,i #aai? ,,congress #b;d ,session ,h4 ,r4 #heba ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,april #bg1 #bjbf,ms4 ,moore ( ,wiscons9 7= h]self1 ,mr4 ,fitzpatrick1 ,mrs4 ,d+ell1 ,ms4 ,und]wood1 & ,ms4 ,adams7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to /udy ! ext5t to :i* individuals are m at risk ( mat]nal morbidity or mortality z a result ( be+ a victim ( intimate p>tn] viol5ce4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,protect ,moms ,f ,dome/ic ,viol5ce ,act4 #b4 ,/udy by ,national ,academy ( ,m$ic9e 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all seek to ent] into an arrangem5t ) ! ,national ,academy ( ,m$ic9e 7or1 if ! ,academy decl9es to ent] into su* arrangem5t1 ano!r appropriate entity7 to /udy h[ dome/ic viol5ce1 dat+ viol5ce1 sexual assault1 /alk+1 human traffick+1 sex traffick+1 *ild sexual abuse1 =c$ m>riage1 reproductive co]cion1 int]g5]ational viol5ce1 trauma1 or psy*iatric disord]s impact risk = mat]nal morbidity & mat]nal mortality1 includ+ intimate p>tn] homicide4 7b7 ,topics ,! /udy "u subsection 7a7 %all-- 7#a7 exam9e-- 7,a7 :e!r & h[ dome/ic viol5ce1 dat+ viol5ce1 sexual assault1 /alk+1 human traffick+1 sex traffick+1 *ild sexual abuse1 =c$ m>riage1 reproductive co]cion1 int]g5]ational viol5ce1 trauma1 or psy*iatric disord]s increase ! risk ( suicide1 homicide1 sub/ance use1 drug ov]dose1 or poor bir? outcomes among pregnant & po/p>tum p]sons2 & 7,b7 ! ext5t to :i* dome/ic viol5ce1 dat+ viol5ce1 sexual assault1 /alk+1 human traffick+1 sex traffick+1 *ild sexual abuse1 =c$ m>riage1 reproductive co]cion1 int]g5]ational viol5ce1 trauma1 or psy*iatric disord]s are social det]m9ants ( heal?2 & 7#b7 give p>ticul> focus to impacts among div]se communities1 includ+ ,black & ,african ,am]ican1 ,hispanic & ,lat9o1 ,am]ican ,indian1 ,native ,hawaiian1 ,pacific ,isl&]1 ,alaskan ,native1 & ,,lgbtqia#b,s bir?+ p]sons1 & adolesc5t mo!rs4 #c4 ,grants = innovative approa*es ,to improve mat]nal & *ild heal? outcomes 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 & 9 collaboration ) ! ,assi/ant ,secret>y ( ! ,adm9i/ration = ,*ildr5 & ,families1 ! ,director ( ! ,indian ,heal? ,s]vice1 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 & ! ,secret>y ( ,vet]ans ,affairs1 %all aw>d grants to eligible entities = develop+ & implem5t+ innovative approa*es1 includ+ culturally relevant public & provid] education campaigns1 to improve mat]nal & *ild heal? outcomes ( victims ( dome/ic viol5ce1 dat+ viol5ce1 sexual assault1 /alk+1 human traffick+1 sex traffick+1 *ild sexual abuse1 =c$ m>riage1 reproductive co]cion1 int]g5]ational viol5ce1 trauma1 or psy*iatric disord]s4 7b7 ,report to ,congress on be/ practices ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 & e #c ye>s !reaft]1 ! ,secret>y ( ,heal? & ,s]vices %all report to ,congress on be/ practices = develop+ & implem5t+ innovative approa*es describ$ 9 subsection 7a74 7c7 ,eligible entity ,to seek a grant "u ?is section1 an entity %all be-- 7#a7 a ,/ate1 local gov]nm5tal entity1 or f$]ally recogniz$ ,tribal gov]nm5t2 7#b7 a nonpr(it organization or community-bas$ organization t provides prev5tion or int]v5tion s]vices relat$ to dome/ic viol5ce1 dat+ viol5ce1 sexual assault1 /alk+1 human traffick+1 sex traffick+1 *ild sexual abuse1 =c$ m>riage1 reproductive co]cion1 int]g5]ational viol5ce1 trauma1 or psy*iatric disord]s2 7#c7 an ,indian ,tribe1 ,tribal organization1 or ,urban ,indian organization 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc772 7#d7 a ,tribal epidemiology c5t] describ$ 9 section #bad ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afbam72 7#e7 a ,f$]ally qualifi$ heal? c5t] 7z def9$ 9 section #ahfa7;aa7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa772 7#f7 a cl9ic c]tifi$ z a c]tifi$ community behavioral heal? cl9ic pursuant to section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad 7#db ,u4,s4,c4 #acif;a72 7#g7 an entity1 ! pr9cipal purpose ( :i* is to provide heal? c>e1 su* z a hospital1 cl9ic1 heal? dep>tm5t1 or free/&+ bir? c5t]2 7#h7 an in/itution ( high] education 7z def9$ 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja772 7#i7 a sub/ance use disord] treatm5t program ) specializ$ s]vices = p>5ts2 or 7#aj7 a hospital or o!r heal? c>e facility ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7d7 ,priority 9 aw>d+ grants ,9 aw>d+ grants "u ?is section1 ! ,secret>y ( ,heal? & ,human ,s]vices %all give priority to applicants propos+-- 7#a7 to address dome/ic viol5ce1 dat+ viol5ce1 sexual viol5ce1 & m5tal heal? & sub/ance use disord]s among pregnant p]sons2 7#b7 to address issues relat+ to p exp]i5c+ dome/ic viol5ce & sexual viol5ce :o are pregnant1 p]sons at risk = becom+ pregnant due to viol5ce or abuse1 & po/p>tum p]sons exp]i5c+ viol5ce2 7#c7 to develop or implem5t innovative approa*es1 includ+ cultural bias tra9+1 antiracism tra9+ or implicit bias int]ruption or r$uction /rategies1 & /rategies to id5tify & prev5t dome/ic viol5ce )9 all racial1 cultural1 e?nic & community gr\ps1 includ+ ,black or ,african ,am]ican1 ,hispanic or ,lat9o1 ,am]ican ,indian1 ,native ,hawaiian1 ,pacific ,isl&]1 ,alaskan ,native1 & ,,lgbtqia#b,s p]sons2 7#d7 to develop or implem5t innovative approa*es at ,tribal epidemiology c5t]s2 7#e7 to develop or implem5t innovative approa*es relat+ to ! improvem5t ( mat]nal heal? surveillance2 or 7#f7 to facilitate %>$ le>n+ & dissem9ation ( in=mation ?r\gh conv5+ meet+s ) o!r grant recipi5ts "u ?is section4 7e7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #ae1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjbi4 #d4 ,guidance ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all publi% & dissem9ate to ,/ates1 ,indian ,tribes1 t]ritories1 heal? c>e provid]s1 & manag$ c>e entities guidance on-- 7#a7 develop+ protocols on & provid+-- 7,a7 univ]sal education on heal?y relation%ips & intimate p>tn] viol5ce2 7,b7 r\t9e assessm5t ( intimate p>tn] viol5ce & m5tal & behavioral heal? conditions2 & 7,c7 heal? promotion & /rategies = trauma-in=m$ c>e plans2 & 7#b7 creat+ su/a9able p>tn]%ips betwe5 heal? c>e provid]s & community-bas$ organizations t address dome/ic viol5ce1 dat+ viol5ce1 sexual assault1 /alk+1 human traffick+1 sex traffick+1 *ild sexual abuse1 =c$ m>riage1 reproductive co]cion1 or int]g5]ational viol5ce4 #e4 ,def9itions ,9 ?is ,act3 7#a7 ,free/&+ bir? c5t] ,! t]m free/&+ bir? c5t] has ! mean+ giv5 t t]m 9 section #aije7l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7#a774 7#b7 ,mat]nal morbidity ,! t]m mat]nal morbidity means a heal? condition1 includ+ a m5tal heal? condition or sub/ance use disord]1 t-- 7,a7 is attribut$ to or aggravat$ by pregnancy or *ildbir?2 & 7,b7 results 9 significant %ort-t]m or long-t]m consequ5ces to ! heal? ( ! individual :o 0 pregnant4 7#c7 ,mat]nal mortality ,! t]m mat]nal mortality-- 7,a7 means dea? t-- 7i7 occurs dur+1 or )9 ! #a-ye> p]iod aft]1 pregnancy2 & 7ii7 is attribut$ to or aggravat$ by pregnancy-relat$ or *ildbir? complications2 & 7,b7 includes a suicide1 drug ov]dose dea?1 homicide 7includ+ a dome/ic viol5ce-relat$ homicide71 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#d7 ,po/p>tum ,! t]m po/p>tum means ! #ab-mon? p]iod foll[+ *ildbir?4