,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #idc  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #h1          
#bjba,mrs4 ,mc,bath 7= h]self1 ,ms4     
,und]wood1 ,ms4 ,adams1 ,mr4 ,khanna1   
,ms4 ,velzquez1 ,mr4 ,smi? ( ,wa%+ton1  
,ms4 ,scanlon1 ,mr4 ,lawson ( ,florida1 
,mrs4 ,hayes1 ,mr4 ,butt]field1 ,ms4    
,moore ( ,wiscons91 ,ms4 ,/rickl&1 ,mr4 
,ryan1 ,mr4 ,s*iff1 ,mr4 ,johnson (     
,georgia1 ,mr4 ,hors=d1 ,ms4 ,wass]man  
,s*ultz1 ,ms4 ,b>ragn1 ,mr4 ,deut*1 ,mr4
 ,payne1 ,mr4 ,blum5au]1 ,mr4 ,m\lton1  
,mr4 ,soto1 ,mr4 ,nadl]1 ,mr4 ,trone1   
,ms4 ,cl>ke ( ,new ,york1 ,ms4          
,s*ak[sky1 ,ms4 ,bass1 ,ms4 ,pressley1  
,mr4 ,evans1 ,ms4 ,blunt ,ro*e/]1 ,ms4  
,ca/or ( ,florida1 ,ms4 ,sewell1 & ,ms4 
,williams ( ,georgia7 introduc$ ! foll[+
 bill2 :i* 0 ref]r$ to ! ,committee on  
,en]gy & ,comm]ce1 & 9 addition to !    
,committees on ,f9ancial ,s]vices1      
,transportation & ,infra/ructure1       
,agriculture1 & ,education & ,labor1 = a
 p]iod to be subsequ5tly det]m9$ by !   

,speak]1 9 ea* case = consid]ation ( su*
 provisions z fall )9 ! jurisdiction ( !
 committee conc]n$  ,a ,,bill  ,to      
address social det]m9ants ( mat]nal     
heal? ) respect to pregnant & po/p>tum  
individuals1 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,social ,det]m9ants = ,moms ,act4  #b4  
,task =ce to develop a /rategy to       
address social det]m9ants ( mat]nal     
heal?  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 a /rategy to     
coord9ate ef=ts betwe5 ,f$]al ag5cies to
 address social det]m9ants ( mat]nal    
heal? ) respect to pregnant & po/p>tum  
individuals4  7b7 ,ex (ficio memb]s ,!  
ex (ficio memb]s ( ! ,task ,=ce %all    
consi/ ( ! foll[+3 7#a7 ,! ,secret>y (  
,heal? & ,human ,s]vices 7or a designee 
!re(74  7#b7 ,! ,secret>y ( ,h\s+ &     
,urban ,developm5t 7or a designee !re(74
  7#c7 ,! ,secret>y ( ,transportation   
7or a designee !re(74  7#d7 ,! ,secret>y

 ( ,agriculture 7or a designee !re(74   
7#e7 ,! ,secret>y ( ,labor 7or a        
designee !re(74  7#f7 ,! ,adm9i/rator ( 
! ,environm5tal ,protection ,ag5cy 7or a
 designee !re(74  7#g7 ,! ,assi/ant     
,secret>y = ! ,adm9i/ration = ,*ildr5 & 
,families 7or a designee !re(74  7#h7 ,!
 ,adm9i/rator ( ! ,c5t]s = ,m$ic>e      
,m$icaid ,s]vices 7or a designee !re(74 
7#i7 ,! ,director ( ! ,indian ,heal?    
,s]vice 7or a designee !re(74  7#aj7 ,! 
,director ( ! ,national ,in/itutes (    
,heal? 7or a designee !re(74  7#aa7 ,!  
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration 7or a designee   
!re(74  7#ab7 ,! ,deputy ,assi/ant      
,secret>y = ,m9ority ,heal? ( !         
,dep>tm5t ( ,heal? & ,human ,s]vices 7or
 a designee !re(74  7#ac7 ,! ,deputy    
,assi/ant ,secret>y = ,wom5's ,heal? ( !
 ,dep>tm5t ( ,heal? & ,human ,s]vices   
7or a designee !re(74  7#ad7 ,!         
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion 7or a designee !re(74     
7#ae7 ,! ,director ( ! ,(fice on        

,viol5ce ,aga9/ ,wom5 at ! ,dep>tm5t (  
,ju/ice 7or a designee !re(74  7c7      
,appo9t$ memb]s ,9 addition to ! ex     
(ficio memb]s ( ! ,task ,=ce1 !         
,secret>y ( ,heal? & ,human ,s]vices    
%all appo9t ! foll[+ memb]s ( ! ,task   
,=ce3 7#a7 ,at lea/ two repres5tatives (
 pati5ts1 to include-- 7,a7 a           
repres5tative ( pati5ts :o h suff]$ f   
sev]e mat]nal morbidity2 or  7,b7 a     
repres5tative ( pati5ts :o is a family  
memb] ( an individual :o suff]$ a       
pregnancy-relat$ dea?4  7#b7 ,at lea/   
two lead]s ( community-bas$             
organizations t address mat]nal         
mortality & sev]e mat]nal morbidity ) a 
specific focus on racial & e?nic        
disp>ities4 ,9 appo9t+ su* lead]s "u ?is
 p>agraph1 ! ,secret>y ( ,heal? & ,human
 ,s]vices %all give priority to         
individuals :o are lead]s (             
organizations l$ by individuals f racial
 & e?nic m9ority gr\ps4  7#c7 ,at lea/  
two p]9atal heal? work]s4  7#d7 ,a      
pr(essionally div]se panel ( mat]nity   

c>e provid]s4  7d7 ,*air ,! ,secret>y ( 
,heal? & ,human ,s]vices %all select !  
*air ( ! ,task ,=ce f among ! memb]s ( !
 ,task ,=ce4  7e7 ,report ,n lat] ?an #b
 ye>s aft] ! date ( ! enactm5t ( ?is    
,act1 ! ,task ,=ce %all submit to       
,congress a report on-- 7#a7 ! /rategy  
develop$ "u subsection 7a72  7#b7       
recomm5dations on fund+ am\nts ) respect
 to implem5t+ su* /rategy2  7#c7        
recomm5dations = h[ to exp& cov]age (   
social s]vices to address social        
det]m9ants ( mat]nal heal? "u ,m$icaid  
manag$ c>e organizations & ,/ate        
,m$icaid programs4  7f7 ,t]m9ation      
,section #ad ( ! ,f$]al ,advisory       
,committee ,act 7#e ,u4,s4,c4 ,app47    
%all n apply to ! ,task ,=ce ) respect  
to t]m9ation4  #c4 ,h\s+ = ,moms grant  
program  7a7 ,9 g5]al ,! ,secret>y (    
,h\s+ & ,urban ,developm5t %all e/abli% 
a ,h\s+ = ,moms grant program "u ?is    
section to make grants to eligible      
entities to increase access to safe1    
/able1 af=dable1 & adequate h\s+ =      

pregnant & po/p>tum individuals & _!    
families4  7b7 ,application ,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 provide4  7c7 ,priority 
,9 aw>d+ grants "u ?is section1 !       
,secret>y %all give priority to an      
eligible entity t-- 7#a7 is a           
community-bas$ organization or w p>tn] )
 a community-bas$ organization to       
implem5t initiatives to increase access 
to safe1 /able1 af=dable1 & adequate    
h\s+ = pregnant & po/p>tum individuals &
 _! families2  7#b7 is op]at+ 9 an area 
) high rates ( adv]se mat]nal heal?     
outcomes or significant racial or e?nic 
disp>ities 9 mat]nal heal? outcomes1 to 
! ext5t su* data are available2 &  7#c7 
is op]at+ 9 an area ) a high pov]ty rate
 or significant numb] ( individuals :o  
lack consi/5t access to safe1 /able1    
af=dable1 & adequate h\s+4  7d7 ,use (  
funds ,an eligible entity t receives a  

grant "u ?is section %all use funds "u !
 grant = ! purposes (-- 7#a7 id5tify+ & 
conduct+ outrea* to pregnant & po/p>tum 
individuals :o are l[-income & lack     
consi/5t access to safe1 /able1         
af=dable1 & adequate h\s+2  7#b7 provid+
 safe1 /able1 af=dable1 & adequate h\s+ 
options to su* individuals2  7#c7       
connect+ su* individuals ) local        
organizations (f]+ safe1 /able1         
af=dable1 & adequate h\s+ options2  7#d7
 provid+ application assi/ance to su*   
individuals seek+ to enroll 9 programs  
(f]+ safe1 /able1 af=dable1 & adequate  
h\s+ options2  7#e7 provid+ direct      
f9ancial assi/ance to su* individuals = 
! purposes ( ma9ta9+ safe1 /able1 &     
adequate h\s+ = ! duration ( !          
individual's pregnancy & po/p>tum       
p]iods2 &  7#f7 work+ ) relevant        
/akehold]s to ensure t local h\s+ &     
homeless %elt] infra/ructure is         
supportive to pregnant & po/p>tum       
individuals1 includ+ ?r\gh-- 7,a7       
heal?-promot+ h\s+ codes2  7,b7 en=cem5t

 ( h\s+ codes2  7,c7 proactive r5tal    
inspection programs2  7,d7 code en=cem5t
 (fic] tra9+2 &  7,e7 p>tn]%ips betwe5  
regional (fices ( ! ,dep>tm5t ( ,h\s+ & 
,urban ,developm5t & community-bas$     
organizations to ensure h\s+ laws are   
und]/ood & violations are discov]$4  7e7
 ,report+  7#a7 ,eligible entities ,!   
,secret>y %all require ea* eligible     
entity receiv+ a grant "u ?is section to
 annually submit to ! ,secret>y & make  
publicly available a report on ! /atus (
 activities conduct$ us+ ! grant4  7#b7 
,secret>y ,n lat] ?an ! end ( ea* fiscal
 ye> 9 :i* grants are made "u ?is       
section1 ! ,secret>y %all submit to !   
,congress & make publicly available a   
report t-- 7,a7 summ>izes ! reports     
receiv$ "u p>agraph 7#a72  7,b7         
evaluates ! effectiv5ess ( grants aw>d$ 
"u ?is section 9 increas+ access to     
safe1 /able1 af=dable1 & adequate h\s+ =
 pregnant & po/p>tum individuals & _!   
families2 &  7,c7 makes recomm5dations )
 respect to ensur+ activities describ$  

subsection 7d7 cont9ue aft] grant am\nts
 made available "u ?is section are      
exp5d$4  7f7 ,def9itions ,9 ?is section3
 7#a7 ,eligible entity ,! t]m eligible  
entity means-- 7,a7 a community-bas$    
organization2  7,b7 a ,/ate or local    
gov]nm5tal entity1 includ+ a ,/ate or   
local public heal? dep>tm5t2  7,c7 an   
,indian tribe or tribal organization 7z 
su* t]ms are def9$ 9 section #d ( !     
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd772 
or  7,d7 an ,urban ,indian organization 
7z su* t]m is 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 (    
,h\s+ & ,urban ,developm5t4  7g7        
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #aj1jjj1jjj = fiscal ye>    
#bjbb1 :i* %all rema9 available until   
exp5d$4  #d4 ,dep>tm5t ( ,transportation
  7a7 ,report ,n lat] ?an "o ye> aft] ! 
date ( enactm5t ( ?is ,act1 ! ,secret>y 

( ,transportation %all submit to        
,congress & make publicly available 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 mat]nal (   
heal?2  7#b7 recomm5dations on h[ to    
ov]come ! b>ri]s assess$ "u p>agraph    
7#a72 &  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 pregnant & po/p>tum  
individuals 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 pregnant &     
po/p>tum individuals liv+ 9 areas ) high
 mat]nal mortality or sev]e morbidity   
rates or significant racial or e?nic    
disp>ities 9 mat]nal heal? outcomes2 or 

7#c7 pregnant & po/p>tum individuals ) a
 disability t impacts mobility4  #e4    
,dep>tm5t ( ,agriculture  7a7 ,special  
supplem5tal nutrition program  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$+ p]iod
 ,section #ag7;d77#c77;,a77ii7 ( ! ,*ild
 ,nutrition ,act ( #aiff 7#g ,u4,s4,c4  
#adca7;d77#c77;,a77ii77 is am5d$ by     
/rik+ #a ye> & ins]t+ #bd mon?s4  7#c7  
,report ,n lat] ?an #b ye>s aft] ! date 
( ! enactm5t ( ?is section1 ! ,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 su* outcomes2  7,b7 brea/fe$+
 rates among po/p>tum individuals2  7,c7
 qualitative evaluations ( family       
exp]i5ces "u ! special supplem5tal      
nutrition program "u section #ag ( !    

,*ild ,nutrition ,act ( #aiff 7#db      
,u4,s4,c4 #aghf72 &  7,d7 o!r relevant  
in=mation z det]m9$ by ! ,secret>y4  7b7
 ,grant program = heal?y food & clean   
wat] = pregnant & po/p>tum individuals  
7#a7 ,9 g5]al ,! ,secret>y %all e/abli% 
a program to aw>d grants1 on a          
competitive basis1 to eligible entities 
to c>ry out ! activities describ$ 9     
p>agraph 7#d74  7#b7 ,application ,to be
 eligible = 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 det]m9es appropriate4  7#c7   
,priority ,9 aw>d+ grants "u ?is        
subsection1 ! ,secret>y %all give       
priority to an eligible entity t-- 7,a7 
is1 or w p>tn] )1 a community-bas$      
organization2 &  7,b7 is op]at+ 9 an    
area ) high rates (-- 7i7 adv]se mat]nal
 heal? outcomes2 or  7ii7 significant   
racial or e?nic disp>ities 9 mat]nal    
heal? outcomes4  7#d7 ,use ( funds ,an  
eligible entity %all use grant funds    

aw>d$ "u ?is subsection to deliv] heal?y
 food1 infant =mula1 clean wat]1 or     
diap]s to pregnant & po/p>tum           
individuals 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       
,reports  7,a7 ,eligible entity ,n lat] 
?an #a ye> aft] an eligible entity fir/ 
receives a grant "u ?is subsection1 &   
annually !reaft]1 an eligible entity    
%all submit to ! ,secret>y a report on !
 /atus ( activities conduct$ us+ !      
grant1 :i* %all conta9 su* in=mation z !
 ,secret>y may require4  7,b7 ,secret>y 
7i7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! 
date on :i* ! fir/ grant is aw>d$ "u ?is
 subsection1 ! ,secret>y %all submit to 
,congress a report t includes-- 7,i7 a  
summ>y ( ! reports submitt$ "u          
subp>agraph 7,a72  7,,ii7 an assessm5t (
 ! ext5t to :i* food di/ribut$ ?r\gh !  
grant program 0 pur*as$ f local &       
regional food sy/ems2  7,,iii7 an       
evaluation ( ! effect ( ! grant program 

"u ?is subsection on mat]nal & infant   
heal? outcomes1 includ+ racial & e?nic  
disp>ities ) respect to su* outcomes2 & 
7,,iv7 recomm5dations ) respect to      
ensur+ ! activities describ$ 9 p>agraph 
7#d7 cont9ue aft] ! grant p]iod fund+   
su* activities expires4  7ii7           
,publication ,! ,secret>y %all make !   
report submitt$ "u clause 7i7 publicly  
available on ! website ( ! ,dep>tm5t (  
,agriculture4  7#f7 ,au?orization (     
appropriations ,!re are au?oriz$ to be  
appropriat$ #e1jjj1jjj to c>ry out ?is  
subsection = fiscal ye>s #bjbb ?r\gh    
#bjbd4  7c7 ,def9itions ,9 ?is section3 
7#a7 ,eligible entity ,! t]m eligible   
entity means-- 7,a7 a community-bas$    
organization2  7,b7 a ,/ate or local    
gov]nm5tal entity1 includ+ a ,/ate or   
local public heal? dep>tm5t2  7,c7 an   
,indian tribe or tribal organization 7z 
su* t]ms are def9$ 9 section #d ( !     
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd772 
or  7,d7 an ,urban ,indian organization 

7z su* t]m is 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  #f4 ,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 environm5tal *emicals1     
environm5tal risks 9 ! workplace & !    
home1 & pollution levels1 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$uc+ or elim9at+ racial & e?nic       
disp>ities 9 su* outcomes4  7c7 ,report 
,! agreem5t "u subsection 7a7 %all      
direct ! ,national ,academies to        
complete ! /udy "u ?is section1 &       
transmit to ! ,congress & make publicly 
available a report on ! results ( !     
/udy1 n lat] ?an #ab mon?s aft] ! date (
 enactm5t ( ?is ,act4  #g4 ,*ild c>e    
access  7a7 ,grant program ,! ,secret>y 
( ,heal? & ,human ,s]vices 79 ?is       
section ref]r$ to z ! ,secret>y7 %all   
aw>d grants to eligible organizations to
 provide pregnant & po/p>tum individuals
 ) free & accessible drop-9 *ild c>e    
s]vices dur+ pr5atal & po/p>tum         
appo9tm5ts4  7b7 ,application ,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 ,eligible 
organizations  7#a7 ,eligibility ,to be 
eligible to receive a grant "u ?is      
section1 an organization %all be an     

organization t provides *ild c>e s]vices
 & c c>ry out programs provid+ pregnant 
& po/p>tum individuals ) free &         
accessible drop-9 *ild c>e s]vices dur+ 
pr5atal & po/p>tum appo9tm5ts4  7#b7    
,prioritization ,9 select+ grant        
recipi5ts "u ?is section1 ! ,secret>y   
%all give priority to eligible          
organizations t op]ate 9 an area ) high 
rates ( adv]se mat]nal heal? outcomes or
 significant racial or e?nic disp>ities 
9 mat]nal heal? outcomes1 to ! ext5t su*
 data are available4  7d7 ,tim+ ,!      
,secret>y %all comm5ce ! grant program  
"u subsection 7a7 n lat] ?an #a ye> aft]
 ! date ( enactm5t ( ?is ,act4  7e7     
,report+  7#a7 ,grantees ,ea* recipi5t (
 a grant "u ?is section %all annually   
submit to ! ,secret>y & make publicly   
available a report on ! /atus (         
activities conduct$ us+ ! grant4 ,ea*   
su* report %all include-- 7,a7 an       
analysis ( ! effect ( ! fund$ program on
 pr5atal & po/p>tum appo9tm5t att5dance 
rates2  7,b7 summ>ies ( qualitative     

assessm5ts ( ! fund$ program f-- 7i7    
pregnant & po/p>tum individuals         
p>ticipat+ 9 ! program2 &  7ii7 !       
families ( su* individuals2 &  7,c7 su* 
additional in=mation z ! ,secret>y may  
require4  7#b7 ,secret>y ,n lat] ?an !  
end ( fiscal ye> #bjbd1 ! ,secret>y %all
 submit to ! ,congress & make publicly  
available a report conta9+ ! foll[+3    
7,a7 ,a summ>y ( ! reports "u p>agraph  
7#a74  7,b7 ,an assessm5t ( ! effects1  
if any1 ( ! fund$ programs on mat]nal   
heal? outcomes1 ) a specific focus on   
racial & e?nic disp>ities 9 su*         
outcomes4  7,c7 ,a description ( actions
 ! ,secret>y c take to ensure t pregnant
 & po/p>tum individuals eligible =      
m$ical assi/ance "u a ,/ate plan "u     
title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #aicf et seq47 h access  
to free & accessible drop-9 *ild c>e    
s]vices dur+ pr5atal & po/p>tum         
appo9tm5ts1 includ+ id5tification ( !   
fund+ necess>y to c>ry out su* actions4 
7f7 ,drop-,9 *ild c>e s]vices def9$ ,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$      
#e1jjj1jjj = ! p]iod ( fiscal ye>s #bjbb
 ?r\gh #bjbd4  #h4 ,grants to local     
entities address+ social det]m9ants (   
mat]nal heal?  7a7 ,9 g5]al ,! ,secret>y
 ( ,heal? & ,human ,s]vices 79 ?is      
section ref]r$ to z ! ,secret>y7 %all   
aw>d grants to eligible entities to--   
7#a7 address social det]m9ants ( mat]nal
 heal? = pregnant & po/p>tum            
individuals2 &  7#b7 elim9ate racial &  
e?nic disp>ities 9 mat]nal heal?        
outcomes4  7b7 ,application ,to be      

eligible to receive a grant "u ?is      
subsection 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 provide4    
7c7 ,prioritization ,9 aw>d+ grants "u  
subsection 7a71 ! ,secret>y %all give   
priority to an eligible entity t-- 7#a7 
is1 or w p>tn] )1 a community-bas$      
organization to c>ry+ out ! activities  
"u subsection 7d72  7#b7 is op]at+ 9 an 
area ) high rates ( adv]se mat]nal heal?
 outcomes or significant racial or e?nic
 disp>ities 9 mat]nal heal? outcomes2 & 
7#c7 is op]at+ 9 an area ) a high pov]ty
 rate4  7d7 ,activities ,an eligible    
entity t receives a grant "u ?is section
 may-- 7#a7 hire & reta9 /aff2  7#b7    
develop & di/ribute a li/ ( available   
res\rces ) respect to social s]vice     
programs 9 a community2  7#c7 e/abli% a 
res\rce c5t] t provides multiple social 
s]vice programs 9 a s+le location2 &    
7#d7 (f] programs & res\rces 9 !        
communities 9 :i* ! respective eligible 

entities are locat$ to address social   
det]m9ants ( heal? = pregnant & po/p>tum
 individuals2 &  7#e7 consult ) su*     
pregnant & po/p>tum individuals to      
conduct an assessm5t ( ! activities "u  
?is subsection4  7e7 ,te*nical assi/ance
 ,! ,secret>y %all provide to grant     
recipi5ts "u ?is section te*nical       
assi/ance to plan = su/a9+ programs to  
address social det]m9ants ( mat]nal     
heal? among pregnant & po/p>tum         
individuals aft] ! p]iod ( ! grant4  7f7
 ,report+  7#a7 ,grantees ,n lat] ?an #a
 ye> aft] an eligible entity fir/       
receives a grant "u ?is section1 &      
annually !reaft]1 an eligible entity    
%all submit to ! ,secret>y1 & make      
publicly available1 a report on ! /atus 
( activities conduct$ us+ ! grant4 ,ea* 
su* report %all include data on !       
effects ( su* activities1 disaggregat$  
by race1 e?nicity1 g5d]1 & o!r relevant 
factors4  7#b7 ,secret>y ,n lat] ?an !  
end ( fiscal ye> #bjbf1 ! ,secret>y %all
 submit to ,congress a report t         

includes-- 7,a7 a summ>y ( ! reports "u 
p>agraph 7#a72 &  7,b7 recomm5dations   
=-- 7i7 improv+ mat]nal heal? outcomes2 
&  7ii7 r$uc+ or elim9at+ racial & e?nic
 disp>ities 9 mat]nal heal? outcomes4   
7g7 ,au?orization ( appropriations ,!re 
is au?oriz$ to be appropriat$ to c>ry   
out ?is section #ae1jjj1jjj = ea* (     
fiscal ye>s #bjbb ?r\gh #bjbf4  #i4     
,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 language1 & practices ( !    
heal? c>e consum] & o!r /akehold]s4     
7#b7 ,mat]nity c>e provid] ,! t]m       
mat]nity c>e provid] means a heal? c>e  
provid] :o-- 7,a7 is a physician1       
physician assi/ant1 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 ,mat]nal mortality 
,! t]m mat]nal mortality means a dea?   
occurr+ dur+ or )9 a "o-ye> p]iod aft]  
pregnancy1 caus$ by pregnancy-relat$ or 
*ildbir? complications1 includ+ a       
suicide1 ov]dose1 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#d7 ,p]9atal heal?     
work] ,! t]m p]9atal heal? work] means 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         
navigator4  7#e7 ,po/p>tum & po/p>tum   
p]iod ,! t]ms po/p>tum & po/p>tum p]iod 
ref] to ! #a-ye> p]iod beg9n+ on ! la/  
day ( ! pregnancy ( an individual4  7#f7
 ,racial & e?nic m9ority gr\p ,! t]m    
racial & e?nic m9ority gr\p has ! mean+ 
giv5 su* t]m 9 section #agjg7;g77#a7 ( !
 ,public ,heal? ,s]vice ,act 7#db       

,u4,s4,c4 #cjju-#f7;g77#a774  7#g7      
,sev]e mat]nal morbidity ,! t]m sev]e   
mat]nal morbidity means a heal?         
condition1 includ+ m5tal heal?          
conditions & sub/ance use disord]s1     
attribut$ to or aggravat$ by pregnancy  
or *ildbir? t results 9 significant     
%ort-t]m or long-t]m consequ5ces to !   
heal? ( ! individual :o 0 pregnant4     
7#h7 ,social det]m9ants ( mat]nal heal? 
def9$ ,! t]m social det]m9ants ( mat]nal
 heal? means non-cl9ical factors t      
impact mat]nal heal? outcomes1 includ+--
 7,a7 economic factors1 :i* may include 
pov]ty1 employm5t1 food security1       
support = & access to lactation & o!r   
infant fe$+ options1 h\s+ /ability1 &   
relat$ factors2  7,b7 neighborhood      
factors1 :i* may include quality ( h\s+1
 access to transportation1 access to    
*ild c>e1 availability ( heal?y foods & 
nutrition c\nsel+1 availability ( clean 
wat]1 air & wat] quality1 ambi5t        
temp]atures1 neighborhood crime &       
viol5ce1 access to broadb&1 & relat$    

factors2  7,c7 social & community       
factors1 :i* may include sy/emic racism1
 g5d] discrim9ation or discrim9ation    
bas$ on o!r protect$ classes1 workplace 
conditions1 inc>c]ation1 & relat$       
factors2  7,d7 h\sehold factors1 :i* may
 include ability to conduct lead te/+ & 
abatem5t1 c> seat in/allation1 indoor   
air temp]atures1 & relat$ factors2  7,e7
 education access & quality factors1 :i*
 may include educational atta9m5t1      
language & lit]acy1 & relat$ factors2 & 
7,f7 heal? c>e access factors1 includ+  
heal? insurance cov]age1 access to      
culturally congru5t heal? c>e s]vices1  
provid]s1 & non-cl9ical support1 access 
to home visit+ s]vices1 access to       
wellness & /ress managem5t programs1    
heal? lit]acy1 access to teleheal? &    
items requir$ to receive teleheal?      
s]vices1 & relat$ factors4