,i #aai? ,,congress #b;d ,session ,h4 ,r4 #hcag ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,april #ae1 #bjbf,ms4 ,williams ( ,georgia 7= h]self1 ,ms4 ,und]wood1 ,mrs4 ,h9son1 ,mr4 ,joyce ( ,ohio1 ,ms4 ,adams1 ,mr4 ,kri%namoor?i1 ,ms4 ,johnson ( ,texas1 ,ms4 ,cl>ke ( ,new ,york1 ,mr4 ,m\lton1 ,mr4 ,coh51 ,ms4 ,norton1 ,mrs4 ,hayes1 ,mr4 ,figures1 & ,ms4 ,sewell7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to au?orize grants to evaluate1 develop1 & exp& ! use ( te*nology-enabl$ collaborative le>n+ & capacity build+ models to improve mat]nal heal? outcomes1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,te* to ,save ,moms ,act4 #b4 ,integrat$ teleheal? models 9 mat]nity c>e s]vices 7a7 ,9 g5]al ,section #aaae;,a7b77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae;a7b77#b77;,b77 is am5d$ by add+ at ! end ! foll[+3 7xxviii7 ,focus+ on title ,,xix1 provid+ = ! adoption ( & use ( teleheal? tools t all[ = scre5+1 monitor+1 & managem5t ( common heal? complications ) respect to an individual receiv+ m$ical assi/ance dur+ su* individual's pregnancy & = n m ?an a #a-ye> p]iod beg9n+ on ! la/ day ( ! pregnancy4 4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all take effect #a ye> aft] ! date ( ! enactm5t ( ?is ,act4 #c4 ,grants to exp& ! use ( te*nology-enabl$ collaborative le>n+ & capacity models = pregnant & po/p>tum individuals ,title ,,iii ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ccj,p 7#db ,u4,s4,c4 #bed;c-#bb7 ! foll[+3 #ccj,q4 ,exp&+ capacity = mat]nal heal? outcomes 7a7 ,e/abli%m5t ,beg9n+ n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all aw>d grants to eligible entities to evaluate1 develop1 & exp& ! use ( te*nology-enabl$ collaborative le>n+ & capacity build+ models & improve mat]nal heal? outcomes-- 7#a7 9 heal? pr(essional %ortage areas2 7#b7 9 areas ) high rates ( mat]nal mortality & sev]e mat]nal morbidity2 7#c7 9 rural & und]s]v$ areas2 7#d7 9 areas ) significant mat]nal heal? disp>ities2 & 7#e7 = m$ically und]s]v$ populations & ,am]ican ,indians & ,alaska ,natives1 includ+ ,indian ,tribes1 ,tribal organizations1 & ,urban ,indian organizations4 7b7 ,use ( ,funds 7#a7 ,requir$ uses ,recipi5ts ( grants "u ?is section %all use ! grants to-- 7,a7 tra9 mat]nal heal? c>e provid]s1 /ud5ts1 & o!r simil> pr(essionals ?r\gh models t include-- 7i7 me?ods to increase safety & heal? c>e quality2 7ii7 implicit bias1 racism1 & discrim9ation2 7iii7 be/ practices 9 scre5+ = &1 z ne$$1 evaluat+ & treat+ mat]nal m5tal heal? conditions & sub/ance use disord]s2 7iv7 tra9+ on be/ practices 9 mat]nity c>e = pregnant & po/p>tum individuals dur+ public heal? em]g5cies2 7v7 me?ods to scre5 = social det]m9ants ( mat]nal heal? risks 9 ! pr5atal & po/p>tum2 & 7vi7 ! use ( remote pati5t monitor+ tools = pregnancy-relat$ complications describ$ 9 section #aaae;,a7b77#b77;,b77xxviii72 7,b7 evaluate & collect in=mation on ! effect ( su* models on-- 7i7 access to & quality ( c>e2 7ii7 outcomes ) respect to ! heal? ( an individual2 & 7iii7 ! exp]i5ce ( individuals :o receive pregnancy-relat$ heal? c>e2 7,c7 develop qualitative & quantitative measures to id5tify be/ practices = ! expansion & use ( su* models2 7,d7 /udy ! effect ( su* models on pati5t outcomes & mat]nity c>e provid]s2 & 7,e7 conduct any o!r activity det]m9$ by ! ,secret>y4 7#b7 ,p]missible uses ,recipi5ts ( grants "u ?is section may use grants to support-- 7,a7 ! use & expansion ( te*nology-enabl$ collaborative le>n+ & capacity build+ models1 includ+ h>dw>e & s(tw>e t-- 7i7 enables di/ance le>n+ & te*nical support2 & 7ii7 supports ! secure ex*ange ( electronic heal? in=mation2 & 7,b7 mat]nity c>e provid]s1 /ud5ts1 & o!r simil> pr(essionals 9 ! provision ( mat]nity c>e ?r\gh su* models4 7c7 ,application 7#a7 ,9 g5]al ,an eligible entity seek+ a grant "u subsection 7a7 %all submit to ! ,secret>y an application1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#b7 ,assurance ,an application "u p>agraph 7#a7 %all include an assurance t su* entity %all collect in=mation on & assess ! effect ( ! use ( te*nology-enabl$ collaborative le>n+ & capacity build+ models1 includ+ ) respect to-- 7,a7 mat]nal heal? outcomes2 7,b7 access to mat]nal heal? c>e s]vices2 7,c7 quality ( mat]nal heal? c>e2 & 7,d7 ret5tion ( mat]nity c>e provid]s s]v+ areas & populations describ$ 9 subsection 7a74 7d7 ,limitations 7#a7 ,numb] ,! ,secret>y may n aw>d m ?an #a grant "u ?is section4 7#b7 ,duration ,a grant aw>d$ "u ?is section %all be = a #e-ye> p]iod4 7e7 ,access to broadb& ,9 adm9i/]+ grants "u ?is section1 ! ,secret>y may coord9ate ) o!r ag5cies to ensure t fund+ opportunities are available to support access to reliable1 high-spe$ int]net = grantees4 7f7 ,te*nical assi/ance ,! ,secret>y %all provide 7ei!r directly or by contract7 te*nical assi/ance to eligible entities1 includ+ recipi5ts ( grants "u subsection 7a71 on ! developm5t1 use1 & su/a9ability ( te*nology-enabl$ collaborative le>n+ & capacity build+ models to exp& access to mat]nal heal? c>e s]vices provid$ by su* entities1 includ+-- 7#a7 9 heal? pr(essional %ortage areas2 7#b7 9 areas ) high rates ( mat]nal mortality & sev]e mat]nal morbidity or significant mat]nal heal? disp>ities2 7#c7 9 rural & und]s]v$ areas2 & 7#d7 = m$ically und]s]v$ populations or ,am]ican ,indians & ,alaska ,natives4 7g7 ,rese>* & evaluation ,! ,secret>y1 9 consultation ) exp]ts1 %all develop a /rategic plan to rese>* & evaluate ! evid5ce = te*nology-enabl$ collaborative le>n+ & capacity build+ models4 7h7 ,report+ 7#a7 ,eligible entities ,an eligible entity t receives a grant "u subsection 7a7 %all submit to ! ,secret>y a report1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#b7 ,secret>y ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ?is section1 ! ,secret>y %all submit to ! ,congress1 & make available on ! website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 a report t includes-- 7,a7 a description ( grants aw>d$ "u subsection 7a7 & ! purpose & am\nts ( su* grants2 7,b7 a summ>y (-- 7i7 ! evaluations conduct$ "u subsection 7b77#a77;,b72 7ii7 any te*nical assi/ance provid$ "u subsection 7f72 & 7iii7 ! activities conduct$ "u subsection 7a72 & 7,c7 a description ( any significant f9d+s ) respect to-- 7i7 pati5t outcomes2 & 7ii7 be/ practices = exp&+1 us+1 or evaluat+ te*nology-enabl$ collaborative le>n+ & capacity build+ models4 7i7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #f1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca4 7j7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity 7,a7 ,9 g5]al ,! t]m eligible entity means an entity t provides1 or supports ! provision (1 mat]nal heal? c>e s]vices or o!r evid5ce-bas$ s]vices = pregnant & po/p>tum individuals-- 7i7 9 heal? pr(essional %ortage areas2 7ii7 9 rural or und]s]v$ areas2 7iii7 9 areas ) high rates ( adv]se mat]nal heal? outcomes or significant racial & e?nic disp>ities 9 mat]nal heal? outcomes2 & 7iv7 :o are-- 7,i7 memb]s ( m$ically und]s]v$ populations2 or 7,,ii7 ,am]ican ,indians & ,alaska ,natives1 includ+ ,indian ,tribes1 ,tribal organizations1 & ,urban ,indian organizations4 7,b7 ,inclusions ,an eligible entity may include entities t lead1 or are capable ( lead+ a te*nology-enabl$ collaborative le>n+ & capacity build+ model4 7#b7 ,heal? pr(essional %ortage area ,! t]m heal? pr(essional %ortage area means a heal? pr(essional %ortage area designat$ "u section #ccb4 7#c7 ,indian ,tribe ,! t]m ,indian ,tribe has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#d7 ,mat]nal mortality ,! t]m mat]nal mortality means a dea? occurr+ dur+ or )9 ! #a-ye> p]iod aft] pregnancy 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 or *ildbir? complications4 7#e7 ,m$ically und]s]v$ population ,! t]m m$ically und]s]v$ population has ! mean+ giv5 su* t]m 9 section #ccj7;b77#c74 7#f7 ,po/p>tum ,! t]m po/p>tum means ! #a-ye> p]iod beg9n+ on ! la/ date ( an individual's pregnancy4 7#g7 ,sev]e mat]nal morbidity ,! t]m sev]e mat]nal morbidity means a heal? condition1 includ+ a m5tal heal? or sub/ance use disord]1 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#h7 ,te*nology-enabl$ collaborative le>n+ & capacity build+ model ,! t]m te*nology-enabl$ collaborative le>n+ & capacity build+ model means a di/ance heal? education model t connects heal? c>e pr(essionals1 & o!r speciali/s1 ?r\gh simultane\s int]active video conf]5c+ = ! purpose ( facilitat+ case-bas$ le>n+1 dissem9at+ be/ practices1 & evaluat+ outcomes 9 ! context ( mat]nal heal? c>e4 7#i7 ,tribal organization ,! t]m ,tribal organization has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#aj7 ,urban ,indian organization ,! t]m ,urban ,indian organization has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act4 4 #d4 ,grants to promote equity 9 mat]nal heal? outcomes ?r\gh digital tools 7a7 ,9 g5]al ,beg9n+ n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all make grants to eligible entities to r$uce mat]nal heal? disp>ities by increas+ access to digital tools relat$ to mat]nal heal? c>e1 includ+ provid]-fac+ te*nologies1 su* z e>ly w>n+ sy/ems & cl9ical decision support me*anisms4 7b7 ,applications ,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 require4 7c7 ,prioritization ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all prioritize an eligible entity-- 7#a7 9 an area ) elevat$ 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 9 a heal? pr(essional %ortage area designat$ "u section #ccb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;e7 or a rural or und]s]v$ area2 & 7#c7 t promotes te*nology t addresses mat]nal heal? disp>ities4 7d7 ,limitations 7#a7 ,numb] ,! ,secret>y may aw>d n m ?an #a grant "u ?is section4 7#b7 ,duration ,a grant aw>d$ "u ?is section %all be = a #e-ye> p]iod4 7e7 ,te*nical assi/ance ,! ,secret>y %all provide te*nical assi/ance to an eligible entity on ! developm5t1 use1 evaluation1 & po/grant su/a9ability ( digital tools = purposes ( promot+ equity 9 mat]nal heal? outcomes4 7f7 ,report+ 7#a7 ,eligible entities ,an eligible entity t receives a grant "u subsection 7a7 %all submit to ! ,secret>y a report1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#b7 ,secret>y ,n lat] ?an #d ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report t includes-- 7,a7 an evaluation on ! effectiv5ess ( grants aw>d$ "u ?is section to improve mat]nal heal? outcomes1 p>ticul>ly = pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps2 7,b7 recomm5dations on new grant programs t promote ! use ( te*nology to improve su* mat]nal heal? outcomes2 & 7,c7 recomm5dations ) respect to-- 7i7 te*nology-bas$ privacy & security safegu>ds 9 mat]nal heal? c>e2 7ii7 reimbursem5t rates = mat]nal teleheal? s]vices2 7iii7 ! use ( digital tools to analyze l>ge data sets to id5tify pot5tial pregnancy-relat$ complications2 7iv7 b>ri]s t prev5t mat]nity c>e provid]s f provid+ teleheal? s]vices across ,/ates2 7v7 ! use ( consum] digital tools su* z mobile phone applications1 pati5t portals1 & we>able te*nologies to improve mat]nal heal? outcomes2 7vi7 b>ri]s t prev5t access to teleheal? s]vices1 includ+ a lack ( access to reliable1 high-spe$ int]net or electronic devices2 7vii7 b>ri]s to data %>+ betwe5 ! ,special ,supplem5tal ,nutrition ,program = ,wom51 ,infants1 & ,*ildr5 program & mat]nity c>e provid]s1 & recomm5dations = address+ su* b>ri]s2 & 7viii7 lessons le>n$ f exp&$ access to teleheal? relat$ to mat]nity c>e dur+ ! ,,covid-#ai public heal? em]g5cy4 7g7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #f1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca4 #e4 ,report on ! use ( te*nology 9 mat]nity c>e 7a7 ,9 g5]al ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all seek to ent] an agreem5t ) ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e 7ref]r$ to 9 ?is ,act z ! ,national ,academies7 "u :i* ! ,national ,academies %all conduct a /udy on ! use ( te*nology & pati5t monitor+ devices 9 mat]nity c>e4 7b7 ,cont5t ,! agreem5t ent]$ into pursuant to subsection 7a7 %all provide = ! /udy ( ! foll[+3 7#a7 ,! use ( innovative te*nology 7includ+ artificial intellig5ce7 9 mat]nal heal? c>e1 includ+ ! ext5t to :i* su* te*nology has affect$ racial or e?nic biases 9 mat]nal heal? c>e4 7#b7 ,! use ( pati5t monitor+ devices 7includ+ pulse oximet] devices7 9 mat]nal heal? c>e1 includ+ ! ext5t to :i* su* devices h affect$ racial or e?nic biases 9 mat]nal heal? c>e4 7#c7 ,be/ practices = r$uc+ & prev5t+ racial or e?nic biases 9 ! use ( innovative te*nology & pati5t monitor+ devices 9 mat]nity c>e4 7#d7 ,be/ practices 9 ! use ( innovative te*nology & pati5t monitor+ devices = pregnant & po/p>tum individuals f racial & e?nic m9ority gr\ps4 7#e7 ,be/ practices ) respect to privacy & security safegu>ds 9 su* use4 7c7 ,report ,! agreem5t "u subsection 7a7 %all direct ! ,national ,academies to complete ! /udy "u ?is section1 & transmit to ,congress a report on ! results ( ! /udy1 n lat] ?an #bd mon?s aft] ! date ( enactm5t ( ?is ,act4 #f4 ,def9itions ,9 ?is ,act3 7#a7 ,mat]nal mortality ,! t]m mat]nal mortality means a dea? occurr+ dur+ or )9 a #a-ye> p]iod aft] pregnancy1 caus$ 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 ,po/p>tum ,! t]m po/p>tum ref]s to ! #a-ye> p]iod beg9n+ on ! la/ day ( ! pregnancy ( an individual4 7#d7 ,racial & e?nic m9ority gr\p ,! t]m racial & e?nic m9ority gr\p has ! mean+ giv5 su* t]m 9 section #agjg7;g77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjju-#f7;g77#a774 7#e7 ,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