,,ib ,union ,cal5d> ,no4 #fch #aai?     
,,congress  #b;d ,session  ,h4 ,r4 #fbch
 ,report ,no4 #aai-gcd ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,novemb] #bj1     
#bjbe,ms4 ,und]wood 7= h]self & ,mr4    
,fitzpatrick7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,july #i1 #bjbf;,additional  
sponsors3 ,ms4 ,norton1 ,mrs4 ,mc,clain 
,delaney1 & ,mr4 ,v9dman  ,july #i1     
#bjbf,report$ ) an am5dm5t1 committ$ to 
! ,committee ( ! ,:ole ,h\se on ! ,/ate 
( ! ,union1 & ord]$ to be printed,strike
 out all aft] ! enact+ clause & ins]t ! 
"p pr9t$ 9 italic,for text ( introduc$  
bill1 see copy ( bill z introduc$ on    
,novemb] #bj1 #bjbe  ,a ,,bill  ,to     
e/abli% ! ,,improve ,initiative )9 !    
,national ,in/itutes ( ,heal?4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,,nih ,implem5t+ a ,mat]nal heal? &     
,p,regnancy ,outcomes ,vision = ,ev]yone
 ,act or ! ,,nih ,,improve ,act4  #b4   
,,improve ,initiative ,"p ,b ( title    
,,iv ( ! ,public ,heal? ,s]vice ,act    

7#db ,u4,s4,c4 #bhd et seq47 is am5d$ by
 add+ at ! end ! foll[+3  #dji,k4       
,,improve initiative  7a7 ,9 g5]al ,!   
,director ( ,,nih %all cont9ue to c>ry  
out a program to improve mat]nal heal?  
outcomes1 to be kn[n z ! ,implem5t+ a   
,mat]nal heal? & ,p,regnancy ,outcomes  
,vision = ,ev]yone ,initiative or !     
,,improve ,initiative 7ref]r$ to 9 ?is  
section z ! ,initiative74  7b7          
,objectives ,! ,initiative %all-- 7#a7  
advance rese>* to-- 7,a7 r$uce          
prev5table causes ( mat]nal mortality & 
sev]e mat]nal morbidity2  7,b7 r$uce    
heal? disp>ities relat$ to mat]nal heal?
 outcomes1 includ+ su* disp>ities       
associat$ ) populations )               
disproportionately high rates ( mat]nal 
mortality & sev]e mat]nal morbidity     
relative to ! national rate2 &  7,c7    
improve heal? = pregnant & po/p>tum wom5
 be=e1 dur+1 & aft] pregnancy2  7#b7 use
 an integrat$ approa* to und]/& !       
factors1 includ+ biological1 behavioral1
 & o!r factors1 t affect mat]nal        

mortality & sev]e mat]nal morbidity by  
build+ an evid5ce base = improv$        
outcomes 9 specific regions ( ! ,unit$  
,/ates2 &  7#c7 t>get heal? disp>ities  
associat$ ) mat]nal mortality & sev]e   
mat]nal morbidity by-- 7,a7 implem5t+ & 
evaluat+ community-bas$ int]v5tions =   
disproportionately affect$ wom52 &  7,b7
 id5tify+ risk factors & ! und]ly+      
biological me*anisms associat$ ) lead+  
causes ( mat]nal mortality & sev]e      
mat]nal morbidity 9 ! ,unit$ ,/ates4    
7c7 ,implem5tation ,! ,director ( ,,nih 
may aw>d grants or ent] into contracts1 
coop]ative agreem5ts1 or o!r            
transactions to c>ry out ?is section4   
7d7 ,au?orization ( appropriations ,!re 
is au?oriz$ to be appropriat$ to c>ry   
out ?is section #fc1djj1jjj = ea* (     
fiscal ye>s #bjbf ?r\gh #bjcj4  4  ,july
 #i1 #bjbf,report$ ) an am5dm5t1        
committ$ to ! ,committee ( ! ,:ole ,h\se
 on ! ,/ate ( ! ,union1 & ord]$ to be   
pr9t$