,,ii #aag? ,,congress #a/ ,session ,s4 #cdf ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,febru>y #bb1 #bjba,mr4 ,book] 7= himself1 ,ms4 ,duckwor?1 ,mrs4 ,gillibr&1 ,mr4 ,durb91 ,mr4 ,ka9e1 ,mr4 ,casey1 ,mr4 ,pet]s1 ,ms4 ,baldw91 ,mr4 ,m]kley1 ,mr4 ,van ,holl51 ,ms4 ,/ab5[1 ,mr4 ,b5net1 ,ms4 ,w>r51 ,mr4 ,m55dez1 ,mr4 ,m>key1 ,mr4 ,blum5?al1 ,ms4 ,smi?1 ,mr4 ,br[n1 ,mr4 ,:iteh\se1 ,ms4 ,klobu*>1 & ,mr4 ,w>nock7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to end prev5table mat]nal mortality & sev]e mat]nal morbidity 9 ! ,unit$ ,/ates & close disp>ities 9 mat]nal heal? outcomes1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,black ,mat]nal ,heal? ,momnibus ,act ( #bjba4 #b4 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title4,sec4 #b4 ,table ( cont5ts4,sec4 #c4 ,def9itions4,sec4 #d4 ,s5se ( ,congress4,,title ,i--,social det]m9ants = moms,sec4 #aja4 ,task =ce to develop a /rategy to address social det]m9ants ( mat]nal heal?4,sec4 #ajb4 ,h\s+ = ,moms grant program4,sec4 #ajc4 ,dep>tm5t ( ,transportation4,sec4 #ajd4 ,dep>tm5t ( ,agriculture4,sec4 #aje4 ,environm5tal /udy ?r\gh ,national ,academies4,sec4 #ajf4 ,*ild c>e access4,sec4 #ajg4 ,grants to local entities address+ social det]m9ants ( mat]nal heal?4,,title ,,ii--,honor+ ,kira ,johnson,sec4 #bja4 ,inve/m5ts 9 community-bas$ organizations to improve ,black mat]nal heal? outcomes4,sec4 #bjb4 ,inve/m5ts 9 community-bas$ organizations to improve mat]nal heal? outcomes 9 und]s]v$ communities4,sec4 #bjc4 ,respectful mat]nity c>e tra9+ = all employees 9 mat]nity c>e sett+s4,sec4 #bjd4 ,/udy on r$uc+ & prev5t+ bias1 racism1 & discrim9ation 9 mat]nity c>e sett+s4,sec4 #bje4 ,respectful mat]nity c>e compliance program4,sec4 #bjf4 ,,gao report4,,title ,,iii--,protect+ moms :o served,sec4 #cja4 ,codification ( mat]nity coord9ation program ( ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #cjb4 ,report on mat]nal mortality & sev]e mat]nal morbidity among pregnant & po/p>tum vet]ans4,,title ,,iv--,p]9atal workforce,sec4 #dja4 ,,hhs ag5cy directives4,sec4 #djb4 ,grants to gr[ & div]sify ! p]9atal work=ce4,sec4 #djc4 ,grants to gr[ & div]sify ! nurs+ work=ce 9 mat]nal & p]9atal heal?4,sec4 #djd4 ,,gao report4,,title ,v--,data to save moms,sec4 #eja4 ,fund+ = mat]nal mortality review committees to promote repres5tative community engagem5t4,sec4 #ejb4 ,data collection & review4,sec4 #ejc4 ,review ( mat]nal heal? data collection processes & quality measures4,sec4 #ejd4 ,indian ,heal? ,s]vice /udy & report on mat]nal mortality & sev]e mat]nal morbidity4,sec4 #eje4 ,grants to m9ority-s]v+ in/itutions to /udy mat]nal mortality1 sev]e mat]nal morbidity1 & o!r adv]se mat]nal heal? outcomes4,,title ,,vi--,moms matter,sec4 #fja4 ,mat]nal m5tal heal? equity grant program4,sec4 #fjb4 ,grants to gr[ & div]sify ! mat]nal m5tal & behavioral heal? c>e work=ce4,,title ,,vii--,ju/ice = inc>c]at$ moms,sec4 #gja4 ,end+ ! %ackl+ ( pregnant individuals4,sec4 #gjb4 ,creat+ model programs = ! c>e ( inc>c]at$ individuals 9 ! pr5atal & po/p>tum p]iods4,sec4 #gjc4 ,grant program to improve mat]nal heal? outcomes = individuals 9 ,/ate & local prisons & jails4,sec4 #gjd4 ,,gao report4,sec4 #gje4 ,,macpac report4,,title ,,viii--,te* to save moms,sec4 #hja4 ,integrat$ teleheal? models 9 mat]nity c>e s]vices4,sec4 #hjb4 ,grants to exp& ! use ( te*nology-enabl$ collaborative le>n+ & capacity models = pregnant & po/p>tum individuals4,sec4 #hjc4 ,grants to promote equity 9 mat]nal heal? outcomes ?r\gh digital tools4,sec4 #hjd4 ,report on ! use ( te*nology 9 mat]nity c>e4,,title ,,ix--,impact to save moms,sec4 #ija4 ,p]9atal ,c>e ,alt]native ,paym5t ,model ,demon/ration ,project4,sec4 #ijb4 ,,macpac report4,,title ,x--,mat]nal heal? p&emic response,sec4 #ajja4 ,def9itions4,sec4 #ajjb4 ,fund+ = data collection1 surveillance1 & rese>* on mat]nal heal? outcomes dur+ ! ,,covid-#ai public heal? em]g5cy4,sec4 #ajjc4 ,,covid-#ai mat]nal heal? data collection & disclosure4,sec4 #ajjd4 ,inclusion ( pregnant individuals & lactat+ individuals 9 vacc9e & !rapeutic developm5t = ,,covid-#ai4,sec4 #ajje4 ,public heal? communication reg>d+ mat]nal c>e dur+ ,,covid-#ai4,sec4 #ajjf4 ,task =ce on bir?+ exp]i5ce & safe mat]nity c>e dur+ a public heal? em]g5cy4,sec4 #ajjg4 ,,gao report on mat]nal heal? & public heal? em]g5cy prep>$ness4,,title ,,xi--,protect+ moms & babies aga9/ climate change,sec4 #aaja4 ,def9itions4,sec4 #aajb4 ,grant program to protect vuln]able mo!rs & babies f climate *ange risks4,sec4 #aajc4 ,grant program = education & tra9+ at heal? pr(ession s*ools4,sec4 #aajd4 ,,nih ,consortium on ,bir? & ,climate ,*ange ,rese>*4,sec4 #aaje4 ,/rategy = id5tify+ climate *ange risk zones = vuln]able mo!rs & babies4,,title ,,xii--,mat]nal vaccinations,sec4 #abja4 ,mat]nal vacc9ation aw>5ess & equity campaign4 #c4 ,def9itions ,9 ?is ,act3 7#a7 ,culturally congru5t ,! t]m culturally congru5t1 ) respect to c>e or mat]nity c>e1 means c>e t is 9 agreem5t ) ! pref]r$ 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? ,! 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 #d4 ,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 ,i ,social det]m9ants = moms #aja4 ,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$]al ag5cies to address social det]m9ants ( mat]nal heal? ) respect to pregnant & po/p>tum individuals4 7b7 ,ex (ficio memb]s ,! ex (ficio memb]s ( ! ,task ,=ce %all consi/ ( ! foll[+3 7#a7 ,! ,secret>y ( ,heal? & ,human ,s]vices 7or a designee !re(74 7#b7 ,! ,secret>y ( ,h\s+ & ,urban ,developm5t 7or a designee !re(74 7#c7 ,! ,secret>y ( ,transportation 7or a designee !re(74 7#d7 ,! ,secret>y ( ,agriculture 7or a designee !re(74 7#e7 ,! ,secret>y ( ,labor 7or a designee !re(74 7#f7 ,! ,secret>y ( ,def5se 7or a designee !re(74 7#g7 ,! ,secret>y ( ,vet]ans ,affairs 7or a designee !re(74 7#h7 ,! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy 7or a designee !re(74 7#i7 ,! ,assi/ant ,secret>y = ! ,adm9i/ration = ,*ildr5 & ,families 7or a designee !re(74 7#aj7 ,! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices 7or a designee !re(74 7#aa7 ,! ,director ( ! ,indian ,heal? ,s]vice 7or a designee !re(74 7#ab7 ,! ,director ( ! ,national ,in/itutes ( ,heal? 7or a designee !re(74 7#ac7 ,! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration 7or a designee !re(74 7#ad7 ,! ,deputy ,assi/ant ,secret>y = ,m9ority ,heal? ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices 7or a designee !re(74 7#ae7 ,! ,deputy ,assi/ant ,secret>y = ,wom5's ,heal? ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices 7or a designee !re(74 7#af7 ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 7or a designee !re(74 7#ag7 ,! ,director ( ! ,(fice on ,viol5ce ,aga9/ ,wom5 at ! ,dep>tm5t ( ,ju/ice 7or a designee !re(74 7c7 ,appo9t$ 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/ #b 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/ #b 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/ #b 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 #ajb4 ,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$4 #ajc4 ,dep>tm5t ( ,transportation 7a7 ,report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,transportation %all submit to ,congress & make publicly available a report t conta9s-- 7#a7 an assessm5t ( transportation b>ri]s prev5t+ individuals f att5d+ pr5atal & po/p>tum appo9tm5ts1 access+ mat]nal heal? c>e s]vices1 or access+ s]vices & res\rces relat$ to social det]m9ants ( mat]nal heal?2 7#b7 recomm5dations on h[ to ov]come ! b>ri]s describ$ 9 p>agraph 7#a72 7#c7 an assessm5t ( transportation safety risks = pregnant individuals & recomm5dations on h[ to mitigate ^? risks2 & 7#d7 an assessm5t ( ! impact ( disabilities1 includ+ s]vice-relat$ disabilities1 on pregnant & po/p>tum wom5's mobility & access to appropriate c>e4 7b7 ,consid]ations ,9 c>ry+ out subsection 7a71 ! ,secret>y ( ,transportation %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 & 7#c7 pregnant & po/p>tum individuals ) a disability t impacts mobility4 #ajd4 ,dep>tm5t ( ,agriculture 7a7 ,special supplem5tal nutrition program = wom51 infants1 & *ildr5 7#a7 ,brea/fe$+ wom5 7,a7 ,def9ition ( brea/fe$+ woman ,section #ag7;b7 ( ! ,*ild ,nutrition ,act ( #aiff 7#db ,u4,s4,c4 #aghf7;b77 is am5d$ by /rik+ p>agraph 7#a7 & ins]t+ ! foll[+3 7#a7 ,brea/fe$+ woman ,! t]m brea/fe$+ woman means-- 7,a7 a woman :o is n m ?an #a ye> po/p>tum & is brea/fe$+ ! infant ( ! woman2 & 7,b7 = purposes ( subsection 7d71 a woman :o is n m ?an #b ye>s po/p>tum & is brea/fe$+ ! infant ( ! woman4 4 7,b7 ,ext5sion ( brea/fe$+ p]iod ,section #ag7;d77#c77;,a77ii7 ( ! ,*ild ,nutrition ,act ( #aiff 7#db ,u4,s4,c4 #aghf7;d77#c77;,a77ii77 is am5d$ by /rik+ #a ye> & ins]t+ #b ye>s4 7#b7 ,po/p>tum wom5 7,a7 ,def9ition ( po/p>tum wom5 ,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+ #b ye>s4 7,b7 ,c]tification ,section #ag7;d77#c77;,a7 ( ! ,*ild ,nutrition ,act ( #aiff 7#db ,u4,s4,c4 #aghf7;d77#c77;,a77 is am5d$ by add+ at ! end ! foll[+3 7iv7 ,po/p>tum wom5 ,a ,/ate may elect to c]tify a po/p>tum woman = a p]iod ( up to #b ye>s aft] ! t]m9ation ( pregnancy ( ! po/p>tum woman4 4 7#c7 ,report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is section1 ! ,secret>y ( ,agriculture %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 ^? outcomes2 7,b7 brea/fe$+ rates among po/p>tum individuals2 7,c7 qualitative evaluations ( family exp]i5ces "u ! special supplem5tal nutrition program = wom51 infants1 & *ildr5 e/abli%$ "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>y ( ,agriculture4 7b7 ,grant program = heal?y food & clean wat] = pregnant & po/p>tum individuals 7#a7 ,def9itions ,9 ?is subsection3 7,a7 ,eligible entity ,! t]m eligible entity means-- 7i7 a community-bas$ organization2 7ii7 a ,/ate or local gov]nm5tal entity1 includ+ a ,/ate or local public heal? dep>tm5t2 7iii7 an ,indian tribe or tribal organization 7z ^? t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd772 & 7iv7 an urban ,indian organization 7z 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 7#b7 ,e/abli%m5t ,! ,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#e74 7#c7 ,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#d7 ,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#e7 ,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 wom5 7z def9$ 9 section #ag7;b7 ( ! ,*ild ,nutrition ,act ( #aiff 7#db ,u4,s4,c4 #aghf7;b777 & 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#f7 ,reports 7,a7 ,eligible entity ,ea* eligible entity t receives a grant "u ?is subsection %all1 n lat] ?an #a ye> aft] receiv+ ! grant1 & annually !reaft]1 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$ by eligible entities "u subp>agraph 7,a72 7,,ii7 an assessm5t ( ! ext5t to :i* food di/ribut$ ?r\gh ! grant program "u ?is subsection 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 & disp>ities impact+ o!r und]s]v$ mo!rs1 su* z mo!rs liv+ 9 rural areas1 ) respect to ^? outcomes2 & 7,,iv7 recomm5dations ) respect to ensur+ ! activities describ$ 9 p>agraph 7#e7 cont9ue aft] ! grant fund+ = ^? activities expires4 7ii7 ,publication ,! ,secret>y %all make ! report submitt$ "u clause 7i7 publicly available on ! website ( ! ,dep>tm5t ( ,agriculture4 7#g7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to ! ,secret>y #e1jjj1jjj to c>ry out ?is subsection = ! p]iod ( fiscal ye>s #bjbb ?r\gh #bjbd4 #aje4 ,environm5tal /udy ?r\gh ,national ,academies 7a7 ,9 g5]al ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy %all seek to ent] into an agreem5t ) ! ,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 exposure to environm5tal *emicals1 environm5tal risks 9 ! workplace & ! home1 & pollution levels 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 describ$ 9 t subsection to improve mat]nal & infant heal? outcomes2 & 7#b7 r$uc+ or elim9at+ racial & e?nic disp>ities 9 ^? outcomes4 7c7 ,report ,! agreem5t "u subsection 7a7 %all require ! ,national ,academies-- 7#a7 to complete ! /udy describ$ 9 t subsection2 & 7#b7 n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 to transmit to ,congress & make publicly available a report t-- 7,a7 describes ! results ( ! /udy2 & 7,b7 includes ! recomm5dations describ$ 9 subsection 7b74 #ajf4 ,*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 appo9tm5ts1 includ+ = m5tal heal? c>e1 pr5atal & *ildbir? classes1 & labor & deliv]y4 ,! ,secret>y %all coord9ate ) ! ,secret>y ( ,def5se to dissem9ate in=mation reg>d+ su* s]vices & to exp& on-in/allation drop-9 *ild c>e s]vices = milit>y p>5ts4 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 #ajg4 ,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 culturally & l+ui/ically appropriate li/ ( available res\rces ) respect to social s]vice programs 9 a community1 includ+ h\s+ supports1 *ild c>e access1 nutrition c\nsel+1 & res\rces = pregnant wom5 fac+ intimate p>tn] viol5ce2 7#c7 e/abli% a culturally appropriate 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 individuals1 includ+ undocum5t$ pregnant individuals1 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 ,,ii ,honor+ ,kira ,johnson #bja4 ,inve/m5ts 9 community-bas$ organizations to improve ,black mat]nal heal? outcomes 7a7 ,aw>ds ,foll[+ ! #a-ye> p]iod beg9n+ on ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all aw>d grants to eligible entities to e/abli% or exp& programs to prev5t mat]nal mortality & sev]e mat]nal morbidity among ,black pregnant & po/p>tum individuals4 7b7 ,eligibility ,to be eligible to seek a grant "u ?is section1 an entity %all be a community-bas$ organization (f]+ programs & res\rces align$ ) evid5ce-bas$ practices = improv+ mat]nal heal? outcomes = ,black pregnant & po/p>tum individuals4 7c7 ,outrea* & te*nical assi/ance p]iod ,dur+ ! #a-ye> p]iod beg9n+ on ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all-- 7#a7 conduct outrea* to enc\rage eligible entities to apply = grants "u ?is section2 & 7#b7 provide te*nical assi/ance to eligible entities on be/ practices = apply+ = grants "u ?is section4 7d7 ,special consid]ation 7#a7 ,outrea* ,9 conduct+ outrea* "u subsection 7c71 ! ,secret>y %all give special consid]ation to eligible entities t-- 7,a7 are bas$ 91 & provide support =1 communities ) high rates ( adv]se mat]nal heal? outcomes or significant racial & e?nic disp>ities 9 mat]nal heal? outcomes1 to ! ext5t su* data are available2 7,b7 are l$ by ,black wom52 & 7,c7 (f] programs & res\rces t are align$ ) evid5ce-bas$ practices = improv+ mat]nal heal? outcomes = ,black pregnant & po/p>tum individuals4 7#b7 ,aw>ds ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give special consid]ation to eligible entities t-- 7,a7 are describ$ 9 subp>agraphs 7,a71 7,b71 & 7,c7 ( p>agraph 7#a72 7,b7 (f] programs & res\rces design$ 9 consultation ) & int5d$ = ,black pregnant & po/p>tum individuals2 & 7,c7 (f] programs & res\rces 9 ! communities 9 :i* ! respective eligible entities are locat$ t-- 7i7 promote mat]nal m5tal heal? & mat]nal sub/ance use disord] treatm5ts & supports t are align$ ) evid5ce-bas$ practices = improv+ mat]nal m5tal & behavioral heal? outcomes = ,black pregnant & po/p>tum individuals2 7ii7 address social det]m9ants ( mat]nal heal? = pregnant & po/p>tum individuals2 7iii7 promote evid5ce-bas$ heal? lit]acy & pregnancy1 *ildbir?1 & p>5t+ education = pregnant & po/p>tum individuals2 7iv7 provide support f p]9atal heal? work]s to pregnant & po/p>tum individuals2 7v7 provide culturally congru5t tra9+ to p]9atal heal? work]s2 7vi7 conduct or support rese>* on mat]nal heal? issues disproportionately impact+ ,black pregnant & po/p>tum individuals2 7vii7 provide support to family memb]s ( individuals :o suff]$ a pregnancy-associat$ dea? or pregnancy-relat$ dea?2 7viii7 op]ate midwif]y practices t provide culturally congru5t mat]nal heal? c>e & support1 includ+ = ! purposes (-- 7,i7 support+ additional education1 tra9+1 & c]tification programs1 includ+ support = di/ance le>n+2 7,,ii7 provid+ f9ancial support to curr5t & future midwives to address education co/s1 debts1 & o!r ne$s2 7,,iii7 cl9ical site inve/m5ts2 7,,iv7 support+ preceptor developm5t tra9+s2 7,v7 exp&+ ! midwif]y practice2 or 7,,vi7 relat$ ne$s id5tifi$ by ! midwif]y practice & describ$ 9 ! practice's application2 or 7ix7 h develop$ o!r programs & res\rces t address community-specific ne$s = pregnant & po/p>tum individuals & are align$ ) evid5ce-bas$ practices = improv+ mat]nal heal? outcomes = ,black pregnant & po/p>tum individuals4 7e7 ,te*nical assi/ance ,! ,secret>y %all provide to grant recipi5ts "u ?is section te*nical assi/ance on-- 7#a7 capacity build+ to e/abli% or exp& programs to prev5t adv]se mat]nal heal? outcomes among ,black pregnant & po/p>tum individuals2 7#b7 be/ practices 9 data collection1 measurem5t1 evaluation1 & report+2 & 7#c7 plann+ = su/a9+ programs to prev5t mat]nal mortality & sev]e mat]nal morbidity among ,black pregnant & po/p>tum individuals aft] ! p]iod ( ! grant4 7f7 ,evaluation ,n lat] ?an ! end ( fiscal ye> #bjbf1 ! ,secret>y %all submit to ,congress an evaluation ( ! grant program "u ?is section t-- 7#a7 assesses ! effectiv5ess ( outrea* ef=ts dur+ ! application process 9 div]sify+ ! pool ( grant recipi5ts2 7#b7 makes recomm5dations = future outrea* ef=ts to div]sify ! pool ( grant recipi5ts = ,dep>tm5t ( ,heal? & ,human ,s]vices grant programs & fund+ opportunities relat$ to mat]nal heal?2 7#c7 assesses ! effectiv5ess ( programs fund$ by grants "u ?is section 9 improv+ mat]nal heal? outcomes = ,black pregnant & po/p>tum individuals1 to ! ext5t practicable2 & 7#d7 makes recomm5dations = future ,dep>tm5t ( ,heal? & ,human ,s]vices grant programs & fund+ opportunities t deliv] fund+ to community-bas$ organizations t provide programs & res\rces t are align$ ) evid5ce-bas$ practices = improv+ mat]nal heal? outcomes = ,black pregnant & po/p>tum individuals4 7g7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbf4 #bjb4 ,inve/m5ts 9 community-bas$ organizations to improve mat]nal heal? outcomes 9 und]s]v$ communities 7a7 ,aw>ds ,foll[+ ! #a-ye> p]iod beg9n+ on ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all aw>d grants to eligible entities to e/abli% or exp& programs to prev5t mat]nal mortality & sev]e mat]nal morbidity among und]s]v$ gr\ps4 7b7 ,eligibility ,to be eligible to seek a grant "u ?is section1 an entity %all be a community-bas$ organization (f]+ programs & res\rces align$ ) evid5ce-bas$ practices = improv+ mat]nal heal? outcomes = pregnant & po/p>tum individuals4 7c7 ,outrea* & te*nical assi/ance p]iod ,dur+ ! #a-ye> p]iod beg9n+ on ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all-- 7#a7 conduct outrea* to enc\rage eligible entities to apply = grants "u ?is section2 & 7#b7 provide te*nical assi/ance to eligible entities on be/ practices = apply+ = grants "u ?is section4 7d7 ,special consid]ation 7#a7 ,outrea* ,9 conduct+ outrea* "u subsection 7c71 ! ,secret>y %all give special consid]ation to eligible entities t-- 7,a7 are bas$ 91 & provide support =1 communities ) high rates ( adv]se mat]nal heal? outcomes or significant racial & e?nic disp>ities 9 mat]nal heal? outcomes1 to ! ext5t su* data are available2 7,b7 are l$ by individuals f racially1 e?nically1 & geographically div]se backgr\nds2 & 7,c7 (f] programs & res\rces t are align$ ) evid5ce-bas$ practices = improv+ mat]nal heal? outcomes = pregnant & po/p>tum individuals4 7#b7 ,aw>ds ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give special consid]ation to eligible entities t-- 7,a7 are describ$ 9 subp>agraphs 7,a71 7,b71 & 7,c7 ( p>agraph 7#a72 7,b7 (f] programs & res\rces design$ 9 consultation ) & int5d$ = pregnant & po/p>tum individuals f und]s]v$ gr\ps2 & 7,c7 (f] programs & res\rces 9 ! communities 9 :i* ! respective eligible entities are locat$ t-- 7i7 promote mat]nal m5tal heal? & mat]nal sub/ance use disord] treatm5ts & support t are align$ ) evid5ce-bas$ practices = improv+ mat]nal m5tal & behavioral heal? outcomes = pregnant & po/p>tum individuals2 7ii7 address social det]m9ants ( mat]nal heal? = pregnant & po/p>tum individuals2 7iii7 promote evid5ce-bas$ heal? lit]acy & pregnancy1 *ildbir?1 & p>5t+ education = pregnant & po/p>tum individuals2 7iv7 provide support f p]9atal heal? work]s to pregnant & po/p>tum individuals2 7v7 provide culturally congru5t tra9+ to p]9atal heal? work]s2 7vi7 conduct or support rese>* on mat]nal heal? outcomes & disp>ities2 7vii7 provide support to family memb]s ( individuals :o suff]$ a pregnancy-associat$ dea? or pregnancy-relat$ dea?2 7viii7 op]ate midwif]y practices t provide culturally congru5t mat]nal heal? c>e & support1 includ+ = ! purposes (-- 7,i7 support+ additional education1 tra9+1 & c]tification programs1 includ+ support = di/ance le>n+2 7,,ii7 provid+ f9ancial support to curr5t & future midwives to address education co/s1 debts1 & o!r ne$s2 7,,iii7 cl9ical site inve/m5ts2 7,,iv7 support+ preceptor developm5t tra9+s2 7,v7 exp&+ ! midwif]y practice2 or 7,,vi7 relat$ ne$s id5tifi$ by ! midwif]y practice & describ$ 9 ! practice's application2 or 7ix7 h develop$ o!r programs & res\rces t address community-specific ne$s = pregnant & po/p>tum individuals & are align$ ) evid5ce-bas$ practices = improv+ mat]nal heal? outcomes = pregnant & po/p>tum individuals4 7e7 ,te*nical assi/ance ,! ,secret>y %all provide to grant recipi5ts "u ?is section te*nical assi/ance on-- 7#a7 capacity build+ to e/abli% or exp& programs to prev5t adv]se mat]nal heal? outcomes among pregnant & po/p>tum individuals f und]s]v$ gr\ps2 7#b7 be/ practices 9 data collection1 measurem5t1 evaluation1 & report+2 & 7#c7 plann+ = su/a9+ programs to prev5t mat]nal mortality & sev]e mat]nal morbidity among pregnant & po/p>tum individuals f und]s]v$ gr\ps aft] ! p]iod ( ! grant4 7f7 ,evaluation ,n lat] ?an ! end ( fiscal ye> #bjbf1 ! ,secret>y %all submit to ,congress an evaluation ( ! grant program "u ?is section t-- 7#a7 assesses ! effectiv5ess ( outrea* ef=ts dur+ ! application process 9 div]sify+ ! pool ( grant recipi5ts2 7#b7 makes recomm5dations = future outrea* ef=ts to div]sify ! pool ( grant recipi5ts = ,dep>tm5t ( ,heal? & ,human ,s]vices grant programs & fund+ opportunities relat$ to mat]nal heal?2 7#c7 assesses ! effectiv5ess ( programs fund$ by grants "u ?is section 9 improv+ mat]nal heal? outcomes = pregnant & po/p>tum individuals f und]s]v$ gr\ps1 to ! ext5t practicable2 & 7#d7 makes recomm5dations = future ,dep>tm5t ( ,heal? & ,human ,s]vices grant programs & fund+ opportunities t deliv] fund+ to community-bas$ organizations t provide programs & res\rces t are align$ ) evid5ce-bas$ practices = improv+ mat]nal heal? outcomes = pregnant & po/p>tum individuals4 7g7 ,def9ition ,9 ?is section1 ! t]m und]s]v$ gr\ps means to pregnant & po/p>tum individuals-- 7#a7 f racial & e?nic m9ority gr\ps 7z su* t]m is def9$ 9 section #agjg7;g77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjju-#f7;g77#a7772 7#b7 ^: h\sehold income is equal to or less ?an #aej p]c5t ( ! ,f$]al pov]ty l9e2 7#c7 :o live 9 heal? pr(essional %ortage areas 7z su* t]m is def9$ 9 section #ccb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;e7a77#a7772 7#d7 :o live 9 c\nties ) no hospital (f]+ ob/etric c>e1 no bir? c5t]1 & no ob/etric provid]2 or 7#e7 :o live 9 c\nties ) a level ( vuln]ability ( mod]ate-to-high or high]1 accord+ to ! ,social ,vuln]ability ,index ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7h7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbf4 #bjc4 ,respectful mat]nity c>e tra9+ = all employees 9 mat]nity c>e sett+s ,"p ,b ( title ,,vii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bic et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #gdb4 ,respectful mat]nity c>e tra9+ = all employees 9 mat]nity c>e sett+s 7a7 ,grants ,! ,secret>y %all aw>d grants = programs to r$uce & prev5t bias1 racism1 & discrim9ation 9 mat]nity c>e sett+s & to advance respectful1 culturally congru5t1 trauma-in=m$ c>e4 7b7 ,special consid]ation ,9 aw>d+ grants "u subsection 7a71 ! ,secret>y %all give special consid]ation to applications = programs t w\ld-- 7#a7 apply to all mat]nity c>e provid]s & any employees :o int]act ) pregnant & po/p>tum individuals 9 ! provid] sett+1 includ+ front desk employees1 sonograph]s1 s*$ul]s1 heal? c>e pr(essionals1 hospital or heal? sy/em adm9i/rators1 security /aff1 & o!r employees2 7#b7 emphasize p]iodic1 z oppos$ to "o-"t1 tra9+s = all bir?+ pr(essionals & employees describ$ 9 p>agraph 7#a72 7#c7 address implicit bias1 racism1 & cultural humility2 7#d7 be deliv]$ 9 ongo+ education sett+s = provid]s ma9ta9+ _! lic5ses1 ) a pref]5ce = tra9+s t provide cont9u+ education units2 7#e7 include trauma-in=m$ c>e be/ practices & an emphasis on %>$ decision mak+ betwe5 provid]s & pati5ts2 7#f7 include antiracism tra9+ & programs2 7#g7 be deliv]$ 9 und]graduate programs t funnel into heal? pr(essions s*ools2 7#h7 be deliv]$ 9 sett+s t apply to provid]s ( ! special supplem5tal nutrition program = wom51 infants1 & *ildr5 "u section #ag ( ! ,*ild ,nutrition ,act ( #aiff2 7#i7 integrate bias tra9+ 9 ob/etric em]g5cy simulation tra9+s or relat$ tra9+s2 7#aj7 include tra9+ = em]g5cy dep>tm5t employees & em]g5cy m$ical te*nicians on recogniz+ w>n+ signs = sev]e pregnancy-relat$ complications2 7#aa7 (f] tra9+ to all mat]nity c>e provid]s on ! value ( racially1 e?nically1 & pr(essionally div]se mat]nity c>e teams to provide culturally congru5t c>e2 or 7#ab7 be bas$ on "o or m programs design$ by a hi/orically ,black college or univ]sity or o!r m9ority-s]v+ in/itution4 7c7 ,application ,an entity desir+ a grant "u subsection 7a71 %all submit an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7d7 ,report+ ,ea* recipi5t ( a grant "u ?is section %all annually submit to ! ,secret>y a report on ! /atus ( activities conduct$ us+ ! grant1 includ+1 z applicable1 a description ( ! impact ( tra9+ provid$ ?r\gh ! grant on pati5t outcomes & pati5t exp]i5ce = pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps & _! families4 7e7 ,be/ practices ,bas$ on ! annual reports submitt$ pursuant to subsection 7d71 ! ,secret>y-- 7#a7 %all produce an annual report on ! f9d+s result+ f programs fund$ ?r\gh ?is section2 7#b7 %all dissem9ate su* report to all recipi5ts ( grants "u ?is section & to ! public2 & 7#c7 may include 9 su* report f9d+s on be/ practices = improv+ pati5t outcomes & pati5t exp]i5ce = pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps & _! families 9 mat]nity c>e sett+s4 7f7 ,def9itions ,9 ?is section3 7#a7 ,! t]m po/p>tum means ! "o-ye> p]iod beg9n+ on ! la/ day ( an individual's pregnancy4 7#b7 ,! t]m culturally congru5t means 9 agreem5t ) ! pref]r$ cultural values1 beliefs1 _w view1 language1 & practices ( ! heal? c>e consum] & o!r /akehold]s4 7#c7 ,! t]m racial & e?nic m9ority gr\p has ! mean+ giv5 su* t]m 9 section #agjg7;g77#a74 7g7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #e1jjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbf4 4 #bjd4 ,/udy on r$uc+ & prev5t+ bias1 racism1 & discrim9ation 9 mat]nity c>e sett+s 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all seek to ent] into an agreem5t1 n lat] ?an #ij days aft] ! date ( enactm5t ( ?is ,act1 ) ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e 7ref]r$ to 9 ?is section z ! ,national ,academies7 "u :i* ! ,national ,academies agree to-- 7#a7 conduct a /udy on ! design & implem5tation ( programs to r$uce & prev5t bias1 racism1 & discrim9ation 9 mat]nity c>e sett+s & to advance respectful1 culturally congru5t1 trauma-in=m$ c>e2 & 7#b7 n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act-- 7,a7 complete ! /udy2 & 7,b7 transmit a report on ! results ( ! /udy to ,congress4 7b7 ,possible topics ,! agreem5t ent]$ into pursuant to subsection 7a7 may provide = ! /udy ( any ( ! foll[+3 7#a7 ,! developm5t ( a scorec>d or o!r evaluation /&>ds = programs design$ to r$uce & prev5t bias1 racism1 & discrim9ation 9 mat]nity c>e sett+s to assess ! effectiv5ess ( su* programs 9 improv+ pati5t outcomes & pati5t exp]i5ce = pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps & _! families4 7#b7 ,det]m9ation ( ! types & frequ5cy ( tra9+ to r$uce & prev5t bias1 racism1 & discrim9ation 9 mat]nity c>e sett+s t are demon/rat$ to improve pati5t outcomes or pati5t exp]i5ce = pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps & _! families4 #bje4 ,respectful mat]nity c>e compliance program 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all aw>d grants to accr$it$ hospitals1 heal? sy/ems1 & o!r mat]nity c>e sett+s to e/abli% z an integral "p ( quality implem5tation initiatives )9 "o or m hospitals or o!r bir? sett+s a respectful mat]nity c>e compliance program4 7b7 ,program requirem5ts ,a respectful mat]nity c>e compliance program fund$ ?r\gh a grant "u ?is section %all-- 7#a7 in/itutionalize me*anisms to all[ pati5ts receiv+ mat]nity c>e s]vices1 ! families ( su* pati5ts1 or p]9atal heal? work]s support+ su* pati5ts to report in/ances ( racism or evid5ce ( bias on ! basis ( race1 e?nicity1 or ano!r protect$ class2 7#b7 in/itutionalize response me*anisms ?r\gh :i* repres5tatives ( ! program c directly foll[ up ) ! pati5t1 if possible1 & ! pati5t's family 9 a timely mann]2 7#c7 prep>e & make publicly available a hospital- or heal? sy/em-wide /rategy to r$uce bias on ! basis ( race1 e?nicity1 or ano!r protect$ class 9 ! deliv]y ( mat]nity c>e t includes-- 7,a7 in=mation on ! tra9+ programs to r$uce & prev5t bias1 racism1 & discrim9ation on ! basis ( race1 e?nicity1 or ano!r protect$ class = all employees 9 mat]nity c>e sett+s2 7,b7 in=mation on ! numb] ( cases report$ to ! compliance program2 & 7,c7 ! developm5t ( me?ods to r\t9ely assess ! ext5t to :i* bias1 racism1 or discrim9ation on ! basis ( race1 e?nicity1 or ano!r protect$ class are pres5t 9 ! deliv]y ( mat]nity c>e to pati5ts f racial & e?nic m9ority gr\ps2 7#d7 develop me*anisms to r\t9ely collect & publicly report hospital-level data relat$ to pati5t-report$ exp]i5ce ( c>e2 & 7#e7 provide annual reports to ! ,secret>y ) in=mation ab\t ea* case report$ to ! compliance program ov] ! c\rse ( ! ye> conta9+ su* in=mation z ! ,secret>y may require1 su* z-- 7,a7 de-id5tifi$ demographic in=mation on ! pati5t 9 ! case1 su* z race1 e?nicity1 g5d] id5tity1 & prim>y language2 7,b7 ! cont5t ( ! report f ! pati5t or ! family ( ! pati5t to ! compliance program2 7,c7 ! response f ! compliance program2 & 7,d7 to ! ext5t applicable1 in/itutional *anges made z a result ( ! case4 7c7 ,secret>y requirem5ts 7#a7 ,processes ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all e/abli% processes =-- 7,a7 dissem9at+ be/ practices = e/abli%+ & implem5t+ a respectful mat]nity c>e compliance program )9 a hospital or o!r bir? sett+2 7,b7 promot+ coord9ation & collaboration betwe5 hospitals1 heal? sy/ems1 & o!r mat]nity c>e deliv]y sett+s on ! e/abli%m5t & implem5tation ( respectful mat]nity c>e compliance programs2 & 7,c7 evaluat+ ! effectiv5ess ( respectful mat]nity c>e compliance programs on mat]nal heal? outcomes & pati5t & family exp]i5ces1 especially = pati5ts f racial & e?nic m9ority gr\ps & _! families4 7#b7 ,/udy 7,a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all1 ?r\gh a contract ) an indep5d5t rese>* organization1 conduct a /udy on /rategies to address-- 7i7 racism or bias on ! basis ( race1 e?nicity1 or ano!r protect$ class 9 ! deliv]y ( mat]nity c>e s]vices2 & 7ii7 successful implem5tation ( respectful c>e initiatives4 7,b7 ,compon5ts ( /udy ,! /udy "u ?is p>agraph %all include ! foll[+3 7i7 ,an assessm5t ( ! reports submitt$ to ! ,secret>y f ! respectful mat]nity c>e compliance programs pursuant to subsection 7b77#e74 7ii7 ,bas$ on ! assessm5t "u clause 7i71 recomm5dations = pot5tial acc\ntability me*anisms relat$ to cases ( racism or bias on ! basis ( race1 e?nicity1 or ano!r protect$ class 9 ! deliv]y ( mat]nity c>e s]vices at hospitals & o!r bir? sett+s4 ,su* recomm5dations %all take into consid]ation m$ical & non-m$ical factors t contribute to adv]se pati5t exp]i5ces & mat]nal heal? outcomes4 7,c7 ,report ,! ,secret>y %all submit to ,congress & make publicly available a report on ! results ( ! /udy "u ?is p>agraph4 7d7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ su* sums z may be necess>y = fiscal ye>s #bjbb ?r\gh #bjbg4 #bjf4 ,,gao report 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act & annually !reaft]1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress & make publicly available a report on ! e/abli%m5t ( respectful mat]nity c>e compliance programs )9 hospitals1 heal? sy/ems1 & o!r mat]nity c>e sett+s4 7b7 ,matt]s includ$ ,! report "u p>agraph 7#a7 %all include ! foll[+3 7#a7 ,in=mation reg>d+ ! ext5t to :i* hospitals1 heal? sy/ems1 & o!r mat]nity c>e sett+s h elect$ to e/abli% respectful mat]nity c>e compliance programs1 includ+-- 7,a7 :i* hospitals & o!r bir? sett+s elect to e/abli% compliance programs & :5 su* programs are e/abli%$2 7,b7 to ! ext5t practicable1 impacts ( ! e/abli%m5t ( su* programs on mat]nal heal? outcomes & pati5t & family exp]i5ces 9 ! hospitals & o!r bir? sett+s t h e/abli%$ su* programs1 especially = pati5ts f racial & e?nic m9ority gr\ps & _! families2 7,c7 in=mation on geographic areas1 & types ( hospitals or o!r bir? sett+s1 :]e respectful mat]nity c>e compliance programs are n be+ e/abli%$ & in=mation on factors contribut+ to decisions to n e/abli% su* programs2 & 7,d7 recomm5dations = e/abli%+ respectful mat]nity c>e compliance programs 9 geographic areas1 & types ( hospitals or o!r bir? sett+s1 :]e su* programs are n be+ e/abli%$4 7#b7 ,:e!r ! fund+ made available to c>ry out ?is section has be5 suffici5t &1 if applicable1 recomm5dations = additional appropriations to c>ry out ?is section4 7#c7 ,su* o!r in=mation z ! ,comptroll] ,g5]al det]m9es appropriate4 ,,iii ,protect+ moms :o s]v$ #cja4 ,codification ( mat]nity coord9ation program ( ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,program on mat]nity c>e coord9ation 7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all c>ry out ! mat]nity c>e coord9ation program describ$ 9 ,vet]ans ,heal? ,adm9i/ration ,h&book #accj4jc1 or successor h&book4 7#b7 ,tra9+ & support ,9 c>ry+ out ! program "u p>agraph 7#a71 ! ,secret>y %all provide to community mat]nity c>e provid]s tra9+ & support ) respect to ! unique ne$s ( pregnant & po/p>tum vet]ans1 p>ticul>ly reg>d+ m5tal & behavioral heal? conditions relat+ to ! s]vice ( ! vet]ans 9 ! ,arm$ ,=ces4 7b7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,!re is au?oriz$ to be appropriat$ to ! ,secret>y #ae1jjj1jjj = fiscal ye> #bjbb = ! program "u subsection 7a77#a74 7#b7 ,supplem5t n supplant ,am\nts au?oriz$ "u p>agraph 7#a7 are au?oriz$ 9 addition to any o!r am\nts au?oriz$ = mat]nity heal? c>e & coord9ation = ! ,dep>tm5t ( ,vet]ans ,affairs4 7c7 ,def9itions ,9 ?is section3 7#a7 ,community mat]nity c>e provid]s ,! t]m community mat]nity c>e provid]s means mat]nity c>e provid]s locat$ at non-,dep>tm5t facilities :o provide mat]nity c>e to vet]ans "u section #agjc ( title #ch1 ,unit$ ,/ates ,code1 or any o!r law adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs4 7#b7 ,non-,dep>tm5t facilities ,! t]m non-,dep>tm5t facilities has ! mean+ giv5 t t]m 9 section #agja ( title #ch1 ,unit$ ,/ates ,code4 #cjb4 ,report on mat]nal mortality & sev]e mat]nal morbidity among pregnant & po/p>tum vet]ans 7a7 ,,gao report ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives1 & make publicly available1 a report on mat]nal mortality & sev]e mat]nal morbidity among pregnant & po/p>tum vet]ans1 ) a p>ticul> focus on racial & e?nic disp>ities 9 mat]nal heal? outcomes = vet]ans4 7b7 ,matt]s includ$ ,! report "u subsection 7a7 %all include ! foll[+3 7#a7 ,to ! ext5t practicable-- 7,a7 ! numb] ( pregnant & po/p>tum vet]ans :o h exp]i5c$ a pregnancy-relat$ dea? or pregnancy-associat$ dea? 9 ! mo/ rec5t #aj ye>s ( available data2 7,b7 ! rate ( pregnancy-relat$ dea?s p] #ajj1jjj live bir?s = pregnant & po/p>tum vet]ans2 7,c7 ! numb] ( cases ( sev]e mat]nal morbidity among pregnant & po/p>tum vet]ans 9 ! mo/ rec5t ye> ( available data2 7,d7 ! racial & e?nic disp>ities 9 mat]nal mortality & sev]e mat]nal morbidity rates among pregnant & po/p>tum vet]ans2 7,e7 id5tification ( ! causes ( mat]nal mortality & sev]e mat]nal morbidity t are unique to vet]ans1 includ+ po/-traumatic /ress disord]1 milit>y sexual trauma1 & inf]tility or misc>riages t may be caus$ by s]vice 9 ! ,arm$ ,=ces2 7,f7 id5tification ( ! causes ( mat]nal mortality & sev]e mat]nal morbidity t are unique to vet]ans f racial & e?nic m9ority gr\ps2 7,g7 id5tification ( any correlations betwe5 ! =m] rank ( vet]ans & _! mat]nal heal? outcomes2 7,h7 ! numb] ( vet]ans :o h be5 diagnos$ ) inf]tility by a heal? c>e provid] ( ! ,vet]ans ,heal? ,adm9i/ration ea* ye> 9 ! mo/ rec5t five ye>s1 disaggregat$ by age1 race1 e?nicity1 sex1 m>ital /atus1 sexual ori5tation1 g5d] id5tity1 & geographical location2 7,i7 ! numb] ( vet]ans :o h receiv$ a cl9ical diagnosis ( unexpla9$ inf]tility by a heal? c>e provid] ( ! ,vet]ans ,heal? ,adm9i/ration ea* ye> 9 ! mo/ rec5t five ye>s2 & 7,j7 ! ext5t to :i* ! rate ( incid5ce ( cl9ically diagnos$ inf]tility among vet]ans comp>e or diff] to ! rate ( incid5ce ( cl9ically diagnos$ inf]tility among ! civilian population4 7#b7 ,an assessm5t ( ! b>ri]s to det]m9+ ! in=mation requir$ "u p>agraph 7#a7 & recomm5dations = improvem5ts 9 track+ mat]nal heal? outcomes among pregnant & po/p>tum vet]ans-- 7,a7 :o h heal? c>e cov]age ?r\gh ! ,dep>tm5t2 7,b7 enroll$ 9 ! ,,tric>e program2 7,c7 ) employ]-bas$ or private insurance2 7,d7 enroll$ 9 ! ,m$icaid program2 & 7,e7 :o are un9sur$4 7#c7 ,recomm5dations = legislative & adm9i/rative actions to increase access to m5tal & behavioral heal? c>e = pregnant & po/p>tum vet]ans :o scre5 positively = mat]nal m5tal or behavioral heal? conditions4 7#d7 ,recomm5dations to address homelessness1 food insecurity1 pov]ty1 & relat$ issues among pregnant & po/p>tum vet]ans4 7#e7 ,recomm5dations on h[ to effectively educate mat]nity c>e provid]s on be/ practices = provid+ mat]nity c>e s]vices to vet]ans t addresses ! unique mat]nal heal? c>e ne$s ( vet]an populations4 7#f7 ,recomm5dations to r$uce mat]nal mortality & sev]e mat]nal morbidity among pregnant & po/p>tum vet]ans & to address racial & e?nic disp>ities 9 mat]nal heal? outcomes = ea* ( ! gr\ps describ$ 9 subp>agraphs 7,a7 ?r\gh 7,e7 ( p>agraph 7#b74 7#g7 ,recomm5dations to improve coord9ation ( c>e betwe5 ! ,dep>tm5t & non-,dep>tm5t facilities = pregnant & po/p>tum vet]ans1 includ+ recomm5dations to improve-- 7,a7 heal? record int]op]ability2 & 7,b7 tra9+ = ! directors ( ! ,vet]ans ,integrat$ ,s]vice ,networks1 directors ( m$ical facilities ( ! ,dep>tm5t1 *iefs ( /aff ( su* facilities1 mat]nity c>e coord9ators1 & /aff ( relevant non-,dep>tm5t facilities4 7#h7 ,an assessm5t ( ! au?ority ( ! ,secret>y ( ,vet]ans ,affairs to access mat]nal heal? data collect$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices &1 if applicable1 recomm5dations to increase su* au?ority4 7#i7 ,any o!r in=mation ! ,comptroll] ,g5]al det]m9es appropriate ) respect to ! r$uction ( mat]nal mortality & sev]e mat]nal morbidity among pregnant & po/p>tum vet]ans & to address racial & e?nic disp>ities 9 mat]nal heal? outcomes = vet]ans4 ,,iv ,p]9atal work=ce #dja4 ,,hhs ag5cy directives 7a7 ,guidance to ,/ates 7#a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %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>y1 act+ ?r\gh ! ,director ( ! ,national ,in/itutes ( ,heal?1 %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 #djb4 ,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 #djc4 ,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 #djd4 ,,gao report 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act & e #e 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 ,v ,data to save moms #eja4 ,fund+ = mat]nal mortality review committees to promote repres5tative community engagem5t 7a7 ,9 g5]al ,section #cag,k7d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7;d77 is am5d$ by add+ at ! end ! foll[+3 7#i7 ,grants to promote repres5tative community engagem5t 9 mat]nal mortality review committees 7,a7 ,9 g5]al ,! ,secret>y may1 us+ funds made available pursuant to subp>agraph 7,c71 provide assi/ance to an applicable mat]nal mortality review committee ( a ,/ate1 ,indian tribe1 tribal organization1 or urban ,indian organization-- 7i7 to select = inclusion 9 ! memb]%ip ( su* a committee community memb]s f ! ,/ate1 ,indian tribe1 tribal organization1 or urban ,indian organization by-- 7,i7 prioritiz+ community memb]s :o c increase ! div]sity ( ! committee's memb]%ip ) respect to race & e?nicity1 location1 & pr(essional backgr\nd1 includ+ memb]s ) non-cl9ical exp]i5ces2 & 7,,ii7 to ! ext5t applicable1 us+ funds res]v$ "u subsection 7f71 to address b>ri]s to mat]nal mortality review committee p>ticipation = community memb]s1 includ+ requir$ tra9+1 transportation b>ri]s1 comp5sation1 & o!r supports z may be necess>y2 7ii7 to e/abli% initiatives to conduct outrea* & community engagem5t ef=ts )9 communities ?r\gh\t ! ,/ate or ,tribe to seek input f community memb]s on ! "w ( su* mat]nal mortality review committee1 ) a p>ticul> focus on outrea* to m9ority wom52 & 7iii7 to release public reports assess+-- 7,i7 ! pregnancy-relat$ dea? & pregnancy-associat$ dea? review processes ( ! mat]nal mortality review committee1 ) a p>ticul> focus on ! mat]nal mortality review committee's s5sitivity to ! unique circum/ances ( pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps 7z su* t]m is def9$ 9 section #agjg7;g77#a77 :o h suff]$ pregnancy-relat$ dea?s2 & 7,,ii7 ! impact ( ! use ( funds made available pursuant to subp>agraph 7,c7 on increas+ ! div]sity ( ! mat]nal mortality review committee memb]%ip & promot+ community engagem5t ef=ts ?r\gh\t ! ,/ate or ,tribe4 7,b7 ,te*nical assi/ance ,! ,secret>y %all provide 7ei!r directly ?r\gh ! ,dep>tm5t ( ,heal? & ,human ,s]vices or by contract7 te*nical assi/ance to any mat]nal mortality review committee receiv+ a grant "u ?is p>agraph on be/ practices = increas+ ! div]sity ( ! mat]nal mortality review committee's memb]%ip & = conduct+ effective community engagem5t ?r\gh\t ! ,/ate or ,tribe4 7,c7 ,au?orization ( appropriations ,9 addition to any funds made available "u subsection 7f71 !re are au?oriz$ to be appropriat$ to c>ry out ?is p>agraph #aj1jjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbf4 4 7b7 ,def9itions ,section #cag,k7e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7;e77 is am5d$-- 7#a7 9 p>agraph 7#b71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#c77;,b71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#d7 ! t]m urban ,indian organization has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act4 4 7c7 ,res]vation ( funds ,section #cag,k7f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7;f77 is am5d$ by add+ at ! end ! foll[+3 ,( ! am\nt made available "u ! prec$+ s5t5ce = a fiscal ye>1 n less ?an #a1ejj1jjj %all be res]v$ = grants to ,indian tribes1 tribal organizations1 or urban ,indian organizations44 #ejb4 ,data collection & review ,section #cag,k7d77#c77;,a77i7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7;d77#c77;,a77i77 is am5d$-- 7#a7 by r$esignat+ subclauses 7,,ii7 & 7,,iii7 z subclauses 7,v7 & 7,,vi71 respectively2 & 7#b7 by ins]t+ aft] subclause 7,i7 ! foll[+3 7,,ii7 to ! ext5t practicable1 review+ cases ( sev]e mat]nal morbidity1 accord+ to ! mo/ up-to-date indicators2 7,,iii7 to ! ext5t practicable1 review+ dea?s dur+ pregnancy or up to #a ye> aft] ! end ( a pregnancy f suicide1 ov]dose1 or o!r dea? f a m5tal heal? condition or sub/ance use disord] attribut$ to or aggravat$ by pregnancy or *ildbir? complications2 7,,iv7 to ! ext5t practicable1 consult+ ) local community-bas$ organizations repres5t+ pregnant & po/p>tum individuals f demographic gr\ps disproportionately impact$ by poor mat]nal heal? outcomes to ensure t1 9 addition to cl9ical factors1 non-cl9ical factors t might h contribut$ to a pregnancy-relat$ dea? are appropriately consid]$2 4 #ejc4 ,review ( mat]nal heal? data collection processes & quality measures 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,adm9i/rator = ,c5t]s = ,m$ic>e ,m$icaid ,s]vices & ! ,director ( ! ,ag5cy = ,heal?c>e ,rese>* & ,quality1 %all consult ) relevant /akehold]s-- 7#a7 to review exi/+ mat]nal heal? data collection processes & quality measures2 & 7#b7 make recomm5dations to improve su* processes & measures1 includ+ topics describ$ 9 subsection 7c74 7b7 ,collaboration ,9 c>ry+ out ?is section1 ! ,secret>y %all consult ) a div]se gr\p ( mat]nal heal? /akehold]s1 :i* may include-- 7#a7 pregnant & po/p>tum individuals & _! family memb]s1 & nonpr(it organizations repres5t+ su* individuals1 ) a p>ticul> focus on pati5ts f racial & e?nic m9ority gr\ps2 7#b7 community-bas$ organizations t provide support = pregnant & po/p>tum individuals1 ) a p>ticul> focus on pati5ts f racial & e?nic m9ority gr\ps2 7#c7 memb]%ip organizations = mat]nity c>e provid]s2 7#d7 organizations repres5t+ p]9atal heal? work]s2 7#e7 organizations t focus on mat]nal m5tal or behavioral heal?2 7#f7 organizations t focus on intimate p>tn] viol5ce2 7#g7 in/itutions ( high] education1 ) a p>ticul> focus on m9ority-s]v+ in/itutions2 7#h7 lic5s$ & accr$it$ hospitals1 bir? c5t]s1 midwif]y practices1 or o!r m$ical practices t provide mat]nal heal? c>e s]vices to pregnant & po/p>tum pati5ts2 7#i7 relevant ,/ate & local public ag5cies1 includ+ ,/ate mat]nal mortality review committees2 & 7#aj7 ! ,national ,quality ,=um1 or su* o!r /&>d-sett+ organizations specifi$ by ! ,secret>y4 7c7 ,topics ,! review ( mat]nal heal? data collection processes & recomm5dations to improve su* processes & measures requir$ "u subsection 7a7 %all assess all available relevant in=mation1 includ+ in=mation f ,/ate-level s\rces1 & %all consid] at lea/ ! foll[+3 7#a7 ,curr5t ,/ate & ,tribal practices = mat]nal heal?1 mat]nal mortality1 & sev]e mat]nal morbidity data collection & dissem9ation1 includ+ consid]ation (-- 7,a7 ! timel9ess ( processes = am5d+ a dea? c]tificate :5 new in=mation p]ta9+ to ! dea? becomes available to reflect :e!r ! dea? 0 a pregnancy-relat$ dea?2 7,b7 relevant data collect$ ) electronic heal? records1 includ+ data on race1 e?nicity1 socioeconomic /atus1 insurance type1 & o!r relevant demographic in=mation2 7,c7 mat]nal heal? data collect$ & publicly report$ by hospitals1 heal? sy/ems1 midwif]y practices1 & bir? c5t]s2 7,d7 ! b>ri]s prev5t+ ,/ates f correlat+ mat]nal outcome data ) race & e?nicity data2 7,e7 processes = det]m9+ ! cause ( a pregnancy-associat$ dea? 9 ,/ates t d n h a mat]nal mortality review committee2 7,f7 :e!r mat]nal mortality review committees include multidiscipl9>y & div]se memb]%ip 7z describ$ 9 section #cag,k7d77#a77;,a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7;d77#a77;,a7772 7,g7 :e!r memb]s ( mat]nal mortality review committees p>ticipate 9 tra9+s on bias1 racism1 or discrim9ation1 & ! quality ( su* tra9+s2 7,h7 ! ext5t to :i* ,/ates h implem5t$ sy/ematic processes ( li/5+ to ! /ories ( pregnant & po/p>tum individuals & _! family memb]s1 ) a p>ticul> focus on pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps 7z su* t]m is def9$ 9 section #agjg7;g77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjju-#f7;g77#a777 & _! family memb]s1 to fully und]/& ! causes (1 & in=m pot5tial solutions to1 ! mat]nal mortality & sev]e mat]nal morbidity crisis )9 _! respective ,/ates2 7,i7 ! ext5t to :i* mat]nal mortality review committees are consid]+ social det]m9ants ( mat]nal heal? :5 exam9+ ! causes ( pregnancy-associat$ & pregnancy-relat$ dea?s2 7,j7 ! ext5t to :i* mat]nal mortality review committees are mak+ actionable recomm5dations bas$ on _! reviews ( adv]se mat]nal heal? outcomes & ! ext5t to :i* su* recomm5dations are be+ implem5t$ by appropriate /akehold]s2 7,k7 ! legal & adm9i/rative b>ri]s prev5t+ ! collection1 collation1 & dissem9ation ( ,/ate mat]nity c>e data2 7,l7 ! effectiv5ess ( data collection & report+ processes 9 sep>at+ pregnancy-associat$ dea?s f pregnancy-relat$ dea?s2 & 7,m7 ! curr5t ,f$]al1 ,/ate1 local1 & ,tribal fund+ support = ! activities ref]r$ to 9 subp>agraphs 7,a7 ?r\gh 7,l74 7#b7 ,:e!r ! fund+ support ref]r$ to 9 p>agraph 7#a77,m7 is adequate = ,/ates to c>ry out optimal data collection & dissem9ation processes ) respect to mat]nal heal?1 mat]nal mortality1 & sev]e mat]nal morbidity4 7#c7 ,curr5t quality measures = mat]nity c>e1 includ+ pr5atal measures1 labor & deliv]y measures1 & po/p>tum measures1 includ+ topics su* z-- 7,a7 effective quality measures = mat]nity c>e us$ by hospitals1 heal? sy/ems1 midwif]y practices1 bir? c5t]s1 heal? plans1 & o!r relevant entities2 7,b7 ! suffici5cy ( curr5t outcome measures us$ to evaluate mat]nity c>e = driv+ improv$ c>e1 exp]i5ces1 & outcomes 9 mat]nity c>e paym5t & deliv]y sy/em models2 7,c7 mat]nal heal? quality measures t o!r c\ntries effectively use2 7,d7 validat$ measures t h be5 us$ = rese>* purposes t c\ld be te/$1 ref9$1 & submitt$ = national endorsem5t2 7,e7 b>ri]s prev5t+ mat]nity c>e provid]s & insur]s f implem5t+ quality measures t are align$ ) be/ practices2 7,f7 ! frequ5cy ) :i* mat]nity c>e quality measures are review$ & revis$2 7,g7 ! /r5g?s & weaknesses ( ! ,pr5atal & ,po/p>tum ,c>e measures ( ! ,heal? ,plan ,employ] ,data & ,in=mation ,set measures e/abli%$ by ! ,national ,committee = ,quality ,assurance2 7,h7 ! /r5g?s & weaknesses ( mat]nity c>e quality measures "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 & ! ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig et seq471 includ+ ! ext5t to :i* ,/ates volunt>ily report relevant measures2 7,i7 ! ext5t to :i* mat]nity c>e quality measures are in=m$ by pati5t exp]i5ces t include measures ( pati5t-report$ exp]i5ce ( c>e2 7,j7 ! curr5t processes = collect+ /ratifi$ data on ! race & e?nicity ( pregnant & po/p>tum individuals 9 hospitals1 heal? sy/ems1 midwif]y practices1 & bir? c5t]s1 & = incorporat+ su* racially & e?nically /ratifi$ data 9 mat]nity c>e quality measures2 7,k7 ! ext5t to :i* mat]nity c>e quality measures acc\nt = ! unique exp]i5ces ( pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps 7z su* t]m is def9$ 9 section #agjg7;g77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjju-#f7;g77#a7772 & 7,l7 ! ext5t to :i* hospitals1 heal? sy/ems1 midwif]y practices1 & bir? c5t]s are implem5t+ exi/+ mat]nity c>e quality measures4 7#d7 ,recomm5dations on au?oriz+ additional funds & provid+ additional te*nical assi/ance to improve mat]nal mortality review committees & ,/ate & ,tribal mat]nal heal? data collection & report+ processes4 7#e7 ,recomm5dations = new au?orities t may be grant$ to mat]nal mortality review committees to be able to-- 7,a7 access records f o!r ,f$]al & ,/ate ag5cies & dep>tm5ts t may be necess>y to id5tify causes ( pregnancy-associat$ & pregnancy-relat$ dea?s t are unique to pregnant & po/p>tum individuals f specific populations1 su* z vet]ans & individuals :o are inc>c]at$2 & 7,b7 "w ) relevant exp]ts :o are n memb]s ( ! mat]nal mortality review committee to assi/ 9 ! review ( pregnancy-associat$ dea?s ( pregnant & po/p>tum individuals f specific populations1 su* z vet]ans & individuals :o are inc>c]at$4 7#f7 ,recomm5dations to improve & /&>dize curr5t quality measures = mat]nity c>e1 ) a p>ticul> focus on racial & e?nic disp>ities 9 mat]nal heal? outcomes4 7#g7 ,recomm5dations to improve ! coord9ation by ! ,dep>tm5t ( ,heal? & ,human ,s]vices ( ! ef=ts und]tak5 by ! ag5cies & organizations )9 ! ,dep>tm5t relat$ to mat]nal heal? data & quality measures4 7d7 ,report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress & make publicly available a report on ! results ( ! review ( mat]nal heal? data collection processes & quality measures & recomm5dations to improve su* processes & measures requir$ "u subsection 7a74 7e7 ,def9itions ,9 ?is section3 7#a7 ,mat]nal mortality review committee ,! t]m mat]nal mortality review committee means a mat]nal mortality review committee duly au?oriz$ by a ,/ate & receiv+ fund+ "u section #cag,k7a77#b77;,d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7;a77#b77;,d774 7#b7 ,pregnancy-associat$ dea? ,! t]m pregnancy-associat$1 ) respect to a dea?1 means a dea? ( a pregnant or po/p>tum individual1 by any cause1 t occurs dur+1 or )9 #a ye> foll[+1 ! individual's pregnancy1 reg>dless ( ! outcome1 duration1 or site ( ! pregnancy4 7#c7 ,pregnancy-relat$ dea? ,! t]m pregnancy-relat$1 ) respect to a dea?1 means a dea? ( a pregnant or po/p>tum individual t occurs dur+1 or )9 #a ye> foll[+1 ! individual's pregnancy1 f a pregnancy complication1 a *a9 ( ev5ts initiat$ by pregnancy1 or ! aggravation ( an unrelat$ condition by ! physiologic effects ( pregnancy4 7f7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ su* sums z may be necess>y to c>ry out ?is section = fiscal ye>s #bjbb ?r\gh #bjbe4 #ejd4 ,indian ,heal? ,s]vice /udy & report on mat]nal mortality & sev]e mat]nal morbidity 7a7 ,def9itions ,9 ?is section3 7#a7 ,director ,! t]m ,director means ! ,director ( ! ,indian ,heal? ,s]vice4 7#b7 ,indian tribe ,! t]m ,indian ,tribe has ! mean+ giv5 ! t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#c7 ,mat]nal mortality review committee ,! t]m mat]nal mortality review committee means a mat]nal mortality review committee duly au?oriz$ by a ,/ate & receiv+ fund+ "u section #cagk7a77#b77;,d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ab7;a77#b77;,d774 7#d7 ,tribal epidemiology c5t] ,! t]m ,tribal epidemiology c5t] means a ,tribal epidemiology c5t] e/abli%$ "u section #bad ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afbam74 7#e7 ,tribal organization ,! t]m tribal organization has ! mean+ giv5 ! t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#f7 ,urban ,indian organization ,! t]m urban ,indian organization has ! mean+ giv5 ! t]m 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc74 7b7 ,/udy & report 7#a7 ,/udy 7,a7 ,9 g5]al ,n lat] ?an #ij days aft] ! date ( enactm5t ( ?is ,act1 ! ,director1 9 coord9ation ) ! individuals select$ "u subsection 7c71 %all ent] into an agreem5t ) an indep5d5t rese>* organization or a ,tribal epidemiology c5t] to conduct a compreh5sive /udy on mat]nal mortality & sev]e mat]nal morbidity 9 ,indian & ,alaska ,native populations4 7,b7 ,report ,! agreem5t ent]$ into "u subp>agraph 7,a7 %all require t ! indep5d5t rese>* organization or ,tribal epidemiology c5t] submit to ! ,director a report describ+ ! results ( ! /udy conduct$ pursuant to t agreem5t by n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act4 7#b7 ,cont5ts ( /udy ,! /udy conduct$ "u p>agraph 7#a7 %all-- 7,a7 exam9e ! causes ( mat]nal mortality & sev]e mat]nal morbidity t are unique to ,indians & ,alaska ,natives2 7,b7 include a sy/ematic process ( li/5+ to ! /ories ( pregnant & po/p>tum ,indians & ,alaska ,natives to fully und]/& ! causes (1 & in=m pot5tial solutions to1 ! mat]nal mortality & sev]e mat]nal morbidity crisis )9 ! ,indian & ,alaska ,native communities2 7,c7 id5tify ! diff]5t sett+s 9 :i* pregnant & po/p>tum ,indians & ,alaska ,natives receive mat]nity c>e1 su* z-- 7i7 facilities op]at$ by ! ,indian ,heal? ,s]vice2 7ii7 an ,indian heal? program op]at$ by an ,indian ,tribe or tribal organization pursuant to a grant f1 or contract1 coop]ative agreem5t1 or compact )1 ! ,indian ,heal? ,s]vice pursuant to ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecja et seq472 & 7iii7 an urban ,indian heal? program op]at$ by an urban ,indian organization pursuant to a grant f or contract ) ! ,indian ,heal? ,s]vice pursuant to title ,v ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afea et seq472 7,d7 det]m9e ! diff]5t l&scapes ( mat]nity c>e receiv$ by pregnant & po/p>tum ,indians & ,alaska ,natives at ! diff]5t sett+s id5tifi$ "u subp>agraph 7,c72 7,e7 review processes = coord9at+ programs ( ! ,indian ,heal? ,s]vice ) social s]vices provid$ ?r\gh o!r programs adm9i/]$ by ! ,secret>y ( ,heal? & ,human ,s]vices 7o!r ?an ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq471 ! ,m$icaid program "u title ,,xix ( t ,act 7#db ,u4,s4,c4 #acif et seq471 & ! ,/ate ,*ildr5's ,heal? ,insurance ,program e/abli%$ "u title ,,xxi ( t ,act 7#db ,u4,s4,c4 #acig;aa et seq4772 7,f7 review curr5t data collection & quality measurem5t processes & practices ) respect to pregnant & po/p>tum ,indians & ,alaska ,natives2 7,g7 assess causes & frequ5cy ( mat]nal m5tal heal? conditions & sub/ance use disord]s ) respect to ,indians & ,alaska ,natives2 7,h7 consid] social det]m9ants ( heal?1 includ+ pov]ty1 lack ( heal? insurance1 unemploym5t1 sexual viol5ce1 & environm5tal conditions 9 ,tribal areas2 7,i7 consid] ! role t hi/orical mi/reatm5t ( ,indian & ,alaska ,native wom5 has play$ 9 caus+ curr5tly high rates ( mat]nal mortality & sev]e mat]nal morbidity2 7,j7 consid] h[ curr5t fund+ ( ! ,indian ,heal? ,s]vice affects ! ability ( ! ,indian ,heal? ,s]vice to deliv] quality mat]nity c>e2 & 7,k7 consid] ! ext5t to :i* ! deliv]y ( mat]nity c>e s]vices is culturally appropriate = pregnant & po/p>tum ,indians & ,alaska ,natives4 7#c7 ,report ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,director %all submit to ,congress a report describ+ ! results ( ! /udy conduct$ "u p>agraph 7#a71 includ+ recomm5dations = policies & practices t c be adopt$ to improve mat]nal heal? outcomes = pregnant & po/p>tum ,indians & ,alaska ,natives1 includ+ recomm5dations-- 7,a7 on h[ to improve mat]nal heal? outcomes = ,indians & ,alaska ,natives receiv+ c>e at ! diff]5t sett+s id5tifi$ "u p>agraph 7#b77;,c72 7,b7 on h[ to r$uce misclassification ( pregnant & po/p>tum ,indians & ,alaska ,natives1 includ+ consid]ation ( be/ practices 9 tra9+ = memb]s ( mat]nal mortality review committees to be able to correctly classify ,indians & ,alaska ,natives2 & 7,c7 in=m$ by ! /ories %>$ by pregnant & po/p>tum ,indians & ,alaska ,natives "u p>agraph 7#b77;,b7 to improve mat]nal heal? outcomes = ^? individuals4 7c7 ,p>ticipat+ individuals 7#a7 ,9 g5]al ,! ,director %all select f among individuals nom9at$ by ,indian ,tribes1 tribal organizations1 & urban ,indian organizations #ab individuals = p>ticipation 9 ! /udy conduct$ "u subsection 7b77#a74 7#b7 ,requirem5t ,9 select+ memb]s "u p>agraph 7#a71 ! ,director %all ensure t ea* ( ! #ab s]vice areas ( ! ,indian ,heal? ,s]vice is repres5t$4 7d7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #b1jjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbd4 #eje4 ,grants to m9ority-s]v+ in/itutions to /udy mat]nal mortality1 sev]e mat]nal morbidity1 & o!r adv]se mat]nal heal? outcomes 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a program "u :i* ! ,secret>y %all aw>d grants to rese>* c5t]s1 heal? pr(essions s*ools & programs1 & o!r entities at m9ority-s]v+ in/itutions to /udy specific aspects ( ! mat]nal heal? crisis among pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps4 ,su* rese>* may-- 7#a7 include ! developm5t & implem5tation ( sy/ematic processes ( li/5+ to ! /ories ( pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps1 & p]9atal heal? work]s support+ su* individuals1 to fully und]/& ! causes (1 & in=m pot5tial solutions to1 ! mat]nal mortality & sev]e mat]nal morbidity crisis )9 _! respective communities2 7#b7 assess ! pot5tial causes ( relatively l[ rates ( mat]nal mortality among ,hispanic individuals1 includ+ pot5tial racial misclassification & o!r data collection & report+ issues t might be misrepres5t+ mat]nal mortality rates among ,hispanic individuals 9 ! ,unit$ ,/ates2 & 7#c7 assess diff]5ces 9 rates ( adv]se mat]nal heal? outcomes among subgr\ps id5tify+ z ,hispanic4 7b7 ,application ,to be eligible to receive a grant "u subsection 7a71 an entity describ$ 9 su* subsection %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7c7 ,te*nical assi/ance ,! ,secret>y may use n m ?an #aj p]c5t ( ! funds made available "u subsection 7g7-- 7#a7 to conduct outrea* to m9ority-s]v+ in/itutions to raise aw>5ess ( ! availability ( grants "u ?is subsection 7a72 7#b7 to provide te*nical assi/ance 9 ! application process = su* a grant2 & 7#c7 to promote capacity build+ z ne$$ to enable entities describ$ 9 su* subsection to submit su* an application4 7d7 ,report+ requirem5t ,ea* entity aw>d$ a grant "u ?is section %all p]iodically submit to ! ,secret>y a report on ! /atus ( activities conduct$ us+ ! grant4 7e7 ,evaluation ,beg9n+ "o ye> aft] ! date on :i* ! fir/ grant is aw>d$ "u ?is section1 ! ,secret>y %all submit to ,congress an annual report summ>iz+ ! f9d+s ( rese>* conduct$ us+ funds made available "u ?is section4 7f7 ,m9ority-,s]v+ in/itutions def9$ ,9 ?is section1 ! t]m m9ority-s]v+ in/itution has ! mean+ giv5 ! t]m 9 section #cga7;a7 ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajfgq7a774 7g7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbf4 ,,vi ,moms matt] #fja4 ,mat]nal m5tal heal? equity grant program 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all e/abli% a program to aw>d grants to eligible entities to address mat]nal m5tal heal? conditions & sub/ance use disord]s ) respect to pregnant & po/p>tum individuals1 ) a focus on racial & e?nic m9ority gr\ps4 7b7 ,application ,to be eligible to receive a grant "u ?is section 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 provide1 includ+ h[ su* entity w use funds = activities describ$ 9 subsection 7d7 t are culturally congru5t4 7c7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to an eligible entity t-- 7#a7 is1 or w p>tn] )1 a community-bas$ organization to address mat]nal m5tal heal? conditions & sub/ance use disord]s describ$ 9 subsection 7a72 7#b7 is op]at+ 9 an area ) high rates (-- 7,a7 adv]se mat]nal heal? outcomes2 or 7,b7 significant racial or e?nic disp>ities 9 mat]nal heal? outcomes2 & 7#c7 is op]at+ 9 a heal? pr(essional %ortage area designat$ "u section #ccb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;e74 7d7 ,use ( funds ,an eligible entity t receives a grant "u ?is section %all use funds = ! foll[+3 7#a7 ,e/abli%+ or exp&+ mat]nity c>e programs to improve ! integration ( mat]nal heal? & behavioral heal? c>e s]vices into prim>y c>e sett+s :]e pregnant individuals regul>ly receive heal? c>e s]vices4 7#b7 ,e/abli%+ or exp&+ gr\p pr5atal c>e programs or po/p>tum c>e programs4 7#c7 ,exp&+ exi/+ programs t improve mat]nal m5tal & behavioral heal? dur+ ! pr5atal & po/p>tum p]iods1 ) a focus on individuals f racial & e?nic m9ority gr\ps4 7#d7 ,provid+ s]vices & support = pregnant & po/p>tum individuals ) mat]nal m5tal heal? conditions & sub/ance use disord]s1 includ+ ref]rals to addiction treatm5t c5t]s t (f] evid5ce-bas$ treatm5t options4 7#e7 ,address+ /igma associat$ ) mat]nal m5tal heal? conditions & sub/ance use disord]s1 ) a focus on racial & e?nic m9ority gr\ps4 7#f7 ,rais+ aw>5ess ( w>n+ signs ( mat]nal m5tal heal? conditions & sub/ance use disord]s1 ) a focus on pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps4 7#g7 ,e/abli%+ or exp&+ programs to prev5t suicide or self-h>m among pregnant & po/p>tum individuals4 7#h7 ,(f]+ evid5ce-align$ programs at free/&+ bir? c5t]s t provide mat]nal m5tal & behavioral heal? c>e education1 treatm5ts1 & s]vices1 & o!r s]vices = individuals ?r\gh\t ! pr5atal & po/p>tum p]iod4 7#i7 ,e/abli%+ or exp&+ programs to provide education & tra9+ to mat]nity c>e provid]s ) respect to-- 7,a7 id5tify+ pot5tial w>n+ signs = mat]nal m5tal heal? conditions or sub/ance use disord]s 9 pregnant & po/p>tum individuals1 ) a focus on individuals f racial & e?nic m9ority gr\ps2 & 7,b7 9 ! case :]e su* provid]s id5tify su* w>n+ signs1 (f]+ ref]rals to m5tal & behavioral heal? c>e pr(essionals4 7#aj7 ,develop+ a website1 or o!r s\rce1 t includes in=mation on heal? c>e provid]s :o treat mat]nal m5tal heal? conditions & sub/ance use disord]s4 7#aa7 ,e/abli%+ or exp&+ programs 9 communities to improve coord9ation betwe5 mat]nity c>e provid]s & m5tal & behavioral heal? c>e provid]s :o treat mat]nal m5tal heal? conditions & sub/ance use disord]s1 includ+ ?r\gh ! use ( toll-free hotl9es4 7#ab7 ,c>ry+ out o!r programs align$ ) evid5ce-bas$ practices = address+ mat]nal m5tal heal? conditions & sub/ance use disord]s = pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps4 7e7 ,report+ 7#a7 ,eligible entities ,an eligible entity t receives a grant "u subsection 7a7 %all submit annually to ! ,secret>y1 & make publicly available1 a report on ! activities conduct$ us+ funds receiv$ ?r\gh a grant "u ?is section4 ,su* reports %all include quantitative & qualitative evaluations ( su* activities1 includ+ ! exp]i5ce ( individuals :o receiv$ heal? c>e ?r\gh su* grant4 7#b7 ,secret>y ,n lat] ?an ! end ( fiscal ye> #bjbd1 ! ,secret>y %all submit to ,congress a report t includes-- 7,a7 a summ>y ( ! reports receiv$ "u p>agraph 7#a72 7,b7 an evaluation ( ! effectiv5ess ( grants aw>d$ "u ?is section2 7,c7 recomm5dations ) respect to exp&+ cov]age ( evid5ce-bas$ scre5+s & treatm5ts = mat]nal m5tal heal? conditions & sub/ance use disord]s2 & 7,d7 recomm5dations ) respect to ensur+ activities describ$ "u subsection 7d7 cont9ue aft] ! end ( a grant p]iod4 7f7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means-- 7,a7 a community-bas$ organization s]v+ pregnant & po/p>tum individuals1 includ+ su* organizations s]v+ individuals f racial & e?nic m9ority gr\ps & o!r und]s]v$ populations2 7,b7 a nonpr(it or pati5t advocacy organization ) exp]tise 9 mat]nal m5tal & behavioral heal?2 7,c7 a mat]nity c>e provid]2 7,d7 a m5tal or behavioral heal? c>e provid] :o treats mat]nal m5tal heal? conditions or sub/ance use disord]s2 7,e7 a ,/ate or local gov]nm5tal entity1 includ+ a ,/ate or local public heal? dep>tm5t2 7,f7 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 & 7,g7 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 ,free/&+ bir? c5t] ,! t]m free/&+ bir? c5t] has ! mean+ giv5 t t]m "u section #aije7l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7#a774 7#c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7g7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #be1jjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbe4 #fjb4 ,grants to gr[ & div]sify ! mat]nal m5tal & behavioral heal? c>e work=ce ,title ,,vii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bib et seq47 is am5d$ by ins]t+ aft] section #geh ( su* ,act1 z add$ by section #djb ( ?is ,act1 ! foll[+ new section3 #geh;,a4 ,mat]nal m5tal & behavioral heal? c>e work=ce grants 7a7 ,9 g5]al ,! ,secret>y may aw>d grants to entities to e/abli% or exp& programs describ$ 9 subsection 7b7 to gr[ & div]sify ! mat]nal m5tal & behavioral heal? c>e work=ce4 7b7 ,use ( funds ,recipi5ts ( grants "u ?is section %all use ! grants to gr[ & div]sify ! mat]nal m5tal & behavioral heal? c>e work=ce by-- 7#a7 e/abli%+ s*ools or programs t provide education & tra9+ to individuals seek+ appropriate lic5s+ or c]tification z m5tal or behavioral heal? c>e provid]s :o w specialize 9 mat]nal m5tal heal? conditions or sub/ance use disord]s2 or 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 ! mat]nal m5tal or behavioral heal? c>e 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 ! mat]nal m5tal or behavioral heal? c>e 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 mat]nal m5tal or behavioral heal? c>e 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 tra9+ on implicit bias & racism1 & 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 ( ! mat]nal m5tal or behavioral heal? c>e 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\ps & o!r und]s]v$ populations2 7#b7 increas+ ! numb] ( m5tal or behavioral heal? c>e provid]s specializ+ 9 mat]nal m5tal heal? conditions or sub/ance use disord]s f racial & e?nic m9ority gr\ps & o!r und]s]v$ populations2 7#c7 increas+ ! numb] ( m5tal or behavioral heal? c>e provid]s specializ+ 9 mat]nal m5tal heal? conditions or sub/ance use disord]s work+ 9 heal? pr(essional %ortage areas designat$ "u section #ccb2 & 7#d7 increas+ ! numb] ( m5tal or behavioral heal? c>e provid]s specializ+ 9 mat]nal m5tal heal? conditions or sub/ance use disord]s work+ 9 areas ) significant racial & e?nic disp>ities 9 mat]nal heal? outcomes1 to ! ext5t su* data are available4 7i7 ,def9itions ,9 ?is section3 7#a7 ,racial & e?nic m9ority gr\p ,! t]m racial & e?nic m9ority gr\p has ! mean+ giv5 su* t]m 9 section #agjg7;g77#a74 7#b7 ,m5tal or behavioral heal? c>e provid] ,! t]m m5tal or behavioral heal? c>e provid] ref]s to a heal? c>e provid] 9 ! field ( m5tal & behavioral heal?1 includ+ sub/ance use disord]s1 act+ 9 accordance ) ,/ate law4 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 ,,vii ,ju/ice = inc>c]at$ moms #gja4 ,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 #gjb4 ,creat+ model programs = ! c>e ( inc>c]at$ individuals 9 ! pr5atal & po/p>tum p]iods 7a7 ,e/abli%m5t 7#a7 ,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 7#b7 ,requir$ consultation ,! ,attorney ,g5]al %all e/abli% ! programs au?oriz$ "u p>agraph 7#a7 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* facility select$ "u subsection 7a7 %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-- 7#a7 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-- 7i7 diagnos$ m5tal or behavioral heal? conditions1 includ+ trauma & sub/ance use disord]s2 7ii7 trauma or viol5ce1 includ+ dome/ic viol5ce2 7iii7 human immunodefici5cy virus2 7iv7 sexual abuse2 7v7 pregnancy or infant loss2 or 7vi7 *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-- 7i7 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 & 7ii7 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,j7 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 individuals2 & 7#b7 may include-- 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 are au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbf4 #gjc4 ,grant program to improve mat]nal heal? outcomes = individuals 9 ,/ate & local prisons & jails 7a7 ,e/abli%m5t 7#a7 ,9 g5]al ,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 7#b7 ,requir$ consultation ,! ,attorney ,g5]al %all aw>d ! grants au?oriz$ "u p>agraph 7#a7 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-- 7#a7 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-- 7i7 diagnos$ m5tal or behavioral heal? conditions1 includ+ trauma & sub/ance use disord]s2 7ii7 trauma or viol5ce1 includ+ dome/ic viol5ce2 7iii7 human immunodefici5cy virus2 7iv7 sexual abuse2 7v7 pregnancy or infant loss2 or 7vi7 *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$+ support2 7,i7 provide re5try assi/ance1 p>ticul>ly to-- 7i7 ensure access to heal? insurance cov]age & transf] ( heal? records to community provid]s if an inc>c]at$ individual exits ! crim9al ju/ice sy/em dur+ su* individual's pregnancy or 9 ! po/p>tum p]iod2 & 7ii7 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,j7 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 individuals2 & 7#b7 may include-- 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 are au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbf4 #gjd4 ,,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 #gje4 ,,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 subsection 7b74 7b7 ,in=mation describ$ ,! 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 :5 a pregnant or po/p>tum individual is inc>c]at$4 ,,viii ,te* to save moms #hja4 ,integrat$ teleheal? models 9 mat]nity c>e s]vices 7a7 ,9 g5]al ,section #aaae;,a7b77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae;a7b77#b77;,b77 is am5d$ by add+ at ! end ! foll[+3 7xxviii7 ,focus+ on title ,,xix1 provid+ = ! adoption ( & use ( teleheal? tools t all[ = scre5+1 monitor+1 & managem5t ( common heal? complications ) respect to an individual receiv+ m$ical assi/ance dur+ su* individual's pregnancy & = n m ?an a #a-ye> p]iod beg9n+ on ! la/ day ( ! pregnancy4 4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all take effect #a ye> aft] ! date ( enactm5t ( ?is ,act4 #hjb4 ,grants to exp& ! use ( te*nology-enabl$ collaborative le>n+ & capacity models = pregnant & po/p>tum individuals ,title ,,iii ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ccj,n 7#db ,u4,s4,c4 #bed;c-#ai7 ! foll[+3 #ccj,o4 ,exp&+ capacity = mat]nal heal? outcomes 7a7 ,e/abli%m5t ,beg9n+ n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is section1 ! ,secret>y %all aw>d grants to eligible entities to evaluate1 develop1 & exp& ! use ( te*nology-enabl$ collaborative le>n+ & capacity build+ models & improve mat]nal heal? outcomes-- 7#a7 9 heal? pr(essional %ortage areas2 7#b7 9 areas ) high rates ( mat]nal mortality & sev]e mat]nal morbidity2 7#c7 9 areas ) significant racial & e?nic disp>ities 9 mat]nal heal? outcomes2 & 7#d7 = m$ically und]s]v$ populations & ,am]ican ,indians & ,alaska ,natives1 includ+ ,indian ,tribes1 ,tribal organizations1 & ,urban ,indian organizations4 7b7 ,use ( ,funds 7#a7 ,requir$ uses ,recipi5ts ( grants "u ?is section %all use ! grants to-- 7,a7 tra9 mat]nal heal? c>e provid]s1 /ud5ts1 & o!r simil> pr(essionals ?r\gh models t include-- 7i7 me?ods to increase safety & heal? c>e quality2 7ii7 me?ods to address implicit bias1 racism1 & discrim9ation2 7iii7 be/ practices 9 scre5+ = mat]nal m5tal heal? conditions & sub/ance use disord]s &1 z ne$$1 evaluat+ & treat+ su* conditions & disord]s2 7iv7 tra9+ on be/ practices 9 mat]nity c>e = pregnant & po/p>tum individuals dur+ ! ,,covid-#ai public heal? em]g5cy or future public heal? em]g5cies2 7v7 me?ods to scre5 = social det]m9ants ( mat]nal heal? risks 9 ! pr5atal & po/p>tum2 & 7vi7 ! use ( remote pati5t monitor+ tools = pregnancy-relat$ complications describ$ 9 section #aaae;,a7b77#b77;,b77xxviii72 7,b7 evaluate & collect in=mation on ! affect ( su* models on-- 7i7 access to & quality ( c>e2 7ii7 outcomes ) respect to ! heal? ( an individual2 & 7iii7 ! exp]i5ce ( individuals :o receive pregnancy-relat$ heal? c>e2 7,c7 develop qualitative & quantitative measures to id5tify be/ practices = ! expansion & use ( su* models2 7,d7 /udy ! effect ( su* models on pati5t outcomes & mat]nity c>e provid]s2 & 7,e7 conduct any o!r activity1 z det]m9$ by ! ,secret>y4 7#b7 ,p]missible uses ,recipi5ts ( grants "u ?is section may use grants to support-- 7,a7 ! use & expansion ( te*nology-enabl$ collaborative le>n+ & capacity build+ models1 includ+ h>dw>e & s(tw>e t-- 7i7 enables di/ance le>n+ & te*nical support2 & 7ii7 supports ! secure ex*ange ( electronic heal? in=mation2 & 7,b7 mat]nity c>e provid]s1 /ud5ts1 & o!r simil> pr(essionals 9 ! provision ( mat]nity c>e ?r\gh su* models4 7c7 ,application 7#a7 ,9 g5]al ,an eligible entity seek+ a grant "u subsection 7a7 %all submit to ! ,secret>y an application1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#b7 ,assurance ,an application "u p>agraph 7#a7 %all include an assurance t su* entity %all collect in=mation on1 & assess ! affect (1 ! use ( te*nology-enabl$ collaborative le>n+ & capacity build+ models1 includ+ ) respect to-- 7,a7 mat]nal heal? outcomes2 7,b7 access to mat]nal heal? c>e s]vices2 7,c7 quality ( mat]nal heal? c>e2 & 7,d7 ret5tion ( mat]nity c>e provid]s s]v+ areas & populations describ$ 9 subsection 7a74 7d7 ,limitations 7#a7 ,numb] ,ea* entity receiv+ a grant "u ?is section may receive n m ?an #a su* grant4 7#b7 ,duration ,a grant aw>d$ "u ?is section %all be = a #e-ye> p]iod4 7e7 ,access to broadb& ,9 adm9i/]+ grants "u ?is section1 ! ,secret>y may coord9ate ) o!r ag5cies to ensure t fund+ opportunities are available to support access to reliable1 high-spe$ int]net = grantees4 7f7 ,te*nical assi/ance ,! ,secret>y %all provide 7ei!r directly or by contract7 te*nical assi/ance to eligible entities1 includ+ recipi5ts ( grants "u subsection 7a71 on ! developm5t1 use1 & su/a9ability ( te*nology-enabl$ collaborative le>n+ & capacity build+ models to exp& access to mat]nal heal? c>e s]vices provid$ by su* entities1 includ+-- 7#a7 9 heal? pr(essional %ortage areas2 7#b7 9 areas ) high rates ( mat]nal mortality & sev]e mat]nal morbidity or significant racial & e?nic disp>ities 9 mat]nal heal? outcomes2 & 7#c7 = m$ically und]s]v$ populations or ,am]ican ,indians & ,alaska ,natives4 7g7 ,rese>* & evaluation ,! ,secret>y1 9 consultation ) exp]ts1 %all develop a /rategic plan to rese>* & evaluate ! evid5ce = su* models4 7h7 ,report+ 7#a7 ,eligible entities ,an eligible entity t receives a grant "u subsection 7a7 %all submit to ! ,secret>y a report1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#b7 ,secret>y ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ?is section1 ! ,secret>y %all submit to ,congress1 & make available on ! website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 a report t includes-- 7,a7 a description ( grants aw>d$ "u subsection 7a7 & ! purpose & am\nts ( su* grants2 7,b7 a summ>y (-- 7i7 ! evaluations conduct$ "u subsection 7b77#a77;,b72 7ii7 any te*nical assi/ance provid$ "u subsection 7f72 & 7iii7 ! activities conduct$ "u a grant aw>d$ "u subsection 7a72 & 7,c7 a description ( any significant f9d+s ) respect to-- 7i7 pati5t outcomes2 & 7ii7 be/ practices = exp&+1 us+1 or evaluat+ te*nology-enabl$ collaborative le>n+ & capacity build+ models4 7i7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #f1jjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbf4 7j7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity 7,a7 ,9 g5]al ,! t]m eligible entity means an entity t provides1 or supports ! provision (1 mat]nal heal? c>e s]vices or o!r evid5ce-bas$ s]vices = pregnant & po/p>tum individuals-- 7i7 9 heal? pr(essional %ortage areas2 7ii7 9 areas ) high rates ( adv]se mat]nal heal? outcomes or significant racial & e?nic disp>ities 9 mat]nal heal? outcomes2 & 7iii7 :o are-- 7,i7 memb]s ( m$ically und]s]v$ populations2 or 7,,ii7 ,am]ican ,indians & ,alaska ,natives1 includ+ ,indian ,tribes1 ,tribal organizations1 & urban ,indian organizations4 7,b7 ,inclusions ,an eligible entity may include entities t lead1 or are capable ( lead+1 a te*nology-enabl$ collaborative le>n+ & capacity build+ model4 7#b7 ,heal? pr(essional %ortage area ,! t]m heal? pr(essional %ortage area means a heal? pr(essional %ortage area designat$ "u section #ccb4 7#c7 ,indian ,tribe ,! t]m ,indian ,tribe has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#d7 ,mat]nal mortality ,! t]m mat]nal mortality means a dea? occurr+ dur+ or )9 #a-ye> p]iod aft] pregnancy 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 or *ildbir? complications4 7#e7 ,m$ically und]s]v$ population ,! t]m m$ically und]s]v$ population has ! mean+ giv5 su* t]m 9 section #ccj7;b77#c74 7#f7 ,po/p>tum ,! t]m po/p>tum means ! #a-ye> p]iod beg9n+ on ! la/ date ( an individual's pregnancy4 7#g7 ,sev]e mat]nal morbidity ,! t]m sev]e mat]nal morbidity means a heal? condition1 includ+ a m5tal heal? or sub/ance use disord]1 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 ,te*nology-enabl$ collaborative le>n+ & capacity build+ model ,! t]m te*nology-enabl$ collaborative le>n+ & capacity build+ model means a di/ance heal? education model t connects heal? c>e pr(essionals1 & o!r speciali/s1 ?r\gh simultane\s int]active videoconf]5c+ = ! purpose ( facilitat+ case-bas$ le>n+1 dissem9at+ be/ practices1 & evaluat+ outcomes 9 ! context ( mat]nal heal? c>e4 7#i7 ,tribal organization ,! t]m ,tribal organization has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#aj7 ,urban ,indian organization ,! t]m urban ,indian organization has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act4 4 #hjc4 ,grants to promote equity 9 mat]nal heal? outcomes ?r\gh digital tools 7a7 ,9 g5]al ,beg9n+ n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all aw>d grants to eligible entities to r$uce racial & e?nic disp>ities 9 mat]nal heal? outcomes by increas+ access to digital tools relat$ to mat]nal heal? c>e4 7b7 ,applications ,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 ,prioritization ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all prioritize an eligible entity-- 7#a7 9 an area ) high rates ( adv]se mat]nal heal? outcomes or significant racial & e?nic disp>ities 9 mat]nal heal? outcomes2 7#b7 9 a heal? pr(essional %ortage area designat$ "u section #ccb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;e72 & 7#c7 t promotes te*nology t addresses racial & e?nic disp>ities 9 mat]nal heal? outcomes4 7d7 ,limitations 7#a7 ,numb] ,ea* entity receiv+ a grant "u ?is section may receive n m ?an #a su* grant4 7#b7 ,duration ,a grant aw>d$ "u ?is section %all be = a #e-ye> p]iod4 7e7 ,te*nical assi/ance ,! ,secret>y %all provide te*nical assi/ance to an eligible entity on ! developm5t1 use1 evaluation1 & po/-grant su/a9ability ( digital tools = purposes ( promot+ equity 9 mat]nal heal? outcomes4 7f7 ,report+ 7#a7 ,eligible entities ,an eligible entity t receives a grant "u subsection 7a7 %all submit to ! ,secret>y a report1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#b7 ,secret>y ,n lat] ?an #d ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report t includes-- 7,a7 an evaluation on ! effectiv5ess ( grants aw>d$ "u ?is section to improve heal? outcomes = pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps2 7,b7 recomm5dations on new grant programs t promote ! use ( te*nology to improve su* mat]nal heal? outcomes2 & 7,c7 recomm5dations ) respect to-- 7i7 te*nology-bas$ privacy & security safegu>ds 9 mat]nal heal? c>e2 7ii7 reimbursem5t rates = mat]nal teleheal? s]vices2 7iii7 ! use ( digital tools to analyze l>ge data sets to id5tify pot5tial pregnancy-relat$ complications2 7iv7 b>ri]s t prev5t mat]nity c>e provid]s f provid+ teleheal? s]vices across ,/ates2 7v7 ! use ( consum] digital tools su* z mobile phone applications1 pati5t portals1 & we>able te*nologies to improve mat]nal heal? outcomes2 7vi7 b>ri]s t prev5t access to teleheal? s]vices1 includ+ a lack ( access to reliable1 high-spe$ int]net or electronic devices2 7vii7 b>ri]s to data %>+ betwe5 ! ,special ,supplem5tal ,nutrition ,program = ,wom51 ,infants1 & ,*ildr5 program & mat]nity c>e provid]s1 & recomm5dations = address+ su* b>ri]s2 & 7viii7 lessons le>n$ f exp&$ access to teleheal? relat$ to mat]nity c>e dur+ ! ,,covid-#ai public heal? em]g5cy4 7g7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #f1jjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbf4 #hjd4 ,report on ! use ( te*nology 9 mat]nity c>e 7a7 ,9 g5]al ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all seek to ent] an agreem5t ) ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e 7ref]r$ to 9 ?is ,act z ! ,national ,academies7 "u :i* ! ,national ,academies %all conduct a /udy on ! use ( te*nology & pati5t monitor+ devices 9 mat]nity c>e4 7b7 ,cont5t ,! agreem5t ent]$ into pursuant to subsection 7a7 %all provide = ! /udy ( ! foll[+3 7#a7 ,! use ( innovative te*nology 7includ+ artificial intellig5ce7 9 mat]nal heal? c>e1 includ+ ! ext5t to :i* su* te*nology has affect$ racial or e?nic biases 9 mat]nal heal? c>e4 7#b7 ,! use ( pati5t monitor+ devices 7includ+ pulse oximet] devices7 9 mat]nal heal? c>e1 includ+ ! ext5t to :i* su* devices h affect$ racial or e?nic biases 9 mat]nal heal? c>e4 7#c7 ,be/ practices = r$uc+ & prev5t+ racial or e?nic biases 9 ! use ( innovative te*nology & pati5t monitor+ devices 9 mat]nity c>e4 7#d7 ,be/ practices 9 ! use ( innovative te*nology & pati5t monitor+ devices = pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps4 7#e7 ,be/ practices ) respect to privacy & security safegu>ds 9 su* use4 7c7 ,report ,! agreem5t "u subsection 7a7 %all direct ! ,national ,academies to complete ! /udy "u ?is section1 & transmit to ,congress a report on ! results ( ! /udy1 n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act4 ,,ix ,impact to save moms #ija4 ,p]9atal ,c>e ,alt]native ,paym5t ,model ,demon/ration ,project 7a7 ,9 g5]al ,= ! p]iod ( fiscal ye>s #bjbb ?r\gh #bjbf1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 act+ ?r\gh ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 %all e/abli% & implem5t1 9 accordance ) ! requirem5ts ( ?is section1 a demon/ration project1 to be kn[n z ! ,p]9atal ,c>e ,alt]native ,paym5t ,model ,demon/ration ,project 7ref]r$ to 9 ?is section z ! ,demon/ration ,project71 = purposes ( all[+ ,/ates to te/ paym5t models "u _! ,/ate plans "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 & ,/ate *ild heal? plans "u title ,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig;aa et seq47 ) respect to mat]nity c>e provid$ to pregnant & po/p>tum individuals enroll$ 9 su* ,/ate plans & ,/ate *ild heal? plans4 7b7 ,coord9ation ,9 e/abli%+ ! ,demon/ration ,project1 ! ,secret>y %all coord9ate ) /akehold]s su* z-- 7#a7 ,/ate ,m$icaid programs2 7#b7 mat]nity c>e provid]s & organizations repres5t+ mat]nity c>e provid]s2 7#c7 relevant organizations repres5t+ pati5ts1 ) a p>ticul> focus on pati5ts f racial & e?nic m9ority gr\ps2 7#d7 relevant community-bas$ organizations1 p>ticul>ly organizations t seek to improve mat]nal heal? outcomes = pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps2 7#e7 p]9atal heal? work]s2 7#f7 relevant heal? insurance issu]s2 7#g7 hospitals1 heal? sy/ems1 midwif]y practices1 free/&+ bir? c5t]s 7z su* t]m is def9$ 9 p>agraph 7#c77;,b7 ( section #aije7l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7l7771 ,f$]ally-qualifi$ heal? c5t]s 7z su* t]m is def9$ 9 p>agraph 7#b77;,b7 ( su* section71 & rural heal? cl9ics 7z su* t]m is def9$ 9 section #ahfa7;aa7 ( su* ,act 7#db ,u4,s4,c4 #aciex7aa7772 7#h7 rese>*]s & policy exp]ts 9 fields relat$ to mat]nity c>e paym5t models2 & 7#i7 any o!r /akehold]s z ! ,secret>y det]m9es appropriate1 ) a p>ticul> focus on /akehold]s f racial & e?nic m9ority gr\ps4 7c7 ,consid]ations ,9 e/abli%+ ! ,demon/ration ,project1 ! ,secret>y %all consid] any alt]native paym5t model t-- 7#a7 is design$ to improve mat]nal heal? outcomes = racial & e?nic gr\ps ) disproportionate rates ( adv]se mat]nal heal? outcomes2 7#b7 includes me?ods = /ratify+ pati5ts by pregnancy risk level &1 z appropriate1 adju/+ paym5ts "u su* model to take into acc\nt pregnancy risk level2 7#c7 e/abli%es evid5ce-bas$ quality metrics = su* paym5ts2 7#d7 includes consid]ation ( non-hospital bir? sett+s su* z free/&+ bir? c5t]s 7z s def9$72 7#e7 includes consid]ation ( social det]m9ants ( mat]nal heal?2 or 7#f7 includes div]se mat]nity c>e teams t include-- 7,a7 mat]nity c>e provid]s1 m5tal & behavioral heal? c>e provid]s act+ 9 accordance ) ,/ate law1 regi/]$ 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 & ,int]national ,bo>d ,c]tifi$ ,lactation ,consultants-- 7i7 f racially1 e?nically1 & pr(essionally div]se backgr\nds2 7ii7 ) exp]i5ce practic+ 9 racially & e?nically div]se communities2 or 7iii7 :o h und]gone tra9+ on implicit bias & racism2 & 7,b7 p]9atal heal? work]s4 7d7 ,eligibility ,to be eligible to p>ticipate 9 ! ,demon/ration ,project1 a ,/ate %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7e7 ,evaluation ,! ,secret>y %all conduct an evaluation ( ! ,demon/ration ,project to det]m9e ! impact ( ! ,demon/ration ,project on-- 7#a7 mat]nal heal? outcomes1 ) data /ratifi$ by race1 e?nicity1 socioeconomic indicators1 & any o!r factors z ! ,secret>y det]m9es appropriate2 7#b7 sp5d+ on mat]nity c>e by ,/ates p>ticipat+ 9 ! ,demon/ration ,project2 7#c7 to ! ext5t practicable1 qualitative & quantitative measures ( pati5t exp]i5ce2 & 7#d7 any o!r areas ( assessm5t t ! ,secret>y det]m9es relevant4 7f7 ,report ,n lat] ?an #a ye> aft] ! completion or t]m9ation date ( ! ,demon/ration ,project1 ! ,secret>y %all submit to ! ,congress1 & make publicly available1 a report conta9+-- 7#a7 ! results ( any evaluation conduct$ "u subsection 7e72 & 7#b7 a recomm5dation reg>d+ :e!r ! ,demon/ration ,project %\ld be cont9u$ aft] fiscal ye> #bjbf & exp&$ on a national basis4 7g7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ su* sums z are necess>y to c>ry out ?is section4 7h7 ,def9itions ,9 ?is section3 7#a7 ,alt]native paym5t model ,! t]m alt]native paym5t model has ! mean+ giv5 su* t]m 9 section #ahcc7z77#c77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7z77#c77;,c774 7#b7 ,p]9atal ,! t]m p]9atal means ! p]iod beg9n+ on ! day an individual becomes pregnant & end+ on ! la/ day ( ! #a-ye> p]iod beg9n+ on ! la/ day ( su* individual's pregnancy4 7#c7 ,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 #ijb4 ,,macpac report ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,m$icaid & ,,*ip ,paym5t & ,access ,commission %all publi% a report on issues relat+ to ! cont9uity ( cov]age "u ,/ate plans "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 & ,/ate *ild heal? plans "u title ,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig;aa et seq47 = pregnant & po/p>tum individuals4 ,su* report %all1 at a m9imum1 include ! foll[+3 7#a7 ,an assessm5t ( any exi/+ policies "u su* ,/ate plans & su* ,/ate *ild heal? plans reg>d+ presumptive eligibility = pregnant individuals :ile _! application = enrollm5t 9 su* a ,/ate plan or su* a ,/ate *ild heal? plan is be+ process$4 7#b7 ,an assessm5t ( any exi/+ policies "u su* ,/ate plans & su* ,/ate *ild heal? plans reg>d+ measures to ensure cont9uity ( cov]age "u su* a ,/ate plan or su* a ,/ate *ild heal? plan = pregnant & po/p>tum individuals1 includ+ su* individuals :o ne$ to *ange _! heal? insurance cov]age dur+ _! pregnancy or ! po/p>tum p]iod foll[+ _! pregnancy4 7#c7 ,an assessm5t ( any exi/+ policies "u su* ,/ate plans & su* ,/ate *ild heal? plans reg>d+ measures to automatically re5roll individuals :o are eligible to enroll "u su* a ,/ate plan or su* a ,/ate *ild heal? plan z a p>5t4 7#d7 ,if det]m9$ appropriate by ! ,commission1 any recomm5dations = ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 or su* ,/ate plans & su* ,/ate *ild heal? plans1 to ensure cont9uity ( cov]age "u su* a ,/ate plan or su* a ,/ate *ild heal? plan = pregnant & po/p>tum individuals4 ,x ,mat]nal heal? p&emic response #ajja4 ,def9itions ,9 ?is title3 7#a7 ,,covid-#ai public heal? em]g5cy ,! t]m ,,covid-#ai public heal? em]g5cy means ! p]iod-- 7,a7 beg9n+ on ! date t ! ,secret>y ( ,heal? & ,human ,s]vices decl>$ a public heal? em]g5cy "u section #cai ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d71 ) respect to ,,covid-#ai2 & 7,b7 end+ on ! lat] ( ! end ( su* public heal? em]g5cy1 or ,janu>y #a1 #bjbc4 7#b7 ,respectful mat]nity c>e ,! t]m respectful mat]nity c>e ref]s to c>e organiz$ =1 & provid$ to1 pregnant & po/p>tum individuals 9 a mann] t-- 7,a7 is culturally congru5t2 7,b7 ma9ta9s _! dignity1 privacy1 & confid5tiality2 7,c7 ensures fre$om f h>m & mi/reatm5t2 & 7,d7 enables in=m$ *oice & cont9u\s support4 7#c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 #ajjb4 ,fund+ = data collection1 surveillance1 & rese>* on mat]nal heal? outcomes dur+ ! ,,covid-#ai public heal? em]g5cy ,to conduct or support data collection1 surveillance1 & rese>* on mat]nal heal? z a result ( ! ,,covid-#ai public heal? em]g5cy1 includ+ support to assi/ 9 ! capacity build+ = ,/ate1 ,tribal1 t]ritorial1 & local public heal? dep>tm5ts to collect & transmit racial1 e?nic1 & o!r demographic data relat$ to mat]nal heal?1 !re are au?oriz$ to be appropriat$-- 7#a7 #ajj1jjj1jjj = ! ,surveillance = ,em]g+ ,?reats to ,mo!rs & ,babies program ( ! ,c5t]s = ,disease ,control & ,prev5tion1 to support ! ,c5t]s = ,disease ,control & ,prev5tion 9 its ef=ts to-- 7,a7 "w ) public heal?1 cl9ical1 & community-bas$ organizations to provide timely1 cont9ually updat$ guidance to families & heal? c>e provid]s on ways to r$uce risk to pregnant & po/p>tum individuals & _! newborns & tailor int]v5tions to improve _! long-t]m heal?2 7,b7 p>tn] ) m ,/ate1 ,tribal1 t]ritorial1 & local public heal? programs 9 ! collection & analysis ( cl9ical data on ! impact ( ,,covid-#ai on pregnant & po/p>tum pati5ts & _! newborns1 p>ticul>ly among pati5ts f racial & e?nic m9ority gr\ps2 & 7,c7 e/abli% regionally bas$ c5t]s ( excell5ce to (f] m$ical1 public heal?1 & o!r k to ensure communities1 especially communities ) l>ge populations ( individuals f racial & e?nic m9ority gr\ps1 c help pregnant & po/p>tum individuals & newborns get ! c>e & support !y ne$2 7#b7 #cj1jjj1jjj = ! ,enhanc+ ,reviews & ,surveillance to ,elim9ate ,mat]nal ,mortality program 7commonly kn[n z ! ,,erase ,,mm program7 ( ! ,c5t]s = ,disease ,control & ,prev5tion1 to support ! ,c5t]s = ,disease ,control & ,prev5tion 9 exp&+ its p>tn]%ips ) ,/ates & ,indian ,tribes & provide te*nical assi/ance to exi/+ ,mat]nal ,mortality ,review ,committees2 7#c7 #de1jjj1jjj = ! ,pregnancy ,risk ,assessm5t ,monitor+ ,sy/em 7commonly kn[n z ! ,,prams7 ( ! ,c5t]s = ,disease ,control & ,prev5tion1 to support ! ,c5t]s = ,disease ,control & ,prev5tion 9 its ef=ts to-- 7,a7 create a ,,covid-#ai supplem5t to its ,,prams que/ionnaire2 7,b7 add que/ions ar\nd exp]i5ces ( respectful mat]nity c>e 9 pr5atal1 intrap>tum1 & po/p>tum c>e2 7,c7 conduct a rapid assessm5t ( ,,covid-#ai aw>5ess1 impact on c>e & exp]i5ces1 & use ( prev5tive measures among pregnant1 labor+ & bir?+1 & po/p>tum individuals dur+ ! ,,covid-#ai public heal? em]g5cy2 & 7,d7 "w to transition ! survey to an electronic plat=m & exp& ! survey to a l>g] population1 ) a special focus on rea*+ und]repres5t$ communities2 & 7#d7 #ae1jjj1jjj = ! ,national ,in/itute ( ,*ild ,heal? & ,human ,developm5t1 to conduct or support rese>* = int]v5tions to mitigate ! effects ( ! ,,covid-#ai public heal? em]g5cy on pregnant & po/p>tum individuals1 ) a p>ticul> focus on individuals f racial & e?nic m9ority gr\ps4 #ajjc4 ,,covid-#ai mat]nal heal? data collection & disclosure 7a7 ,availability ( collect$ data ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 %all make publicly available on ! website ( ! ,c5t]s = ,disease ,control & ,prev5tion data describ$ 9 subsection 7b74 7b7 ,data describ$ ,! data "u subsection 7a7 means data collect$ ?r\gh ,f$]al surveillance sy/ems "u ! ,c5t]s = ,disease ,control & ,prev5tion ) respect to ,,covid-#ai & individuals :o are pregnant or 9 a po/p>tum p]iod4 ,su* data %all include ! foll[+3 7#a7 ,diagno/ic te/+1 includ+ ! numb] ( pregnant & po/p>tum individuals :o are te/$ = ,,covid-#ai & ! numb] ( positive cases4 7#b7 ,suspect$ cases ( ,,covid-#ai 9 pregnant & bir?+ individuals & individuals 9 a po/p>tum p]iod4 7#c7 ,s]ologic te/+1 includ+ ! numb] ( pregnant & po/p>tum individuals te/$ & ! numb] ( su* s]ologic te/s t 7 positive4 7#d7 ,heal? c>e treatm5t = individuals :o 7 infect$ ) ! virus1 includ+ hospitalizations1 em]g5cy room visits1 & int5sive c>e unit admissions4 7#e7 ,heal? outcomes = pregnant individuals & infants confirm$ or suspect$ ( be+ infect$ ) ! virus1 includ+-- 7,a7 ! numb] ( fatalities & case fatalities 7express$ z ! proportion ( individuals :o 7 infect$ ) ! virus to individuals :o di$ f ! virus72 & 7,b7 ! numb] ( /illbir?s1 infant mortality1 pre-t]m bir?s1 infants born ) a l[-bir? weight1 & ces>ean section bir?s4 7c7 ,indian heal? s]vice ,9 c>ry+ out subsection 7a71 ! ,secret>y %all consult ) ,indian ,tribes & conf] ) urban ,indian organizations4 7d7 ,disaggregat$ in=mation ,9 c>ry+ out subsection 7a71 ! ,secret>y %all disaggregate data by race1 e?nicity1 & location4 7e7 ,update ,dur+ ! ,,covid-#ai public heal? em]g5cy1 ! ,secret>y %all update ! data made available "u ?is section-- 7#a7 at lea/ on a mon?ly basis2 & 7#b7 n less ?an "o mon? aft] ! end ( su* public heal? em]g5cy4 7f7 ,privacy ,9 c>ry+ out subsection 7a71 ! ,secret>y %all take /eps to protect ! privacy ( individuals pursuant to regulations promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7#db ,u4,s4,c4 #acbj;d-#b note74 7g7 ,guidance 7#a7 ,9 g5]al ,n lat] ?an #cj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all issue guidance to ,/ates & local public heal? dep>tm5ts to ensure t-- 7,a7 laboratories t te/ specim5s = ,,covid-#ai receive all relevant demographic data on race1 e?nicity1 pregnancy /atus1 & o!r demographic data z det]m9$ by ! ,secret>y2 & 7,b7 data describ$ 9 subsection 7b7 is disaggregat$ by race1 e?nicity1 & location4 7#b7 ,consultation ,9 c>ry+ out p>agraph 7#a71 ! ,secret>y %all consult ) ,indian ,tribes-- 7,a7 to ensure t su* guidance includes ,tribally develop$ be/ practices2 & 7,b7 to r$uce misclassification ( ,am]ican ,indians & ,alaska ,natives4 #ajjd4 ,inclusion ( pregnant individuals & lactat+ individuals 9 vacc9e & !rapeutic developm5t = ,,covid-#ai ,! ,director ( ! ,national ,in/itutes ( ,heal? %all1 :5 safe & appropriate1 support & advance ! inclusion ( pregnant & lactat+ individuals 9 !rapeutic & vacc9e cl9ical trials ) respect to ! treatm5t or prev5tion ( ,,covid-#ai1 includ+ prioritiz+ recomm5dations made by ! ,task ,=ce on ,rese>* ,specific to ,pregnant ,wom5 & ,lactat+ ,wom5 e/abli%$ "u section #bjda ( ! #ba/ ,c5tury ,cures ,act 7#db ,u4,s4,c4 #bhi;a-#b note7 ) respect to includ+ su* individuals 9 su* cl9ical trials4 #ajje4 ,public heal? communication reg>d+ mat]nal c>e dur+ ,,covid-#ai ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion %all conduct a public heal? education campaign to increase access by pregnant individuals1 _! employ]s1 & _! heal? c>e provid]s to accurate1 evid5ce-bas$ in=mation on ,,covid-#ai & pregnancy risks1 ) a p>ticul> focus pregnant individuals 9 und]s]v$ communities4 #ajjf4 ,task =ce on bir?+ exp]i5ce & safe mat]nity c>e dur+ a public heal? em]g5cy 7a7 ,e/abli%m5t ,! ,secret>y1 9 consultation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all conv5e a task =ce 79 ?is subsection ref]r$ to z ! ,task ,=ce7 to develop recomm5dations1 & make su* recomm5dations publicly available 9 multiple languages1 on respectful mat]nity c>e dur+ ! ,,covid-#ai public heal? em]g5cy & o!r public heal? em]g5cies1 ) a p>ticul> focus on outcomes = individuals f racial & e?nic m9ority gr\ps & o!r und]s]v$ communities4 7b7 ,cont5t ,9 develop+ recomm5dations "u p>agraph 7#a71 ! ,task ,=ce %all address ! foll[+3 7#a7 ,measures to facilitate respectful mat]nity c>e4 7#b7 ,/rategies to increase access to specializ$ c>e = individuals ) high-risk pregnancies4 7#c7 ,,covid-#ai diagno/ic te/+ = pregnant individuals & individuals 9 labor4 7#d7 ,! designation ( a companion dur+ bir?+4 7#e7 ,! ability to communicate us+ an electronic mobile device dur+ bir?+4 7#f7 ,) respect to an individual :o has ! virus t causes ,,covid-#ai-- 7,a7 sep>ation f a newborn aft] bir?2 & 7,b7 ensur+ safety :ile brea/fe$+4 7#g7 ,lic5s+1 tra9+1 & reimbursem5t = midwives f racial & e?nic m9ority gr\ps & und]s]v$ communities4 7#h7 ,f9ancial support = p]9atal heal? work]s :o provide noncl9ical support to pregnant individuals & po/p>tum individuals f und]s]v$ communities4 7#i7 ,! id5tification & treatm5t ( pr5atal & po/p>tum m5tal & behavioral heal? conditions t may h develop$ dur+1 or wors5$ because (1 ! ,,covid-#ai public heal? em]g5cy or future public heal? em]g5cies1 includ+ anxiety1 sub/ance use disord]1 & depression4 7#aj7 ,/rategies to address hospital capacity issues 9 communities ) an increase 9 ,,covid-#ai cases1 or cases ( o!r infecti\s diseases4 7#aa7 ,options = mat]nal c>e t r$uce cross-contam9ation & ma9ta9 safety & quality ( c>e1 includ+ auxili>y mat]nity units & free/&+ bir? c5t]s4 7#ab7 ,me?ods to id5tify & address racism1 bias1 & discrim9ation 9 treatm5t1 & to provide support to pregnant & po/p>tum individuals1 includ+-- 7,a7 evaluat+ ! tra9+ ( hospital /aff on implicit bias & racism & respectful mat]nity c>e2 & 7,b7 ! collection ( demographic data4 7#ac7 ,o!r matt]s ! ,task ,=ce det]m9es appropriate4 7c7 ,memb]%ip 7#a7 ,*air ,! ,secret>y %all select ! *air ( ! ,task ,=ce f among ! memb]s ( ! ,task ,=ce4 7#b7 ,composition ,! ,task ,=ce %all be compos$ (-- 7,a7 repres5tatives ( ,f$]al ag5cies1 includ+ ! ag5cies li/$ 9 p>agraph 7#c72 7,b7 #c or m repres5tatives ( ,/ate1 local1 or t]ritorial public heal? dep>tm5ts f diff]5t areas 9 ! ,unit$ ,/ates t h a l>ge hi/orically m>g9aliz$ population2 7,c7 "o or m repres5tatives ( ,tribal public heal? dep>tm5ts2 7,d7 "o or m ob/etrician-gynecologi/s or o!r physicians :o provide ob/etric c>e1 ) consid]ation = physicians :o are f1 or "w 91 communities exp]i5c+ a high rate ( mortality & morbidity f ,,covid-#ai2 7,e7 "o or m nurses :o provide ob/etric c>e1 ) consid]ation = physicians :o are f1 or "w 91 communities exp]i5c+ a high rate ( mortality & morbidity f ,,covid-#ai2 7,f7 "o or m p]9atal heal? work]s2 7,g7 "o or m individuals :o 7 pregnant or gave bir? dur+ ! ,,covid-#ai public heal? em]g5cy2 7,h7 "o or m individuals :o _h ! virus t causes ,,covid-#ai & lat] gave bir?2 7,i7 "o or m individuals :o h receiv$ support f a p]9atal heal?2 & 7,j7 #c or m indep5d5t exp]ts :o are racially & e?nically div]se ) k on racial & e?nic disp>ities 9-- 7i7 public heal?2 7ii7 mat]nal heal?2 or 7iii7 mat]nal mortality & sev]e mat]nal morbidity4 7#c7 ,f$]al ag5cies ,! ag5cies repres5t$ "u p>agraph 7#b77;,a7 %all include ! foll[+3 7,a7 ,! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7,b7 ,! ,c5t]s = ,disease ,control & ,prev5tion4 7,c7 ,! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 7,d7 ,! ,heal? ,res\rces & ,s]vices ,adm9i/ration4 7,e7 ,! ,indian ,heal? ,s]vice4 7,f7 ,! ,national ,in/itutes ( ,heal?4 #ajjg4 ,,gao report on mat]nal heal? & public heal? em]g5cy prep>$ness 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report on mat]nal heal? & public heal? em]g5cy prep>$ness4 ,su* report %all include ! in=mation & recomm5dations describ$ 9 subsection 7b74 7b7 ,cont5t ( report ,! report "u subsection 7b7 %all include ! foll[+3 7#a7 ,a review ( pr5atal1 labor & deliv]y1 & po/p>tum exp]i5ces ( individuals dur+ su* public heal? em]g5cy1 includ+-- 7,a7 b>ri]s to access+ pregnancy1 bir?1 & po/p>tum c>e dur+ a p&emic2 7,b7 public & private insurance cov]age ) respect to mat]nal heal? c>e1 includ+ teleheal? s]vices2 7,c7 to ! ext5t practicable1 mat]nal & infant heal? outcomes by race & e?nicity 7includ+ quality ( c>e1 mortality1 morbidity1 ces>ean section rates1 pret]m bir?1 preval5ce ( pr5atal & po/p>tum m5tal heal? conditions & sub/ance use disord]s72 7,d7 ) respect to su* heal? outcomes1 ! impact ( ,f$]al & ,/ate policy *anges dur+ su* public heal? em]g5cy2 7,e7 contribut+ factors to population-bas$ disp>ities 9 heal? outcomes1 includ+ bias & discrim9ation t[>d individuals f racial & e?nic m9ority gr\ps2 & 7,f7 ! effect ( increas$ unemploym5t1 paid family leave1 *anges 9 heal? c>e cov]age1 & o!r social det]m9ants ( heal? = pregnant & po/p>tum individuals dur+ ! public heal? em]g5cy4 7#b7 ,recomm5dations on improv+ ! public heal? em]g5cy response & prep>$ness ef=ts ( ! ,f$]al ,gov]nm5t ) respect to mat]nal heal?1 ) a focus on outcomes = pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps1 includ+-- 7,a7 improv+ rese>*1 surveillance1 & data collection ) respect to mat]nal heal?2 7,b7 factor+ mat]nal heal? outcomes & disp>ities into decisions reg>d+ di/ribution ( res\rces2 7,c7 improv+ ! di/ribution ( public heal? funds1 data1 & in=mation to ,indian ,tribes & ,tribal organizations ) reg>d to mat]nal heal? dur+ a public heal? em]g5cy2 & 7,d7 improv+ communications dur+ a public heal? em]g5cy )-- 7i7 mat]nity c>e provid]s2 7ii7 mat]nal m5tal & behavioral heal? c>e provid]s2 7iii7 rese>*]s :o specialize 9 mat]nal heal?1 mat]nal mortality1 or sev]e mat]nal morbidity2 7iv7 individuals :o exp]i5c$ pregnancy or *ildbir? dur+ ! ,,covid-#ai public heal? em]g5cy2 7v7 repres5tatives f community-bas$ organizations t address mat]nal heal?2 & 7vi7 p]9atal heal? work]s4 ,,xi ,protect+ moms & babies aga9/ climate *ange #aaja4 ,def9itions ,9 ?is title1 ! foll[+ def9itions apply3 7#a7 ,adv]se mat]nal & infant heal? outcomes ,! t]m adv]se mat]nal & infant heal? outcomes includes ! outcomes ( pret]m bir?1 l[ bir? weight1 /illbir?1 infant or mat]nal mortality1 & sev]e mat]nal morbidity4 7#b7 ,in/itution ( high] education ,! t]m in/itution ( high] education has ! mean+ giv5 su* t]m 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja74 7#c7 ,m9ority-s]v+ in/itution ,! t]m m9ority-s]v+ in/itution means an entity specifi$ 9 any ( p>agraphs 7#a7 ?r\gh 7#g7 ( section #cga7;a7 ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajfgq7a774 7#d7 ,risks associat$ ) climate *ange ,! t]m risks associat$ ) climate *ange includes risks associat$ ) extreme heat1 air pollution1 extreme wea!r ev5ts1 & o!r environm5tal issues associat$ ) climate *ange t c result 9 adv]se mat]nal & infant heal? outcomes4 7#e7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#f7 ,/akehold] organization ,! t]m /akehold] organization means-- 7,a7 a community-bas$ organization ) exp]tise 9 provid+ assi/ance to vuln]able individuals2 7,b7 a nonpr(it organization ) exp]tise 9 mat]nal or infant heal? or environm5tal ju/ice2 & 7,c7 a pati5t advocacy organization repres5t+ vuln]able individuals4 7#g7 ,vuln]able individual ,! t]m vuln]able individual means-- 7,a7 an individual :o is pregnant2 7,b7 an individual :o 0 pregnant dur+ any portion ( ! prec$+ #a-ye> p]iod2 & 7,c7 an individual "u #c ye>s ( age4 #aajb4 ,grant program to protect vuln]able mo!rs & babies f climate *ange risks 7a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all e/abli% a grant program 79 ?is section ref]r$ to z ! ,program7 to protect vuln]able individuals f risks associat$ ) climate *ange4 7b7 ,grant au?ority ,9 c>ry+ out ! ,program1 ! ,secret>y may aw>d1 on a competitive basis1 grants to #aj cov]$ entities4 7c7 ,applications ,to be eligible = a grant "u ! ,program1 a cov]$ entity %all submit to ! ,secret>y an application at su* "t1 9 su* =m1 & conta9+ su* in=mation z ! ,secret>y may require1 :i* %all include1 at a m9imum1 a description ( ! foll[+3 7#a7 ,plans = ! use ( grant funds aw>d$ "u ! ,program & h[ pati5ts & /akehold] organizations 7 involv$ 9 ! developm5t ( su* plans4 7#b7 ,h[ su* grant funds w be t>get$ to geographic areas t h disproportionately high levels ( risks associat$ ) climate *ange = vuln]able individuals4 7#c7 ,h[ su* grant funds w be us$ to address racial & e?nic disp>ities 9-- 7,a7 adv]se mat]nal & infant heal? outcomes2 & 7,b7 exposure to risks associat$ ) climate *ange = vuln]able individuals4 7#d7 ,/rategies to prev5t an initiative assi/$ ) su* grant funds f caus+-- 7,a7 adv]se environm5tal impacts2 7,b7 displacem5t ( resid5ts & bus9esses2 7,c7 r5t & h\s+ price increases2 or 7,d7 disproportionate adv]se impacts on racial & e?nic m9ority gr\ps & o!r und]s]v$ populations4 7d7 ,selection ( grant recipi5ts 7#a7 ,tim+ ,n lat] ?an #bgj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all select ! recipi5ts ( grants "u ! ,program4 7#b7 ,consultation ,9 select+ cov]$ entities = grants "u ! ,program1 ! ,secret>y %all consult )-- 7,a7 repres5tatives ( /akehold] organizations2 7,b7 ! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy2 7,c7 ! ,adm9i/rator ( ! ,national ,oceanic & ,atmosph]ic ,adm9i/ration2 & 7,d7 f ! ,dep>tm5t ( ,heal? & ,human ,s]vices-- 7i7 ! ,deputy ,assi/ant ,secret>y = ,m9ority ,heal?2 7ii7 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7iii7 ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration2 7iv7 ! ,director ( ! ,national ,in/itutes ( ,heal?2 & 7v7 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7#c7 ,priority ,9 select+ a cov]$ entity to be aw>d$ a grant "u ! ,program1 ! ,secret>y %all give priority to cov]$ entities t s]ve a c\nty-- 7,a7 designat$1 or locat$ 9 an area designat$1 z a nonatta9m5t area pursuant to section #ajg ( ! ,clean ,air ,act 7#db ,u4,s4,c4 #gdjg7 = any air pollutant = :i* air quality crit]ia h be5 issu$ "u section #ajh7;a7 ( su* ,act 7#db ,u4,s4,c4 #gdjh7;a772 7,b7 ) a level ( vuln]ability ( mod]ate-to-high or high]1 accord+ to ! ,social ,vuln]ability ,index ( ! ,c5t]s = ,disease ,control & ,prev5tion2 or 7,c7 ) temp]atures t pose a risk to human heal?1 z det]m9$ by ! ,secret>y1 9 consultation ) ! ,adm9i/rator ( ! ,national ,oceanic & ,atmosph]ic ,adm9i/ration & ! ,*air ( ! ,unit$ ,/ates ,global ,*ange ,rese>* ,program1 bas$ on ! be/ available sci5ce4 7#d7 ,limitation ,a cov]$ entity aw>d$ grant funds "u ! ,program may n use su* grant funds to s]ve a c\nty t is s]v$ by any o!r recipi5t ( a grant "u ! ,program4 7e7 ,use ( funds ,a cov]$ entity aw>d$ grant funds "u ! ,program may only use su* grant funds = ! foll[+3 7#a7 ,initiatives to id5tify risks associat$ ) climate *ange = vuln]able individuals & to provide s]vices & support to su* individuals t address su* risks1 includ+-- 7,a7 tra9+ = heal? c>e provid]s1 d\las1 & o!r employees 9 hospitals1 bir? c5t]s1 midwif]y practices1 & o!r heal? c>e practices t provide pr5atal or labor & deliv]y s]vices to vuln]able individuals on ! id5tification (1 & pati5t c\nsel+ relat+ to1 risks associat$ ) climate *ange = vuln]able individuals2 7,b7 hir+1 tra9+1 or provid+ res\rces to community heal? work]s & p]9atal heal? work]s :o c help id5tify risks associat$ ) climate *ange = vuln]able individuals1 provide pati5t c\nsel+ ab\t su* risks1 & c>ry out ! di/ribution ( relevant s]vices & support2 7,c7 enhanc+ ! monitor+ ( risks associat$ ) climate *ange = vuln]able individuals1 includ+ by-- 7i7 collect+ data on su* risks 9 specific c5sus tracts1 neighborhoods1 or o!r geographic areas2 & 7ii7 %>+ su* data ) local heal? c>e provid]s1 d\las1 & o!r employees 9 hospitals1 bir? c5t]s1 midwif]y practices1 & o!r heal? c>e practices t provide pr5atal or labor & deliv]y s]vices to local vuln]able individuals2 & 7,d7 provid+ vuln]able individuals-- 7i7 air condition+ units1 resid5tial wea!rization support1 filtration sy/ems1 h\sehold appliances1 or relat$ items2 7ii7 direct f9ancial assi/ance2 & 7iii7 s]vices & support1 includ+ h\s+ & transportation assi/ance1 to prep>e = or recov] f extreme wea!r ev5ts1 :i* may include floods1 hurricanes1 wildfires1 dr\ghts1 & relat$ ev5ts4 7#b7 ,initiatives to mitigate levels ( & exposure to risks associat$ ) climate *ange = vuln]able individuals1 :i* %all be bas$ on ! be/ available sci5ce & :i* may include initiatives to-- 7,a7 develop1 ma9ta91 or exp& urban or community =e/ry initiatives & tree canopy cov]age initiatives2 7,b7 improve infra/ructure1 includ+ build+s & pav$ surfaces2 7,c7 develop or improve community outrea* networks to provide culturally & l+ui/ically appropriate in=mation & notifications ab\t risks associat$ ) climate *ange = vuln]able individuals2 & 7,d7 provide enhanc$ s]vices to racial & e?nic m9ority gr\ps & o!r und]s]v$ populations4 7f7 ,l5g? ( aw>d ,a grant "u ?is section %all be disburs$ ov] #d fiscal ye>s4 7g7 ,te*nical assi/ance ,! ,secret>y %all provide te*nical assi/ance to a cov]$ entity aw>d$ a grant "u ! ,program to support ! developm5t1 implem5tation1 & evaluation ( activities fund$ ) su* grant4 7h7 ,reports to ,secret>y 7#a7 ,annual report ,= ea* fiscal ye> dur+ :i* a cov]$ entity is disburs$ grant funds "u ! ,program1 su* cov]$ entity %all submit to ! ,secret>y a report t summ>izes ! activities c>ri$ out by su* cov]$ entity ) su* grant funds dur+ su* fiscal ye>1 includ+ a description ( ! foll[+3 7,a7 ,! involvem5t ( /akehold] organizations 9 ! implem5tation ( initiatives assi/$ ) su* grant funds4 7,b7 ,relevant heal? & environm5tal data1 disaggregat$1 to ! ext5t practicable1 by race1 e?nicity1 g5d]1 & pregnancy /atus4 7,c7 ,qualitative fe$back receiv$ f vuln]able individuals ) respect to initiatives assi/$ ) su* grant funds4 7,d7 ,crit]ia us$ 9 select+ ! geographic areas assi/$ ) su* grant funds4 7,e7 ,ef=ts to address racial & e?nic disp>ities 9 adv]se mat]nal & infant heal? outcomes & 9 exposure to risks associat$ ) climate *ange = vuln]able individuals4 7,f7 ,any negative & un9t5d$ impacts ( initiatives assi/$ ) su* grant funds1 includ+-- 7i7 adv]se environm5tal impacts2 7ii7 displacem5t ( resid5ts & bus9esses2 7iii7 r5t & h\s+ price increases2 & 7iv7 disproportionate adv]se impacts on racial & e?nic m9ority gr\ps & o!r und]s]v$ populations4 7,g7 ,h[ ! cov]$ entity w address & prev5t any impacts describ$ 9 subp>agraph 7,f74 7#b7 ,publication ,n lat] ?an #cj days aft] ! date on :i* a report is submitt$ "u p>agraph 7#a71 ! ,secret>y %all publi% su* report on a public website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7i7 ,report to ,congress ,n lat] ?an ! date t is #e ye>s aft] ! date on :i* ! ,program is e/abli%$1 ! ,secret>y %all submit to ,congress & publi% on a public website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices a report on ! results ( ! ,program1 includ+ ! foll[+3 7#a7 ,summ>ies ( ! annual reports submitt$ "u subsection 7h74 7#b7 ,evaluations ( ! initiatives assi/$ ) grant funds "u ! ,program4 7#c7 ,an assessm5t ( ! effectiv5ess ( ! ,program 9-- 7,a7 id5tify+ risks associat$ ) climate *ange = vuln]able individuals2 7,b7 provid+ s]vices & support to su* individuals2 7,c7 mitigat+ levels ( & exposure to su* risks2 & 7,d7 address+ racial & e?nic disp>ities 9 adv]se mat]nal & infant heal? outcomes & 9 exposure to su* risks4 7#d7 ,a description ( h[ ! ,program c\ld be exp&$1 includ+-- 7,a7 monitor+ ef=ts or data collection t w\ld be requir$ to id5tify areas ) high levels ( risks associat$ ) climate *ange = vuln]able individuals2 7,b7 h[ su* areas c\ld be id5tifi$ us+ ! /rategy develop$ "u section #e2 & 7,c7 recomm5dations = additional fund+4 7j7 ,def9ition ( ,cov]$ entity ,9 ?is section1 ! t]m cov]$ entity means a consortium ( organizations s]v+ a c\nty t-- 7#a7 %all include a community-bas$ organization2 & 7#b7 may include-- 7,a7 ano!r /akehold] organization2 7,b7 ! gov]nm5t ( su* c\nty2 7,c7 ! gov]nm5ts ( "o or m municipalities )9 su* c\nty2 7,d7 a ,/ate or local public heal? dep>tm5t or em]g5cy managem5t ag5cy2 7,e7 a local heal? c>e practice1 :i* may include a lic5s$ & accr$it$ hospital1 bir? c5t]1 midwif]y practice1 or o!r heal? c>e practice t provides pr5atal or labor & deliv]y s]vices to vuln]able individuals2 7,f7 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 7,g7 an ,urban ,indian organization 7z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc772 & 7,h7 an in/itution ( high] education4 7k7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #ajj1jjj1jjj = ! p]iod ( fiscal ye>s #bjbb ?r\gh #bjbe4 #aajc4 ,grant program = education & tra9+ at heal? pr(ession s*ools 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all e/abli% a grant program 79 ?is section ref]r$ to z ! ,program7 to provide funds to heal? pr(ession s*ools to support ! developm5t & integration ( education & tra9+ programs = id5tify+ & address+ risks associat$ ) climate *ange = vuln]able individuals4 7b7 ,grant au?ority ,9 c>ry+ out ! ,program1 ! ,secret>y may aw>d1 on a competitive basis1 grants to heal? pr(ession s*ools4 7c7 ,application ,to be eligible = a grant "u ! ,program1 a heal? pr(ession s*ool %all submit to ! ,secret>y an application at su* "t1 9 su* =m1 & conta9+ su* in=mation z ! ,secret>y may require1 includ+ a description ( ! foll[+3 7#a7 ,h[ su* heal? pr(ession s*ool w engage ) vuln]able individuals1 & /akehold] organizations repres5t+ su* individuals1 9 develop+ & implem5t+ ! education & tra9+ programs support$ by grant funds aw>d$ "u ! ,program4 7#b7 ,h[ su* heal? pr(ession s*ool w ensure t su* education & tra9+ programs w address racial & e?nic disp>ities 9 exposure to1 & ! effects (1 risks associat$ ) climate *ange = vuln]able individuals4 7d7 ,use ( funds ,a heal? pr(ession s*ool aw>d$ a grant "u ! ,program %all use ! grant funds to develop1 & integrate into ! curriculum & cont9u+ education ( su* heal? pr(ession s*ool1 education & tra9+ on ea* ( ! foll[+3 7#a7 ,id5tify+ risks associat$ ) climate *ange = vuln]able individuals & individuals ) ! int5t to become pregnant4 7#b7 ,h[ risks associat$ ) climate *ange affect vuln]able individuals & individuals ) ! int5t to become pregnant4 7#c7 ,racial & e?nic disp>ities 9 exposure to1 & ! effects (1 risks associat$ ) climate *ange = vuln]able individuals & individuals ) ! int5t to become pregnant4 7#d7 ,pati5t c\nsel+ & mitigation /rategies relat+ to risks associat$ ) climate *ange = vuln]able individuals4 7#e7 ,relevant s]vices & support = vuln]able individuals relat+ to risks associat$ ) climate *ange & /rategies = ensur+ vuln]able individuals h access to su* s]vices & support4 7#f7 ,implicit & explicit bias1 racism1 & discrim9ation4 7#g7 ,relat$ topics id5tifi$ by su* heal? pr(ession s*ool bas$ on ! engagem5t ( su* heal? pr(ession s*ool ) vuln]able individuals & /akehold] organizations repres5t+ su* individuals4 7e7 ,p>tn]%ips ,9 c>ry+ out activities ) grant funds1 a heal? pr(ession s*ool aw>d$ a grant "u ! ,program may p>tn] )-- 7#a7 a ,/ate or local public heal? dep>tm5t2 7#b7 a heal? c>e pr(essional memb]%ip organization2 7#c7 a /akehold] organization2 7#d7 a heal? pr(ession s*ool2 or 7#e7 an in/itution ( high] education4 7f7 ,reports to ,secret>y 7#a7 ,annual report ,= ea* fiscal ye> dur+ :i* a heal? pr(ession s*ool is disburs$ grant funds "u ! ,program1 su* heal? pr(ession s*ool %all submit to ! ,secret>y a report t describes ! activities c>ri$ out ) su* grant funds dur+ su* fiscal ye>4 7#b7 ,f9al report ,n lat] ?an ! date t is #a ye> aft] ! end ( ! la/ fiscal ye> dur+ :i* a heal? pr(ession s*ool is disburs$ grant funds "u ! ,program1 ! heal? pr(ession s*ool %all submit to ! ,secret>y a f9al report t summ>izes ! activities c>ri$ out ) su* grant funds4 7g7 ,report to ,congress ,n lat] ?an ! date t is #f ye>s aft] ! date on :i* ! ,program is e/abli%$1 ! ,secret>y %all submit to ,congress & publi% on a public website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices a report t includes-- 7#a7 a summ>y ( ! reports submitt$ "u subsection 7f72 & 7#b7 recomm5dations to improve education & tra9+ programs at heal? pr(ession s*ools ) respect to id5tify+ & address+ risks associat$ ) climate *ange = vuln]able individuals4 7h7 ,def9ition ( heal? pr(ession s*ool ,9 ?is section1 ! t]m heal? pr(ession s*ool means an accr$it$-- 7#a7 m$ical s*ool2 7#b7 s*ool ( nurs+2 7#c7 midwif]y program2 7#d7 physician assi/ant education program2 7#e7 tea*+ hospital2 7#f7 resid5cy or fell[%ip program2 or 7#g7 o!r s*ool or program det]m9$ appropriate by ! ,secret>y4 7i7 ,au?orization ( ,appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = ! p]iod ( fiscal ye>s #bjbb ?r\gh #bjbe4 #aajd4 ,,nih ,consortium on ,bir? & ,climate ,*ange ,rese>* 7a7 ,e/abli%m5t ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,director ( ! ,national ,in/itutes ( ,heal? %all e/abli% ! ,consortium on ,bir? & ,climate ,*ange ,rese>* 79 ?is section ref]r$ to z ! ,consortium74 7b7 ,duties 7#a7 ,9 g5]al ,! ,consortium %all coord9ate1 across ! in/itutes1 c5t]s1 & (fices ( ! ,national ,in/itutes ( ,heal?1 rese>* on ! risks associat$ ) climate *ange = vuln]able individuals4 7#b7 ,requir$ activities ,9 c>ry+ out p>agraph 7#a71 ! ,consortium %all-- 7,a7 e/abli% rese>* priorities1 includ+ by prioritiz+ rese>* t-- 7i7 id5tifies ! risks associat$ ) climate *ange = vuln]able individuals ) a p>ticul> focus on disp>ities 9 su* risks among racial & e?nic m9ority gr\ps & o!r und]s]v$ populations2 & 7ii7 id5tifies /rategies to r$uce levels (1 & exposure to1 su* risks1 ) a p>ticul> focus on risks among racial & e?nic m9ority gr\ps & o!r und]s]v$ populations2 7,b7 id5tify gaps 9 available data relat$ to su* risks2 7,c7 id5tify gaps 91 & opportunities =1 rese>* collaborations2 7,d7 id5tify fund+ opportunities = community-bas$ organizations & rese>*]s f racially1 e?nically1 & geographically div]se backgr\nds2 & 7,e7 publi% annual reports on ! "w & f9d+s ( ! ,consortium on a public website ( ! ,national ,in/itutes ( ,heal?4 7c7 ,memb]%ip ,! ,director ( ! ,national ,in/itutes ( ,heal? %all appo9t to ! ,consortium repres5tatives ( su* in/itutes1 c5t]s1 & (fices ( ! ,national ,in/itutes ( ,heal? z ! ,director consid]s appropriate1 includ+ repres5tatives (-- 7#a7 ! ,national ,in/itute ( ,environm5tal ,heal? ,sci5ces2 7#b7 ! ,national ,in/itute on ,m9ority ,heal? & ,heal? ,disp>ities2 7#c7 ! ,eunice ,k5n$y ,%riv] ,national ,in/itute ( ,*ild ,heal? & ,human ,developm5t2 7#d7 ! ,national ,in/itute ( ,nurs+ ,rese>*2 & 7#e7 ! ,(fice ( ,rese>* on ,wom5's ,heal?4 7d7 ,*airp]son ,! ,*airp]son ( ! ,consortium %all be designat$ by ! ,director & select$ f among ! repres5tatives appo9t$ "u subsection 7c74 7e7 ,consultation ,9 c>ry+ out ! duties describ$ 9 subsection 7b71 ! ,consortium %all consult )-- 7#a7 ! heads ( relevant ,f$]al ag5cies1 includ+-- 7,a7 ! ,environm5tal ,protection ,ag5cy2 7,b7 ! ,national ,oceanic & ,atmosph]ic ,adm9i/ration2 7,c7 ! ,occupational ,safety & ,heal? ,adm9i/ration2 & 7,d7 f ! ,dep>tm5t ( ,heal? & ,human ,s]vices-- 7i7 ! ,(fice ( ,m9ority ,heal? 9 ! ,(fice ( ! ,secret>y2 7ii7 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7iii7 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration2 7iv7 ! ,c5t]s = ,disease ,control & ,prev5tion2 7v7 ! ,indian ,heal? ,s]vice2 & 7vi7 ! ,adm9i/ration = ,*ildr5 & ,families2 & 7#b7 repres5tatives (-- 7,a7 /akehold] organizations2 7,b7 heal? c>e provid]s & pr(essional memb]%ip organizations ) exp]tise 9 mat]nal heal? or environm5tal ju/ice2 7,c7 ,/ate & local public heal? dep>tm5ts2 7,d7 lic5s$ & accr$it$ hospitals1 bir? c5t]s1 midwif]y practices1 or o!r heal? c>e practices t provide pr5atal or labor & deliv]y s]vices to vuln]able individuals2 & 7,e7 in/itutions ( high] education1 includ+ su* in/itutions t are m9ority-s]v+ in/itutions or h exp]tise 9 mat]nal heal? or environm5tal ju/ice4 #aaje4 ,/rategy = id5tify+ climate *ange risk zones = vuln]able mo!rs & babies 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all develop a /rategy 79 ?is section ref]r$ to z ! ,/rategy7 = designat+ areas t ! ,secret>y det]m9es to h a high risk ( adv]se mat]nal & infant heal? outcomes among vuln]able individuals z a result ( risks associat$ ) climate *ange4 7b7 ,/rategy requirem5ts 7#a7 ,9 g5]al ,9 develop+ ! ,/rategy1 ! ,secret>y %all e/abli% a process to id5tify areas :]e vuln]able individuals are expos$ to a high risk ( adv]se mat]nal & infant heal? outcomes z a result ( risks associat$ ) climate *ange 9 conjunction ) o!r factors t c impact su* heal? outcomes1 includ+-- 7,a7 ! incid5ce ( diseases associat$ ) air pollution1 extreme heat1 & o!r environm5tal factors2 7,b7 ! availability & accessibility ( mat]nal & infant heal? c>e provid]s2 7,c7 ,engli%-language pr(ici5cy among wom5 ( reproductive age2 7,d7 ! heal? insurance /atus ( wom5 ( reproductive age2 7,e7 ! numb] ( wom5 ( reproductive age :o are memb]s ( racial or e?nic gr\ps ) disproportionately high rates ( adv]se mat]nal & infant heal? outcomes2 7,f7 ! socioeconomic /atus ( wom5 ( reproductive age1 includ+ ) respect to-- 7i7 pov]ty2 7ii7 unemploym5t2 7iii7 h\sehold income2 & 7iv7 educational atta9m5t2 & 7,g7 access to quality h\s+1 transportation1 & nutrition4 7#b7 ,res\rces ,9 develop+ ! ,/rategy1 ! ,secret>y %all id5tify1 & incorporate a description (1 ! foll[+3 7,a7 ,exi/+ mapp+ tools or ,f$]al programs t id5tify-- 7i7 risks associat$ ) climate *ange = vuln]able individuals2 & 7ii7 o!r factors t c influ5ce mat]nal & infant heal? outcomes1 includ+ ! factors describ$ 9 p>agraph 7#a74 7,b7 ,environm5tal1 heal?1 socioeconomic1 & demographic data relevant to id5tify+ risks associat$ ) climate *ange = vuln]able individuals4 7,c7 ,exi/+ monitor+ networks t collect data describ$ 9 subp>agraph 7,b71 & any gaps 9 su* networks4 7,d7 ,f$]al1 ,/ate1 & local /akehold]s involv$ 9 ma9ta9+ monitor+ networks id5tifi$ "u subp>agraph 7,c71 & h[ su* /akehold]s are coord9at+ _! monitor+ ef=ts4 7,e7 ,additional monitor+ networks1 & enhancem5ts to exi/+ monitor+ networks1 t w\ld be requir$ to address gaps id5tifi$ "u subp>agraph 7,c71 includ+ at ! subc\nty & c5sus tract level4 7,f7 ,fund+ am\nts requir$ to e/abli% ! monitor+ networks id5tifi$ "u subp>agraph 7,e7 & recomm5dations = ,f$]al1 ,/ate1 & local coord9ation ) respect to su* networks4 7,g7 ,pot5tial uses = data collect$ & g5]at$ z a result ( ! ,/rategy1 includ+ h[ su* data may be us$ 9 det]m9+ recipi5ts ( grants "u ! program e/abli%$ by section #b or o!r simil> programs4 7,h7 ,o!r in=mation ! ,secret>y consid]s relevant = ! developm5t ( ! ,/rategy4 7c7 ,coord9ation & consultation ,9 develop+ ! ,/rategy1 ! ,secret>y %all-- 7#a7 coord9ate ) ! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy & ! ,adm9i/rator ( ! ,national ,oceanic & ,atmosph]ic ,adm9i/ration2 & 7#b7 consult )-- 7,a7 /akehold] organizations2 7,b7 heal? c>e provid]s & pr(essional memb]%ip organizations ) exp]tise 9 mat]nal heal? or environm5tal ju/ice2 7,c7 ,/ate & local public heal? dep>tm5ts2 7,d7 lic5s$ & accr$it$ hospitals1 bir? c5t]s1 midwif]y practices1 or o!r heal? c>e provid]s t provide pr5atal or labor & deliv]y s]vices to vuln]able individuals2 & 7,e7 in/itutions ( high] education1 includ+ su* in/itutions t are m9ority-s]v+ in/itutions or h exp]tise 9 mat]nal heal? or environm5tal ju/ice4 7d7 ,notice & comm5t ,at lea/ #bdj days be=e ! date on :i* ! ,/rategy is publi%$ 9 accordance ) subsection 7e71 ! ,secret>y %all provide-- 7#a7 notice ( ! ,/rategy on a public website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 & 7#b7 an opportunity = public comm5t ( at lea/ #ij days4 7e7 ,publication ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all publi% on a public website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices-- 7#a7 ! ,/rategy2 7#b7 ! public comm5ts receiv$ "u subsection 7d72 & 7#c7 ! responses ( ! ,secret>y to su* public comm5ts4 ,,xii ,mat]nal vacc9ations #abja4 ,mat]nal vacc9ation aw>5ess & equity campaign 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y71 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all c>ry out a national campaign to-- 7#a7 increase aw>5ess ( ! importance ( mat]nal vacc9ations = ! heal? ( pregnant & po/p>tum individuals & _! *ildr52 & 7#b7 increase mat]nal vacc9ation rates1 ) a focus on communities ) hi/orically high rates ( unvacc9at$ individuals4 7b7 ,consultation ,9 c>ry+ out ! campaign "u ?is section1 ! ,secret>y %all consult ) relevant community-bas$ organizations1 heal? c>e pr(essional associations & public heal? associations1 ,/ate public heal? dep>tm5ts & local public heal? dep>tm5ts1 ,tribal-s]v+ organizations1 nonpr(it organizations1 & nationally recogniz$ private entities4 7c7 ,activities ,! campaign "u ?is section %all-- 7#a7 focus on increas+ mat]nal vacc9ation rates 9 communities ) hi/orically high rates ( unvacc9at$ individuals1 includ+ = pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps2 7#b7 include ef=ts to engage ) pregnant & po/p>tum individuals 9 communities ) hi/orically high rates ( unvacc9at$ individuals to seek input on ! developm5t & effectiv5ess ( ! campaign2 7#c7 provide evid5ce-bas$1 culturally congru5t res\rces & communications ef=ts2 & 7#d7 be c>ri$ out 9 p>tn]%ip ) tru/$ individuals & entities 9 communities ) hi/orically high rates ( unvacc9at$ individuals1 includ+ community-bas$ organizations1 community heal? c5t]s1 p]9atal heal? work]s1 & mat]nity c>e provid]s4 7d7 ,collaboration ,! ,secret>y %all ensure t ! in=mation & res\rces develop$ = ! campaign "u ?is section are made publicly available & %>$ ) relevant ,f$]al1 ,/ate1 & local entities4 7e7 ,evaluation ,n lat] ?an ! end ( fiscal ye> #bjbe1 ! ,secret>y %all-- 7#a7 e/abli% quantitative & qualitative metrics to evaluate ! campaign "u ?is section2 & 7#b7 submit a report detail+ ! impact ( ! campaign "u ?is section to ,congress4 7f7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #b1jjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbf4