,,ii  #aah? ,,congress  #b;d ,session   
,s4 #cgbb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #a1 #bjbd,mr4 
,rubio 7= himself & ,mr4 ,te/]7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on ,arm$ 
,s]vices  ,a ,,bill  ,to require a      
report on access to mat]nal heal? c>e )9
 ! milit>y heal? sy/em1 & = o!r         
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,improv+ ,access to        
,mat]nal ,heal? = ,milit>y & ,dep5d5t   
,moms ,act ( #bjbd4  #b4 ,def9itions ,9 
?is ,act3 7#a7 ,cov]$ individual ,! t]m 
cov]$ individual means-- 7,a7 a cov]$   
b5efici>y2 or  7,b7 a dep5d5t4  7#b7    
,cov]$ b5efici>y2 dep5d5t2 ,,tric>e     
program ,! t]ms cov]$ b5efici>y1        
dep5d5t1 & ,,tric>e program h ! mean+s  
giv5 ^? t]ms 9 section #ajgb ( title    
#aj1 ,unit$ ,/ates ,code4  7#c7 ,mat]nal
 heal? ,! t]m mat]nal heal? means c>e   
dur+ labor1 bir?+1 pr5atal c>e1 &       
po/p>tum c>e4  7#d7 ,mat]nity c>e des]t 
,! t]m mat]nity c>e des]t means a c\nty 

9 ! ,unit$ ,/ates t does n h-- 7,a7 a   
hospital or bir? c5t] (f]+ ob/etric c>e2
 or  7,b7 an ob/etric provid]4  7#e7    
,pr5atal c>e ,! t]m pr5atal c>e means   
m$ical c>e provid$ to ma9ta9 & improve  
fetal & mat]nal heal? dur+ pregnancy4   
7#f7 ,secret>y ,! t]m ,secret>y means ! 
,secret>y ( ,def5se4  #c4 ,report on    
access to mat]nal heal? c>e )9 ! milit>y
 heal? sy/em  7a7 ,9 g5]al ,n lat] ?an  
#b ye>s aft] ! date ( ! enactm5t ( ?is  
,act1 ! ,secret>y %all submit to !      
,committee on ,arm$ ,s]vices & !        
,committee on ,appropriations ( ! ,s5ate
 & ! ,committee on ,arm$ ,s]vices & !   
,committee on ,appropriations ( ! ,h\se 
( ,repres5tatives a report on access to 
mat]nal heal? c>e )9 ! milit>y heal?    
sy/em = cov]$ individuals1 dur+ ! prec$+
 #b-ye> p]iod4  7b7 ,cont5ts ,! report  
requir$ "u subsection 7a7 %all include !
 foll[+3 7#a7 ,) respect to milit>y     
m$ical treatm5t facilities3 7,a7 ,an    
analysis ( ! availability ( mat]nal     
heal? c>e = cov]$ individuals :o access 

! milit>y heal? sy/em ?r\gh su*         
facilities4  7,b7 ,an id5tification (   
/aff+ %ortages 9 positions relat+ to    
mat]nal heal? & *ildbir?1 includ+       
ob/etrician-gynecologi/s1 c]tifi$ nurse 
midwives1 & labor & deliv]y nurses4     
7,c7 ,a description ( specific *all5ges 
fac$ by cov]$ individuals 9 access+     
mat]nal heal? c>e at su* facilities4    
7,d7 ,an analysis ( ! timel9ess ( access
 to mat]nal heal? c>e1 includ+ wait     
times = & travel times to appo9tm5ts4   
7,e7 ,a description ( h[ su* facilities 
track pati5t satisfaction ) mat]nal     
heal? s]vices4  7,f7 ,a process to      
e/abli% cont9uity ( pr5atal c>e &       
po/p>tum c>e = cov]$ individuals :o     
exp]i5ce a p]man5t *ange ( /ation dur+ a
 pregnancy4  7,g7 ,an id5tification (   
b>ri]s ) reg>d to cont9uity ( pr5atal   
c>e & po/p>tum c>e dur+ p]man5t *anges (
 /ation4  7,h7 ,a description (         
milit>y-specific heal? *all5ges impact+ 
cov]$ individuals :o receive mat]nal    
heal?c>e at milit>y m$ical treatm5t     

facilities1 & a description ( h[ !      
,dep>tm5t tracks su* *all5ges4  7,i7 ,= 
! #aj-ye> p]iod prec$+ ! date ( !       
submission ( ! report1 ! am\nt ( funds  
annually exp5d$-- 7i7 by ! ,dep>tm5t (  
,def5se on mat]nal heal? c>e2 &  7ii7 by
 cov]$ individuals on out-(-pocket co/s 
associat$ ) mat]nal heal? c>e4  7,j7 ,an
 id5tification ( ea* m$ical facility ( !
 ,dep>tm5t ( ,def5se locat$ 9 a mat]nity
 c>e des]t4  7,k7 ,recomm5dations &     
legislative proposals-- 7i7 to address  
/aff+ %ortages t impact ! positions     
describ$ 9 subp>agraph 7,b72  7ii7 to   
improve ! deliv]y & availability (      
mat]nal heal? s]vices ?r\gh milit>y     
m$ical treatm5t facilities & improve    
pati5t exp]i5ce2 &  7iii7 to improve    
cont9uity ( pr5atal c>e & po/p>tum c>e =
 cov]$ individuals dur+ a p]man5t *ange 
( /ation4  7#b7 ,) respect to provid]s  
)9 ! ,,tric>e program network t are n   
locat$ at or affiliat$ ) a milit>y      
m$ical treatm5t facility3 7,a7 ,an      
analysis ( ! availability ( mat]nal     

heal? c>e = cov]$ individuals :o access 
! milit>y heal? sy/em ?r\gh su*         
provid]s4  7,b7 ,an id5tification (     
/aff+ %ortages = su* provid]s 9         
positions relat+ to mat]nal heal? &     
*ildbir?1 includ+                       
ob/etrician-gynecologi/s1 c]tifi$ nurse 
midwives1 & labor & deliv]y nurses4     
7,c7 ,a description ( specific *all5ges 
fac$ by cov]$ individuals 9 access+     
mat]nal heal? c>e f su* provid]s4  7,d7 
,an analysis ( ! timel9ess ( access to  
mat]nal heal? c>e1 includ+ wait times = 
& travel times to appo9tm5ts4  7,e7 ,a  
description ( h[ su* provid]s track     
pati5t satisfaction ) mat]nal heal?     
s]vices4  7,f7 ,a process to e/abli%    
cont9uity ( pr5atal c>e & po/p>tum c>e =
 cov]$ individuals :o exp]i5ce a p]man5t
 *ange ( /ation dur+ a pregnancy4  7,g7 
,an id5tification ( b>ri]s ) reg>d to   
cont9uity ( pr5atal c>e & po/p>tum c>e  
dur+ p]man5t *anges ( /ation4  7,h7 ,!  
numb] ( dep5d5ts :o *oose to access     
mat]nal heal? c>e ?r\gh su* provid]s4   

7,i7 ,= ! #aj-ye> p]iod prec$+ ! date ( 
! submission ( ! report1 ! am\nt ( funds
 annually exp5d$-- 7i7 by ! ,dep>tm5t ( 
,def5se on mat]nal heal? c>e2 &  7ii7 by
 cov]$ individuals on out-(-pocket co/s 
associat$ ) mat]nal heal? c>e4  7,j7    
,recomm5dations & legislative           
proposals-- 7i7 to address /aff+        
%ortages t impact ! positions describ$ 9
 subp>agraph 7,b72  7ii7 to improve !   
deliv]y & availability ( mat]nal heal?  
s]vices ?r\gh ! ,,tric>e program &      
improve pati5t exp]i5ce2  7iii7 to      
improve cont9uity ( pr5atal c>e &       
po/p>tum c>e = cov]$ individuals dur+ a 
p]man5t *ange ( /ation2 &  7iv7 to      
improve ! ability ( contractors "u !    
,,tric>e program to build a l>g] network
 ( provid]s = mat]nal heal?1 includ+    
ob/etrician-gynecologi/s1 c]tifi$ nurse 
midwives1 & labor & deliv]y nurses4