,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #hjjh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #ai1 #bjbf,mrs4  
,hayes 7= h]self1 ,mr4 ,amo1 ,mrs4      
,beatty1 ,mr4 ,bell1 ,mr4 ,c>son1 ,mrs4 
,*]filus-,mc,cormick1 ,ms4 ,cl>ke ( ,new
 ,york1 ,mr4 ,coh51 ,mr4 ,conaway1 ,ms4 
,craig1 ,ms4 ,del,bene1 ,mrs4 ,d+ell1   
,mr4 ,figures1 ,mr4 ,g>am5di1 ,mr4 ,g>ca
 ( ,ill9ois1 ,mrs4 ,grijalva1 ,mr4      
,hors=d1 ,mr4 ,ivey1 ,mr4 ,jackson (    
,ill9ois1 ,ms4 ,jacobs1 ,mr4 ,johnson ( 
,georgia1 ,ms4 ,johnson ( ,texas1 ,ms4  
,kamlag]-,dove1 ,mr4 ,kri%namoor?i1 ,mr4
 ,latim]1 ,mrs4 ,mc,bath1 ,mr4          
,mc,garvey1 ,mrs4 ,mc,iver1 ,mr4        
,m5efee1 ,ms4 ,moore ( ,wiscons91 ,mr4  
,m\lton1 ,ms4 ,norton1 ,ms4 ,pressley1  
,mr4 ,scott ( ,virg9ia1 ,ms4 ,sewell1   
,mr4 ,smi? ( ,wa%+ton1 ,ms4 ,/ansbury1  
,ms4 ,tlaib1 ,mr4 ,soto1 ,ms4 ,und]wood1
 ,mr4 ,veasey1 ,mrs4 ,watson ,coleman1 &
 ,ms4 ,wilson ( ,florida7 introduc$ !   
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     

,,bill  ,to address social det]m9ants ( 
mat]nal heal? to elim9ate mat]nal       
mortality1 sev]e mat]nal morbidity1 &   
mat]nal heal? disp>ities1 & = o!r       
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,social ,det]m9ants = ,moms
 ,act4  #b4 ,task =ce to address !      
,unit$ ,/ates mat]nal heal? crisis  7a7 
,9 g5]al ,! ,secret>y ( ,heal? & ,human 
,s]vices %all conv5e a task =ce 79 ?is  
section ref]r$ to z ! ,task ,=ce7 to    
develop /rategies & coord9ate ef=ts     
betwe5 ,f$]al ag5cies & o!r /akehold]s  
to elim9ate prev5table mat]nal          
mortality1 sev]e mat]nal morbidity1 &   
mat]nal heal? disp>ities 9 ! ,unit$     
,/ates1 includ+ actions to address      
cl9ical & noncl9ical causes ( mat]nal   
mortality1 sev]e mat]nal morbidity1 &   
mat]nal heal? disp>ities4  7b7 ,ex      
(ficio memb]s ,! ex (ficio memb]s ( !   
,task ,=ce %all consi/ ( ! foll[+3 7#a7 
,! ,secret>y ( ,heal? & ,human ,s]vices 
7or a designee !re(74  7#b7 ,! ,secret>y
 ( ,h\s+ & ,urban ,developm5t 7or a     

designee !re(74  7#c7 ,! ,secret>y (    
,transportation 7or a designee !re(74   
7#d7 ,! ,secret>y ( ,agriculture 7or a  
designee !re(74  7#e7 ,! ,secret>y (    
,labor 7or a designee !re(74  7#f7 ,!   
,adm9i/rator ( ! ,environm5tal          
,protection ,ag5cy 7or a designee !re(74
  7#g7 ,! ,assi/ant ,secret>y = !       
,adm9i/ration = ,*ildr5 & ,families 7or 
a designee !re(74  7#h7 ,! ,adm9i/rator 
( ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices 
7or a designee !re(74  7#i7 ,! ,director
 ( ! ,indian ,heal? ,s]vice 7or a       
designee !re(74  7#aj7 ,! ,director ( ! 
,national ,in/itutes ( ,heal? 7or a     
designee !re(74  7#aa7 ,! ,director ( ! 
,eunice ,k5n$y ,%riv] ,national         
,in/itute ( ,*ild ,heal? & ,human       
,developm5t 7or a designee !re(74  7#ab7
 ,! ,director ( ! ,tribal ,heal? ,rese>*
 ,(fice ( ! ,national ,in/itutes (      
,heal? 7or a designee !re(74  7#ac7 ,!  
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration 7or a designee   
!re(74  7#ad7 ,! ,deputy ,assi/ant      

,secret>y = ,m9ority ,heal? ( !         
,dep>tm5t ( ,heal? & ,human ,s]vices 7or
 a designee !re(74  7#ae7 ,! ,deputy    
,assi/ant ,secret>y = ,wom5's ,heal? ( !
 ,dep>tm5t ( ,heal? & ,human ,s]vices   
7or a designee !re(74  7#af7 ,!         
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion 7or a designee !re(74     
7#ag7 ,! ,director ( ! ,(fice on        
,viol5ce ,aga9/ ,wom5 at ! ,dep>tm5t (  
,ju/ice 7or a designee !re(74  7c7      
,appo9t$ memb]s ,9 addition to ! ex     
(ficio memb]s ( ! ,task ,=ce1 !         
,secret>y ( ,heal? & ,human ,s]vices may
 appo9t ! foll[+ memb]s ( ! ,task ,=ce3 
7#a7 ,repres5tatives ( pati5ts1 to      
include--  7,a7 a repres5tative (       
pati5ts :o h suff]$ f sev]e mat]nal     
morbidity2 or  7,b7 a repres5tative (   
pati5ts :o is a family memb] ( an       
individual :o suff]$ a pregnancy-relat$ 
dea?4  7#b7 ,lead]s ( community-bas$    
organizations t address mat]nal         
mortality1 sev]e mat]nal morbidity1 &   
mat]nal heal? ) a specific focus on     

racial & e?nic disp>ities4 ,9 appo9t+   
su* lead]s "u ?is p>agraph1 ! ,secret>y 
( ,heal? & ,human ,s]vices %all give    
priority to individuals :o are lead]s ( 
organizations l$ by 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? outcomes4
  7#c7 ,lead]s f ! ,indian heal? c>e    
sy/em1 includ+ lead]s f ,tribal         
,epidemiology ,c5t]s4  7#d7 ,p]9atal    
heal? work]s4  7#e7 ,a pr(essionally &  
geographically div]se panel ( mat]nity  
c>e provid]s4  7#f7 ,o!r mat]nal heal?  
/akehold]s outside ( ! ,f$]al ,gov]nm5t 
) exp]tise 9 mat]nal heal?1 includ+     
social det]m9ants ( mat]nal heal?4  7d7 
,*air ,! ,secret>y ( ,heal? & ,human    
,s]vices %all select ! *air ( ! ,task   
,=ce f among ! memb]s ( ! ,task ,=ce4   
7e7 ,topics ,9 develop+ /rategies       
coord9at+ ef=ts betwe5 ,f$]al ag5cies & 
o!r /akehold]s to elim9ate prev5table   
mat]nal mortality1 sev]e mat]nal        

morbidity1 & mat]nal heal? disp>ities 9 
! ,unit$ ,/ates "u ?is section1 ! ,task 
,=ce may address topics su* z-- 7#a7    
address+ b>ri]s t prev5t individuals f  
att5d+ pr5atal & po/p>tum appo9tm5ts1   
access+ mat]nal heal? c>e s]vices1 or   
access+ s]vices & res\rces relat$ to    
social det]m9ants ( mat]nal heal?2  7#b7
 increas+ access to safe1 /able1        
af=dable1 & adequate h\s+ = pregnant &  
po/p>tum individuals & _! families2     
7#c7 deliv]+ heal?y food1 infant =mula1 
clean wat]1 diap]s1 or o!r p]9atal      
necessities to pregnant & po/p>tum      
individuals locat$ 9 areas t are food   
des]ts2  7#d7 address+ ! impacts ( wat] 
& air quality1 exposure to extreme      
temp]atures1 environm5tal *emicals1     
environm5tal risks 9 ! workplace & !    
home1 & pollution levels1 on mat]nal &  
infant heal? outcomes2  7#e7 (f]+ free &
 accessible drop-9 *ildc>e s]vices dur+ 
pr5atal & po/p>tum appo9tm5ts2  7#f7    
address+ ! cl9ical & noncl9ical ne$s (  
po/p>tum individuals & _! families = !  

duration ( ! po/p>tum p]iod2  7#g7      
engag+ ) nongov]nm5tal entities to      
address social det]m9ants ( mat]nal     
heal?1 includ+ ?r\gh public-private     
p>tn]%ips2  7#h7 address+ ! impact (    
dome/ic or intimate p>tn] viol5ce on    
mat]nal heal? outcomes2 &  7#i7 o!r     
topics det]m9$ by ! *air ( ! ,task ,=ce4
  7f7 ,report ,n lat] ?an #b ye>s aft] !
 date ( enactm5t ( ?is ,act1 & e ye>    
!reaft]1 ! ,task ,=ce %all submit to    
,congress & make publicly available on !
 website ( ! ,dep>tm5t ( ,heal? & ,human
 ,s]vices a report-- 7#a7 describ+ !    
,task ,=ce's ef=ts to develop /rategies 
& coord9ate ef=ts betwe5 ,f$]al ag5cies 
& o!r /akehold]s to elim9ate prev5table 
mat]nal mortality1 sev]e mat]nal        
morbidity1 & mat]nal heal? disp>ities 9 
! ,unit$ ,/ates2  7#b7 provid+ an       
ov]view ( actions tak5 by ea* memb] ( ! 
,task ,=ce li/$ "u subsection 7b7 to    
elim9ate prev5table mat]nal mortality1  
sev]e mat]nal morbidity1 & mat]nal heal?
 disp>ities 9 ! ,unit$ ,/ates2  7#c7    

provid+ recomm5dations on ,f$]al fund+  
am\nts & au?orities ne$$ to implem5t    
/rategies develop$ by ! ,task ,=ce to   
elim9ate prev5table mat]nal mortality1  
sev]e mat]nal morbidity1 & mat]nal heal?
 disp>ities 9 ! ,unit$ ,/ates2  7#d7    
provid+ recomm5dations on actions t     
/akehold]s outside ( ! ,f$]al ,gov]nm5t 
c take to elim9ate prev5table mat]nal   
mortality1 sev]e mat]nal morbidity1 &   
mat]nal heal? disp>ities 9 ! ,unit$     
,/ates2 &  7#e7 address+ o!r topics z   
det]m9$ by ! *air ( ! ,task ,=ce4  7g7  
,t]m9ation ,section #ajac ( title #e1   
,unit$ ,/ates ,code1 %all n apply to !  
,task ,=ce ) respect to t]m9ation4  #c4 
,su/a9$ fund+ to address social         
det]m9ants ( mat]nal heal?  7a7 ,9 g5]al
 ,! ,secret>y ( ,heal? & ,human ,s]vices
 79 ?is section ref]r$ to z ! ,secret>y7
 %all aw>d grants to eligible entities  
to address social det]m9ants ( mat]nal  
heal? to elim9ate mat]nal mortality1    
sev]e mat]nal morbidity1 & mat]nal heal?
 disp>ities4  7b7 ,eligible entities ,9 

?is section1 ! t]m eligible entity      
means-- 7#a7 a community-bas$           
organization1 ,indian ,tribe or ,tribal 
organization1 or ,urban ,indian         
organization2  7#b7 a public heal?      
dep>tm5t or nonpr(it organization work+ 
) an entity li/$ 9 p>agraph 7#a72 or    
7#c7 a consortium ( entities li/$ 9     
p>agraph 7#a7 or 7#b7 t includes at     
m9imum "o entity li/$ 9 p>agraph 7#a74  
7c7 ,application ,to be eligible to     
receive a grant "u ?is section1 an      
eligible entity %all submit to !        
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may provide4  7d7             
,prioritization ,9 aw>d+ grants "u      
subsection 7a71 ! ,secret>y %all give   
priority to an eligible entity t is     
op]at+ 9 an area )--  7#a7 high 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 a high pov]ty rate4  7e7       
,activities ,an eligible entity t       

receives a grant "u ?is section may use 
! grant to address social det]m9ants (  
mat]nal heal? su* z-- 7#a7 h\s+2  7#b7  
transportation2  7#c7 nutrition2  7#d7  
employm5t1 workplace conditions1 & o!r  
economic factors2  7#e7 environm5tal    
conditions2  7#f7 intimate p>tn]        
viol5ce2 &  7#g7 o!r noncl9ical factors 
t impact mat]nal heal? outcomes4  7f7   
,te*nical assi/ance ,! ,secret>y %all   
provide to grant recipi5ts "u ?is       
section te*nical assi/ance to plan =    
su/a9+ programs to address social       
det]m9ants ( mat]nal heal? aft] ! p]iod 
( ! grant4  7g7 ,report+  7#a7 ,grantees
 ,n lat] ?an #a ye> aft] an eligible    
entity fir/ receives a grant "u ?is     
section1 & annually !reaft]1 an eligible
 entity %all submit to ! ,secret>y1 &   
make publicly available1 a report on !  
/atus ( activities conduct$ us+ ! grant4
 ,ea* su* report %all include data on ! 
effects ( su* activities1 disaggregat$  
by race1 e?nicity1 g5d]1 prim>y         
language1 geography1 socioeconomic      

/atus1 & o!r relevant factors4  7#b7    
,secret>y ,n lat] ?an ! end ( fiscal ye>
 #bjca1 ! ,secret>y %all submit to      
,congress a report t includes-- 7,a7 a  
summ>y ( ! reports "u p>agraph 7#a72 &  
7,b7 recomm5dations = future ,f$]al     
grant allocations to address social     
det]m9ants ( mat]nal heal?4  7h7        
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #ajj1jjj1jjj = ea* ( fiscal 
ye>s #bjbg ?r\gh #bjca4  #d4 ,def9itions
 ,9 ?is ,act3 7#a7 ,mat]nal mortality ,!
 t]m mat]nal mortality means a dea?     
occurr+ dur+ or )9 a #a-ye> p]iod aft]  
pregnancy1 caus$ by pregnancy-relat$ or 
*ildbir? complications1 includ+ a       
suicide1 ov]dose1 or o!r dea? result+ f 
a m5tal heal? or sub/ance use disord]   
attribut$ to or aggravat$ by            
pregnancy-relat$ or *ildbir?            
complications4  7#b7 ,mat]nity c>e      
provid] ,! t]m mat]nity c>e provid]     
means a heal? c>e provid] :o-- 7,a7 is a
 physician1 a physician assi/ant1 a     

midwife :o meets1 at a m9imum1 !        
int]national def9ition ( a midwife &    
global /&>ds = midwif]y education z     
e/abli%$ by ! ,int]national ,conf$]ation
 ( ,midwives1 an advanc$ practice       
regi/]$ nurse1 a d\la accr$it$ by a     
,/ate to receive reimbursem5t = d\la    
s]vices "u a ,/ate plan 7or a waiv] (   
su* plan7 "u title ,,xix ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acif et  
seq471 or a lactation consultant c]tifi$
 by ! ,int]national ,bo>d ( ,lactation  
,consultant ,exam9]s2 &  7,b7 has a     
focus on mat]nal or p]9atal heal?4  7#c7
 ,p]9atal heal? work] ,! t]m p]9atal    
heal? work] means a noncl9ical heal?    
work] focus$ on mat]nal or p]9atal      
heal?1 su* z a d\la1 community heal?    
work]1 pe] support]1 lactation educator 
or c\nselor1 nutritioni/ or dietitian1  
*ildbir? educator1 social work]1 home   
visitor1 pati5t navigator or coord9ator1
 or language int]pret]4  7#d7 ,po/p>tum 
& po/p>tum p]iod ,! t]ms po/p>tum &     
po/p>tum p]iod ref] to ! #a-ye> p]iod   

beg9n+ on ! la/ day ( ! pregnancy ( an  
individual4  7#e7 ,pregnancy-relat$ dea?
 ,! t]m pregnancy-relat$ dea? means a   
dea? ( a pregnant or po/p>tum individual
 t occurs dur+1 or )9 #a ye> foll[+1 !  
individual's pregnancy1 f a pregnancy   
complication1 a *a9 ( ev5ts initiat$ by 
pregnancy1 or ! aggravation ( an        
unrelat$ condition by ! physiologic     
effects ( pregnancy4  7#f7 ,sev]e       
mat]nal morbidity ,! t]m sev]e mat]nal  
morbidity means a heal? condition1      
includ+ m5tal heal? conditions &        
sub/ance use disord]s1 attribut$ to or  
aggravat$ by pregnancy or *ildbir? t    
results 9 significant %ort-t]m or       
long-t]m consequ5ces to ! heal? ( !     
individual :o 0 pregnant4  7#g7 ,social 
det]m9ants ( mat]nal heal? def9$ ,! t]m 
social det]m9ants ( mat]nal heal? means 
noncl9ical factors t impact mat]nal     
heal? outcomes4