,,ii #aah? ,,congress #b;d ,session ,s4 #djfj ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #bb1 #bjbd,mr4 ,book] 7= himself1 ,mr4 ,durb91 & ,ms4 ,hirono7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ! ,judici>y ,a ,,bill ,to improve mat]nal heal? policies 9 correctional facilities1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,ju/ice = ,inc>c]at$ ,moms ,act4 #b4 ,end+ ! %ackl+ ( pregnant individuals 7a7 ,9 g5]al ,beg9n+ on ! date t is #ahj days aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft]1 = ea* ,/ate t receives a grant "u subp>t #a ( "p ,e ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajaea et seq47 7commonly ref]r$ to z ! ,edw>d ,byrne ,memorial ,ju/ice ,assi/ance ,grant ,program7 & t does n h 9 effect ?r\gh\t ! ,/ate = su* fiscal ye> laws re/rict+ ! use ( re/ra9ts on pregnant individuals 9 correctional facilities t are sub/antially simil> to ! rights1 proc$ures1 requirem5ts1 effects1 & p5alties set =? 9 section #dcbb ( title #ah1 ,unit$ ,/ates ,code1 ! am\nt ( su* grant t w\ld o!rwise be allocat$ to su* ,/ate "u su* subp>t = ! fiscal ye> %all be decreas$ by #be p]c5t4 7b7 ,reallocation ,am\nts n allocat$ to a ,/ate = failure to comply ) subsection 7a7 %all be reallocat$ 9 accordance ) subp>t #a ( "p ,e ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajaea et seq47 to ,/ates t h compli$ ) su* subsection4 #c4 ,creat+ model programs = ! c>e ( inc>c]at$ individuals 9 ! pr5atal & po/p>tum p]iods 7a7 ,9 g5]al 7#a7 ,e/abli%m5t ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al1 act+ ?r\gh ! ,director ( ! ,bureau ( ,prisons 7ref]r$ to 9 ?is section z ! ,director71 %all e/abli%1 9 n few] ?an #f ,bureau ( ,prisons facilities1 programs to optimize mat]nal heal? outcomes = pregnant & po/p>tum individuals inc>c]at$ 9 su* facilities4 7#b7 ,consultation ) /akehold]s ,! ,attorney ,g5]al %all e/abli% su* programs 9 consultation ) /akehold]s su* z-- 7,a7 relevant community-bas$ organizations1 p>ticul>ly organizations t repres5t inc>c]at$ & =m]ly inc>c]at$ individuals & organizations t seek to improve mat]nal heal? outcomes = pregnant & po/p>tum 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,b7 relevant organizations repres5t+ pati5ts1 ) a p>ticul> focus on pati5ts 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 organizations repres5t+ mat]nity c>e provid]s & mat]nal heal? c>e education programs2 7,d7 p]9atal heal? work]s2 & 7,e7 rese>*]s & policy exp]ts 9 fields relat$ to mat]nal heal? c>e = inc>c]at$ individuals4 7b7 ,/>t date ,a facility select$ "u subsection 7a7 %all beg9 ! programs describ$ 9 subsection 7e7 n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act4 7c7 ,facility priority ,9 c>ry+ out subsection 7a71 ! ,director %all give priority to a facility bas$ on-- 7#a7 ! numb] ( pregnant & po/p>tum individuals inc>c]at$ 9 su* facility &1 among su* individuals1 ! numb] ( pregnant & po/p>tum 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#b7 ! ext5t to :i* ! lead]s ( su* facility h demon/rat$ a commitm5t to develop+ exempl>y programs = pregnant & po/p>tum individuals inc>c]at$ 9 su* facility4 7d7 ,program duration ,! programs e/abli%$ "u subsection 7e7 %all be c>ri$ out = a #e-ye> p]iod4 7e7 ,programs ,bureau ( ,prisons facilities select$ by ! ,director %all e/abli% programs = pregnant & po/p>tum inc>c]at$ individuals1 & su* programs may-- 7#a7 provide access to p]9atal heal? work]s f pregnancy ?r\gh ! po/p>tum p]iod2 7#b7 provide access to heal?y foods & c\nsel+ on nutrition1 recomm5d$ activity levels1 & safety measures ?r\gh\t pregnancy2 7#c7 tra9 correctional (fic]s to ensure t pregnant inc>c]at$ individuals receive safe & respectful treatm5t2 7#d7 tra9 m$ical p]sonnel to ensure t pregnant inc>c]at$ individuals receive trauma-in=m$1 culturally & l+ui/ically congru5t c>e t promotes ! heal? & safety ( ! pregnant individuals2 7#e7 provide c\nsel+ & treatm5t = individuals :o h suff]$ f-- 7,a7 diagnos$ m5tal or behavioral heal? conditions1 includ+ trauma & sub/ance use disord]s2 7,b7 trauma or viol5ce1 includ+ dome/ic viol5ce2 7,c7 human immunodefici5cy virus2 7,d7 sexual abuse2 7,e7 pregnancy or infant loss2 or 7,f7 *ronic conditions2 7#f7 provide evid5ce-bas$ pregnancy & *ildbir? education1 p>5t+ support1 & o!r relevant =ms ( heal? lit]acy2 7#g7 provide cl9ical education opportunities to mat]nity c>e provid]s 9 tra9+ to exp& pa?ways into mat]nal heal? c>e c>e]s s]v+ inc>c]at$ individuals2 7#h7 (f] opportunities = po/p>tum individuals to ma9ta9 contact ) ! individual's newborn *ild to promote bond+1 includ+ enhanc$ visitation policies1 access to prison nurs]y programs1 or brea/fe$+ support2 7#i7 provide re5try assi/ance1 p>ticul>ly to-- 7,a7 ensure access to heal? insurance cov]age & transf] ( heal? records to community provid]s if an inc>c]at$ individual exits ! crim9al ju/ice sy/em dur+ su* individual's pregnancy or 9 ! po/p>tum p]iod2 & 7,b7 connect individuals exit+ ! crim9al ju/ice sy/em dur+ pregnancy or 9 ! po/p>tum p]iod to community-bas$ res\rces1 su* z ref]rals to heal? c>e provid]s1 sub/ance use disord] treatm5ts1 & social s]vices t address social det]m9ants ( mat]nal heal?2 or 7#aj7 e/abli% p>tn]%ips ) local public entities1 private community entities1 community-bas$ organizations1 ,indian ,tribes & ,tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 & ,urban ,indian organizations 7z su* t]m is def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc77 to e/abli% or exp& pretrial div]sion programs z an alt]native to inc>c]ation = pregnant & po/p>tum individuals1 includ+-- 7,a7 evid5ce-bas$ *ildbir? education or p>5t+ classes2 7,b7 pr5atal heal? coord9ation2 7,c7 family & individual c\nsel+2 7,d7 evid5ce-bas$ scre5+s1 education1 &1 z ne$$1 treatm5t = m5tal & behavioral heal? conditions1 includ+ drug & alcohol treatm5ts2 7,e7 family case managem5t s]vices2 7,f7 dome/ic viol5ce education & prev5tion2 7,g7 physical & sexual abuse c\nsel+2 & 7,h7 programs to address social det]m9ants ( heal? su* z employm5t1 h\s+1 education1 transportation1 & nutrition4 7f7 ,implem5tation & report+ ,a facility select$ "u subsection 7a7 %all be responsible =-- 7#a7 implem5t+ programs1 :i* may include ! programs describ$ 9 subsection 7e72 & 7#b7 n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 report+ results ( ! programs to ! ,director1 includ+ in=mation describ+-- 7,a7 relevant quantitative indicators ( success 9 improv+ ! /&>d ( c>e & heal? outcomes = pregnant & po/p>tum inc>c]at$ individuals 9 ! facility1 includ+ data /ratifi$ by race1 e?nicity1 sex1 g5d]1 prim>y language1 age1 geography1 disability /atus1 ! category ( ! crim9al *>ge aga9/ su* individual1 rates ( pregnancy-relat$ dea?s1 pregnancy-associat$ dea?s1 cases ( infant mortality & morbidity1 rates ( pret]m bir?s & l[-bir?weight bir?s1 cases ( sev]e mat]nal morbidity1 cases ( viol5ce aga9/ pregnant or po/p>tum individuals1 diagnoses ( mat]nal m5tal or behavioral heal? conditions1 & o!r su* in=mation z appropriate2 7,b7 relevant qualitative & quantitative evaluations f pregnant & po/p>tum inc>c]at$ individuals :o p>ticipat$ 9 su* programs1 includ+ measures ( pati5t-report$ exp]i5ce ( c>e2 & 7,c7 /rategies to su/a9 su* programs aft] fiscal ye> #bjbi & exp& su* programs to o!r facilities4 7g7 ,report ,n lat] ?an #f ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,director %all submit to ! ,attorney ,g5]al & ,congress a report describ+ ! results ( ! programs fund$ "u ?is section4 7h7 ,ov]sight ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all aw>d a contract to an indep5d5t organization or indep5d5t organizations to conduct ov]sight ( ! programs describ$ 9 subsection 7e74 7i7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjbe ?r\gh #bjbi4 #d4 ,grant program to improve mat]nal heal? outcomes = individuals 9 ,/ate & local correctional facilities 7a7 ,9 g5]al 7#a7 ,e/abli%m5t ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al1 act+ ?r\gh ! ,director ( ! ,bureau ( ,ju/ice ,assi/ance 7ref]r$ to 9 ?is section z ! ,director71 %all aw>d ,ju/ice = ,inc>c]at$ ,moms grants to ,/ates to e/abli% or exp& programs 9 ,/ate & local correctional facilities = pregnant & po/p>tum inc>c]at$ individuals4 7#b7 ,consultation ) /akehold]s ,! ,attorney ,g5]al %all aw>d su* grants 9 consultation ) /akehold]s su* z-- 7,a7 relevant community-bas$ organizations1 p>ticul>ly organizations t repres5t inc>c]at$ & =m]ly inc>c]at$ individuals & organizations t seek to improve mat]nal heal? outcomes = pregnant & po/p>tum 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,b7 relevant organizations repres5t+ pati5ts1 ) a p>ticul> focus on pati5ts 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 organizations repres5t+ mat]nity c>e provid]s & mat]nal heal? c>e education programs2 7,d7 p]9atal heal? work]s2 & 7,e7 rese>*]s & policy exp]ts 9 fields relat$ to mat]nal heal? c>e = inc>c]at$ individuals4 7b7 ,applications ,ea* applicant = a grant "u ?is section %all submit to ! ,director an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,director may require4 7c7 ,use ( funds ,a ,/ate t is aw>d$ a grant "u ?is section %all use su* grant to e/abli% or exp& programs = pregnant & po/p>tum inc>c]at$ individuals1 & su* programs may-- 7#a7 provide access to p]9atal heal? work]s f pregnancy ?r\gh ! po/p>tum p]iod2 7#b7 provide access to heal?y foods & c\nsel+ on nutrition1 recomm5d$ activity levels1 & safety measures ?r\gh\t pregnancy2 7#c7 tra9 correctional (fic]s to ensure t pregnant inc>c]at$ individuals receive safe & respectful treatm5t2 7#d7 tra9 m$ical p]sonnel to ensure t pregnant inc>c]at$ individuals receive trauma-in=m$1 culturally & l+ui/ically congru5t c>e t promotes ! heal? & safety ( ! pregnant individuals2 7#e7 provide c\nsel+ & treatm5t = individuals :o h suff]$ f-- 7,a7 diagnos$ m5tal or behavioral heal? conditions1 includ+ trauma & sub/ance use disord]s2 7,b7 trauma or viol5ce1 includ+ dome/ic viol5ce2 7,c7 human immunodefici5cy virus2 7,d7 sexual abuse2 7,e7 pregnancy or infant loss2 or 7,f7 *ronic conditions2 7#f7 provide evid5ce-bas$ pregnancy & *ildbir? education1 p>5t+ support1 & o!r relevant =ms ( heal? lit]acy2 7#g7 provide cl9ical education opportunities to mat]nity c>e provid]s 9 tra9+ to exp& pa?ways into mat]nal heal? c>e c>e]s s]v+ inc>c]at$ individuals2 7#h7 (f] opportunities = po/p>tum individuals to ma9ta9 contact ) ! individual's newborn *ild to promote bond+1 includ+ enhanc$ visitation policies1 access to prison nurs]y programs1 or brea/fe$+ support2 7#i7 provide re5try assi/ance1 p>ticul>ly to-- 7,a7 ensure access to heal? insurance cov]age & transf] ( heal? records to community provid]s if an inc>c]at$ individual exits ! crim9al ju/ice sy/em dur+ su* individual's pregnancy or 9 ! po/p>tum p]iod2 & 7,b7 connect individuals exit+ ! crim9al ju/ice sy/em dur+ pregnancy or 9 ! po/p>tum p]iod to community-bas$ res\rces1 su* z ref]rals to heal? c>e provid]s1 sub/ance use disord] treatm5ts1 & social s]vices t address social det]m9ants ( mat]nal heal?2 or 7#aj7 e/abli% p>tn]%ips ) local public entities1 private community entities1 community-bas$ organizations1 ,indian ,tribes & ,tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 & ,urban ,indian organizations 7z su* t]m is def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc77 to e/abli% or exp& pretrial div]sion programs z an alt]native to inc>c]ation = pregnant & po/p>tum individuals1 includ+-- 7,a7 evid5ce-bas$ *ildbir? education or p>5t+ classes2 7,b7 pr5atal heal? coord9ation2 7,c7 family & individual c\nsel+2 7,d7 evid5ce-bas$ scre5+s1 education1 &1 z ne$$1 treatm5t = m5tal & behavioral heal? conditions1 includ+ drug & alcohol treatm5ts2 7,e7 family case managem5t s]vices2 7,f7 dome/ic viol5ce education & prev5tion2 7,g7 physical & sexual abuse c\nsel+2 & 7,h7 programs to address social det]m9ants ( heal? su* z employm5t1 h\s+1 education1 transportation1 & nutrition4 7d7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,director %all give priority to applicants bas$ on-- 7#a7 ! numb] ( pregnant & po/p>tum individuals inc>c]at$ 9 ! ,/ate &1 among su* individuals1 ! numb] ( pregnant & po/p>tum 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#b7 ! ext5t to :i* ! ,/ate has demon/rat$ a commitm5t to develop+ exempl>y programs = pregnant & po/p>tum individuals inc>c]at$ 9 ! correctional facilities 9 ! ,/ate4 7e7 ,grant duration ,a grant aw>d$ "u ?is section %all be = a p]iod ( #e ye>s4 7f7 ,implem5t+ & report+ ,a ,/ate t receives a grant "u ?is section %all be responsible =-- 7#a7 implem5t+ ! program fund$ by ! grant2 & 7#b7 n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act report+ results ( su* program to ! ,attorney ,g5]al1 includ+ in=mation describ+-- 7,a7 relevant quantitative indicators ( ! success ( ! program 9 improv+ ! /&>d ( c>e & heal? outcomes = pregnant & po/p>tum inc>c]at$ individuals 9 ! facility1 includ+ data /ratifi$ by race1 e?nicity1 sex1 g5d]1 prim>y language1 age1 geography1 disability /atus1 category ( ! crim9al *>ge aga9/ su* individual1 incid5ce rates ( pregnancy-relat$ dea?s1 pregnancy-associat$ dea?s1 cases ( infant mortality & morbidity1 rates ( pret]m bir?s & l[-bir?weight bir?s1 cases ( sev]e mat]nal morbidity1 cases ( viol5ce aga9/ pregnant or po/p>tum individuals1 diagnoses ( mat]nal m5tal or behavioral heal? conditions1 & o!r su* in=mation z appropriate2 7,b7 relevant qualitative & quantitative evaluations f pregnant & po/p>tum inc>c]at$ individuals :o p>ticipat$ 9 su* programs1 includ+ measures ( pati5t-report$ exp]i5ce ( c>e2 & 7,c7 /rategies to su/a9 su* programs beyond ! duration ( ! grant & exp& su* programs to o!r facilities4 7g7 ,report ,n lat] ?an #f ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all submit to ,congress a report describ+ ! results ( programs c>ri$ out us+ grants "u ?is subsection4 7h7 ,ov]sight ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all aw>d a contract to an indep5d5t organization or indep5d5t organizations to conduct ov]sight ( ! programs describ$ 9 subsection 7c74 7i7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjbe ?r\gh #bjbi4 #e4 ,,gao report 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report on adv]se mat]nal & infant heal? outcomes among inc>c]at$ individuals & infants born to su* individuals1 ) a p>ticul> focus on racial & e?nic disp>ities 9 mat]nal & infant heal? outcomes = inc>c]at$ individuals4 7b7 ,cont5ts ( report ,! report describ$ 9 subsection 7a7 %all include-- 7#a7 to ! ext5t practicable1 = ! available data = ! #aj ye>s prec$+ ! date ( ! report-- 7,a7 ! numb] ( pregnant individuals :o are inc>c]at$ 9 ,bureau ( ,prisons facilities2 7,b7 ! numb] ( inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local correctional facilities1 :o h exp]i5c$ a pregnancy-relat$ dea?1 pregnancy-associat$ dea?1 or ! dea? ( an infant2 7,c7 ! numb] ( cases ( sev]e mat]nal morbidity among inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local correctional facilities2 7,d7 ! numb] ( /illbir?s1 misc>riages1 & o!r adv]se pregnancy outcomes exp]i5c$ by inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local correctional facilities2 7,e7 ! numb] ( pregnant inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local correctional facilities1 receiv+ pr5atal c>e2 7,f7 ! numb] ( pret]m & l[-bir?weight bir?s ( infants born to inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local correctional facilities2 & 7,g7 /ati/ics on ! racial & e?nic disp>ities 9 mat]nal & infant heal? outcomes & sev]e mat]nal morbidity rates among inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local correctional facilities2 7#b7 9 ! case t ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates is unable det]m9e ! in=mation requir$ "u p>agraph 7#a71 an assessm5t ( ! b>ri]s to det]m9+ su* in=mation & recomm5dations = improvem5ts 9 track+ mat]nal heal? outcomes among inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local correctional facilities2 7#c7 ! implications ( pregnant & po/p>tum inc>c]at$ individuals be+ ineligible = m$ical assi/ance "u a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 includ+ in=mation ab\t-- 7,a7 ! effects ( su* ineligibility on mat]nal heal? outcomes = pregnant & po/p>tum inc>c]at$ individuals1 ) emphasis giv5 to su* effects = pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps2 & 7,b7 pot5tial implications on mat]nal heal? outcomes result+ f tempor>ily susp5d+1 r ?an p]man5tly t]m9at+1 su* eligibility :5 a pregnant or po/p>tum individual is inc>c]at$2 7#d7 ! ext5t to :i* ,f$]al1 ,/ate1 & local correctional facilities are hold+ pregnant & po/p>tum individuals :o te/ positive = illicit drug use 9 det5tion ) special conditions1 su* z additional bond requirem5ts1 due to drug use by ! individual1 & ! effect ( su* det5tion policies on mat]nal & infant heal? outcomes2 7#e7 causes ( adv]se mat]nal heal? outcomes t are unique to inc>c]at$ individuals1 includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & local correctional facilities2 7#f7 causes ( adv]se mat]nal heal? outcomes & sev]e mat]nal morbidity t are unique to inc>c]at$ individuals f racial & e?nic m9ority gr\ps2 7#g7 recomm5dations to r$uce mat]nal mortality & sev]e mat]nal morbidity among inc>c]at$ individuals & to address racial & e?nic disp>ities 9 mat]nal heal? outcomes = inc>c]at$ individuals 9 ,bureau ( ,prisons facilities & ,/ate & local correctional facilities2 & 7#h7 su* o!r in=mation z may be appropriate to r$uce ! occurr5ce ( adv]se mat]nal heal? outcomes among inc>c]at$ individuals & to address racial & e?nic disp>ities 9 mat]nal heal? outcomes = su* individuals4