,i #aah? ,,congress #a/ ,session ,h4 ,r4 #cebc ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #ah1 #bjbc,ms4 ,moore ( ,wiscons9 7= h]self1 ,ms4 ,und]wood1 ,ms4 ,adams1 ,mr4 ,allr$1 ,ms4 ,b>ragn1 ,mrs4 ,beatty1 ,mr4 ,bi%op ( ,georgia1 ,mr4 ,blum5au]1 ,ms4 ,blunt ,ro*e/]1 ,ms4 ,br[nley1 ,ms4 ,budz9ski1 ,ms4 ,bu%1 ,ms4 ,c>aveo1 ,mr4 ,c>bajal1 ,mr4 ,c>son1 ,mr4 ,c>t] ( ,l\isiana1 ,mrs4 ,*]filus-,mc,cormick1 ,ms4 ,cl>ke ( ,new ,york1 ,mr4 ,cleav]1 ,mr4 ,coh51 ,ms4 ,craig1 ,ms4 ,crockett1 ,mr4 ,davis ( ,ill9ois1 ,ms4 ,dean ( ,p5nsylvania1 ,ms4 ,escob>1 ,mr4 ,espaillat1 ,mr4 ,evans1 ,mrs4 ,f\%ee1 ,mr4 ,g>am5di1 ,ms4 ,g>cia ( ,texas1 ,mr4 ,g>ca ( ,ill9ois1 ,mr4 ,gre5 ( ,texas1 ,mrs4 ,hayes1 ,mr4 ,hors=d1 ,mr4 ,huffman1 ,mr4 ,ivey1 ,mr4 ,jackson ( ,ill9ois1 ,ms4 ,jackson ,lee1 ,ms4 ,jacobs1 ,ms4 ,jayapal1 ,mr4 ,johnson ( ,georgia1 ,ms4 ,kamlag]-,dove1 ,mr4 ,kri%namoor?i1 ,ms4 ,ku/]1 ,ms4 ,lee ( ,cali=nia1 ,mr4 ,lieu1 ,ms4 ,l(gr51 ,mrs4 ,mc,bath1 ,mrs4 ,mc,clellan1 ,ms4 ,mc,collum1 ,mr4 ,mc,govern1 ,mr4 ,meeks1 ,ms4 ,m5g1 ,mr4 ,mfume1 ,mr4 ,morelle1 ,mr4 ,m\lton1 ,mr4 ,mrvan1 ,mr4 ,mull91 ,mrs4 ,napolitano1 ,mr4 ,neguse1 ,ms4 ,ocasio-,cortez1 ,mr4 ,pappas1 ,mr4 ,payne1 ,mr4 ,phillips1 ,ms4 ,port]1 ,ms4 ,pressley1 ,mr4 ,rupp]sb]g]1 ,ms4 ,sal9as1 ,ms4 ,scanlon1 ,mr4 ,s*iff1 ,mr4 ,s*neid]1 ,ms4 ,s*olt51 ,mr4 ,david ,scott ( ,georgia1 ,ms4 ,sewell1 ,mr4 ,soto1 ,ms4 ,spanb]g]1 ,ms4 ,/ansbury1 ,ms4 ,/rickl&1 ,mrs4 ,sykes1 ,mr4 ,takano1 ,ms4 ,tlaib1 ,ms4 ,tokuda1 ,mr4 ,tonko1 ,mrs4 ,torres ( ,cali=nia1 ,mrs4 ,trahan1 ,mr4 ,trone1 ,mr4 ,v>gas1 ,mr4 ,veasey1 ,ms4 ,velzquez1 ,ms4 ,wass]man ,s*ultz1 ,mrs4 ,watson ,coleman1 ,ms4 ,wexton1 ,ms4 ,williams ( ,georgia1 ,mr4 ,pascrell1 ,ms4 ,del,bene1 & ,mr4 ,lyn*7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to gr[ & div]sify ! p]9atal work=ce1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,p]9atal ,work=ce ,act4 #b4 ,,hhs ag5cy directives 7a7 ,guidance to ,/ates 7#a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue & dissem9ate guidance to ,/ates to educate provid]s1 manag$ c>e entities1 & o!r insur]s ab\t ! value & process ( deliv]+ respectful mat]nal heal? c>e ?r\gh div]se & multidiscipl9>y c>e provid] models4 7#b7 ,cont5ts ,! guidance requir$ by p>agraph 7#a7 %all address h[ ,/ates c enc\rage & inc5tivize hospitals1 heal? sy/ems1 midwif]y practices1 free/&+ bir? c5t]s1 o!r mat]nity c>e provid] gr\ps1 manag$ c>e entities1 & o!r insur]s-- 7,a7 to recruit & reta9 mat]nity c>e provid]s1 m5tal & behavioral heal? c>e provid]s act+ 9 accordance ) ,/ate law1 & regi/]$ dietitians or nutrition pr(essionals 7z su* t]m is def9$ 9 section #ahfa7vv77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7vv77#b777-- 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 meet1 at a m9imum1 ! int]national def9ition ( a midwife & global /&>ds = midwif]y education z e/abli%$ by ! ,int]national ,conf$]ation ( ,midwives2 7ii7 p]9atal heal? work]s2 7iii7 physician assi/ants2 7iv7 advanc$ practice regi/]$ nurses2 & 7v7 lactation consultants c]tifi$ by ! ,int]national ,bo>d ( ,lactation ,consultant ,exam9]s2 7,c7 to provide collaborative1 culturally & l+ui/ically 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 & l+ui/ically congru5t mat]nity c>e 7#a7 ,/udy ,! ,secret>y ( ,heal? & ,human ,s]vices act+ ?r\gh ! ,director ( ! ,national ,in/itutes ( ,heal? 79 ?is subsection ref]r$ to z ! ,secret>y7 %all conduct a /udy on be/ practices 9 respectful & culturally & l+ui/ically 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 & l+ui/ically 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 & l+ui/ically congru5t mat]nity c>e4 #c4 ,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%+ accr$it$ s*ools or programs t provide education & tra9+ to individuals seek+ appropriate lic5s+ & c]tification z-- 7,a7 physician assi/ants :o w complete cl9ical tra9+ 9 ! field ( mat]nal & p]9atal heal?2 7,b7 p]9atal heal? work]s2 or 7,c7 midwives :o meet1 at a m9imum1 ! int]national def9ition ( a midwife & global /&>ds = midwif]y education z e/abli%$ by ! ,int]national ,conf$]ation ( ,midwives2 & 7#b7 exp&+ ! capacity ( exi/+ accr$it$ s*ools or programs describ$ 9 p>agraph 7#a71 = ! purposes ( increas+ ! numb] ( /ud5ts enroll$ 9 su* accr$it$ s*ools or programs1 su* z by aw>d+ s*ol>%ips = /ud5ts 7includ+ /ud5ts f racially1 e?nically1 & l+ui/ically div]se backgr\nds74 7c7 ,prioritization ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to a s*ool or program describ$ 9 subsection 7b7 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 ! s*ool or program describ$ 9 subsection 7b7 t is 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 ! s*ool or program describ$ 9 subsection 7b7 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 s*ool or program describ$ 9 subsection 7b71 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 ! s*ool or program2 7#b7 ! ext5t to :i* /ud5ts 9 ! s*ool or program are ent]+ c>e]s 9-- 7,a7 heal? pr(essional %ortage areas designat$ "u section #ccb2 & 7,b7 areas ) elevat$ rates ( mat]nal mortality1 sev]e mat]nal morbidity1 mat]nal heal? disp>ities1 or o!r adv]se p]9atal or *ildbir? outcomes1 to ! ext5t su* data are available2 & 7#c7 :e!r ! s*ool or program 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 ( ! s*ool or program describ$ 9 subsection 7b7 t is propos$ to be1 or is 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] ( heal? pr(essionals describ$ 9 subp>agraphs 7,a71 7,b71 & 7,c7 ( subsection 7b77#a7 f racial & e?nic m9ority gr\ps & o!r und]s]v$ populations2 7#c7 increas+ ! numb] ( su* heal? pr(essionals work+ 9 heal? pr(essional %ortage areas designat$ "u section #ccb2 & 7#d7 increas+ ! numb] ( su* heal? pr(essionals 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;g77#a74 7j7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #ae1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 4 #d4 ,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 7#b7 c]tifi$ nurse-midwives2 or 7#c7 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 ) elevat$ rates ( mat]nal mortality1 sev]e mat]nal morbidity1 mat]nal heal? disp>ities1 or o!r adv]se p]9atal or *ildbir? 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] ( advanc$ practice regi/]$ nurses 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] ( advanc$ practice regi/]$ nurses 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] ( advanc$ practice regi/]$ nurses 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 #bjbd ?r\gh #bjbh4 4 #e4 ,,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]+ & successfully complet+ 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 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 ( a 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 & p]9atal heal? work]s1 /ratifi$ by race1 e?nicity1 g5d] id5tity1 prim>y language1 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 #f4 ,def9itions ,9 ?is ,act3 7#a7 ,culturally & l+ui/ically congru5t ,! t]m culturally & l+ui/ically 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]nal mortality ,! t]m mat]nal mortality means a dea? occurr+ dur+ or )9 a #a-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 ,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 ( a midwife & global /&>ds = midwif]y education z e/abli%$ by ! ,int]national ,conf$]ation ( ,midwives1 advanc$ practice regi/]$ nurse1 or a lactation consultant c]tifi$ by ! ,int]national ,bo>d ( ,lactation ,consultant ,exam9]s2 & 7,b7 has a focus on mat]nal or p]9atal heal?4 7#d7 ,p]9atal heal? work] ,! t]m p]9atal heal? work] means a noncl9ical heal? work] focus$ on mat]nal or p]9atal heal?1 su* z a d\la1 community heal? work]1 pe] support]1 lactation educator or c\nselor1 nutritioni/ or dietitian1 *ildbir? educator1 social work]1 home visitor1 pati5t navigator or coord9ator1 or language int]pret]4 7#e7 ,po/p>tum ,! t]m po/p>tum ref]s to ! #a-ye> p]iod beg9n+ on ! la/ day ( ! pregnancy ( an individual4 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