,i #aah? ,,congress #a/ ,session ,h4 ,r4 #eeha ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #bj1 #bjbc,ms4 ,mc,clellan 7= h]self & ,ms4 ,mace7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,ways & ,means ,a ,,bill ,to am5d ! ,social ,security ,act to au?orize grants = demon/ration projects to support mo!rs & families dur+ pregnancy1 *ildbir?1 & ! po/p>tum p]iod by increas+ access to %ort-t]m *ild c>e1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,*ild ,c>e ,assi/ance = ,mat]nal ,heal? ,act4 #b4 ,demon/ration projects = *ild c>e to improve mat]nal heal? ,subtitle ,a ( title ,,xx ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig et seq47 is am5d$ by ins]t+ aft] section #bjji ! foll[+3 #bjji;,a4 ,demon/ration projects = *ild c>e to improve mat]nal heal? 7a7 ,9 g5]al 7#a7 ,e/abli%m5t ,! ,secret>y %all c>ry out a program ( aw>d+ grants1 on a competitive basis1 to eligible entities to conduct demon/ration projects design$ to support mo!rs & families dur+ pregnancy1 *ildbir?1 & ! po/p>tum p]iod by increas+ access to %ort-t]m *ild c>e 7su* z ?r\gh crisis nurs]ies7 9 ord] to improve ! physical heal?1 m5tal heal?1 & wellness ( ! "m & h] family4 7#b7 ,advisory gr\p ,! ,secret>y %all e/abli% an advisory gr\p to advise ! ,secret>y on c>ry+ out ! program e/abli%$ "u p>agraph 7#a74 ,! advisory gr\p %all be compos$ ( ! foll[+ memb]s3 7,a7 ,at lea/ #a repres5tative ( ! ,adm9i/ration = ,*ildr5 & ,families4 7,b7 ,at lea/ #a repres5tative ( ! ,adm9i/ration = ,native ,am]icans4 7,c7 ,at lea/ #a repres5tative ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 7,d7 ,at lea/ #a repres5tative ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration4 7,e7 ,at lea/ #a repres5tative ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration4 7,f7 ,repres5tatives ( su* o!r ,f$]al entities1 z ! ,secret>y det]m9es appropriate4 7b7 ,eligible entities ,to be eligible to receive a grant "u ?is section1 an entity %all be-- 7#a7 a ,/ate1 a t]ritory1 or ! ,di/rict ( ,columbia2 7#b7 an ,indian ,tribe or ,tribal organization2 7#c7 an ,urban ,indian organization2 7#d7 a public heal? dep>tm5t2 7#e7 a nonpr(it community-bas$ organization2 or 7#f7 a consortium ( entities describ$ 9 any ( p>agraphs 7#a7 ?r\gh 7#e74 7c7 ,priority = aw>d+ grants ,9 select+ grant recipi5ts "u ?is section1 ! ,secret>y %all-- 7#a7 give priority to-- 7,a7 eligible entities t1 9 addition to ! activities propos$ to be fund$ ?r\gh ! grant1 w provide families ) assi/ance 9 atta9+ a long-t]m *ild c>e option2 7,b7 eligible entities propos+ to s]ve an area ) high rates ( mat]nal mortality & pov]ty2 & 7,c7 eligible entities propos+ to s]ve a mat]nity c>e heal? pr(essional t>get area id5tifi$ "u section #ccb7k7 ( ! ,public ,heal? ,s]vice ,act2 & 7#b7 aw>d at lea/ #a grant to an ,indian ,tribe1 a ,tribal organization1 or an ,urban ,indian organization4 7d7 ,numb] 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 ! ,secret>y %all aw>d at lea/ #aj grants "u ?is section4 7#b7 ,exception = insuffici5t appropriations ,! ,secret>y may aw>d few] ?an #aj grants if ! ,secret>y det]m9es t ! am\nts made available to c>ry out ?is section are less ?an ! total am\nts au?oriz$ to be appropriat$ by subsection 7i74 7e7 ,demon/ration project requirem5ts 7#a7 ,use ( funds ,a grant aw>d$ "u ?is section may be us$-- 7,a7 to conduct a demon/ration project describ$ 9 subsection 7a72 7,b7 to assess community ne$s 9 prep>ation = su* demon/ration project2 & 7,c7 to fund outrea* relat$ to su* demon/ration project4 7#b7 ,duration ,a demon/ration project "u ?is section %all be = a p]iod ( n less ?an #c ye>s4 7#c7 ,reports by grantees 7,a7 ,int]im & f9al reports ,a grantee "u ?is section %all agree to submit to ! ,secret>y-- 7i7 int]im reports on ! demon/ration project fund$ ?r\gh ! grant2 & 7ii7 a f9al report on su* demon/ration project4 7,b7 ,cont5ts ,! int]im & f9al reports ( a grantee "u subp>agraph 7,a7 %all include assessm5ts ( ! effectiv5ess ( ! grantee's demon/ration project ) respect to-- 7i7 mat]nal & *ild heal? outcomes2 7ii7 *ild c>e quality2 & 7iii7 su* o!r metrics z may be det]m9$ by ! ,secret>y4 7#d7 ,priority = provid+ s]vices ,9 provid+ s]vices ?r\gh a demon/ration project "u ?is section1 a grantee %all give priority to vuln]able populations1 su* z-- 7,a7 l[-income families2 7,b7 families exp]i5c+ homelessness2 7,c7 s+le-p>5t h\seholds2 7,d7 families :o h *ildr5 ) disabilities or special heal? c>e ne$s2 & 7,e7 o!r vuln]able populations z may be det]m9$ by ! ,secret>y4 7#e7 ,subgrants & contracts 7,a7 ,9 g5]al ,a grantee "u ?is section may coord9ate ) entities describ$ 9 subp>agraph 7,b7 9 c>ry+ out a demon/ration project "u ?is section1 includ+ by aw>d+ subgrants to1 or ent]+ into contracts )1 su* entities4 7,b7 ,entities ,! entities describ$ 9 ?is subp>agraph are ! foll[+3 7i7 ,/ate or local *ild c>e res\rce & ref]ral ag5cies4 7ii7 ,pr5atal1 p]9atal1 p$iatric1 family m$ic9e1 & o!r relevant heal? c>e provid]s4 7iii7 ,d\la support s]vices4 7#f7 ,/ate & local requirem5ts 7,a7 ,9 g5]al ,subject to subp>agraph 7,b71 s]vices provid$ ?r\gh a demon/ration project "u ?is section %all meet ! applicable requirem5ts ( ,/ate & local law 9 ! jurisdiction 9 :i* su* s]vices are provid$1 includ+ any applicable lic5sure & quality ( c>e requirem5ts4 7,b7 ,exception ,*ild c>e may be provid$ ?r\gh a demon/ration project "u ?is section to *ildr5 y\ng] ?an ! m9imum age all[$ "u applicable ,/ate or local lic5s+ requirem5ts1 s long z ! grantee provid+ su* *ild c>e 7ei!r directly or ?r\gh a subgrant or contract "u p>agraph 7#e77 coord9ates ) ! applicable jurisdiction to ensure appropriate quality ( c>e /&>ds4 7f7 ,evaluation ,! ,secret>y %all-- 7#a7 evaluate ! demon/ration projects fund$ "u ?is section2 & 7#b7 z "p ( su* evaluation-- 7,a7 id5tify successful activities = improv+ mat]nal heal? outcomes & heal? outcomes = ! bir!d *ild & any o!r *ildr5 9 ! family2 & 7,b7 =mulate recomm5dations = reau?oriz+ ! program "u ?is section4 7g7 ,reports to ,congress ,! ,secret>y %all submit reports to ! ,congress on ! program "u ?is section1 includ+-- 7#a7 int]im reports2 & 7#b7 bas$ on ! evaluation "u subsection 7f71 a f9al report4 7h7 ,def9itions ,9 ?is section3 7#a7 ,,ihcia t]ms ,! t]ms ,indian ,tribe1 ,tribal organization1 & ,urban ,indian organization h ! mean+s giv5 ! t]ms ,indian tribe1 tribal organization1 & ,urban ,indian organization1 respectively1 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act4 7#b7 ,po/p>tum p]iod ,! t]m po/p>tum p]iod means ! fir/ ye> aft] an individual has giv5 bir?4 7#c7 ,%ort-t]m *ild c>e ,! t]m %ort-t]m *ild c>e-- 7,a7 means *ild c>e provid$ dur+ pregnancy1 *ildbir?1 or ! po/p>tum p]iod-- 7i7 = a limit$ duration2 & 7ii7 = ! bir!d *ild or any o!r *ild 9 ! family2 & 7,b7 includes respite *ild c>e4 7i7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 !re is au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbf4 7#b7 ,evaluation ,( ! funds appropriat$ to c>ry out ?is section "u p>agraph 7#a71 n m ?an #e p]c5t may be us$ to fund ! evaluation "u subsection 7f74 4