,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #idh  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #h1 #bjba,ms4
 ,pressley 7= h]self1 ,ms4 ,und]wood1   
,ms4 ,adams1 ,mr4 ,khanna1 ,ms4         
,velzquez1 ,mrs4 ,mc,bath1 ,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 
,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 !
 ,judici>y1 & 9 addition to ! ,committee
 on ,en]gy & ,comm]ce1 = 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 improve mat]nal 
heal? outcomes = inc>c]at$ individuals1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,ju/ice =          
,inc>c]at$ ,moms ,act ( #bjba4  #b4     
,s5se ( ,congress ,x is ! s5se (        
,congress t-- 7#a7 ! respect & prop] c>e
 t bir?+ p des]ve is inclusive2 &  7#b7 
reg>dless ( race1 e?nicity1 g5d]        
id5tity1 sexual ori5tation1 religion1   
m>ital /atus1 familial /atus1           
socioeconomic /atus1 immigration /atus1 
inc>c]ation /atus1 or disability1 all   
des]ve dignity4  #c4 ,end+ ! %ackl+ (   
pregnant individuals  7a7 ,9 g5]al      
,beg9n+ on ! date t is #f mon?s aft] !  
date ( enactm5t ( ?is ,act1 & annually  
!reaft]1 9 ea* ,/ate t receives a grant 
"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 & t does n h 9 effect ?r\gh\t 
! ,/ate = su* fiscal ye> laws re/rict+ !

 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 ,code1 ! am\nt 
( su* grant t w\ld o!rwise be allocat$  
to su* ,/ate "u su* subp>t = ! fiscal   
ye> %all be decreas$ by #be p]c5t4  7b7 
,reallocation ,am\nts n allocat$ to a   
,/ate = failure to comply ) 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 h compli$ ) su*       
subsection4  #d4 ,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 few] ?an #f 
,bureau ( ,prisons facilities1 programs 
to optimize mat]nal heal? outcomes =    
pregnant & po/p>tum individuals         

inc>c]at$ 9 su* facilities4 ,! ,attorney
 ,g5]al %all e/abli% su* programs 9     
consultation ) /akehold]s 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 = pregnant &     
po/p>tum individuals f racial & e?nic   
m9ority gr\ps2  7#b7 relevant           
organizations repres5t+ pati5ts1 ) a    
p>ticul> focus on pati5ts f racial &    
e?nic m9ority gr\ps2  7#c7 organizations
 repres5t+ mat]nity c>e provid]s &      
mat]nal heal? c>e education programs2   
7#d7 p]9atal heal? work]s2 &  7#e7      
rese>*]s & policy exp]ts 9 fields relat$
 to mat]nal heal? c>e = inc>c]at$       
individuals4  7b7 ,/>t date ,ea* select$
 facility %all beg9 facility programs n 
lat] ?an #ah mon?s aft] ! date (        
enactm5t ( ?is ,act4  7c7 ,facility     
priority ,9 c>ry+ out subsection 7a71 ! 
,director %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 individuals f racial & e?nic   
m9ority gr\ps2 &  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  7d7 ,program 
duration ,! programs e/abli%$ "u ?is    
section %all be = a #e-ye> p]iod4  7e7  
,programs ,bureau ( ,prisons facilities 
select$ by ! ,director %all e/abli%     
programs = pregnant & po/p>tum inc>c]at$
 individuals1 & su* programs may-- 7#a7 
provide access to 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 to ensure t pregnant inc>c]at$   
individuals receive safe & respectful   
treatm5t2  7#d7 tra9 m$ical p]sonnel to 
ensure t pregnant inc>c]at$ individuals 

receive trauma-in=m$1 culturally        
congru5t c>e t promotes ! heal? & safety
 ( ! pregnant individuals2  7#e7 provide
 c\nsel+ & treatm5t = individuals :o h  
suff]$ f-- 7,a7 diagnos$ m5tal or       
behavioral heal? conditions1 includ+    
trauma & sub/ance use disord]s2  7,b7   
trauma or viol5ce1 includ+ dome/ic      
viol5ce2  7,c7 human immunodefici5cy    
virus2  7,d7 sexual abuse2  7,e7        
pregnancy or infant loss2 or  7,f7      
*ronic conditions2  7#f7 provide        
evid5ce-bas$ pregnancy & *ildbir?       
education1 p>5t+ support1 & o!r relevant
 =ms ( heal? lit]acy2  7#g7 provide     
cl9ical education opportunities to      
mat]nity c>e provid]s 9 tra9+ to exp&   
pa?ways into mat]nal heal? c>e c>e]s    
s]v+ inc>c]at$ individuals2  7#h7 (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#i7 provide re5try assi/ance1          

p>ticul>ly to-- 7,a7 ensure access to   
heal? insurance cov]age & transf] (     
heal? records to community provid]s 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]s1 sub/ance use disord]          
treatm5ts1 & social s]vices t address   
social det]m9ants mat]nal ( heal?2 or   
7#aj7 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 individuals1 includ+-- 7,a7    
evid5ce-bas$ *ildbir? education or 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  7f7      
,implem5tation & report+ ,a select$     
facility %all be responsible =-- 7#a7   
implem5t+ programs1 :i* may include !   
programs describ$ 9 subsection 7e72 &   
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 ! ,director1    
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 9 ! facility1 includ+ data 
/ratifi$ by race1 e?nicity1 sex1 g5d]1  
age1 geography1 disability /atus1 !     
category ( ! crim9al *>ge aga9/ su*     
individual1 rates ( pregnancy-relat$    
dea?s1 pregnancy-associat$ dea?s1 cases 
( infant mortality & morbidity1 rates ( 
pret]m bir?s & l[-bir?weight bir?s1     
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 & quantitative     
evaluations f pregnant & po/p>tum       
inc>c]at$ individuals :o p>ticipat$ 9   
su* programs1 includ+ measures (        
pati5t-report$ exp]i5ce ( c>e2 &  7,c7  
/rategies to su/a9 su* programs aft]    
fiscal ye> #bjbf & exp& su* programs to 
o!r facilities4  7g7 ,report ,n lat] ?an
 #f ye>s aft] ! date ( enactm5t ( ?is   
,act1 ! ,director %all submit to !      

,attorney ,g5]al & to ! ,congress a     
report describ+ ! results ( ! programs  
fund$ "u ?is section4  7h7 ,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 7e74  7i7 ,au?orization (    
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section     
#aj1jjj1jjj = ea* ( fiscal ye>s #bjbb   
?r\gh #bjbf4  #e4 ,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 ,! ,attorney     
,g5]al %all aw>d su* grants 9           

consultation ) /akehold]s 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 = pregnant &     
po/p>tum individuals f racial & e?nic   
m9ority gr\ps2  7#b7 relevant           
organizations repres5t+ pati5ts1 ) a    
p>ticul> focus on pati5ts f racial &    
e?nic m9ority gr\ps2  7#c7 organizations
 repres5t+ mat]nity c>e provid]s &      
mat]nal heal? c>e education programs2   
7#d7 p]9atal heal? work]s2 &  7#e7      
rese>*]s & policy exp]ts 9 fields relat$
 to mat]nal heal? c>e = inc>c]at$       
individuals4  7b7 ,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    
7c7 ,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   
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 to ensure t pregnant
 inc>c]at$ individuals receive safe &   
respectful treatm5t2  7#d7 tra9 m$ical  
p]sonnel to ensure t pregnant inc>c]at$ 
individuals receive trauma-in=m$1       
culturally congru5t c>e t promotes !    
heal? & safety ( ! pregnant individuals2
  7#e7 provide c\nsel+ & treatm5t =     
individuals :o h suff]$ f-- 7,a7        
diagnos$ m5tal or behavioral heal?      
conditions1 includ+ trauma & sub/ance   
use disord]s2  7,b7 trauma or viol5ce1  
includ+ dome/ic viol5ce2  7,c7 human    
immunodefici5cy virus2  7,d7 sexual     
abuse2  7,e7 pregnancy or infant loss2  
or  7,f7 *ronic conditions2  7#f7       
provide evid5ce-bas$ pregnancy &        
*ildbir? education1 p>5t+ support1 & o!r

 relevant =ms ( heal? lit]acy2  7#g7    
provide cl9ical education opportunities 
to mat]nity c>e provid]s 9 tra9+ to exp&
 pa?ways into mat]nal heal? c>e c>e]s   
s]v+ inc>c]at$ individuals2  7#h7 (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$+ support2  
7#i7 provide re5try assi/ance1          
p>ticul>ly to-- 7,a7 ensure access to   
heal? insurance cov]age & transf] (     
heal? records to community provid]s if  
an inc>c]at$ 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]s1 sub/ance use disord]          
treatm5ts1 & social s]vices t address   
social det]m9ants ( mat]nal heal?2 or   
7#aj7 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 individuals1 includ+-- 7,a7    
evid5ce-bas$ *ildbir? education or 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  7d7      
,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 individuals f racial & e?nic   
m9ority gr\ps2 &  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  7e7 ,grant  
duration ,a grant aw>d$ "u ?is section  
%all be = a #e-ye> p]iod4  7f7          
,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 9 ! facility1 includ+ data  
/ratifi$ by race1 e?nicity1 sex1 g5d]1  
age1 geography1 disability /atus1       
category ( ! crim9al *>ge aga9/ su*     
individual1 incid5ce rates (            
pregnancy-relat$ dea?s1                 
pregnancy-associat$ dea?s1 cases (      
infant mortality & morbidity1 rates (   
pret]m bir?s & l[-bir?weight bir?s1     
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 & quantitative     
evaluations f pregnant & po/p>tum       
inc>c]at$ individuals :o p>ticipat$ 9   
su* programs1 includ+ measures (        
pati5t-report$ exp]i5ce ( c>e2 &  7,c7  
/rategies to su/a9 su* programs beyond !
 duration ( ! grant & exp& su* programs 
to o!r facilities4  7g7 ,report ,n lat] 

?an #f ye>s aft] ! date ( enactm5t ( ?is
 ,act1 ! ,attorney ,g5]al %all submit to
 ! ,congress a report describ+ ! results
 ( su* grant programs4  7h7 ,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 7c74  7i7 ,au?orization (    
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section     
#aj1jjj1jjj = ea* ( fiscal ye>s #bjbb   
?r\gh #bjbf4  #f4 ,,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 &  
infant heal? outcomes among inc>c]at$   
individuals & infants born to su*       
individuals1 ) a p>ticul> focus on      
racial & e?nic disp>ities 9 mat]nal &   
infant heal? outcomes = inc>c]at$       
individuals4  7b7 ,cont5ts ( report ,!  
report describ$ 9 ?is section %all      

include-- 7#a7 to ! ext5t practicable-- 
7,a7 ! numb] ( pregnant individuals :o  
are inc>c]at$ 9 ,bureau ( ,prisons      
facilities2  7,b7 ! numb] ( inc>c]at$   
individuals1 includ+ ^? inc>c]at$ 9     
,f$]al1 ,/ate1 & local correctional     
facilities1 :o h exp]i5c$ a             
pregnancy-relat$ dea?1                  
pregnancy-associat$ dea?1 or ! dea? ( an
 infant 9 ! mo/ rec5t #aj ye>s (        
available data2  7,c7 ! numb] ( cases ( 
sev]e mat]nal morbidity among inc>c]at$ 
individuals1 includ+ ^? inc>c]at$ 9     
,f$]al1 ,/ate1 & local det5tion         
facilities1 9 ! mo/ rec5t #aj ye>s (    
available data2  7,d7 ! numb] ( pret]m &
 l[-bir?weight bir?s ( infants born to  
inc>c]at$ individuals1 includ+ ^?       
inc>c]at$ 9 ,f$]al1 ,/ate1 & local      
correctional facilities1 9 ! mo/ rec5t  
#aj ye>s ( available data2 &  7,e7      
/ati/ics on ! racial & e?nic disp>ities 
9 mat]nal & infant heal? outcomes &     
sev]e mat]nal morbidity rates among     
inc>c]at$ individuals1 includ+ ^?       

inc>c]at$ 9 ,f$]al1 ,/ate1 & local      
det5tion facilities2  7#b7 9 ! case t ! 
,comptroll] ,g5]al ( ! ,unit$ ,/ates is 
unable 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 f racial & e?nic  
m9ority gr\ps2  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  #g4  
,,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$ical assi/ance "u a ,/ate plan "u     
title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acif et seq47 t conta9s 
! in=mation describ$ 9 subsection4  7b7 
,in=mation describ$ ,= purposes (       
subsection 7a71 ! in=mation describ$ 9  
?is subsection includes-- 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 f racial & e?nic  
m9ority gr\ps2 &  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$4  #h4           
,def9itions ,9 ?is ,act3 7#a7           
,culturally congru5t ,! t]m culturally  
congru5t1 ) respect to c>e or mat]nity  
c>e1 means c>e t is 9 agreem5t ) !      
pref]r$ 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$+ & lactation educator
 or c\nselor1 nutritioni/ or dietitian1 
*ildbir? educator1 social work]1 home   
visitor1 language int]pret]1 or         
navigator4  7#e7 ,po/p>tum & po/p>tum   
p]iod ,! t]ms po/p>tum & po/p>tum p]iod 
ref] to ! #a-ye> p]iod beg9n+ on ! la/  
day ( ! pregnancy ( an individual4  7#f7
 ,pregnancy-associat$ dea? ,! t]m       
pregnancy-associat$ dea? means a dea? ( 
a pregnant or po/p>tum individual1 by   
any cause1 t occurs dur+1 or )9 #a ye>  

foll[+1 ! individual's pregnancy1       
reg>dless ( ! outcome1 duration1 or site
 ( ! pregnancy4  7#g7 ,pregnancy-relat$ 
dea? ,! t]m pregnancy-relat$ dea? means 
a dea? ( a pregnant or po/p>tum         
individual t occurs dur+1 or )9 #a ye>  
foll[+1 ! individual's pregnancy1 f a   
pregnancy complication1 a *a9 ( ev5ts   
initiat$ by pregnancy1 or ! aggravation 
( an unrelat$ condition by ! physiologic
 effects ( pregnancy4  7#h7 ,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#i7 ,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#aj7 ,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