,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ghcj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #e1 #bjbf,ms4    
,kelly ( ,ill9ois 7= h]self1 ,mrs4      
,watson ,coleman1 ,ms4 ,cl>ke ( ,new    
,york1 ,mrs4 ,mc,iver1 ,ms4 ,norton1    
,ms4 ,sewell1 ,ms4 ,br[n1 ,ms4 ,moore ( 
,wiscons91 ,mrs4 ,f\%ee1 ,ms4 ,wilson ( 
,florida1 ,ms4 ,tlaib1 ,ms4 ,ans>i1 ,mr4
 ,tonko1 ,mr4 ,fields1 ,mrs4            
,*]filus-,mc,cormick1 & ,mr4 ,davis (   
,ill9ois7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
require hospitals to develop dis*>ge    
plans = pregnant individuals z a        
condition ( p>ticipation "u ,m$ic>e1 & =
 o!r purposes4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,wom5 ,expansion ( 

,le>n+ & ,labor ,safety ,act or !       
,,wells ,act4  #b4 ,requir+ hospitals   
p>ticipat+ 9 ,m$ic>e to develop dis*>ge 
plans = pregnant individuals ,section   
#ahff ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acie;cc7 is am5d$-- 7#a7 9   
subsection 7a77#a7-- 7,a7 9 subp>agraph 
7,x71 by /rik+ & at ! end2  7,b7 9      
subp>agraph 7,y71 by /rik+ ! p]iod at ! 
end & ins]t+ 1 &2 &  7,c7 by add+ at !  
end ! foll[+ new subp>agraph3  7,z7     
beg9n+ ,janu>y #a1 #bjbg1 9 ! case ( a  
hospital1 critical access hospital1 or  
rural em]g5cy hospital1 to comply ) !   
requirem5ts describ$ 9 subsection       
7l77#a74  2 &  7#b7 by add+ at ! end !  
foll[+ new subsection3  7l7 ,dis*>ge    
plan requirem5ts = pregnant individuals 
7#a7 ,9 g5]al ,= purposes ( subsection  
7a77#a77,z71 ! requirem5ts describ$ 9   
?is p>agraph are1 ) respect to a        
hospital1 critical access hospital1 or  
rural em]g5cy hospital1 t ! hospital--  
7,a7 provides = ! developm5t &          
implem5tation ( a dis*>ge plan meet+ !  

/&>ds "u p>agraph 7#b7 ) respect to any 
individual 7:e!r or n eligible = b5efits
 "u ?is title7 admitt$ to ! hospital    
:o-- 7i7 is id5tifi$ z pregnant2  7ii7  
is exp]i5c+ signs or symptoms consi/5t )
 labor1 :i* may include contractions2 & 
7iii7 is expect$ to be dis*>g$ f !      
hospital1 critical access hospital1 or  
rural em]g5cy hospital prior to deliv]y1
 z det]m9$ bas$ on ! docum5t$ cl9ical   
judgm5t ( ! treat+ physician or         
practition] at ! "t t su* dis*>ge is    
contemplat$2  7,b7 includes su* dis*>ge 
plan 9 ! individual's m$ical record2 &  
7,c7 provides = su* dis*>ge plan to be  
discuss$ ) ! individual 7or !           
individual's repres5tative7 prior to    
dis*>ge4  7#b7 ,dis*>ge plan /&>ds ,a   
dis*>ge plan = an individual describ$ 9 
p>agraph 7#a77;,a7 meets ! /&>ds "u ?is 
p>agraph if su* plan includes at lea/ ! 
foll[+ in=mation3 7,a7 ,a cl9ical       
ju/ification = ! dis*>ge4  7,b7 ,an     
assessm5t ( travel di/ance & "t betwe5 !
 prim>y resid5ce ( ! individual & !     

hospital1 critical access hospital1 or  
rural em]g5cy hospital4  7,c7           
,v]ification ( reliable transportation  
betwe5 ! prim>y resid5ce ( ! individual 
& ! hospital1 critical access hospital1 
or rural em]g5cy hospital4  7,d7        
,id5tification ( a back-up hospital or  
facility at :i* su* individual may obta9
 labor & deliv]y s]vices4  7,e7         
,confirmation t ! plan 0 review$ &      
approv$ by a qualifi$ m$ical pr(essional
 7z def9$ by ! ,secret>y ?r\gh          
regulations74  7,f7 ,confirmation t !   
individual 7or ! individual's           
repres5tative7 has receiv$ ! in=mation  
describ$ 9 subp>agraphs 7,a7 ?r\gh 7,d71
 t su* in=mation 0 provid$ 9 ! prim>y   
language ( su* individual 7or           
repres5tative71 & t su* individual 7or  
repres5tative7 confirm$ _! und]/&+ ( su*
 in=mation4  7#c7 ,rule ( con/ruction   
,no?+ 9 ?is subsection %all be con/ru$ z
 limit+ or o!rwise affect+ ! dis*>ge    
plann+ requirem5ts o!rwise applicable to
 a hospital1 critical access hospital1  

or rural em]g5cy hospital "u ?is title4 
4  #c4 ,rural mat]nal & ob/etric c>e    
tra9+ demon/ration grants  7a7 ,9 g5]al 
,! fir/ section #gfd ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #bids2      
relat+ to rural mat]nal & ob/etric c>e  
tra9+ demon/ration7 is am5d$-- 7#a7 9   
subsection 7c77#a7-- 7,a7 9 subp>agraph 
7,a71 by /rik+ & at ! end2  7,b7 by     
r$esignat+ subp>agraph 7,b7 z           
subp>agraph 7,c72 &  7,c7 by ins]t+ aft]
 subp>agraph 7,a7 ! foll[+3  7,b7 %all  
use ! grant funds to provide racial bias
 tra9+ z "p ( su* tra9+ program2 &  2   
7#b7 by r$esignat+ subsections 7d7 & 7e7
 z subsections 7e7 & 7f71 respectively2 
7#c7 by ins]t+ aft] subsection 7c7 !    
foll[+3  7d7 ,m9imum p]=mance mile/ones 
7#a7 ,e/abli%m5t ,beg9n+ ) ! grants     
aw>d$ "u ?is section = fiscal ye> #bjbg1
 ! ,secret>y %all e/abli% m9imum        
p]=mance mile/ones t grant recipi5ts mu/
 meet dur+ a fiscal ye> z a condition ( 
rema9+ eligible = fund+ ?r\gh su* a     
grant = any subsequ5t fiscal ye>4  7#b7 

,mile/ones relat$ to p]c5t ( /aff tra9$ 
,! m9imum p]=mance mile/ones ref]r$ to 9
 p>agraph 7#a7 %all include mile/ones   
relat$ to ! p]c5t ( all /aff ( ! grant  
recipi5t t are tra9$1 or t receive      
refre%] tra9+1 ) support f a grant "u   
?is section4  2 &  7#d7 9 subsection    
7e71 z s r$esignat$-- 7,a7 9 !          
subsection head+1 by /rik+ report &     
ins]t+ reports2  7,b7 9 p>agraph        
7#a77;,b71 by /rik+ ! report describ$ 9 
p>agraph 7#b7 & ins]t+ ! reports        
describ$ 9 p>agraphs 7#b7 & 7#c72 &     
7,c7 by add+ at ! end ! foll[+3  7#c7   
,subsequ5t reports ,n lat] ?an ,janu>y  
#a1 #bjbg1 & annually !reaft]1 !        
,secret>y %all submit to ,congress1 &   
make publicly available1 a report t     
includes-- 7,a7 updates to ! in=mation  
describ$ 9 subp>agraphs 7,a7 ?r\gh 7,c7 
( p>agraph 7#b72 &  7,b7 additional     
in=mation reg>d+ ! grants "u ?is        
section1 includ+-- 7i7 a li/ ( !        
entities receiv+ su* grants2  7ii7 !    
numb] & am\nt ( su* grants2  7iii7 :e!r 

tra9+ support$ by su* grants 0 deliv]$  
9-p]son1 virtually1 asyn*ron\sly1 or    
?r\gh "s o!r =mat2 &  7iv7 descriptions 
( ! geographical cov]age ( su* grants1 !
 numb] ( provid]s tra9$ "u su* grants1 &
 pati5t-level metrics l9k$ to su* tra9+ 
7su* z *anges 9 cl9ical outcomes1 pati5t
 exp]i5ce1 & racial disp>ities74  4  7b7
 ,te*nical am5dm5t ,! second section    
#gfd ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bidt2 relat+ to programs
 to promote m5tal heal? among ! heal?   
pr(essional work=ce7 is r$esignat$ z    
section #gfd;,a4  #d4 ,multi-c5t]       
implem5tation sci5ce initiative =       
mat]nal heal? ,! ,secret>y ( ,heal? &   
,human ,s]vices1 9 consultation ) !     
,director ( ! ,ag5cy = ,heal?c>e ,rese>*
 & ,quality & ! ,director ( ! ,national 
,in/itutes ( ,heal?1 %all e/abli% a     
multi-c5t] implem5tation sci5ce         
initiative = mat]nal heal? to rigor\sly 
evaluate diff]5t tra9+ models = heal?   
c>e pr(essionals 7includ+ 9-p]son1      
virtual1 simulation1 & cohort-bas$7 & ! 

impact ( su* models on provid] behavior1
 pati5t outcomes1 & mat]nal heal?       
disp>ities4  #e4 ,mat]nal heal? da%bo>d 
,! ,secret>y ( ,heal? & ,human ,s]vices 
%all develop1 ma9ta91 & make publicly   
available on ! websites ( ! ,dep>tm5t ( 
,heal? & ,human ,s]vices an int]ag5cy   
mat]nal heal? da%bo>d1 :i* %all include 
mat]nal heal? outcome metrics f ag5cies 
)9 ! ,dep>tm5t ( ,heal? & ,human        
,s]vices & ! data collect$ z "p ( !     
initiative "u section #d1 su* z data    
relat$ to mat]nal mortality & sev]e     
mat]nal morbidity1 ! numb] & outcomes ( 
dis*>ges ( pregnant individuals prior to
 deliv]y f in/itutions1 & data on ,f$]al
 inve/m5ts 9 mat]nal heal? rese>*4