,,ii  #aag? ,,congress  #a/ ,session    
,s4 #bhg  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #h1 #bjba,ms4 
,baldw9 7= h]self & ,mr4 ,m]kley7       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to direct ! ,secret>y (     
,heal? & ,human ,s]vices to issue       
guidance to ,/ates to educate provid]s1 
manag$ c>e entities1 & o!r insur]s ab\t 
! value & process ( deliv]+ respectful  
mat]nal heal? c>e ?r\gh div]se &        
multidiscipl9>y c>e provid] models1 & = 
o!r purposes4  #a4 ,,hhs ag5cy          
directives  7a7 ,guidance to ,/ates     
7#a7 ,9 g5]al ,n lat] ?an #b ye>s aft] !
 date ( enactm5t ( ?is ,act1 ! ,secret>y
 ( ,heal? & ,human ,s]vices %all issue &
 dissem9ate guidance to ,/ates to       
educate provid]s1 manag$ c>e entities1 &
 o!r insur]s ab\t ! value & process (   
deliv]+ respectful mat]nal heal? c>e    
?r\gh div]se & multidiscipl9>y c>e      
provid] models4  7#b7 ,cont5ts ,!       

guidance requir$ by p>agraph 7#a7 %all  
address h[ ,/ates c enc\rage &          
inc5tivize hospitals1 heal? sy/ems1     
midwif]y practices1 free/&+ bir? c5t]s1 
o!r mat]nity c>e provid] gr\ps1 manag$  
c>e entities1 & o!r insur]s-- 7,a7 to   
recruit & reta9 mat]nity c>e provid]s1  
m5tal & behavioral heal? c>e provid]s   
act+ 9 accordance ) ,/ate law1 regi/]$  
dietitians or nutrition pr(essionals 7z 
su* t]m is def9$ 9 section #ahfa7vv77#b7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciex7vv77#b7771 & lactation 
consultants c]tifi$ by ! ,int]national  
,bo>d ( ,lactation ,consultants         
,exam9]s-- 7i7 f racially1 e?nically1 & 
l+ui/ically div]se backgr\nds2  7ii7 )  
exp]i5ce practic+ 9 racially & e?nically
 div]se communities2 &  7iii7 :o h      
und]gone tra9+ on implicit bias &       
racism2  7,b7 to incorporate into       
mat]nity c>e teams-- 7i7 midwives :o    
meet at a m9imum ! int]national         
def9ition ( ! midwife & global /&>ds =  
midwif]y education z e/abli%$ by !      

,int]national ,conf$]ation ( ,midwives2 
&  7ii7 p]9atal heal? work]s2  7,c7 to  
provide collaborative1 culturally       
congru5t c>e2 &  7,d7 to provide        
opportunities = individuals enroll$ 9   
accr$it$ midwif]y education programs to 
p>ticipate 9 job %ad[+ ) mat]nity c>e   
teams 9 hospitals1 heal? sy/ems1        
midwif]y practices1 & free/&+ bir?      
c5t]s4  7b7 ,/udy on respectful &       
culturally congru5t mat]nity c>e  7#a7  
,/udy ,! ,secret>y ( ,heal? & ,human    
,s]vices act+ ?r\gh ! ,director ( !     
,national ,in/itutes ( ,heal? 79 ?is    
subsection ref]r$ to z ! ,secret>y7 %all
 conduct a /udy on be/ practices 9      
respectful & culturally congru5t        
mat]nity c>e4  7#b7 ,report ,n lat] ?an 
#b ye>s aft] ! date ( enactm5t ( ?is    
,act1 ! ,secret>y %all-- 7,a7 complete !
 /udy requir$ by p>agraph 7#a72  7,b7   
submit to ! ,congress & make publicly   
available a report on ! results ( su*   
/udy2 &  7,c7 include 9 su* report-- 7i7
 a comp5dium ( examples ( hospitals1    

heal? sy/ems1 midwif]y practices1       
free/&+ bir? c5t]s1 o!r mat]nity c>e    
provid] gr\ps1 manag$ c>e entities1 &   
o!r insur]s t are deliv]+ respectful &  
culturally congru5t mat]nal heal? c>e2  
7ii7 a comp5dium ( examples ( hospitals1
 heal? sy/ems1 midwif]y practices1      
free/&+ bir? c5t]s1 o!r mat]nity c>e    
provid] gr\ps1 manag$ c>e entities1 &   
o!r insur]s t h made progress 9 r$uc+   
disp>ities 9 mat]nal heal? outcomes &   
improv+ bir?+ exp]i5ces = pregnant &    
po/p>tum individuals f racial & e?nic   
m9ority gr\ps2 &  7iii7 recomm5dations  
to hospitals1 heal? sy/ems1 midwif]y    
practices1 free/&+ bir? c5t]s1 o!r      
mat]nity c>e provid] gr\ps1 manag$ c>e  
entities1 & o!r insur]s1 = be/ practices
 9 respectful & culturally congru5t     
mat]nity c>e4  #b4 ,grants to gr[ &     
div]sify ! p]9atal work=ce ,title ,,vii 
( ! ,public ,heal? ,s]vice ,act is am5d$
 by ins]t+ aft] section #geg 7#db       
,u4,s4,c4 #bid;f7 ! foll[+ new section3 
#geh4 ,p]9atal work=ce grants  7a7 ,9   

g5]al ,! ,secret>y %all aw>d grants to  
entities to e/abli% or exp& programs    
describ$ 9 subsection 7b7 to gr[ &      
div]sify ! p]9atal work=ce4  7b7 ,use ( 
funds ,recipi5ts ( grants "u ?is section
 %all use ! grants to gr[ & div]sify !  
p]9atal work=ce by-- 7#a7 e/abli%+      
s*ools or programs t provide education &
 tra9+ to individuals seek+ appropriate 
lic5s+ or c]tification z-- 7,a7         
physician assi/ants :o w complete       
cl9ical tra9+ 9 ! field ( mat]nal &     
p]9atal heal?2 or  7,b7 p]9atal heal?   
work]s2 &  7#b7 exp&+ ! capacity ( exi/+
 s*ools or programs describ$ 9 p>agraph 
7#a71 = ! purposes ( increas+ ! numb] ( 
/ud5ts enroll$ 9 su* s*ools or programs1
 includ+ by aw>d+ s*ol>%ips = /ud5ts4   
7c7 ,prioritization ,9 aw>d+ grants "u  
?is section1 ! ,secret>y %all give      
priority to any entity t-- 7#a7 has     
demon/rat$ a commitm5t to recruit+ &    
reta9+ /ud5ts & faculty f racial & e?nic
 m9ority gr\ps2  7#b7 has develop$ a    
/rategy to recruit & reta9 a div]se pool

 ( /ud5ts into ! p]9atal work=ce program
 or s*ool support$ by funds receiv$     
?r\gh ! grant1 p>ticul>ly f racial &    
e?nic m9ority gr\ps & o!r und]s]v$      
populations2  7#c7 has develop$ a       
/rategy to recruit & reta9 /ud5ts :o    
plan to practice 9 a heal? pr(essional  
%ortage area designat$ "u section #ccb2 
7#d7 has develop$ a /rategy to recruit &
 reta9 /ud5ts :o plan to practice 9 an  
area ) significant racial & e?nic       
disp>ities 9 mat]nal heal? outcomes1 to 
! ext5t practicable2 &  7#e7 includes 9 
! /&>d curriculum = all /ud5ts )9 !     
p]9atal work=ce program or s*ool a bias1
 racism1 or discrim9ation tra9+ program 
t includes tra9+ on implicit bias &     
racism4  7d7 ,report+ ,z a condition on 
receipt ( a grant "u ?is section = a    
p]9atal work=ce program or s*ool1 an    
entity %all agree to submit to !        
,secret>y an annual report on !         
activities conduct$ ?r\gh ! grant1      
includ+-- 7#a7 ! numb] & demographics ( 
/ud5ts p>ticipat+ 9 ! program or s*ool2 

7#b7 ! ext5t to :i* /ud5ts 9 ! program  
or s*ool are ent]+ c>e]s 9-- 7,a7 heal? 
pr(essional %ortage areas designat$ "u  
section #ccb2 &  7,b7 areas )           
significant racial & e?nic disp>ities 9 
mat]nal heal? outcomes1 to ! ext5t su*  
data are available2 &  7#c7 :e!r !      
program or s*ool has includ$ 9 ! /&>d   
curriculum = all /ud5ts a bias1 racism1 
or discrim9ation tra9+ program t        
includes explicit & implicit bias1 & if 
s ! effectiv5ess ( su* tra9+ program4   
7e7 ,p]iod ( grants ,! p]iod ( a grant  
"u ?is section %all be up to #e ye>s4   
7f7 ,application ,to seek a grant "u ?is
 section1 an entity %all submit to !    
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require1 includ+ any      
in=mation necess>y = prioritization "u  
subsection 7c74  7g7 ,te*nical assi/ance
 ,! ,secret>y %all provide1 directly or 
by contract1 te*nical assi/ance to      
entities seek+ or receiv+ a grant "u ?is
 section on ! developm5t1 use1          

evaluation1 & po/-grant p]iod           
su/a9ability ( ! p]9atal work=ce        
programs or s*ools propos$ to be1 or    
be+1 e/abli%$ or exp&$ ?r\gh ! grant4   
7h7 ,report by ! ,secret>y ,n lat] ?an  
#d ye>s aft] ! date ( enactm5t ( ?is    
section1 ! ,secret>y %all prep>e &      
submit to ! ,congress1 & po/ on !       
int]net website ( ! ,dep>tm5t ( ,heal? &
 ,human ,s]vices1 a report on !         
effectiv5ess ( ! grant program "u ?is   
section at-- 7#a7 recruit+ /ud5ts f     
racial & e?nic m9ority gr\ps2  7#b7     
increas+ ! numb] ( physician assi/ants  
:o w complete cl9ical tra9+ 9 ! field ( 
mat]nal & p]9atal heal?1 & p]9atal heal?
 work]s1 f racial & e?nic m9ority gr\ps 
& o!r und]s]v$ populations2  7#c7       
increas+ ! numb] ( physician assi/ants  
:o w complete cl9ical tra9+ 9 ! field ( 
mat]nal & p]9atal heal?1 & p]9atal heal?
 work]s1 work+ 9 heal? pr(essional      
%ortage areas designat$ "u section #ccb2
 &  7#d7 increas+ ! numb] ( physician   
assi/ants :o w complete cl9ical tra9+ 9 

! field ( mat]nal & p]9atal heal?1 &    
p]9atal heal? work]s1 work+ 9 areas )   
significant racial & e?nic disp>ities 9 
mat]nal heal? outcomes1 to ! ext5t su*  
data are available4  7i7 ,def9ition ,9  
?is section1 ! t]m racial & e?nic       
m9ority gr\p has ! mean+ giv5 su* t]m 9 
section #agjg7;g74  7j7 ,au?orization ( 
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$      
#ae1jjj1jjj = ea* ( fiscal ye>s #bjbb   
?r\gh #bjbf4  4  #c4 ,grants to gr[ &   
div]sify ! nurs+ work=ce 9 mat]nal &    
p]9atal heal? ,title ,,viii ( ! ,public 
,heal? ,s]vice ,act is am5d$ by ins]t+  
aft] section #haa ( t ,act 7#db         
,u4,s4,c4 #bif;j7 ! foll[+3  #hab4      
,p]9atal nurs+ work=ce grants  7a7 ,9   
g5]al ,! ,secret>y %all aw>d grants to  
s*ools ( nurs+ to gr[ & div]sify !      
p]9atal nurs+ work=ce4  7b7 ,use ( funds
 ,recipi5ts ( grants "u ?is section %all
 use ! grants to gr[ & div]sify !       
p]9atal nurs+ work=ce by provid+        
s*ol>%ips to /ud5ts seek+ to become--   

7#a7 nurse practition]s ^: education    
includes a focus on mat]nal & p]9atal   
heal?2 or  7#b7 cl9ical nurse speciali/s
 ^: education includes a focus on       
mat]nal & p]9atal heal?4  7c7           
,prioritization ,9 aw>d+ grants "u ?is  
section1 ! ,secret>y %all give priority 
to any s*ool ( nurs+ t-- 7#a7 has       
develop$ a /rategy to recruit & reta9 a 
div]se pool ( /ud5ts seek+ to ent] c>e]s
 focus$ on mat]nal & p]9atal heal?1     
p>ticul>ly /ud5ts f racial & e?nic      
m9ority gr\ps & o!r und]s]v$            
populations2  7#b7 has develop$ a       
p>tn]%ip ) a practice sett+ 9 a heal?   
pr(essional %ortage area designat$ "u   
section #ccb = ! cl9ical placem5ts ( !  
s*ool's /ud5ts2  7#c7 has develop$ a    
/rategy to recruit & reta9 /ud5ts :o    
plan to practice 9 an area ) significant
 racial & e?nic disp>ities 9 mat]nal    
heal? outcomes1 to ! ext5t practicable2 
&  7#d7 includes 9 ! /&>d curriculum =  
all /ud5ts seek+ to ent] c>e]s focus$ on
 mat]nal & p]9atal heal? a bias1 racism1

 or discrim9ation tra9+ program t       
includes education on implicit bias &   
racism4  7d7 ,report+ ,z a condition on 
receipt ( a grant "u ?is section1 a     
s*ool ( nurs+ %all agree to submit to ! 
,secret>y an annual report on !         
activities conduct$ ?r\gh ! grant1      
includ+1 to ! ext5t practicable-- 7#a7 !
 numb] & demographics ( /ud5ts 9 ! s*ool
 ( nurs+ seek+ to ent] c>e]s focus$ on  
mat]nal & p]9atal heal?2  7#b7 ! ext5t  
to :i* su* /ud5ts are prep>+ to ent]    
c>e]s 9-- 7,a7 heal? pr(essional %ortage
 areas designat$ "u section #ccb2 &     
7,b7 areas ) significant racial & e?nic 
disp>ities 9 mat]nal heal? outcomes1 to 
! ext5t su* data are available2 &  7#c7 
:e!r ! /&>d curriculum = all /ud5ts     
seek+ to ent] c>e]s focus$ on mat]nal & 
p]9atal heal? includes a bias1 racism1  
or discrim9ation tra9+ program t        
includes education on implicit bias &   
racism4  7e7 ,p]iod ( grants ,! p]iod ( 
a grant "u ?is section %all be up to #e 
ye>s4  7f7 ,application ,to seek a grant

 "u ?is section1 an entity %all submit  
to ! ,secret>y an application1 at su*   
"t1 9 su* mann]1 & conta9+ su* in=mation
 z ! ,secret>y may require1 includ+ any 
in=mation necess>y = prioritization "u  
subsection 7c74  7g7 ,te*nical assi/ance
 ,! ,secret>y %all provide1 directly or 
by contract1 te*nical assi/ance to      
s*ools ( nurs+ seek+ or receiv+ a grant 
"u ?is section on ! processes ( aw>d+ & 
evaluat+ s*ol>%ips ?r\gh ! grant4  7h7  
,report by ! ,secret>y ,n lat] ?an #d   
ye>s aft] ! date ( enactm5t ( ?is       
section1 ! ,secret>y %all prep>e &      
submit to ! ,congress1 & po/ on !       
int]net website ( ! ,dep>tm5t ( ,heal? &
 ,human ,s]vices1 a report on !         
effectiv5ess ( ! grant program "u ?is   
section at-- 7#a7 recruit+ /ud5ts f     
racial & e?nic m9ority gr\ps & o!r      
und]s]v$ populations2  7#b7 increas+ !  
numb] ( nurse practition]s & cl9ical    
nurse speciali/s ent]+ c>e]s focus$ on  
mat]nal & p]9atal heal? f racial & e?nic
 m9ority gr\ps & o!r und]s]v$           

populations2  7#c7 increas+ ! numb] (   
nurse practition]s & cl9ical nurse      
speciali/s ent]+ c>e]s focus$ on mat]nal
 & p]9atal heal? work+ 9 heal?          
pr(essional %ortage areas designat$ "u  
section #ccb2 &  7#d7 increas+ ! numb] (
 nurse practition]s & cl9ical nurse     
speciali/s ent]+ c>e]s focus$ on mat]nal
 & p]9atal heal? work+ 9 areas )        
significant racial & e?nic disp>ities 9 
mat]nal heal? outcomes1 to ! ext5t su*  
data are available4  7i7 ,au?orization (
 appropriations ,to c>ry out ?is        
section1 !re is au?oriz$ to be          
appropriat$ #ae1jjj1jjj = ea* ( fiscal  
ye>s #bjbb ?r\gh #bjbf4  4  #d4 ,,gao   
report  7a7 ,9 g5]al ,n lat] ?an two    
ye>s aft] ! date ( enactm5t ( ?is ,act &
 e five ye>s !reaft]1 ! ,comptroll]     
,g5]al ( ! ,unit$ ,/ates %all submit to 
,congress a report on b>ri]s to mat]nal 
heal? education & access to c>e 9 !     
,unit$ ,/ates4 ,su* report %all include 
! in=mation & recomm5dations describ$ 9 
subsection 7b74  7b7 ,cont5t ( report ,!

 report "u subsection 7a7 %all include--
 7#a7 an assessm5t ( curr5t b>ri]s to   
ent]+ accr$it$ midwif]y education       
programs1 & recomm5dations = address+   
su* b>ri]s1 p>ticul>ly = l[-income wom5 
& wom5 f racial & e?nic m9ority gr\ps2  
7#b7 an assessm5t ( curr5t b>ri]s to    
ent]+ & successfully complet+ accr$it$  
education programs = o!r heal?          
pr(essional c>e]s relat$ to mat]nity    
c>e1 includ+ mat]nity c>e provid]s1     
m5tal & behavioral heal? c>e provid]s   
act+ 9 accordance ) ,/ate law1 regi/]$  
dietitians or nutrition pr(essionals 7z 
su* t]m is def9$ 9 section #ahfa7vv77#b7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciex7vv77#b7771 & lactation 
consultants c]tifi$ by ! ,int]national  
,bo>d ( ,lactation ,consultants         
,exam9]s1 p>ticul>ly = l[-income wom5 & 
wom5 f racial & e?nic m9ority gr\ps2    
7#c7 an assessm5t ( curr5t b>ri]s t     
prev5t midwives f meet+ ! int]national  
def9ition ( ! midwife & global /&>ds =  
midwif]y education z e/abli%$ by !      

,int]national ,conf$]ation ( ,midwives1 
& recomm5dations = address+ su* b>ri]s1 
p>ticul>ly = l[-income wom5 & wom5 f    
racial & e?nic m9ority gr\ps2  7#d7 an  
assessm5t ( disp>ities 9 access to      
mat]nity c>e provid]s1 m5tal or         
behavioral heal? c>e provid]s act+ 9    
accordance ) ,/ate law1 regi/]$         
dietitians or nutrition pr(essionals 7z 
su* t]m is def9$ 9 section #ahfa7vv77#b7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciex7vv77#b7771 lactation   
consultants c]tifi$ by ! ,int]national  
,bo>d ( ,lactation ,consultants         
,exam9]s1 & p]9atal heal? work]s1       
/ratifi$ by race1 e?nicity1 g5d]        
id5tity1 geographic location1 &         
insurance type & recomm5dations to      
promote great] access equity2 &  7#e7   
recomm5dations to promote great] equity 
9 comp5sation = p]9atal heal? work]s "u 
public & private insur]s1 p>ticul>ly =  
su* individuals f racially & e?nically  
div]se backgr\nds4  #e4 ,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$]ation ( ,midwives1 
nurse practition]1 or cl9ical nurse     
speciali/2 &  7,b7 has a focus on       
mat]nal or p]9atal heal?4  7#c7 ,p]9atal
 heal? work] ,! t]m p]9atal heal? work] 
means a d\la1 community heal? work]1 pe]
 support]1 brea/fe$+ & lactation        
educator or c\nselor1 nutritioni/ or    
dietitian1 *ildbir? educator1 social    
work]1 home visitor1 language int]pret]1
 or navigator4  7#d7 ,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#e7 ,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