,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #cbjb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #e1 #bjbe,ms4    
,/rickl& 7= h]self1 ,mr4 ,ciscomani1    
,ms4 ,r&all1 & ,mrs4 ,kiggans (         
,virg9ia7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,arm$        
,s]vices  ,a ,,bill  ,to direct !       
,secret>y ( ,def5se to c>ry out a pilot 
program to provide s]vices f midwives to
 cov]$ b5efici>ies "u ! ,,tric>e        
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,mat]nal & ,infant ,deliv]y 
,wellness & ,integration ) ,vital       
,exp]tise ,support = ,s]vice ,memb]s    
,act ( #bjbe or ! ,,midwives = ,s]vice  
,memb]s ,act ( #bjbe4  #b4 ,pilot       
program to make midwife s]vices         
available ?r\gh ,,tric>e  7a7 ,pilot    
program ,n lat] ?an "o ye> aft] ! date (
 ! enactm5t ( ?is ,act1 ! ,secret>y (   
,def5se %all beg9 a five-ye> pilot      
program to provide s]vices f cov]$      
midwives to cov]$ b5efici>ies "u !      
,,tric>e program4  7b7 ,au?ority ,to    

make p]man5t ,if ! ,secret>y det]m9es1  
aft] ! t]m9ation ( ! pilot program t su*
 pilot program 0 successful1 ! ,secret>y
 may prescribe su* regulations to       
e/abli% a p]man5t program to make       
s]vices f cov]$ midwives available to   
cov]$ b5efici>ies z ! ,secret>y det]m9es
 appropriate4  7c7 ,reports  7#a7       
,implem5tation report ,n lat] ?an #ahj  
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y %all submit to !      
,committees on ,arm$ ,s]vices ( ! ,h\se 
( ,repres5tatives & ! ,s5ate a plan to  
implem5t ! pilot program "u subsection  
7a74  7#b7 ,annual report ,n lat] ?an "o
 ye> aft] ! date on :i* ! pilot program 
beg9s & annually !reaft] until ! date t 
is #a ye> aft] ! t]m9ation ( ! pilot    
program1 ! ,secret>y %all submit to !   
,committees on ,arm$ ,s]vices ( ! ,h\se 
( ,repres5tatives & ! ,s5ate a report   
includ+3 7,a7 ,! total co/ ( ! pilot    
program & ! co/ p] cov]$ b5efici>y :o   
receiv$ c>e "u ! pilot program4  7,b7 ,!
 total numb] ( cov]$ b5efici>ies :o     

receiv$ c>e "u ! pilot program4  7,c7 ,!
 race1 e?nicity1 age1 sex1 relation%ip  
/atus1 ,arm$ ,=ce1 milit>y occupation1 &
 rank1 z applicable1 ( cov]$ b5efici>ies
 :o receiv$ c>e "u ! pilot program4     
7,d7 ,an assessm5t ( ! effects ( ! pilot
 program on quality ( c>e1 includ+-- 7i7
 on mat]nal & fetal outcomes2 &  7ii7 on
 ! numb] ( pret]m bir?s1 l[-weight      
bir?s1 & rates ( caes>ean section1 & su*
 o!r data po9ts z ! ,secret>y det]m9es  
appropriate4  7,e7 ,an assessm5t (      
pati5t satisfaction ( cov]$ b5efici>ies 
:o receiv$ c>e ?r\gh ! pilot program4   
7,f7 ,an assessm5t ( access to mat]nity 
& labor & deliv]y c>e = cov]$           
b5efici>ies1 includ+ av]age wait "t = an
 initial appo9tm5t & av]age travel "t to
 ! provid]4  7,g7 ,an assessm5t ( !     
effectiv5ess ( ! pilot program4  7,h7   
,recomm5dations = adju/m5ts to ! pilot  
program4  7,i7 ,! e/imat$ co/ sav+s z a 
result ( improv$ mat]nal & fetal heal?  
outcomes due to ! pilot program4  7,j7  
,! ,secret>y ( ,def5se's recomm5dations 

relat+ to *anges to ! pilot program1 an 
ext5sion ( ! pilot program1 & :e!r !    
pilot program %\ld be exp&$ & made      
p]man5t4  7d7 ,def9itions ,9 ?is        
section3 7#a7 ,! t]ms cov]$ b5efici>y & 
,,tric>e program h ! mean+s giv5 su*    
t]ms 9 section #ajgb ( title #aj1 ,unit$
 ,/ates ,code4  7#b7 ,! t]m cov]$       
midwife means a c]tifi$ pr(essional     
midwife or c]tifi$ midwife :o meets--   
7,a7 ! int]national def9ition ( a       
midwife1 & global /&>ds = midwif]y      
education1 e/abli%$ by ! ,int]national  
,conf$]ation ( ,midwives1 &  7,b7 any   
pr(essional cr$5tial+ requirem5t requir$
 to practice midwif]y "u applicable     
,/ate law4