,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dbfi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #bb1 #bjbj,mr4   
,ka9e 7= himself & ,ms4 ,murk[ski7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to improve mat]nal heal? & 
promote safe mo!rhood4  #a4 ,%ort title 
,?is ,act may be cit$ z ! ,mo!rs &      
,newborns ,success ,act 4  #b4 ,f9d+s & 
s5se ( ! ,s5ate  7a7 ,f9d+s ,congress   
f9ds ! foll[+3 7#a7 ,among develop$     
nations1 ! ,unit$ ,/ates has di/urb+ly  
high rates ( mat]nal & infant mortality4
  7#b7 ,! ,unit$ ,/ates publi%$ an      
(ficial mat]nal mortality rate f vital  
/ati/ics = ! fir/ "t s9ce #bjjg 9 #bjah4
 ,! ,unit$ ,/ates mat]nal mortality rate
 ( #ag4d p] #ajj1jjj live bir?s1 is     
significantly high] ?an ! ,organisation 
= ,economic ,co-op]ation & ,developm5t  
7ref]r$ to 9 ?is section z ! ,,oecd7    
av]age ( #ad4j 9 #bjag1 accord+ to      

model+ by ! ,_w ,bank4  7#c7 ,! ,unit$  
,/ates infant mortality rate 9 #bjag 0  
#e4h p] #a1jjj live bir?s1 :ile ! ,,oecd
 av]age 0 #c4h p] #a1jjj live bir?s4    
7#d7 ,9 ! ,unit$ ,/ates1 !re are        
significant mat]nal mortality & infant  
mortality inequities4  7#e7 ,! mat]nal  
mortality rate = non-,hispanic ,black   
wom5 9 #bjah 0 #cg4a p] #ajj1jjj live   
bir?s4 ,?is rate is m ?an #b4e times    
high] ?an ! mat]nal mortality rate (    
#ad4g = non-,hispanic ,:ite wom5 & m ?an
 #c4a times high] ?an ! mat]nal         
mortality rate ( #aa4h = ,hispanic wom5 
( any race4  7#f7 ,! ,c5t]s = ,disease  
,control & ,prev5tion data f #bjjg ?r\gh
 #bjaf %[s t ,am]ican ,indian_/,alaska  
,native wom5 also h significantly high] 
rates ( pregnancy-relat$ dea?s ?an      
,:ite1 ,hispanic1 & ,asian_/,pacific    
,isl&] wom54 ,am]ican ,indian_/,alaska  
,native wom5 _h a rate ( #bi4g          
pregnancy-relat$ dea?s p] #ajj1jjj live 
bir?s f #bjjg ?r\gh #bjaf1 :i* is #b4c  
times high] ?an ! rate ( #ab4g dea?s p] 

#ajj1jjj live bir?s = ,:ite wom5 dur+ ! 
same "t p]iod4  7#g7 ,! mortality rate =
 infants ( non-,hispanic ,black wom5 is 
#aa4j p] #a1jjj live bir?s & #i4b p]    
#a1jjj live bir?s = infants ( ,am]ican  
,indian or ,alaska ,native wom54 ,?is   
rate is m ?an #b4c times high] ?an !    
infant mortality rate ( non-,hispanic   
,:ite infants at #d4g & m ?an #b4a times
 high] ?an ! infant mortality rate (    
,hispanic infants ( any race at #e4a p] 
#a1jjj live bir?s4  7b7 ,s5se ( ! ,s5ate
 ,x is ! s5se ( ! ,s5ate t ! foll[+ %\ld
 apply3 7#a7 ,! ,unit$ ,/ates %\ld      
dramatically r$uce mat]nal & infant     
mortality1 ensure t all infants c gr[ up
 heal?y & safe1 & protect wom5's heal?  
be=e1 dur+1 & aft] pregnancy4  7#b7 ,any
 pregnant woman *oos+ to h a *ild %\ld  
be able to d s safely )\t reg>d to      
income1 race1 e?nicity1 employm5t /atus1
 geographic location1 ability1 or any   
o!r socio-economic factor4 ,unit$ ,/ates
 policy %\ld support wom5's heal? s t   
wom5 ?rive & newborns h ! maximum *ance 

= a heal?y life4  7#c7 ,! evid5ce (     
s]i\s racial inequities 9 mat]nal &     
infant mortality1 especially betwe5     
,black wom5 & ,:ite wom5 demon/rates !  
p]si/5ce ( racism & racial bias 9 our   
society & heal? c>e sy/em4 ,a #bjae /udy
 fund$ by ! ,national ,in/itute =       
,biom$ical & ,bioengine]+ ( ! ,national 
,in/itutes ( ,heal? f\nd t mo/ heal? c>e
 provid]s appe> to h>bor negative       
implicit biases t[>ds p ( color4 ,^!    
biases 7 f\nd to impact pati5t-provid]  
int]actions1 treatm5t decisions1        
treatm5t adh]5ce1 & pati5t heal?        
outcomes4 ,!re=e1 ! programs au?oriz$ by
 ?is ,act %\ld be specifically deploy$ 9
 ways to c\nt] su* inequities4  7#d7 ,9 
! next #e ye>s1 ! ,unit$ ,/ates %\ld aim
 to r$uce its ov]all mat]nal & infant   
mortality rates su* t !y are no high]   
?an ! ,,oecd av]age4 ,! ,unit$ ,/ates   
%\ld dramatically r$uce ! mat]nal       
mortality & infant mortality inequities 
betwe5 ,black & ,am]ican                
,indian_/,alaskan ,native wom5 & ,:ite  

wom54  7#e7 ,by advanc+ evid5ce-bas$    
policies to improve mat]nal & infant    
heal? outcomes1 ! ,unit$ ,/ates c "w to 
r$uce & elim9ate prev5table mat]nal &   
infant mortality & sev]e mat]nal        
morbidity4  #c4 ,/ate mat]nal heal?     
innovation ,title ,,iii ( ! ,public     
,heal? ,s]vice ,act is am5d$ by ins]t+  
aft] section #ccj,m 7#db ,u4,s4,c4      
#bed;c-#ai7 ! foll[+3  #ccj,n4 ,/ate    
mat]nal heal? innovation  7a7 ,9 g5]al  
,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator 
( ! ,heal? ,res\rces & ,s]vices         
,adm9i/ration1 %all cont9ue 9 effect !  
,/ate ,mat]nal ,heal? ,innovation       
,program & ! ,support+ ,mat]nal ,heal?  
,innovation ,program to aw>d competitive
 grants to eligible entities = ! purpose
 ( assi/+ ,/ates to implem5t            
,/ate-specific actions t address racial1
 e?nic & geographic inequities 9 mat]nal
 heal? & improve mat]nal heal? outcomes1
 includ+ ! prev5tion & r$uction (       
mat]nal mortality & sev]e mat]nal       
morbidity4  7b7 ,use ( funds ,an entity 

receiv+ a grant "u ?is section may use  
su* funds-- 7#a7 to translate           
recomm5dations on address+ mat]nal      
mortality & sev]e mat]nal morbidity into
 action ?r\gh activities :i* may        
include-- 7,a7 e/abli%+ a ,/ate- or     
regional multi-,/ate-focus$ ,mat]nal    
,heal? ,task ,=ce to create & implem5t a
 /rategic plan2  7,b7 improv+ !         
collection1 analysis1 & application (   
,/ate- or regional multi-,/ate-level    
data on mat]nal mortality & sev]e       
mat]nal morbidity2 &  7,c7 promot+ &    
execut+ innovation 9 mat]nal heal?      
s]vice deliv]y1 su* z improv+ access to 
mat]nal heal? c>e s]vices1 id5tify+ &   
address+ work=ce ne$s1 includ+ mat]nal  
heal? provid] %ortages2 id5tify+ &      
address+ implicit & explicit bias bas$  
on race or e?nicity2 or support+        
po/p>tum & int]-pregnancy c>e s]vices2  
or  7#b7 to provide support to entities 
receiv+ assi/ance "u p>agraph 7#a71 &   
o!r initiatives ( ! ,dep>tm5t ( ,heal? &
 ,human ,s]vices to improve mat]nal     

heal? outcomes z ! ,secret>y det]m9es   
appropriate1 ,/ates1 multi-,/ate regions
 & o!r /akehold]s work+ to r$uce &      
prev5t mat]nal mortality & sev]e mat]nal
 morbidity ?r\gh activities :i* may     
include-- 7,a7 provid+ capacity-build+  
assi/ance to su* entities to implem5t   
innovative & evid5ce-in=m$ /rategies2 & 
7,b7 e/abli%+ or cont9u+ ! op]ation ( a 
res\rce c5t] to provide national        
guidance to su* entities1 ,/ates1 & key 
/akehold]s to improve mat]nal heal?4    
7c7 ,alignm5t ( activities ,an entity   
c>ry+ out activities "u subsection      
7b77#a7 %all coord9ate & align su*      
activities ) ! activities to improve    
mat]nal heal? outcomes c>ri$ out by su* 
entities "u title ,v ( ! ,social        
,security ,act4  7d7 ,eligible entities 
,to be eligible = a grant "u subsection 
7a71 a dome/ic public or non-pr(it      
private entity1 ,indian ,tribe1 or      
,tribal s]v+ organization1 su* z a      
,tribal heal? dep>tm5t or o!r           
organization fulfill+ simil> functions =

 ! ,tribe1 %all submit to ! ,secret>y an
 application at su* "t1 9 su* mann]1 &  
conta9+ su* in=mation z ! ,secret>y may 
require4 ,9 ! case ( applicants int5d+  
to c>ry out activities describ$ 9       
subsection 7b77#a71 su* applicants %all 
demon/rate 9 su* application t ! entity 
has a commitm5t f a ,/ate or gr\p (     
,/ates to collaborate z "p ( ! project  
on /r5g!n+ ,/ate-level capacity 9 a*iev+
 ! program aims4  7e7 ,report to        
,congress ,n lat] ?an ,janu>y #a1 #bjbd1
 ! ,secret>y %all submit to ! ,committee
 on ,heal?1 ,education1 ,labor1 &       
,p5sions ( ! ,s5ate & ! ,committee on   
,en]gy & ,comm]ce ( ! ,h\se (           
,repres5tatives1 & make publicly        
available1 a report conc]n+ ! impact ( !
 programs cont9u$ "u ?is section on     
address+ inequities 9 mat]nal heal? &   
improv+ mat]nal heal? outcomes1 includ+ 
! prev5tion & r$uction ( mat]nal        
mortality & sev]e mat]nal morbidity1    
toge!r ) recomm5dations on :e!r to exp& 
su* programs to additional recipi5ts & !

 e/imat$ am\nt ( funds ne$$ to exp& su* 
programs4  7f7 ,au?orization (          
appropriations ,to c>ry out ?is section1
 includ+ c>ry+ out ! programs ref]r$ to 
9 subsection 7a7 on a national basis    
7subject to ! availability (            
appropriations71 !re is au?oriz$ to be  
appropriat$ #ec1jjj1jjj = ea* ( fiscal  
ye>s #bjba ?r\gh #bjbd4  4  #d4 ,safe   
mo!rhood ,section #cag,k ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bdg;b-#ab7 is am5d$-- 7#a7 by          
r$esignat+ subsections 7e7 & 7f7 z      
subsections 7h7 & 7i71 respectively2    
7#b7 by ins]t+ aft] subsection 7d7 !    
foll[+3  7e7 ,levels ( mat]nal &        
neonatal c>e  7#a7 ,9 g5]al ,!          
,secret>y1 act+ ?r\gh ! ,director ( !   
,c5t]s = ,disease ,control & ,prev5tion1
 %all e/abli% or cont9ue 9 effect a     
program to aw>d competitive grants to   
eligible entities to assi/ ) !          
classification ( bir?+ facilities bas$  
on ! level ( risk-appropriate mat]nal & 
neonatal c>e su* entities c provide 9   

ord] to /rategically improve mat]nal &  
infant c>e deliv]y & heal? outcomes4    
7#b7 ,use ( funds ,an eligible entity   
receiv+ a grant "u ?is subsection %all  
use su* funds to-- 7,a7 coord9ate an    
assessm5t ( ! risk-appropriate mat]nal &
 neonatal c>e ( a ,/ate1 jurisdiction1  
or region1 bas$ on ! mo/ rec5t guidel9es
 & policy /atem5ts issu$ by !           
pr(essional associations repres5t+      
relevant cl9ical specialties1 includ+   
ob/etrics & gynecology & p$iatrics2 &   
7,b7 "w ) relevant /akehold]s1 su* z    
hospitals1 hospital associations1       
p]9atal quality collaboratives1 memb]s (
 ! communities mo/ affect$ by racial1   
e?nic1 & geographic mat]nal heal?       
inequities1 mat]nal mortality review    
committees1 & mat]nal & neonatal heal?  
c>e provid]s & community-bas$ bir?      
work]s to review ! f9d+s ( ! assessm5t  
made ( activities c>ri$ out "u p>agraph 
7#a7 & implem5t *anges1 z appropriate1  
bas$ on id5tifi$ gaps 9 p]inatal s]vices
 & diff]5ces 9 mat]nal & neonatal       

outcomes 9 ! ,/ate1 jurisdiction1 or    
region = :i* su* an assessm5t 0 conduct$
 to support ! provision (               
risk-appropriate c>e4  7#c7 ,eligible   
entities ,to be eligible = a grant "u   
?is subsection1 a ,/ate heal? dep>tm5t1 
,indian ,tribe or o!r ,tribal s]v+      
organization1 su* z a ,tribal heal?     
dep>tm5t or o!r organization fulfill+   
simil> functions = ! ,tribe1 %all submit
 to ! ,secret>y an application at su*   
"t1 9 su* mann]1 & conta9+ su* in=mation
 z ! ,secret>y may require4  7#d7 ,p]iod
 ,a grant aw>d$ "u ?is subsection %all  
be made = a p]iod ( #c ye>s4 ,any       
supplem5tal aw>d made to a grantee "u   
?is subsection may be made = a p]iod (  
less ?an #c ye>s4  7#e7 ,report to      
,congress ,n lat] ?an ,janu>y #a1 #bjbc1
 ! ,secret>y %all submit to ! ,committee
 on ,heal?1 ,education1 ,labor1 &       
,p5sions ( ! ,s5ate & ! ,committee on   
,en]gy & ,comm]ce ( ! ,h\se (           
,repres5tatives1 & make publicly        
available1 a report conc]n+ ! impact ( !

 programs e/abli%$ or cont9u$ "u ?is    
subsection4  7f7 ,pregnancy *eckbox     
quality assurance  7#a7 ,9 g5]al ,!     
,secret>y1 act+ ?r\gh ! ,director ( !   
,c5t]s = ,disease ,control & ,prev5tion1
 may e/abli% or cont9ue a program to    
aw>d competitive grants & provide       
te*nical assi/ance to eligible entities 
to implem5t a quality assurance process 
to improve ! validity ( ! pregnancy     
*eckbox data f dea? c]tificates4  7#b7  
,use ( funds ,eligible entities receiv+ 
a grant "u ?is subsection %all use grant
 funds to implem5t a quality assurance  
process to improve ! validity ( !       
pregnancy *eckbox data f dea?           
c]tificates 9 ! ,/ate or )9 ! ,indian   
,tribe4 ,activities fund$ "u ! grant may
 include ! foll[+3 7,a7 ,review+ dea?   
c]tificates = wom5 ( reproductive age & 
individuals ) a pregnancy *eckbox m>k$4 
7,b7 ,attempt+ to confirm ! pregnancy ( 
a dec$5t by se>*+ = a mat*+ bir? or     
fetal dea? record 7or o!r mat*+ /ate    
adm9i/rative data s\rce71 contact+ !    

dea? c]tifi]1 or review+ ! m$ical       
record4  7,c7 ,am5d+ dea? c]tificates or
 dea? record files1 z appropriate1 &    
s5d+ ! updat$ file to ! ,national ,c5t] 
= ,heal? ,/ati/ics4  7,d7 ,provid+ tra9+
 to dea? c]tifi]s ab\t complet+ ! dea?  
c]tificate4  7,e7 ,build+ aw>5ess among 
dea? c]tifi]s & heal? dep>tm5t /aff ab\t
 ! pregnancy *eckbox4  7,f7 ,coord9at+  
quality assurance activities among ,/ate
 mat]nal & *ild heal? programs1 ,/ate   
vital records (fices1 & mat]nal         
mortality review committee memb]s &     
ab/ractors4  7#c7 ,eligible entities ,to
 be eligible = a grant "u ?is           
subsection1 a ,/ate heal? dep>tm5t1     
,indian ,tribe1 or o!r ,tribal s]v+     
organization1 su* z a ,tribal heal?     
dep>tm5t or o!r organization fulfill+   
simil> functions = ! ,tribe1 %all submit
 to ! ,secret>y an application at su*   
"t1 9 su* mann]1 & conta9+ su* in=mation
 z ! ,secret>y may require4  7#d7       
,report to ,congress ,n lat] ?an ,janu>y
 #a1 #bjbc1 ! ,secret>y %all submit to !

 ,committee on ,heal?1 ,education1      
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 & make publicly
 available1 a report conc]n+ ! impact ( 
! programs e/abli%$ or cont9u$ "u ?is   
subsection4  2 &  7#c7 9 subsection 7i7 
7z s r$esignat$71 by /rik+ #eh1jjj1jjj =
 ea* ( fiscal ye>s #bjai ?r\gh #bjbc &  
ins]t+ #ha1jjj1jjj = ea* ( fiscal ye>s  
#bjba ?r\gh #bjbc4  #e4 ,pregnancy risk 
assessm5t monitor+ sy/em ,section #cag,k
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bdg;b-#ab7 is am5d$ by ins]t+
 aft] subsection 7f7 7z add$ by section 
#d7 ! foll[+3  7h7 ,pregnancy risk      
assessm5t monitor+ sy/em  7#a7 ,9 g5]al 
,! ,secret>y1 act+ ?r\gh ! ,director ( !
 ,c5t]s = ,disease ,control &           
,prev5tion1 may e/abli% or cont9ue      
activities to collect data on mat]nal   
attitudes & exp]i5ces dur+ !            
prepregnancy1 pregnancy1 labor &        
deliv]y1 & po/p>tum p]iods4 ,! ,secret>y
 may exp& data collection to all ,/ates1

 ,indian ,tribes1 & t]ritories1 & to !  
ext5t practicable1 compile & publi%     
population-bas$ f9d+s on ! heal? &      
well-be+ ( wom51 mo!rs & infants4  7#b7 
,enhanc$ surveillance activities &      
te*nical assi/ance ,! ,secret>y1 act+   
?r\gh ! ,director ( ! ,c5t]s = ,disease 
,control & ,prev5tion may support       
enhanc$ surveillance activities &       
provide te*nical assi/ance to ,/ates &  
,indian ,tribes to improve data         
collection & ensure an adequate         
repres5tation ( racial1 e?nic & o!r     
communities ( color 9 relat$ datasets4  
4  #f4 ,po/p>tum c>e coord9ation pilot  
program ,title ,,iii ( ! ,public ,heal? 
,s]vice ,act is am5d$ by ins]t+ aft]    
section #ccj,n 7z add$ by section #c7 ! 
foll[+3  #ccj,o4 ,po/p>tum c>e          
coord9ation pilot program  7a7 ,9 g5]al 
,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator 
( ! ,heal? ,res\rces & ,s]vices         
,adm9i/ration1 & 9 consultation ) exp]ts
 repres5t+ a v>iety ( cl9ical           
specialties1 includ+ ob/etrics &        

gynecology1 ,/ate1 ,tribal1 or local    
public heal? (ficials1 1 & 9 coord9ation
 ) exi/+ ef=ts to address po/p>tum c>e1 
includ+ activities conduct$ "u section  
#ccj;,h1 %all e/abli% a program to aw>d 
competitive grants to n m ?an #aj       
eligible entities = ! purpose (-- 7#a7  
id5tify+ & dissem9at+ be/ practices to  
improve c>e & outcomes = wom51 includ+  
wom5 ) *ronic heal? conditions          
prepregnancy & ^? ) ongo+               
pregnancy-relat$ conditions1 9 !        
po/p>tum p]iod ( at lea/ "o ye> foll[+  
bir?1 :i* may include-- 7,a7 in=mation  
on evid5ce-bas$ & evid5ce-in=m$         
practices to improve ! quality ( c>e2   
7,b7 be/ practices = connect+ wom5 to   
prim>y or specializ$ c>e1 includ+       
behavioral heal? s]vices1 9 ! po/p>tum  
p]iod2  7,c7 in=mation on address+      
social & cl9ical det]m9ants ( heal? t   
impact wom5 9 ! po/p>tum p]iod2 &  7,d7 
in=mation on ! mo/ appropriate c\rse (  
c>e dur+ ! po/p>tum p]iod1 includ+      
cont9u$ access to mat]nity c>e provid]s 

& ways to /r5g!n capabilities ( prim>y  
c>e provid]s & speciali/s1 includ+      
c>diologi/s & endocr9ologi/s to         
recognize & treat conditions t may      
result f or be exac]bat$ by pregnancy2  
7#b7 collaborat+ ) ,/ate-bas$ mat]nal   
mortality review committees1 ,/ate-bas$ 
p]9atal quality c>e collaboratives & o!r
 relevant initiatives to-- 7,a7 id5tify 
risk factors & sy/ems issues = !        
developm5t ( be/ practices2 &  7,b7     
dissem9ate be/ practices2  7#c7 provid+ 
te*nical assi/ance & support+ !         
implem5tation ( be/ practices id5tifi$ 9
 p>agraph 7#a7 to entities & provid]s   
provid+ heal? c>e & social support      
s]vices to po/p>tum wom52  7#d7         
id5tify+1 develop+1 & evaluat+ new      
models ( c>e t improve mat]nal heal?    
outcomes1 :i* may include ! integration 
( community-bas$ s]vices1 behavioral    
heal?1 & cl9ical c>e1 includ+           
int]pr(essional education = team-bas$   
c>e2 &  7#e7 develop+ condition-specific
 consum] mat]ials direct$ t[>d wom5 to  

help !m bett] manage _! physical &      
behavioral heal? 9 ! po/p>tum p]iod4    
7b7 ,eligible entities ,to be eligible =
 a grant "u subsection 7a71 an entity   
%all-- 7#a7 submit to ! ,secret>y an    
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
require2 &  7#b7 demon/rate 9 su*       
application t ! entity is capable (     
c>ry+ out data-driv5 mat]nal safety &   
quality improvem5t initiatives 9 ! areas
 ( ob/etrics & gynecology or mat]nal    
heal?4  7c7 ,report to ,congress ,n lat]
 ?an ,janu>y #a1 #bjbe1 ! ,secret>y %all
 submit to ! ,committee on ,heal?1      
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives1 & 
make publicly available1 a report       
conc]n+ ! impact ( ! programs e/abli%$  
or cont9u$ "u ?is section4  7d7         
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #e1jjj1jjj = ea* ( fiscal   
ye>s #bjba ?r\gh #bjbe4  4  #g4 ,mat]nal

 heal? rese>* network ,subp>t #g ( "p ,c
 ( title ,,iv ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bhe;g et seq47 is 
am5d$ by add+ at ! end ! foll[+3        
#deb;,h4 ,mat]nal heal? rese>* network  
7a7 ,e/abli%m5t ,! ,secret>y1 act+ ?r\gh
 ! ,director ( ! ,national ,in/itutes ( 
,heal?1 %all e/abli% a ,national        
,mat]nal ,heal? ,rese>* ,network 7ref]r$
 to 9 ?is section z ! ,network71 to m   
effectively support innovative rese>* to
 r$uce mat]nal mortality & promote      
mat]nal heal?4  7b7 ,activities ,!      
,secret>y1 act+ ?r\gh ! ,network1 may   
c>ry out activities to support          
me*ani/ic1 translational1 cl9ical1      
behavioral1 or epidemiologic rese>*1 z  
well z community-in=m$ rese>* on        
/ructural risk factors to address unmet 
mat]nal heal? rese>* ne$s specific to ! 
und]ly+ causes ( mat]nal mortality &    
sev]e mat]nal morbidity & _! treatm5t4  
,su* activities %\ld be focus$ on       
optimiz+ improv$ diagno/ics & cl9ical   
treatm5ts1 improv+ heal? outcomes1 &    

r$uc+ inequities4  7c7 ,exi/+ networks  
,9 c>ry+ out ?is section1 ! ,secret>y   
may utilize or coord9ate ) ! ,mat]nal   
,fetal ,m$ic9e ,units ,network & !      
,ob/etric-,fetal ,ph>macology ,rese>*   
,c5t]s ,network4  7d7 ,use ( funds      
,am\nts appropriat$ to c>ry out ?is     
section may be us$ to support ! ,network
 = activities relat$ to mat]nal         
mortality or sev]e mat]nal morbidity t  
lead to pot5tial !rapies or cl9ical     
practices t w improve mat]nal heal?     
outcomes & r$uce inequities4 ,am\nts    
provid$ to su* ,network %all be us$ to  
supplem5t1 & n supplant1 o!r fund+      
provid$ to su* ,network = su*           
activities4  7e7 ,au?orization (        
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$      
#ej1jjj1jjj = ea* ( fiscal ye>s #bjba   
?r\gh #bjbe4  4  #h4 ,teleheal?         
demon/ration program ,section #ccj;,a ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bed;c7 is am5d$-- 7#a7 by    
r$esignat+ subsections 7h7 ?r\gh 7j7 z  

subsections 7i7 ?r\gh 7k71 respectively2
 &  7#b7 by ins]t+ aft] subsection 7g71 
! foll[+3  7h7 ,teleheal? demon/ration  
program  7#a7 ,9 g5]al ,! ,secret>y1    
act+ ?r\gh ! ,adm9i/rator ( ! ,heal?    
,res\rces & ,s]vices ,adm9i/ration1 %all
 cont9ue 9 effect ! ,rural ,mat]nity &  
,ob/etrics ,managem5t ,/rategies        
7,,rmoms7 ,program to aw>d competitive  
grants to eligible entities = ! purpose 
( improv+ access to1 & cont9uity (1     
mat]nal & ob/etrics c>e 9 rural         
communities4  7#b7 ,use ( funds ,an     
entity receiv+ a grant "u ?is subsection
 %all use grant funds to develop a      
su/a9able consortium approa* to         
coord9ate mat]nal & ob/etrics c>e )9 a  
rural region-- 7,a7 ?r\gh a focus on--  
7i7 rural regional approa*es to risk    
appropriate c>e2  7ii7 an approa* to    
coord9at+ a cont9uum ( c>e =            
prepregnancy1 pregnancy1 labor &        
deliv]y1 po/p>tum1 & int]pregnancy      
s]vices2  7iii7 lev]ag+ teleheal? &     
specialty c>e to enhance case managem5t 

( high]-risk expectant mo!rs liv+ 9     
geographically isolat$ areas2 &  7iv7   
demon/rat+ f9ancial su/a9ability ?r\gh  
improv$ mat]nal & neonatal outcomes &   
pot5tial co/ sav+s2 &  7,b7 by te/+ &   
improv+ ^u /rategies to improve access  
to1 & cont9uity (1 ob/etrics c>e 9 rural
 communities & r$uce geographic         
inequities 9 mat]nal heal? ?r\gh ! use (
 data & outcome measures spann+ !       
cont9uum ( c>e f prepregnancy ?r\gh     
pregnancy1 labor1 deliv]y1 & ! po/p>tum 
p]iod4  7#c7 ,eligible entities ,to be  
eligible = a grant "u p>agraph 7#a71 a  
dome/ic public or non-pr(it private     
entity1 includ+ ,indian ,tribes1 &      
,tribal s]v+ organizations su* z a      
,tribal heal? dep>tm5t or o!r           
organization fulfill+ simil> functions =
 ! ,tribe1 %all-- 7,a7 submit to !      
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require2  7,b7 propose to 
c>ry out activities t exclusively t>get 
populations resid+ 9 rural c\nties or   

rural c5sus tracts 9 urban c\nties z    
designat$ by ! ,heal? ,res\rces &       
,s]vices ,adm9i/ration2 &  7,c7         
demon/rate a =mal arrangem5t among a    
consortium ( ?ree or m entities1 includ+
 ! applicant1 to build a rural bas$     
sy/em ( p]9atal & mat]nal c>e4  7#d7    
,report to ,congress ,n lat] ?an ,janu>y
 #a1 #bjbc1 ! ,secret>y %all submit to !
 ,committee on ,heal?1 ,education1      
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 & make publicly
 available1 a report conc]n+ ! impact ( 
! programs cont9u$ "u ?is subsection    
toge!r ) recomm5dations on :e!r to exp& 
su* programs & ! e/imat$ am\nt ( funds  
ne$$ to exp& su* programs4  7#e7        
,au?orization ( appropriations ,to c>ry 
out ?is subsection1 !re is au?oriz$ to  
be appropriat$ #ab1jjj1jjj = ea* (      
fiscal ye>s #bjba ?r\gh #bjbc4  4  #i4  
,public & provid] aw>5ess campaign      
promot+ mat]nal & *ild heal?  7a7 ,9    
g5]al ,! ,secret>y ( ,heal? & ,human    

,s]vices1 act+ ?r\gh ! ,director ( !    
,c5t]s = ,disease ,control & ,prev5tion1
 & 9 coord9ation ) ,/ate1 local1        
t]ritorial1 heal? dep>tm5ts1 ,indian    
,tribes1 ,tribal s]v+ organizations1    
public heal? exp]ts & associations1 !   
m$ical & alli$ pr(essional community1 & 
m9ority heal? organizations1 %all aw>d  
competitive grants to eligible entities 
to e/abli% a national evid5ce-bas$      
public & provid] aw>5ess campaign on !  
importance ( mat]nal & *ild heal?1      
includ+ id5tify+ & respond+ to mat]nal  
heal? w>n+ signs & vacc9ations = ! heal?
 ( pregnant wom5 & _! *ildr51 ) ! goal (
 increas+ vacc9ation rates among        
pregnant wom5 & *ildr51 r$uc+ racism &  
racial1 e?nic1 & geographic inequities 9
 mat]nal & *ild heal?1 & r$uc+ mat]nal  
mortality & sev]e mat]nal morbidity4    
7b7 ,use ( funds ,an entity receiv+ a   
grant "u ?is section %all use grant     
funds to supplem5t1 n supplant1 any     
,f$]al1 ,/ate1 or local funds support+ !
 e/abli%m5t ( a national evid5ce-bas$   

public & provid] aw>5ess campaign ) all 
res\rces 9 an accessible =mat t-- 7#a7  
increases aw>5ess & k ( mat]nal heal?   
w>n+ signs & h[ to respond to ^? signs z
 well z ! safety & effectiv5ess (       
vacc9es = pregnant wom5 & _! *ildr52    
7#b7 provides t>get$ evid5ce-bas$1      
culturally & l+ui/ically appropriate    
res\rces to pregnant wom51 p>ticul>ly 9 
communities ) l[ rates ( vacc9ation & 9 
rural & und]s]v$ areas2 &  7#c7 provides
 evid5ce-bas$ in=mation & res\rces on ! 
importance ( mat]nal & *ild heal?1      
includ+ mat]nal heal? w>n+ signs & !    
safety ( vacc9ations = pregnant wom5 &  
_! *ildr5 to public heal? dep>tm5ts &   
heal? c>e provid]s t c>e = pregnant     
wom54  7c7 ,eligible entities ,to be    
eligible = a grant "u ?is section1 a    
public or private entity %all submit to 
! ,secret>y ( ,heal? & ,human ,s]vices  
an application at su* "t1 9 su* mann]1 &
 conta9+ su* in=mation z ! ,secret>y may
 require4  7d7 ,collaboration ,!        
,secret>y ( ,heal? & ,human ,s]vices    

%all ensure t ! in=mation & res\rces    
develop$ = ! campaign "u ?is section are
 dissem9at$ to o!r divisions ( !        
,dep>tm5t ( ,heal? & ,human ,s]vices    
work+ to improve mat]nal & *ild heal?   
outcomes4  7e7 ,evaluation ,n lat] ?an  
,janu>y #a1 #bjbe1 ! ,secret>y ( ,heal? 
& ,human ,s]vices %all e/abli%          
quantitative & qualitative metrics to   
evaluate ! campaign "u ?is section &    
%all submit a report detail+ !          
campaign's impact to ! ,committee on    
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate & ! ,committee on ,en]gy &    
,comm]ce ( ! ,h\se ( ,repres5tatives4   
7f7 ,au?orization ( appropriations ,to  
c>ry out ?is section1 !re is au?oriz$ to
 be appropriat$ #b1jjj1jjj = ea* (      
fiscal ye>s #bjba ?r\gh #bjbe4