,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bbci  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #aa1 #bjbc,mr4   
,w>nock 7= himself1 ,mr4 ,padilla1 ,mr4 
,book]1 ,ms4 ,smi?1 & ,mr4 ,m55dez7     
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to prev5t mat]nal mortality 
& sev]e mat]nal morbidity among ,black  
pregnant & po/p>tum individuals & o!r   
und]s]v$ populations1 to provide tra9+ 9
 respectful mat]nity c>e1 to r$uce &    
prev5t bias1 racism1 & discrim9ation 9  
mat]nity c>e sett+s1 & = o!r purposes4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,kira ,johnson ,act4  #b4 ,su/a9$     
fund+ = community-bas$ organizations to 
advance mat]nal heal? equity  7a7 ,9    
g5]al ,! ,secret>y ( ,heal? & ,human    
,s]vices 7ref]r$ to 9 ?is ,act z !      
,secret>y7 %all aw>d grants to eligible 
entities to e/abli% or exp& programs to 
advance mat]nal heal? equity4  7b7 ,tim+
 ,foll[+ ! #a-ye> p]iod describ$ 9      

subsection 7d71 ! ,secret>y %all comm5ce
 aw>d+ ! grants au?oriz$ by subsection  
7a74  7c7 ,eligible entities ,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 =        
demographic gr\ps ) elevat$ rates (     
mat]nal mortality1 sev]e mat]nal        
morbidity1 mat]nal heal? disp>ities1 or 
o!r adv]se p]9atal or *ildbir? outcomes4
  7d7 ,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  7e7 ,special consid]ation     
7#a7 ,outrea* ,9 conduct+ outrea* "u    
subsection 7d71 ! ,secret>y %all give   
special consid]ation to eligible        
entities t-- 7,a7 are bas$ 91 & provide 

support =1 communities ) 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,b7 are l$ by individuals f demographic
 gr\ps ) elevat$ rates ( mat]nal        
mortality1 sev]e mat]nal morbidity1     
mat]nal heal? disp>ities1 or o!r adv]se 
p]9atal or *ildbir? outcomes2 &  7,c7   
(f] programs & res\rces t are align$ )  
evid5ce-bas$ practices = improv+ mat]nal
 heal? outcomes = individuals f         
demographic gr\ps ) elevat$ rates (     
mat]nal mortality1 sev]e mat]nal        
morbidity1 mat]nal heal? disp>ities1 or 
o!r adv]se p]9atal or *ildbir? outcomes4
  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$ = individuals f 
demographic gr\ps ) elevat$ rates (     

mat]nal mortality1 sev]e mat]nal        
morbidity1 mat]nal heal? disp>ities1 or 
o!r adv]se p]9atal or *ildbir? outcomes2
  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 = individuals f demographic   
gr\ps ) elevat$ rates ( mat]nal         
mortality1 sev]e mat]nal morbidity1     
mat]nal heal? disp>ities1 or o!r adv]se 
p]9atal or *ildbir? outcomes2  7ii7     
address social det]m9ants ( mat]nal     
heal?2  7iii7 promote evid5ce-bas$ heal?
 lit]acy & pregnancy1 *ildbir?1 & p>5t+ 
education2  7iv7 provide support f      
p]9atal heal? work]s2  7v7 provide      
culturally & l+ui/ically congru5t tra9+ 
to p]9atal heal? work]s2  7vi7 conduct  
or support rese>* on mat]nal heal?      
issues disproportionately impact+       
individuals f demographic gr\ps )       

elevat$ rates ( mat]nal mortality1 sev]e
 mat]nal morbidity1 mat]nal heal?       
disp>ities1 or o!r adv]se p]9atal or    
*ildbir? outcomes2  7vii7 (f] gr\p      
pr5atal c>e or gr\p po/p>tum c>e2       
7viii7 coord9ate mutual aid ef=ts dur+  
infant =mula %ortages1 includ+ community
 milk depots1 donor human milk banks &  
ex*anges1 & =ums = community outrea* &  
education2  7ix7 provide support to     
individuals or family memb]s (          
individuals :o suff]$ a pregnancy loss1 
pregnancy-associat$ dea?1 or            
pregnancy-relat$ dea?2 or  7x7 op]ate   
midwif]y practices t provide culturally 
& l+ui/ically 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 &  
7,d7 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 =        
individuals f demographic gr\ps )       
elevat$ rates ( mat]nal mortality1 sev]e
 mat]nal morbidity1 mat]nal heal?       
disp>ities1 or o!r adv]se p]9atal or    
*ildbir? outcomes4  7f7 ,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 advance     
mat]nal heal? equity2  7#b7 be/         
practices 9 data collection1 measurem5t1
 evaluation1 & report+2 &  7#c7 plann+ =
 su/a9+ programs to advance mat]nal     
heal? equity aft] ! p]iod ( ! grant4    
7g7 ,evaluation ,n lat] ?an ! end (     
fiscal ye> #bjbh1 ! ,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 = individuals f          
demographic gr\ps ) 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 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 = individuals f         
demographic gr\ps ) elevat$ rates (     

mat]nal mortality1 sev]e mat]nal        
morbidity1 mat]nal heal? disp>ities1 or 
o!r adv]se p]9atal or *ildbir? outcomes4
  7h7 ,au?orization ( appropriations ,to
 c>ry out ?is section1 !re is au?oriz$  
to be appropriat$ #ajj1jjj1jjj = ea* (  
fiscal ye>s #bjbd ?r\gh #bjbh4  #c4     
,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$uce & prev5t
 bias1 racism1 & discrim9ation 9        
mat]nity c>e sett+s & to advance        
respectful1 culturally & l+ui/ically    
congru5t1 trauma-in=m$ 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 & l+ui/ically     
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 ,to seek a grant "u        
subsection 7a71 an entity %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
 ! #a-ye> p]iod beg9n+ on ! la/ day ( an
 individual's pregnancy4  7#b7 ,! t]m   
culturally & l+ui/ically congru5t means 
9 agreem5t ) ! pref]r$ cultural values1 
beliefs1 worldview1 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 #bjbd ?r\gh #bjbh4  4  #d4 ,/udy on
 r$uc+ & prev5t+ bias1 racism1 &        
discrim9ation 9 mat]nity c>e sett+s  7a7
 ,9 g5]al ,! ,secret>y %all seek to ent]
 into an agreem5t1 n lat] ?an #ij days  
aft] ! date ( enactm5t ( ?is ,act1 ) !  
,national ,academies ( ,sci5ces1        
,eng9e]+1 & ,m$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$uce &     
prev5t bias1 racism1 & discrim9ation 9  
mat]nity c>e sett+s & to advance        
respectful1 culturally & l+ui/ically    
congru5t1 trauma-in=m$ c>e2 &  7#b7 n   
lat] ?an #bd mon?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  #e4 ,respectful   
mat]nity c>e compliance program  7a7 ,9 
g5]al ,! ,secret>y %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 is    
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     
deid5tifi$ 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 %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 su*  
assessm5t1 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$ical & nonm$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 are au?oriz$ to be 
appropriat$ su* sums z may be necess>y =
 fiscal ye>s #bjbd ?r\gh #bjbi4  #f4    
,,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 subsection 7a7 %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