 7#c7 ,duties ,! duties ( ! advisory committee e/abli%$ "u p>agraph 7#a7 are to guide ! ,dep>tm5t ( ,def5se ?r\gh ! implem5tation ( ! requirem5ts "u ?is section by provid+ recomm5dations to ! ,dep>tm5t on ! foll[+ items3 7,a7 ,expansion ( ! ,,tric>e program to cov] d\la support4 7,b7 ,id5tification ( appropriate c]tifications to qualify an individual to provide d\la support "u ! ,,tric>e program4 7,c7 ,e/abli%m5t ( reimbursem5t rates = d\la support "u ! ,,tric>e program4 7,d7 ,outrea* to b5efici>ies "u ! ,,tric>e program to educate ^? b5efici>ies on ! b5efits ( d\la support & ! availability ( su* support4 7d7 ,survey & report 7#a7 ,survey ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft]1 ! ,secret>y %all adm9i/] a survey to det]m9e-- 7,a7 h[ _m memb]s ( ! ,arm$ ,=ces or sp\ses ( su* memb]s give bir? :ile _! sp\se or bir?+ p>tn] is unable to be pres5t due to deploym5t1 tra9+1 or o!r mission requirem5ts2 7,b7 h[ _m s+le memb]s ( ! ,arm$ ,=ces give bir? alone2 & 7,c7 h[ _m memb]s ( ! ,arm$ ,=ces or sp\ses ( su* memb]s use d\la support1 or are int]e/$ 9 us+ d\la support1 dur+ pregnancy & *ildbir?4 7#b7 ,matt]s cov]$ by ! survey ,! survey adm9i/]$ "u p>agraph 7#a7 %all include an id5tification ( ! foll[+3 7,a7 ,! race1 e?nicity1 age1 sex1 relation%ip /atus1 milit>y s]vice1 milit>y occupation1 & rank1 z applicable1 ( ea* individual survey$4 7,b7 ,! s]vice- or mission-specific reason ! memb] ( ! ,arm$ ,=ces 0 n pres5t dur+ ! bir?1 if applicable4 7,c7 ,if individuals survey$ 7 memb]s ( ! ,arm$ ,=ces or ! sp\ses ( su* memb]s1 or bo?4 7,d7 ,! l5g? ( advanc$ notice receiv$ by individuals survey$ t ! memb] ( ! ,arm$ ,=ces w\ld be unable to be pres5t dur+ ! bir?1 if applicable4 7,e7 ,any res\rces or support t ! individuals survey$ f\nd useful dur+ ! pregnancy & bir? process1 includ+ d\la support4 7#c7 ,report ,! ,secret>y %all submit to ! congressional def5se committees an annual report on ! results ( ! survey adm9i/]$ "u p>agraph 7#a7 = ! ye> cov]$ by ! report4 7e7 ,def9itions ,9 ?is section3 7#a7 ,congressional def5se committees ,! t]m congressional def5se committees has ! mean+ giv5 t t]m 9 section #aja7;a77#af7 ( title #aj1 ,unit$ ,/ates ,code4 7#b7 ,d\la 7,a7 ,9 g5]al ,! t]m d\la means an individual :o is tra9$ z describ$ 9 subp>agraph 7,b7 to provide non-m$ical advice1 in=mation1 emotional support1 & physical com=t to an individual dur+ ! individual's pregnancy1 *ildbir?1 & po/p>tum p]iod by an organization t has be5 e/abli%$ = n less ?an five ye>s & t requires ! completion ( cont9u+ education4 7,b7 ,tra9+ describ$ ,tra9+ describ$ 9 ?is subp>agraph is tra9+ 9 nationally recogniz$ core d\la compet5cies1 :i* may include compet5cy 9 reproductive & bir? ju/ice frameworks1 race equity1 cultural humility1 home visit+ skills1 & k ( social s]vices4 7#c7 ,,tric>e program ,! t]m ,,tric>e program has ! mean+ giv5 t t]m 9 section #ajgb ( title #aj1 ,unit$ ,/ates ,code4 #c4 ,expansion ( evaluation on effectiv5ess ( ,,tric>e program to include data on bir?s at milit>y m$ical treatm5t facilities & civilian hospitals "u ! ,,tric>e program ,section #gag7;a7 ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #aiif 7,public ,law #ajd-ajf2 #aj ,u4,s4,c4 #ajgc note7 is am5d$-- 7#a7 9 p>agraph 7#b71 by /rik+ 2 & & ins]t+ a semicolon2 7#b7 9 p>agraph 7#c77;,b77v71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+ new p>agraph3 7#d7 assess data relat+ to bir?s at ea* milit>y m$ical treatm5t facility or civilian hospital "u ! ,,tric>e program dur+ ! "o-ye> p]iod prec$+ ! evaluation1 includ+-- 7,a7 ! numb] ( bir?s1 disaggregat$ by milit>y s]vice & rank ( ! individual giv+ bir? or _! sp\se1 z appropriate2 7,b7 :e!r ! individual giv+ bir? is a memb] ( ! ,arm$ ,=ces1 a sp\se ( su* a memb]1 or o!r dep5d5t ( su* a memb]2 7,c7 ! race1 e?nicity1 age1 & relation%ip /atus ( ! individual giv+ bir?2 7,d7 any effects ( implicit or explicit bias 9 mat]nal heal? c>e "u ! ,,tric>e program1 or evid5ce ( racial or socioeconomic b>ri]s to su* c>e2 & 7,e7 su* o!r demographic in=mation ab\t ! individual giv+ bir? z ! ,secret>y consid]s appropriate4 4