,,ii  #aag? ,,congress  #a/ ,session    
,s4 #hea  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #ah1 #bjba ,mr4   
,blum5?al introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to address social det]m9ants
 ( mat]nal heal?4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,social ,det]m9ants
 = ,moms ,act4  #b4 ,def9itions ,9 ?is  
,act3  7#a7 ,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$]ation ( ,midwives1 nurse         
practition]1 or cl9ical nurse speciali/2
 &  7,b7 has a focus on mat]nal or      
p]9atal heal?4  7#b7 ,mat]nal mortality 
,! t]m mat]nal mortality means a dea?   
occurr+ dur+ or )9 a "o-ye> p]iod aft]  
pregnancy1 caus$ 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#c7 ,p]9atal heal?     
work] ,! t]m p]9atal heal? work] means a
 d\la1 community heal? work]1 pe]       
support]1 brea/fe$+ & lactation educator
 or c\nselor1 nutritioni/ or dietitian1 
*ildbir? educator1 social work]1 home   
visitor1 language int]pret]1 or         
navigator4  7#d7 ,po/p>tum & po/p>tum   
p]iod ,! t]ms po/p>tum & po/p>tum p]iod 
ref] to ! #a-ye> p]iod beg9n+ on ! la/  
day ( ! pregnancy ( an individual4  7#e7
 ,pregnancy-relat$ 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#f7 ,racial &    
e?nic m9ority gr\p ,! t]m racial & e?nic

 m9ority gr\p has ! mean+ giv5 su* t]m 9
 section #agjg7;g77#a7 ( ! ,public      
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjju-#f7;g77#a774  7#g7 ,sev]e mat]nal 
morbidity ,! t]m sev]e mat]nal morbidity
 means a heal? condition1 includ+ m5tal 
heal? conditions & sub/ance use         
disord]s1 attribut$ to or aggravat$ by  
pregnancy or *ildbir? t results 9       
significant %ort-t]m or long-t]m        
consequ5ces to ! heal? ( ! individual :o
 0 pregnant4  7#h7 ,social det]m9ants ( 
mat]nal heal? ,! 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  #c4 ,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  #d4 ,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$ 9
 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$4  #e4 ,dep>tm5t ( ,transportation
  7a7 ,report ,n lat] ?an #a ye> aft] ! 
date ( enactm5t ( ?is ,act1 ! ,secret>y 
( ,transportation %all submit to        
,congress & make publicly available a   
report t conta9s--  7#a7 an assessm5t ( 
transportation b>ri]s prev5t+           
individuals f att5d+ pr5atal & po/p>tum 
appo9tm5ts1 access+ mat]nal heal? c>e   
s]vices1 or access+ s]vices & res\rces  
relat$ 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  #f4     
,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  #g4 ,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  #h4 ,*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  #i4 ,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 pregnant wom5 :o are       
unau?oriz$ ali5s1 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