,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #hhfi  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #ae1 #bjbf,mrs4  
,watson ,coleman 7= h]self1 ,ms4 ,ross1 
,mr4 ,johnson ( ,georgia1 ,mr4 ,tonko1  
,mrs4 ,mc,iver1 ,ms4 ,velzquez1 & ,mr4  
,c>son7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d ! ,public 
,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bja 
et seq47 to au?orize rese>* on ! impacts
 ( traumatic bir? exp]i5ces &           
po/-traumatic /ress disord] on mo!rs1   
infants1 & families1 & = o!r purposes4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,traumatic ,bir?s ,rese>* ,act (      
#bjbf4  #b4 ,rese>* on ! impacts (      
traumatic bir? exp]i5ces & po/-traumatic
 /ress disord] on mo!rs1 infants1 &     
families  7a7 ,au?orization  7#a7       
,cl>ification ( eligible aw>d recipi5ts 
,section #ccj,p ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#bb7 
is am5d$ by /rik+ may aw>d grants &     
ins]t+ may aw>d grants to ,/ates1       

,indian ,tribes1 & ,tribal              
organizations4  7#b7 ,rese>* ,section   
#ccj,p ( ! ,public ,heal? ,s]vice ,act  
7#db ,u4,s4,c4 #bed;c-#bb7 is am5d$--   
7,a7 by r$esignat+ subsections 7b7 & 7c7
 z subsections 7c7 & 7e71 respectively2 
&  7,b7 by ins]t+ aft] subsection 7a7 ! 
foll[+3  7b7 ,rese>*  7#a7 ,9 g5]al ,!  
,secret>y %all conduct rese>*1 or aw>d  
grants or o!r support to ,/ates1 ,indian
 ,tribes1 & ,tribal organizations =     
rese>*1 on--  7,a7 h[ traumatic bir?    
exp]i5ces & po/-traumatic /ress disord] 
impact %ort- & long-t]m mat]nal m5tal   
heal?2  7,b7 ! impacts ( traumatic bir? 
exp]i5ces & po/-traumatic /ress disord] 
on mo!rs1 infants1 & families2 &  7,c7 !
 relation%ip betwe5 sev]e mat]nal       
morbidity & traumatic bir? exp]i5ces4   
7#b7 ,disaggregation ( data ,! ,secret>y
 %all disaggregate ! f9d+s ( ! rese>*   
conduct$ or support$ pursuant to        
p>agraph 7#a7 by race & e?nicity4  4    
7b7 ,con=m+ *anges ,subsection 7c7 (    
section #ccj,p ( ! ,public ,heal?       

,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#bb71
 z r$esignat$ by subsection 7a71 is     
fur!r am5d$-- 7#a7 9 ! subsection head+1
 by /rik+ ,integrat$ ,s]vices =         
,pregnant & ,po/p>tum ,wom5 & ins]t+    
,eligibility & t]ms2  7#b7 9 p>agraph   
7#a7-- 7,a7 by /rik+ a grant "u         
subsection 7a7 & ins]t+ an aw>d "u      
subsection 7a7 or 7b72 &  7,b7 by /rik+ 
7z su* t]ms are def9$ 9 section #d ( !  
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act72  7#c7 9 p>agraph      
7#b77;,a7--  7,a7 by /rik+ ,a grant     
aw>d$ "u subsection 7a7 & ins]t+ ,an    
aw>d "u subsection 7a7 or 7b72 &  7,b7  
by /rik+ a grantee "u subsection 7a7 &  
ins]t+ an aw>dee "u subsection 7a7 or   
7b72  7#d7 9 p>agraph 7#b77;,b71 by     
/rik+ aw>d+ grants "u subsection 7a7 &  
ins]t+ mak+ aw>ds "u subsection 7a7 or  
7b72 &  7#e7 9 p>agraph 7#b77;,c71 by   
/rik+ grantees & ins]t+ aw>dees4  7c7   
,def9ition ,section #ccj,p ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bed;c-#bb7 is fur!r am5d$ by ins]t+    

aft] subsection 7c7 7z s r$esignat$7 !  
foll[+ new subsection3  7d7 ,def9ition  
,9 ?is section1 ! t]ms ,/ate1 ,indian   
,tribe1 & ,tribal organization h !      
mean+s giv5 to ^? t]ms 9 section #d ( ! 
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act4  4  7d7 ,fund+         
,subsection 7e7 ( section #ccj,p ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bed;c-#bb71 z r$esignat$ by  
subsection 7a71 is fur!r am5d$-- 7#a7 by
 /rik+ ,!re are au?oriz$ to be          
appropriat$ to c>ry out ?is section &   
ins]t+ ! foll[+3  7#a7 ,integrat$       
s]vices ,!re is au?oriz$ to be          
appropriat$ to c>ry out subsection 7a7  
2 &  7#b7 by add+ at ! end ! foll[+3    
7#b7 ,rese>* ,!re is au?oriz$ to be     
appropriat$ to c>ry out subsection 7b7  
#a1jjj1jjj = ea* ( fiscal ye>s #bjbg    
?r\gh #bjca4  4  #c4 ,pilot project =   
rese>* on ! impacts ( midwife-driv5 c>e 
models on traumatic bir? exp]i5ces &    
mat]nal m5tal heal? outcomes  7a7       
,grants ,! ,secret>y ( ,heal? & ,human  

,s]vices %all c>ry out a pilot program  
consi/+ ( aw>d+ grants = rese>* on !    
ext5t & me*anisms ?r\gh :i*             
midwife-driv5 c>e models1 relative to   
m$ical c>e models1 impact--  7#a7       
traumatic bir? exp]i5ces2 &  7#b7       
mat]nal m5tal heal? outcomes4  7b7      
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to c>ry out  
?is section su* sums z may be necess>y =
 fiscal ye>s #bjbf ?r\gh #bjcj4  #d4    
,reports to ,congress ,! ,secret>y (    
,heal? & ,human ,s]vices %all submit to 
! ,congress an int]im report n lat] ?an 
! end ( fiscal ye> #bjbh1 & a f9al      
report n lat] ?an ! end ( fiscal ye>    
#bjcj1 on ea* (--  7#a7 ! rese>*        
conduct$ or support$ pursuant to section
 #ccj,p7b7 ( ! ,public ,heal? ,s]vice   
,act1 z add$ by section #b2 &  7#b7 !   
pilot project conduct$ pursuant to      
section #c4