,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fgfe  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #af1         
#bjbe,mr4 ,smi? ( ,new ,j]sey 7= himself
 & ,ms4 ,salaz>7 introduc$ ! foll[+     
bill2 :i* 0 ref]r$ to ! ,committee on   
,=eign ,affairs  ,a ,,bill  ,to         
prioritize & fund life-affirm+ mat]nal &
 *ild heal? initiatives globally by     
equipp+ local heal? provid]s & community
 heal? work]s to r$uce ! lead+ causes ( 
mat]nal & *ild mortality1 & = o!r       
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,safe ,passages ,act (     
#bjbe4  #b4 ,f9d+s ,congress f9ds !     
foll[+3  7#a7 ,ar\nd ! _w1 ov] #bhg1jjj 
wom5 die ea* ye> f pregnancy-relat$     
complications--mo/ ( :i* are prev5table4
  7#b7 ,9 sub-,sah>an ,africa1 ! mat]nal
 mortality rate 9 #bjbc 0 #ddb p]       
#ajj1jjj live bir?s1 comp>$ to #ad p]   
#ajj1jjj 9 develop$ c\ntries4  7#c7     
,sub-,sah>an ,africa acc\nts =          
approximately #gj p]c5t ( all global    
mat]nal dea?s4  7#d7 ,^! dea?s are ne>ly

 all caus$ by treatable conditions      
includ+ po/p>tum hemorrhage1 sev]e      
preeclampsia1 infection1 & ob/ruct$     
labor1 reflect+ a lack ( access to      
skill$ bir? att5dants ) ! tra9+1 tools1 
& infra/ructure ne$$ to provide         
life-affirm+ ob/etrical c>e4  7#e7 ,%ort
 ( dea? & 9 ! abs5ce ( skill$ pregnancy 
c>e & bir? att5dance1 wom5 may also     
suff] sev]e complications dur+ & aft]   
*ildbir? includ+ /illbir?s1 ob/etric    
fi/ula1 sev]e anemia1 infection1 &      
c>diovascul> damage1 all ( :i* c cause  
lifelong complications4  7#f7 ,mat]nal  
dea?1 :i* is also associat$ ) a decl9e 9
 ! /&>d ( liv+ = *ildr5 9 ! b]eav$      
family1 is "o ( ! lead+ causes ( fetal &
 newborn dea?4  7#g7 ,infants ^: mo!rs  
die dur+ *ildbir? face dramatically     
elevat$ risk ) a lea/ #bj-;fold times   
risk ( mortality 9 ! fir/ mon? ( life4  
7#h7 ,ev5 beyond ! neonatal p]iod1      
mat]nal dea? is associat$ ) #d-f times  
great] mortality risk = "y *ildr54  7#i7
 ,^! /ati/ics reflect n m]ely public    

heal? tr5ds b ! p]sonal trag$ies ( wom51
 *ildr51 & families ^: futures are =ev] 
alt]$4  7#aj7 ,! fir/ #a1jjj days (     
life--f conception to age #b--repres5t a
 critical w9d[ 9 :i* appropriate mat]nal
 & infant heal? c>e c dramatically r$uce
 risk ( *ild malnutrition1 /unt+1       
developm5tal delays1 & e>ly *ildhood    
illness & help prev5t & treat           
complications ( pregnancy t c h %ort- & 
long-t]m impacts on ! heal? ( mo!rs4    
7#aa7 ,/r5g!n+ mat]nal & *ild heal?     
pres]ves bo? "m & *ild1 /r5g!ns family  
units1 enhances a myriad ( human        
developm5t goals1 & upholds ! dignity & 
wor? ( e human life4  7#ab7 ,! engagem5t
 & support ( fa!rs ?r\gh f9ancial1      
mat]ial1 relational & emotional support 
( ! "m & *ild1 is key to /r5g!n+ mat]nal
 & *ild heal? & promot+ a safe passage1 
& has be5 correlat$ ) increas$ pr5atal  
c>e1 enhanc$ skill$ bir? att5dance1     
improv$ mat]nal m5tal heal? & high]     
neonatal survival4  7#ac7 ,programs su* 
z ,mat]nal ,life ,int]national's ,safe  

,passages model h prov5 successful 9    
tra9+ frontl9e provid]s1 r$uc+          
mortality1 & deliv]+ su/a9able1         
culturally respectful1 life-affirm+ c>e 
9 l[-res\rce sett+s4  #c4 ,purpose ,!   
purpose ( ?is ,act is to advance & fund 
life-affirm+ mat]nal & *ild heal?       
int]v5tions t--  7#a7 equip local       
provid]s1 includ+ midwives1 physicians1 
physician assi/ants1 nurse practition]s1
 & community heal? work]s1 )            
life-affirm+ tra9+ 9 h[ to prev5t1      
recognize1 & manage ! lead+ causes (    
mat]nal & p]9atal dea? & _!             
complications2  7#b7 provide m$ical     
res\rces1 tra9+1 & em]g5cy ob/etric     
equipm5t to c>ry out ! above skill$     
life-affirm+ managem5t ( ob/etrical &   
p]9atal complications2  7#c7 provide    
education & support = heal? c>e &       
nutrition dur+ ! fir/ #a1jjj days (     
life2  7#d7 provide education & support 
= fa!rs 9 _! support & responsibility = 
! well-be+ ( ! "m & *ild2  7#e7 support 
a cont9uum ( life-affirm+ c>e = wom5 &  

m5 inclusive ( pre-conception heal?1    
f]tility heal?1 f]tility aw>5ess1 heal?y
 *ild spac+1 natural family plann+1 safe
 bir? & po/p>tum m5tal heal?2 &  7#f7   
op]ate 9 full alignm5t ) respect = life 
at all /ages f conception to natural    
dea? & /r5g!n+ ! family4  #d4 ,safe     
passages mat]nal & *ild heal? program   
7a7 ,e/abli%m5t ,!re is e/abli%$ a      
global initiative to be kn[n z ! ,safe  
,passages ,mat]nal & ,*ild ,heal?       
,program to help r$uce mat]nal & *ild   
mortality 9 l[- & l[]-middle-income     
c\ntries ) high mat]nal & *ild mortality
 rates ?r\gh fiscal ye> #bjcj1 ?r\gh    
fai?-bas$ heal? p>tn]%ips1              
community-bas$ c>e1 collaboration )     
national heal? sy/ems1 & life-affirm+   
heal? int]v5tions4  7b7 ,elem5ts        
,int]v5tions support$ by ! program      
e/abli%$ by subsection 7a7 are =        
life-affirm+ tra9+ & res\rce assi/ance =
 ! foll[+3  7#a7 ,prev5tion1            
recognition1 diagnosis & treatm5t (     
ob/etrical hemorrhage1 & its            

complications1 includ+ po/p>tum anemia4 
7#b7 ,prev5tion1 recognition1 diagnosis 
& managem5t ( preeclampsia & o!r        
hyp]t5sive1 metabolic & c>diovascul>    
disord]s ( pregnancy1 & _!              
complications1 up to #a-ye> po/p>tum4   
7#c7 ,prev5tion1 recognition1 diagnosis 
& treatm5t ( infections & _!            
complications associat$ ) ectopic       
pregnancy1 misc>riage1 /illbir?1 normal 
pregnancy1 *ildbir? & ! po/p>tum p]iod4 
7#d7 ,prev5tion1 recognition1 diagnosis 
& managem5t ( ob/ruct$ labor & its      
complications1 includ+ ut]9e rupture1   
ob/etric fi/ulas1 & additional relat$   
complications4  7#e7 ,r$uction ( fetal1 
p]9atal1 neonatal & infant mortality1   
includ+ /illbir?1 by prev5t+1 recogniz+1
 diagnos+ & treat+ fetal di/ress1       
newborn asphyxia1 bir? trauma1          
intraut]9e gr[? re/riction1 premature   
bir?1 small size = ge/ational age1 &    
neonatal infections & sepsis4  7#f7     
,nutritional & heal? education = ! "m & 
provision ( nutritional res\rces = ! "m 

& *ild dur+ ! fir/ #a1jjj days ( life1 f
 conception to #b ye>s ( age provid$    
?r\gh coord9ation ) ! (fice lead+ on    
global food security4  7#g7 ,tra9+ &    
dissem9ation ( natural f]tility aw>5ess 
bas$ me?ods 9 accordance ) evid5ce-bas$ 
non-abortive practices4  7#h7 ,promote  
increas+ fa!rs' support & involvem5t =  
mo!rs & *ildr54  7c7 ,implem5tation ,!  
,secret>y ( ,/ate %all prioritize !     
implem5tation ( ! program e/abli%$ by   
subsection 7a7 9 collaboration ) new &  
exi/+ global heal? p>tn]%ips deem$ to be
 effici5t & reliable 9 ! exp5diture (   
taxpay] doll>s1 prioritiz+ local        
fai?-bas$ provid]s & fai?-bas$          
organizations ) /rong local p>tn]%ips & 
:i* h exp]i5ce & exp]tise 9 mat]nal &   
*ild heal? deliv]y 9 res\rce-limit$     
sett+s4  #e4 ,am5dm5t to exi/+ law &    
availability ( funds  7a7 ,am5dm5t      
,section #ajd7;c7 ( ! ,=eign ,assi/ance 
,act ( #aifa 7#bb ,u4,s4,c4 #baea;b7c77 
is am5d$ to read z foll[s3  7c7 ,mat]nal
 & *ild heal? & nutrition ,assi/ance "u 

?is section %all prioritize mat]nal &   
*ild heal? int]v5tions consi/5t ) !     
,safe ,passages ,mat]nal & ,*ild ,heal? 
,program e/abli%$ by section #d ( !     
,safe ,passages ,act ( #bjbe1 includ+   
prev5tion & treatm5t ( ob/etric         
complications1 su* z hemorrhage1        
hyp]t5sive disord]s1 sepsis1 ob/ruct$   
labor1 & neonatal resuscitation2 support
 = mat]nal nutrition2 heal? c>e = ! *ild
 ?r\gh\t ! fir/ #a1jjj days ( life f    
conception to approximately #b ye>s (   
age2 & support = fa!rs to c>e = mo!rs & 
_! *ildr54 ,su* assi/ance %all promote  
natural me?ods ( f]tility aw>5ess & %all
 n be us$ = abortion or abortion-relat$ 
s]vices4  4  7b7 ,availability ,not)/&+ 
any o!r provision ( law1 ! ,presid5t1   
act+ ?r\gh ! ,secret>y ( ,/ate1 %all1 f 
funds made available "u ! ,global ,heal?
 ,programs acc\nt1 make available n less
 ?an #djj1jjj1jjj annually to c>ry out  
section #d ( ?is ,act & subsection 7c7 (
 section #ajd ( ! ,=eign ,assi/ance ,act
 ( #aifa1 z am5d$ by subsection 7a71    

includ+ = life-affirm+ mat]nal & *ild   
heal? programs t--  7#a7 focus on !     
prev5tion ( mat]nal1 fetal1 & neonatal  
dea?s2  7#b7 promote natural me?ods (   
f]tility aw>5ess & c\ple-c5t]$ c>e2     
7#c7 provide tra9+ & em]g5cy response to
 ! #e lead+ causes ( mat]nal mortality3 
hemorrhage1 hyp]t5sive disord]s1 sepsis 
& infections1 ob/ruct$ labor & ut]9e    
rupture1 & misc>riage1 to include       
surgical managem5t ( ob/etrical         
em]g5cies & pregnancy complications 7n  
to include elective abortions72  7#d7   
provide tra9+ & response = ! lead+      
causes ( mat]nal late po/p>tum          
complications3 sev]e anemia1            
neurological & c>diovascul> injury      
foll[+ hyp]t5sive disord]s1 fi/ula1     
hemorrhage1 infections1 & po/p>tum m5tal
 heal? conditions2  7#e7 provide tra9+ &
 em]g5cy response to ! lead+ causes (   
infant mortality3 premature bir?1 bir?  
complications 7bir? asphyxia_/trauma71  
intraut]9e gr[? re/riction1 & neonatal  
sepsis & infections2  7#f7 uphold       

life-affirm+ c>e = bo? "m & *ild2 &     
7#g7 engage fa!rs 9 ^! life-affirm+     
mat]nal & *ild heal? programs z well z 9
 ! c>e ( ! mo!rs & _! *ildr54  #f4      
,report+ & ov]sight ,n lat] ?an #b ye>s 
aft] ! date ( ! enactm5t ( ?is ,act1 &  
bi5nially !reaft]1 ! ,secret>y ( ,/ate  
%all submit to ,congress a report       
detail+--  7#a7 ! numb] ( tra9+s (f]$1  
provid]s & cadres tra9$1 includ+        
midwives1 physicians1 community heal?   
work]s1 nurses1 physician assi/ants1    
nurse practition]s1 ph>maci/s1          
laboratory te*nicians1 & o!r bir?       
att5dants1 & ! cont5t ( ! tra9+         
curricula2  7#b7 ! effectiv5ess ( su*   
tra9+s1 measur$ rigor\sly & objectively1
 to det]m9e improvem5ts 9 k & skills    
?r\gh pre- & po/-tra9+ assessm5ts2  7#c7
 initial & annual co-inve/m5ts made by  
private indu/ry & =eign gov]nm5ts2  7#d7
 su/a9ability plans & timel9es =        
organizations & gov]nm5ts receiv+       
assi/ance2  7#e7 ! numb] ( facilities   
receiv+ support = facility upgrades 7su*

 z basic lab te/s1 blood transfusion    
s]vices1 second-l9e ut]otonics =        
po/p>tum hemorrhage1 broad spectrum     
antibiotics1 ref]ral & transport sy/ems 
= rural heal?-c>e facilities1 &         
ultras\nd s]vices = recognition &       
managem5t ( high-risk pregnancies71 & ! 
nature ( ! upgrades2  7#f7 any support  
provid$ = e/abli%m5t ( revolv+ capital  
funds2  7#g7 community- & hospital-level
 data on mat]nal1 fetal1 neonatal &     
infant morbidity & mortality1 pres5t$ z 
a comp>ison betwe5 areas s]v$ & n s]v$2 
7#h7 regions & facilities s]v$2  7#i7   
e/imat$ mat]nal & *ild lives sav$2 &    
7#aj7 compliance ) ,unit$ ,/ates =eign  
assi/ance re/rictions & goals ( ?is     
,act4