,,ii  #aag? ,,congress  #b;d ,session   
,s4 #chbd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #ad1 #bjbb,mrs4   
,gillibr& 7= h]self1 ,mrs4 ,capito1 ,ms4
 ,baldw91 & ,ms4 ,murk[ski7 introduc$ ! 
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act to        
reau?orize a grant program = scre5+1    
assessm5t1 & treatm5t s]vices = mat]nal 
m5tal heal? & sub/ance use disord]s1 & =
 o!r purposes4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,into ! ,light =   
,mat]nal ,m5tal ,heal? & ,sub/ance ,use 
,disord]s ,act ( #bjbb or ! ,into !     
,light = ,,mmh & ,,sud ,act ( #bjbb4    
#b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7
 ,mat]nal m5tal heal? conditions are !  
mo/ common complications ( pregnancy &  
*ildbir?1 affect+ #a 9 #e wom5 or       
#hjj1jjj wom5 annually1 dur+ pregnancy  
or ! ye> foll[+ pregnancy4  7#b7        
,mat]nal m5tal heal? & sub/ance use     
disord]s contribute to ! high rate (    

mat]nal mortality 9 ! ,unit$ ,/ates1 )  
suicide & drug ov]dose comb9$ be+ !     
lead+ cause ( dea? = wom5 9 ! fir/ ye>  
foll[+ pregnancy4  7#c7 ,wom5 :o        
exp]i5ce racial & economic inequities   
are #c to #d times m likely to be       
impact$ by mat]nal m5tal heal? & o!r    
behavioral heal? disord]s4  7#d7        
,untreat$ mat]nal m5tal heal? conditions
 & sub/ance use disord]s c h long-t]m   
negative impacts on ! "m1 baby1 family1 
& society4  7#e7 ,mo!rs ) untreat$ m5tal
 heal? conditions dur+ pregnancy are m  
likely to h poor nutrition & /ruggle )  
sub/ance use disord]s1 :i* c lead to    
poor bir? outcomes = ! baby4  7#f7      
,untreat$ mat]nal m5tal heal? conditions
 & sub/ance use disord]s c contribute   
to-- 7,a7 impair$ p>5t-*ild int]actions2
  7,b7 behavioral1 cognitive1 or        
emotional delays 9 ! *ild2 &  7,c7      
adv]se *ildhood exp]i5ces t c negatively
 impact ! *ild's life4  7#g7 ,untreat$  
mat]nal m5tal heal? conditions are      
e/imat$ to co/ ! ,unit$ ,/ates economy  

#ad1jjj1jjj1jjj or #cb1jjj p] "m-infant 
pair e ye> 9 address+ poor heal?        
outcomes & acc\nt+ = lo/ wages &        
productivity ( ! "m4  7#h7 ,al?\gh !    
,unit$ ,/ates ,prev5tive ,s]vices ,task 
,=ce & sev]al national m$ical           
organizations enc\rage heal? c>e        
provid]s to scre5 & treat mat]nal m5tal 
heal? conditions1 #ge p]c5t ( wom5      
impact$ rema9 untreat$4  7#i7 ,frontl9e 
provid]s :o c>e = wom5 dur+ pregnancy & 
! fir/ ye> foll[+ pregnancy are (t5     
reluctant to scre5 = mat]nal m5tal heal?
 conditions1 cit+ lack ( education1     
insurance reimbursem5t1 & res\rces =    
affect$ wom54  #c4 ,scre5+ & treatm5t = 
a mat]nal m5tal heal? & sub/ance use    
disord]s  7a7 ,9 g5]al ,section         
#cag,l-#a ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7 is    
am5d$-- 7#a7 9 ! section head+1 by /rik+
 mat]nal depression & ins]t+ mat]nal    
m5tal heal? & sub/ance use disord]s2 &  
7#b7 9 subsection 7a7-- 7,a7 by ins]t+ 1
 ,indian ,tribes & ,tribal organizations

 7z su* t]ms are def9$ 9 section #d ( ! 
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act71 & urban ,indian       
organizations 7z su* t]m is def9$ 9     
section #d ( ! ,indian ,heal? ,c>e      
,improvem5t ,act7 aft] ,/ates2 &  7,b7  
by /rik+ = wom5 :o are pregnant1 or :o h
 giv5 bir? )9 ! prec$+ #ab mon?s1 =     
mat]nal depression & ins]t+ = wom5 :o   
are po/p>tum1 pregnant1 or h giv5 bir?  
)9 ! prec$+ #ab mon?s1 = mat]nal m5tal  
heal? & sub/ance use disord]s4  7b7     
,application ,subsection 7b7 ( section  
#cag,l-#a ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7 is    
am5d$-- 7#a7 by /rik+ a ,/ate %all      
submit & ins]t+ an entity li/$ 9        
subsection 7a7 %all submit2 &  7#b7 9   
p>agraphs 7#a7 & 7#b71 by /rik+ mat]nal 
depression ea* place x appe>s & ins]t+  
mat]nal m5tal heal? & sub/ance use      
disord]s4  7c7 ,priority ,subsection 7c7
 ( section #cag,l-#a ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4             
#bdg;b-#ac;a7 is am5d$-- 7#a7 by /rik+  

may give priority to ,/ates propos+ to  
improve or enhance access to scre5+ &   
ins]t+ ! foll[+3 %all give priority to  
entities li/$ 9 subsection 7a7 t-- 7#a7 
are propos+ to create1 improve1 or      
enhance scre5+1 prev5tion1 & treatm5t  2
  7#b7 by /rik+ mat]nal depression &    
ins]t+ mat]nal m5tal heal? & sub/ance   
use disord]s2  7#c7 by /rik+ ! p]iod at 
! end ( p>agraph 7#a71 z s designat$1 & 
ins]t+ a semicolon2 &  7#d7 by ins]t+   
aft] su* p>agraph 7#a7 ! foll[+3  7#b7  
are curr5tly p>tn]$ )1 or w p>tn] )1 a  
community-bas$ organization to address  
mat]nal m5tal heal? & sub/ance use      
disord]s2  7#c7 are locat$ 9 an area )  
high rates ( adv]se mat]nal heal?       
outcomes or significant heal?1 economic1
 racial1 or e?nic disp>ities 9 mat]nal  
heal? & sub/ance use disord] outcomes2 &
  7#d7 op]ate 9 a heal? pr(essional     
%ortage area designat$ "u section #ccb4 
4  7d7 ,use ( funds ,subsection 7d7 (   
section #cag,l-#a ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4             

#bdg;b-#ac;a7 is am5d$-- 7#a7 9 p>agraph
 7#a7-- 7,a7 9 subp>agraph 7,a71 by     
/rik+ to heal? c>e provid]s2 & & ins]t+ 
on mat]nal m5tal heal? & sub/ance use   
disord] scre5+1 brief int]v5tion1       
treatm5t 7z applicable = heal? c>e      
provid]s71 & ref]rals = treatm5t to     
heal? c>e provid]s 9 ! prim>y c>e sett+ 
& noncl9ical p]9atal support work]s22   
7,b7 9 subp>agraph 7,b71 by /rik+ to    
heal? c>e provid]s1 includ+ in=mation on
 mat]nal depression scre5+1 treatm5t1 & 
foll[up support s]vices1 & l9kages to   
community-bas$ res\rces2 & & ins]t+ on  
mat]nal m5tal heal? & sub/ance use      
disord] scre5+1 brief int]v5tion1       
treatm5t 7z applicable = heal? c>e      
provid]s7 & ref]rals = treatm5t1 foll[up
 support s]vices1 & l9kages to          
community-bas$ res\rces to heal? c>e    
provid]s 9 ! prim>y c>e sett+ & cl9ical 
p]9atal support work]s2 &2 &  7,c7 by   
add+ at ! end ! foll[+3  7,c7 enabl+    
heal? c>e provid]s 7su* z               
ob/etrician-gynecologi/s1 nurse         

practition]s1 nurse midwives1           
p$iatricians1 psy*iatri/s1 m5tal & o!r  
behavioral heal? c>e provid]s1 & adult  
prim>y c>e cl9icians7 to provide or     
receive real-"t psy*iatric consultation 
79-p]son or remotely71 includ+ ?r\gh !  
use ( te*nology-enabl$ collaborative    
le>n+ & capacity build+ models 7z def9$ 
9 section #ccj,n71 to aid 9 ! treatm5t (
 pregnant & po/p>tum wom52 &  2 &  7#b7 
9 p>agraph 7#b7-- 7,a7 by /rik+         
subp>agraph 7,a7 & r$esignat+           
subp>agraphs 7,b7 & 7,c7 z subp>agraphs 
7,a7 & 7,b71 respectively2  7,b7 9      
subp>agraph 7,a71 z r$esignat$1 by /rik+
 & at ! end2  7,c7 9 subp>agraph 7,b71 z
 r$esignat$-- 7i7 by ins]t+ 1 includ+   
be=e = rural areas2 &  7ii7 by /rik+ !  
p]iod at ! end & ins]t+ a semicolon2 &  
7,d7 by ins]t+ aft] subp>agraph 7,b71 z 
r$esignat$1 ! foll[+3  7,c7 provid+     
assi/ance to pregnant & po/p>tum wom5 to
 receive mat]nal m5tal heal? & sub/ance 
use disord] treatm5t1 includ+ pati5t    
consultation1 c>e coord9ation1 &        

navigation = su* treatm5t2  7,d7        
coord9at+ ) mat]nal & *ild heal?        
programs ( ! ,f$]al ,gov]nm5t & ,/ate1  
local1 & ,tribal gov]nm5ts1 includ+ *ild
 psy*iatric access programs2  7,e7      
conduct+ public outrea* & aw>5ess reg>d+
 grants "u subsection 7a72  7,f7 creat+ 
multi-,/ate consortia to c>ry out !     
activities requir$ or au?oriz$ "u ?is   
subsection2 &  7,g7 tra9+ heal? c>e     
provid]s 9 ! prim>y c>e sett+ &         
noncl9ical p]9atal support work]s on    
trauma-in=m$ c>e1 culturally- &         
l+ui/ically-appropriate s]vices1 & be/  
practices relat$ to tra9+ to improve !  
provision ( mat]nal m5tal heal? &       
sub/ance use disord] c>e = racial &     
e?nic m9ority populations1 includ+ )    
respect to p]ceptions & biases t may    
affect ! approa* to1 & provision (1 c>e4
  4  7e7 ,additional provisions ,section
 #cag,l-#a ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7 is    
am5d$-- 7#a7 by r$esignat+ subsection   
7e7 z subsection 7g72 &  7#b7 by ins]t+ 

aft] subsection 7d7 ! foll[+3  7e7      
,te*nical assi/ance ,! ,secret>y %all   
provide te*nical assi/ance to grantees &
 entities li/$ 9 subsection 7a7 = c>ry+ 
out activities pursuant to ?is section4 
7f7 ,dissem9ation ( be/ practices ,!    
,secret>y1 bas$ on evaluation ( !       
activities fund$ pursuant to ?is        
section1 %all id5tify & dissem9ate      
evid5ce-bas$ or evid5ce-in=m$ be/       
practices = scre5+1 assessm5t1 &        
treatm5t s]vices = mat]nal m5tal heal? &
 sub/ance use disord]s1 includ+         
culturally- & l+ui/ically-appropriate   
s]vices1 = wom5 dur+ pregnancy & #ab    
mon?s foll[+ pregnancy4  4  7f7         
,au?orization ( appropriations          
,subsection 7g7 ( section #cag,l-#a 7#db
 ,u4,s4,c4 #bdg;b-#ac;a7 ( ! ,public    
,heal? ,s]vice ,act1 z r$esignat$1 is   
fur!r am5d$-- 7#a7 by /rik+ #e1jjj1jjj &
 ins]t+ #bd1jjj1jjj2 &  7#b7 by /rik+   
#bjah ?r\gh #bjbb & ins]t+ #bjbc ?r\gh  
#bjbh4  #d4 ,mat]nal m5tal heal? hotl9e 
,"p ,p ( title ,,iii ( ! ,public ,heal? 

,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et   
seq47 is am5d$ by add+ at ! end !       
foll[+3  #cii,v-#g4 ,mat]nal m5tal heal?
 hotl9e  7a7 ,9 g5]al ,! ,secret>y %all 
ma9ta91 directly or by grant or         
contract1 a national hotl9e to provide  
emotional support1 in=mation1 brief     
int]v5tion1 & m5tal heal? & sub/ance use
 disord] res\rces to pregnant & po/p>tum
 wom5 at risk (1 or affect$ by1 mat]nal 
m5tal heal? & sub/ance use disord]s1 &  
to _! families or h\sehold memb]s4  7b7 
,requirem5ts = hotl9e ,! hotl9e "u      
subsection 7a7 %all-- 7#a7 be a #bd_/g  
real-"t hotl9e2  7#b7 provide voice &   
text support2  7#c7 be /aff$ by c]tifi$ 
pe] speciali/s1 lic5s$ heal? c>e        
pr(essionals1 or lic5s$ m5tal heal?     
pr(essionals :o are tra9$ on-- 7,a7     
mat]nal m5tal heal? & sub/ance use      
disord] prev5tion1 id5tification1 &     
int]v5tion2 &  7,b7 provid+ culturally- 
& l+ui/ically-appropriate support2 &    
7#d7 provide mat]nal m5tal heal? &      
sub/ance use disord] assi/ance & ref]ral

 s]vices to meet ! ne$s ( und]s]v$      
populations1 individuals ) disabilities1
 & family & h\sehold memb]s ( pregnant  
or po/p>tum wom5 at risk ( exp]i5c+     
mat]nal m5tal heal? & sub/ance use      
disord]s4  7c7 ,additional requirem5ts  
,9 ma9ta9+ ! hotl9e "u subsection 7a71 !
 ,secret>y %all-- 7#a7 consult ) !      
,dome/ic ,viol5ce ,hotl9e1 ,national    
,suicide ,prev5tion ,lifel9e1 & ,vet]ans
 ,crisis ,l9e to ensure t pregnant &    
po/p>tum wom5 are connect$ 9 real-"t to 
! appropriate specializ$ hotl9e s]vice1 
:5 applicable2  7#b7 conduct a public   
aw>5ess campaign = ! hotl9e2 &  7#c7    
consult ) ,f$]al dep>tm5ts & ag5cies1   
includ+ ! ,c5t]s ( ,excell5ce ( !       
,sub/ance ,abuse & ,m5tal ,heal?        
,s]vices ,adm9i/ration & ! ,dep>tm5t (  
,vet]ans ,affairs1 to increase aw>5ess  
reg>d+ ! hotl9e4  7d7 ,annual report ,! 
,secret>y %all submit an annual report  
to ,congress on ! hotl9e "u subsection  
7a7 & implem5tation ( ?is section1      
includ+-- 7#a7 an evaluation ( !        

effectiv5ess ( activities conduct$ or   
support$ "u subsection 7a72  7#b7 a     
directory ( entities or organizations to
 :i* /aff ma9ta9+ ! hotl9e fund$ "u ?is 
section may make ref]rals2 &  7#c7 su*  
additional in=mation z ! ,secret>y      
det]m9es appropriate4  7e7 ,au?orization
 ( appropriations ,to c>ry out ?is      
section1 !re are au?oriz$ to be         
appropriat$ #aj1jjj1jjj = ea* ( fiscal  
ye>s #bjbc ?r\gh #bjbh4  4