,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #diaf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,augu/ #c1 #bjba,ms4  
,moore ( ,wiscons9 7= h]self1 ,ms4      
,und]wood1 ,ms4 ,adams1 & ,ms4 ,ku/]7   
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to /udy ! ext5t to :i*         
individuals are m at risk ( mat]nal     
mortality or sev]e mat]nal morbidity z a
 result ( be+ a victim ( intimate p>tn] 
viol5ce1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,protect
 ,moms ,f ,dome/ic ,viol5ce ,act4  #b4  
,/udy by ,dep>tm5t ( ,heal? & ,human    
,s]vices  7a7 ,/udy ,! ,secret>y1 9     
collaboration ) ! ,heal? ,res\rces &    
,s]vices ,adm9i/ration1 ! ,sub/ance     
,abuse & ,m5tal ,heal? ,s]vices         
,adm9i/ration1 & ! ,adm9i/ration =      
,*ildr5 & ,families1 & 9 consultation ) 
! ,attorney ,g5]al ( ! ,unit$ ,/ates1 ! 
,director ( ! ,indian ,heal? ,s]vice1 & 
/akehold]s 7includ+ community-bas$      
organizations1 culturally specific      

organizations1 & ,tribal public heal?   
au?orities71 %all conduct a /udy on !   
ext5t to :i* individuals are m at risk (
 mat]nal mortality or sev]e mat]nal     
morbidity z a result ( be+ a victim (   
dome/ic viol5ce1 dat+ viol5ce1 sexual   
assault1 /alk+1 human traffick+1 sex    
traffick+1 *ild sexual abuse1 or =c$    
m>riage4  7b7 ,reports ,n lat] ?an #b   
ye>s aft] ! date ( enactm5t ( ?is ,act1 
! ,secret>y %all complete ! /udy "u     
subsection 7a7 & submit a report to !   
,congress on ! results ( su* /udy4 ,su* 
report %all include-- 7#a7 an analysis (
 ! ext5t to :i* dome/ic viol5ce1 dat+   
viol5ce1 sexual assault1 /alk+1 human   
traffick+1 sex traffick+1 *ild sexual   
abuse1 & =c$ m>riage contribute to1 or  
result 91 mat]nal mortality2  7#b7 an   
analysis ( ! impact ( dome/ic viol5ce1  
dat+ viol5ce1 sexual assault1 /alk+1    
human traffick+1 sex traffick+1 *ild    
sexual abuse1 & =c$ m>riage on access to
 heal? c>e 7includ+ m5tal heal? c>e7 &  
sub/ance use disord] treatm5t & recov]y 

support2  7#c7 a breakd[n 7includ+ by   
race & e?nicity7 ( categories (         
individuals :o are disproportionately   
victims ( dome/ic viol5ce1 dat+ viol5ce1
 sexual assault1 /alk+1 human traffick+1
 sex traffick+1 *ild sexual abuse1 or   
=c$ m>riage t contributes to1 or results
 91 pregnancy-relat$ dea?2  7#d7 an     
analysis ( ! impact on heal?1 m5tal     
heal?1 & sub/ance use result+ f dome/ic 
viol5ce1 dat+ viol5ce1 sexual assault1  
/alk+1 human traffick+1 sex traffick+1  
*ild sexual abuse1 & =c$ m>riage among  
,alaskan ,natives1 ,native ,hawaiians1 &
 ,am]ican ,indians dur+ ! pr5atal &     
po/p>tum p]iod2  7#e7 an assessm5t ( !  
factors t increase or decrease risks =  
mat]nal mortality or sev]e mat]nal      
morbidity among victims ( dome/ic       
viol5ce1 dat+ viol5ce1 sexual assault1  
/alk+1 human traffick+1 sex traffick+1  
*ild sexual abuse1 or =c$ m>riage2  7#f7
 an assessm5t ( increas$ risk ( mat]nal 
mortality or sev]e mat]nal morbidity    
/emm+ f suicide1 sub/ance use disord]s1 

or drug ov]dose due to dome/ic viol5ce1 
dat+ viol5ce1 sexual assault1 /alk+1    
human traffick+1 sex traffick+1 *ild    
sexual abuse1 or =c$ m>riage2  7#g7     
recomm5dations = legislative or policy  
*anges-- 7,a7 to r$uce mat]nal mortality
 rates2 &  7,b7 to address heal?        
inequities t contribute to disp>ities 9 
su* rates & dea?s2  7#h7 be/ practices  
to r$uce mat]nal mortality & sev]e      
mat]nal morbidity among victims (       
dome/ic viol5ce1 dat+ viol5ce1 sexual   
assault1 /alk+1 human traffick+1 sex    
traffick+1 *ild sexual abuse1 & =c$     
m>riage1 includ+-- 7,a7 r$uc+           
reproductive co]cion1 m5tal heal?       
conditions1 & sub/ance use co]cion2 &   
7,b7 r\t9ely assess+ pregnant p =       
dome/ic viol5ce & o!r =ms ( reproductive
 viol5ce2 &  7#i7 any o!r in=mation on  
mat]nal mortality or sev]e mat]nal      
morbidity ! ,secret>y det]m9es          
appropriate to include 9 ! report4  #c4 
,/udy by ,national ,academy ( m$ic9e    
7a7 ,9 g5]al ,! ,secret>y %all seek to  

ent] into an arrangem5t ) ! ,national   
,academy ( ,m$ic9e 7or1 if ! ,academy   
decl9es to ent] into su* arrangem5t1    
ano!r appropriate entity7 to /udy-- 7#a7
 ! impact ( dome/ic viol5ce1 dat+       
viol5ce1 sexual assault1 /alk+1 human   
traffick+1 sex traffick+1 *ild sexual   
abuse1 & =c$ m>riage on an individual's 
heal?2 relative to  7#b7 mat]nal        
mortality & sev]e mat]nal morbidity4    
7b7 ,topics ,! /udy "u subsection 7a7   
%all-- 7#a7 exam9e-- 7,a7 :e!r dome/ic  
viol5ce1 dat+ viol5ce1 sexual assault1  
/alk+1 human traffick+1 sex traffick+1  
*ild sexual abuse1 or =c$ m>riage1 or   
g5]ational intimate p>tn] viol5ce1      
trauma1 & psy*iatric disord]s1 increase 
! risk ( suicide1 sub/ance use1 & drug  
ov]dose among pregnant & po/p>tum       
p]sons2 &  7,b7 ! int]section ( dome/ic 
viol5ce1 dat+ viol5ce1 sexual assault1  
/alk+1 human traffick+1 sex traffick+1  
*ild sexual abuse1 & =c$ m>riage z a    
social det]m9ant ( heal?2 &  7#b7 give  
p>ticul> focus to impacts among ,african

 ,am]ican1 ,am]ican ,indian1 ,native    
,hawaiian1 ,alaskan ,native1 & ,,lgbtq  
bir?+ p]sons4  #d4 ,grants = innovative 
approa*es  7a7 ,9 g5]al ,! ,secret>y1   
act+ ?r\gh ! ,adm9i/rator ( ! ,heal?    
,res\rces & ,s]vices ,adm9i/ration1 & 9 
collaboration ) ! ,adm9i/ration =       
,*ildr5 & ,families1 ! ,indian ,heal?   
,s]vice1 & ! ,sub/ance ,abuse & ,m5tal  
,heal? ,s]vices ,adm9i/ration1 %all aw>d
 grants to eligible entities = develop+ 
& implem5t+ innovative approa*es to     
improve mat]nal & *ild heal? outcomes ( 
victims ( dome/ic viol5ce1 dat+ viol5ce1
 sexual assault1 /alk+1 human traffick+1
 sex traffick+1 *ild sexual abuse1 or   
=c$ m>riage4  7b7 ,eligible entity ,to  
seek a grant "u ?is section1 an entity  
%all be-- 7#a7 a ,/ate1 local1 or       
f$]ally recogniz$ ,tribal gov]nm5t2     
7#b7 a nonpr(it organization or         
community-bas$ organization t provides  
prev5tion or int]v5tion s]vices relat$  
to dome/ic viol5ce1 dat+ viol5ce1 sexual
 assault1 /alk+1 human traffick+1 sex   

traffick+1 *ild sexual abuse1 or =c$    
m>riage2  7#c7 a tribal organization or 
,urban ,indian organization 7z su* t]ms 
are def9$ 9 section #d ( ! ,indian      
,heal? ,c>e ,improvem5t ,act 7#be       
,u4,s4,c4 #afjc772  7#d7 an entity1 !   
pr9cipal purpose ( :i* is to provide    
heal? c>e1 su* z a hospital1 cl9ic1     
heal? dep>tm5t1 free/&+ bir?+ c5t]1     
p]9atal heal? work]1 or mat]nity c>e    
provid]2  7#e7 an in/itution ( high]    
education2 or  7#f7 a compreh5sive      
sub/ance use disord] p>5t+ program4  7c7
 ,priority ,9 aw>d+ grants "u ?is       
section1 ! ,secret>y ( ,heal? & ,human  
,s]vices %all give priority to          
applicants propos+ to address-- 7#a7    
m5tal heal? & sub/ance use disord]s     
among pregnant p]sons2 or  7#b7 pregnant
 & po/p>tum p]sons exp]i5c+ intimate    
p>tn] viol5ce4  7d7 ,free/&+ bir? c5t]  
def9$ ,9 ?is section1 ! t]m free/&+ bir?
 c5t] has ! mean+ giv5 t t]m 9 section  
#aije7l7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acif;d7#a774  7e7           

,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #be1jjj1jjj = ! p]iod (     
fiscal ye>s #bjbb ?r\gh #bjbd4  #e4     
,guidance ,n lat] ?an #b ye>s aft] !    
date ( enactm5t ( ?is ,act1 ! ,secret>y 
%all issue & dissem9ate guidance to     
,/ates1 ,tribes1 ,t]ritories1 mat]nity  
c>e provid]s1 & manag$ c>e entities on--
 7#a7 provid+ univ]sal education on     
heal?y relation%ips & intimate p>tn]    
viol5ce2  7#b7 develop+ protocols on--  
7,a7 r\t9e assessm5t ( intimate p>tn]   
viol5ce2 &  7,b7 heal? promotion &      
/rategies = trauma-in=m$ c>e plans2 &   
7#c7 creat+ su/a9able p>tn]%ips )       
community-bas$ organizations t address  
dome/ic viol5ce1 dat+ viol5ce1 sexual   
assault1 /alk+1 human traffick+1 sex    
traffick+1 *ild sexual abuse1 or =c$    
m>riage4  #f4 ,def9itions ,9 ?is ,act3  
7#a7 ,! t]m mat]nal mortality-- 7,a7    
means dea? t-- 7i7 occurs dur+1 or )9 ! 
#a-ye> p]iod aft]1 pregnancy2 &  7ii7 is
 attribut$ to or aggravat$ by           

pregnancy-relat$ or *ildbir?            
complications2 &  7,b7 includes a       
suicide1 drug ov]dose dea?1 homicide    
7includ+ a dome/ic viol5ce-relat$       
homicide71 or o!r dea? result+ f a m5tal
 heal? or sub/ance use disord] attribut$
 to or aggravat$ by pregnancy-relat$ or 
*ildbir? complications4  7#b7 ,! t]m    
mat]nity c>e provid] means a heal? c>e  
provid] :o-- 7,a7 is a physician1       
physician assi/ant1 nurse1 midwife :o   
meets at a m9imum ! int]national        
def9ition ( ! midwife & global /&>ds =  
midwif]y education z e/abli%$ by !      
,int]national ,conf$]ation ( ,midwives1 
nurse practition]1 or cl9ical nurse     
speciali/2 &  7,b7 has a focus on       
mat]nal or p]9atal heal?4  7#c7 ,! t]m  
p]9atal heal? work] means a work] :o--  
7,a7 is a d\la1 community heal? work]1  
pe] support]1 brea/fe$+ & lactation     
educator or c\nselor1 nutritioni/ or    
dietitian1 *ildbir? educator1 social    
work]1 home visitor1 language int]pret]1
 or navigator2 &  7,b7 provides         

assi/ance ) p]9atal heal?4  7#d7 ,! t]m 
po/p>tum ref]s to ! #ab-mon? p]iod      
foll[+ *ildbir?4  7#e7 ,! t]m ,secret>y 
means ! ,secret>y ( ,heal? & ,human     
,s]vices4  7#f7 ,! t]m sev]e mat]nal    
morbidity means a heal? condition1      
includ+ a m5tal heal? condition or      
sub/ance use disord]1 t-- 7,a7 is       
attribut$ to or aggravat$ by pregnancy  
or *ildbir?2 &  7,b7 results 9          
significant %ort-t]m or long-t]m        
consequ5ces to ! heal? ( ! individual :o
 0 pregnant4