,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ihag  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #ba1 #bjbf,ms4  
,pressley 7= h]self1 ,ms4 ,und]wood1    
,mrs4 ,mc,iver1 ,ms4 ,norton1 ,ms4      
,moore ( ,wiscons91 ,mrs4 ,watson       
,coleman1 ,ms4 ,kamlag]-,dove1 ,mr4     
,johnson ( ,georgia1 ,mr4 ,ivey1 ,mr4   
,kri%namoor?i1 ,mr4 ,m5efee1 ,mr4 ,bell1
 ,mr4 ,m\lton1 ,ms4 ,cl>ke ( ,new ,york1
 ,ms4 ,del,bene1 ,mr4 ,g>am5di1 ,mr4    
,coh51 ,ms4 ,/ansbury1 ,mrs4 ,d+ell1    
,ms4 ,jacobs1 ,mr4 ,figures1 ,mr4       
,hors=d1 ,mr4 ,g>ca ( ,ill9ois1 ,mr4    
,veasey1 ,ms4 ,lee ( ,p5nsylvania1 ,mrs4
 ,beatty1 ,mr4 ,smi? ( ,wa%+ton1 ,ms4   
,sewell1 ,ms4 ,wilson ( ,florida1 ,mr4  
,jackson ( ,ill9ois1 ,mr4 ,conaway1 ,mr4
 ,scott ( ,virg9ia1 ,mrs4 ,hayes1 ,ms4  
,craig1 ,mr4 ,mc,garvey1 ,mrs4          
,grijalva1 ,mr4 ,c>son1 ,mrs4 ,mc,bath1 
,mr4 ,latim]1 ,ms4 ,johnson ( ,texas1   
,mr4 ,soto1 ,ms4 ,p\1 ,ms4 ,tlaib1 &    
,ms4 ,adams7 introduc$ ! foll[+ bill2   
:i* 0 ref]r$ to ! ,committee on !       

,judici>y  ,a ,,bill  ,to end ! %ackl+ (
 pregnant individuals1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,ju/ice = ,inc>c]at$ ,moms ,act4    
#b4 ,end+ ! %ackl+ ( pregnant           
individuals  7a7 ,9 g5]al ,beg9n+ on !  
date t is #f mon?s aft] ! date (        
enactm5t ( ?is ,act1 & annually !reaft]1
 9 ea* ,/ate t receives a grant "u      
subp>t #a ( "p ,e ( title ,i ( !        
,omnibus ,crime ,control & ,safe ,/reets
 ,act ( #aifh 7#cd ,u4,s4,c4 #ajaea et  
seq47 7commonly ref]r$ to z ! ,edw>d    
,byrne ,memorial ,ju/ice ,grant         
,program7 & t does n h 9 effect ?r\gh\t 
! ,/ate = su* fiscal ye> laws re/rict+ !
 use ( re/ra9ts on pregnant individuals 
9 prison t are sub/antially simil> to ! 
rights1 proc$ures1 requirem5ts1 effects1
 & p5alties set =? 9 section #dcbb (    
title #ah1 ,unit$ ,/ates ,code1 ! am\nt 
( su* grant t w\ld o!rwise be allocat$  
to su* ,/ate "u su* subp>t = ! fiscal   
ye> %all be decreas$ by #be p]c5t4  7b7 
,reallocation ,am\nts n allocat$ to a   

,/ate = failure to comply ) subsection  
7a7 %all be reallocat$ 9 accordance )   
subp>t #a ( "p ,e ( title ,i ( !        
,omnibus ,crime ,control & ,safe ,/reets
 ,act ( #aifh 7#cd ,u4,s4,c4 #ajaea et  
seq47 to ,/ates t h compli$ ) su*       
subsection4  #c4 ,creat+ model programs 
= ! c>e ( inc>c]at$ individuals 9 !     
pr5atal & po/p>tum p]iods  7a7 ,9 g5]al 
,n lat] ?an #a ye> aft] ! date (        
enactm5t ( ?is ,act1 ! ,attorney ,g5]al1
 act+ ?r\gh ! ,director ( ! ,bureau (   
,prisons1 %all e/abli%1 9 n few] ?an #f 
,bureau ( ,prisons facilities1 programs 
to optimize mat]nal heal? outcomes =    
pregnant & po/p>tum individuals         
inc>c]at$ 9 su* facilities4 ,! ,attorney
 ,g5]al %all e/abli% su* programs 9     
consultation ) /akehold]s su* z--  7#a7 
relevant community-bas$ organizations1  
p>ticul>ly organizations t repres5t     
inc>c]at$ & =m]ly inc>c]at$ individuals 
& organizations t seek to improve       
mat]nal heal? outcomes = pregnant &     
po/p>tum 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? outcomes2  7#b7 relevant       
organizations repres5t+ pati5ts1 ) a    
p>ticul> focus on pati5ts 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? outcomes2  7#c7     
organizations repres5t+ mat]nity c>e    
provid]s & mat]nal heal? c>e education  
programs2  7#d7 p]9atal heal? work]s2 & 
7#e7 rese>*]s & policy exp]ts 9 fields  
relat$ to mat]nal heal? c>e = inc>c]at$ 
individuals4  7b7 ,/>t date ,ea* select$
 facility %all beg9 facility programs n 
lat] ?an #ah mon?s aft] ! date (        
enactm5t ( ?is ,act4  7c7 ,facility     
priority ,9 c>ry+ out subsection 7a71 ! 
,director %all give priority to a       
facility bas$ on-- 7#a7 ! numb] (       
pregnant & po/p>tum individuals         
inc>c]at$ 9 su* facility &1 among su*   
individuals1 ! numb] ( pregnant &       

po/p>tum 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? outcomes2 &  7#b7 ! ext5t to   
:i* ! lead]s ( su* facility h demon/rat$
 a commitm5t to develop+ exempl>y       
programs = pregnant & po/p>tum          
individuals inc>c]at$ 9 su* facility4   
7d7 ,program duration ,! programs       
e/abli%$ "u ?is section %all be = a     
#e-ye> p]iod4  7e7 ,programs ,bureau (  
,prisons facilities select$ by !        
,director %all e/abli% programs =       
pregnant & po/p>tum inc>c]at$           
individuals1 & su* programs may-- 7#a7  
provide access to p]9atal heal? work]s f
 pregnancy ?r\gh ! po/p>tum p]iod2  7#b7
 provide access to heal?y foods &       
c\nsel+ on nutrition1 recomm5d$ activity
 levels1 & safety measures ?r\gh\t      
pregnancy2  7#c7 tra9 correctional      
(fic]s to ensure t pregnant inc>c]at$   
individuals receive safe & respectful   
treatm5t2  7#d7 tra9 m$ical p]sonnel to 

ensure t pregnant inc>c]at$ individuals 
receive trauma-in=m$1 culturally &      
l+ui/ically congru5t c>e t promotes !   
heal? & safety ( ! pregnant individuals2
  7#e7 provide c\nsel+ & treatm5t =     
individuals :o h suff]$ f--  7,a7       
diagnos$ m5tal or behavioral heal?      
conditions1 includ+ trauma & sub/ance   
use disord]s2  7,b7 trauma or viol5ce1  
includ+ dome/ic viol5ce2  7,c7 human    
immunodefici5cy virus2  7,d7 sexual     
abuse2  7,e7 pregnancy or infant loss2  
or  7,f7 *ronic conditions2  7#f7       
provide evid5ce-bas$ pregnancy &        
*ildbir? education1 p>5t+ support1 & o!r
 relevant =ms ( heal? lit]acy2  7#g7    
provide cl9ical education opportunities 
to mat]nity c>e provid]s 9 tra9+ to exp&
 pa?ways into mat]nal heal? c>e c>e]s   
s]v+ inc>c]at$ individuals2  7#h7 (f]   
opportunities = po/p>tum individuals to 
ma9ta9 contact ) ! individual's newborn 
*ild to promote bond+1 includ+ enhanc$  
visitation policies1 access to prison   
nurs]y programs1 or brea/fe$+ support2  

7#i7 provide re5try assi/ance1          
p>ticul>ly to--  7,a7 ensure access to  
heal? insurance cov]age & transf] (     
heal? records to community provid]s if  
an inc>c]at$ individual exits ! crim9al 
ju/ice sy/em dur+ su* individual's      
pregnancy or 9 ! po/p>tum p]iod2 &  7,b7
 connect individuals exit+ ! crim9al    
ju/ice sy/em dur+ pregnancy or 9 !      
po/p>tum p]iod to community-bas$        
res\rces1 su* z ref]rals to heal? c>e   
provid]s1 sub/ance use disord]          
treatm5ts1 & social s]vices t address   
social det]m9ants ( mat]nal heal?2 or   
7#aj7 e/abli% p>tn]%ips ) local public  
entities1 private community entities1   
community-bas$ organizations1 ,indian   
,tribes & ,tribal organizations 7z su*  
t]ms are def9$ 9 section #d ( ! ,indian 
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 
& ,urban ,indian organizations 7z su*   
t]m is def9$ 9 section #d ( ! ,indian   
,heal? ,c>e ,improvem5t ,act 7#be       
,u4,s4,c4 #afjc77 to e/abli% or exp&    

pretrial div]sion programs z an         
alt]native to inc>c]ation = pregnant &  
po/p>tum individuals4 ,su* programs may 
include-- 7,a7 evid5ce-bas$ *ildbir?    
education or p>5t+ classes2  7,b7       
pr5atal heal? coord9ation2  7,c7 family 
& individual c\nsel+2  7,d7 evid5ce-bas$
 scre5+s1 education1 &1 z ne$$1 treatm5t
 = m5tal & behavioral heal? conditions1 
includ+ drug & alcohol treatm5ts2  7,e7 
family case managem5t s]vices2  7,f7    
dome/ic viol5ce education & prev5tion2  
7,g7 physical & sexual abuse c\nsel+2 & 
7,h7 programs to address social         
det]m9ants ( heal? su* z employm5t1     
h\s+1 education1 transportation1 &      
nutrition4  7f7 ,implem5tation & report+
 ,a select$ facility %all be responsible
 =--  7#a7 implem5t+ programs1 :i* may  
include ! programs describ$ 9 subsection
 7e72 &  7#b7 n lat] ?an #c ye>s aft] ! 
date ( enactm5t ( ?is ,act1 & #f ye>s   
aft] ! date ( enactm5t ( ?is ,act1      
report+ results ( ! programs to !       
,director1 includ+ in=mation describ+-- 

7,a7 relevant quantitative indicators ( 
success 9 improv+ ! /&>d ( c>e & heal?  
outcomes = pregnant & po/p>tum inc>c]at$
 individuals 9 ! facility1 includ+ data 
/ratifi$ by race1 e?nicity1 sex1 g5d]1  
prim>y language1 age1 geography1        
disability /atus1 ! category ( ! crim9al
 *>ge aga9/ su* individual1 rates (     
pregnancy-relat$ dea?s1                 
pregnancy-associat$ dea?s1 cases (      
infant mortality & morbidity1 rates (   
pret]m bir?s & l[-bir?weight bir?s1     
cases ( sev]e mat]nal morbidity1 cases (
 viol5ce aga9/ pregnant or po/p>tum     
individuals1 diagnoses ( mat]nal m5tal  
or behavioral heal? conditions1 & o!r   
su* in=mation z appropriate2  7,b7      
relevant qualitative & quantitative     
evaluations f pregnant & po/p>tum       
inc>c]at$ individuals :o p>ticipat$ 9   
su* programs1 includ+ measures (        
pati5t-report$ exp]i5ce ( c>e2 &  7,c7  
/rategies to su/a9 su* programs aft]    
fiscal ye> #bjca & exp& su* programs to 
o!r facilities4  7g7 ,report ,n lat] ?an

 #f ye>s aft] ! date ( enactm5t ( ?is   
,act1 ! ,director %all submit to !      
,attorney ,g5]al & to ! ,congress a     
report describ+ ! results ( ! programs  
fund$ "u ?is section4  7h7 ,ov]sight ,n 
lat] ?an #a ye> aft] ! date ( enactm5t (
 ?is ,act1 ! ,attorney ,g5]al %all aw>d 
a contract to an indep5d5t organization 
or indep5d5t organizations to conduct   
ov]sight ( ! programs describ$ 9        
subsection 7e74  7i7 ,au?orization (    
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section     
#aj1jjj1jjj = ea* ( fiscal ye>s #bjbg   
?r\gh #bjca4  #d4 ,grant program to     
improve mat]nal heal? outcomes =        
individuals 9 ,/ate & local prisons &   
jails  7a7 ,e/abli%m5t ,n lat] ?an #a   
ye> aft] ! date ( enactm5t ( ?is ,act1 !
 ,attorney ,g5]al1 act+ ?r\gh !         
,director ( ! ,bureau ( ,ju/ice         
,assi/ance1 %all aw>d ,ju/ice =         
,inc>c]at$ ,moms grants to ,/ates to    
e/abli% or exp& programs 9 ,/ate & local
 prisons & jails = pregnant & po/p>tum  

inc>c]at$ individuals4 ,! ,attorney     
,g5]al %all aw>d su* grants 9           
consultation ) /akehold]s su* z-- 7#a7  
relevant community-bas$ organizations1  
p>ticul>ly organizations t repres5t     
inc>c]at$ & =m]ly inc>c]at$ individuals 
& organizations t seek to improve       
mat]nal heal? outcomes = pregnant &     
po/p>tum 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? outcomes2  7#b7 relevant       
organizations repres5t+ pati5ts1 ) a    
p>ticul> focus on pati5ts 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? outcomes2  7#c7     
organizations repres5t+ mat]nity c>e    
provid]s & mat]nal heal? c>e education  
programs2  7#d7 p]9atal heal? work]s2 & 
7#e7 rese>*]s & policy exp]ts 9 fields  
relat$ to mat]nal heal? c>e = inc>c]at$ 
individuals4  7b7 ,applications ,ea*    

applicant = a grant "u ?is section %all 
submit to ! ,director ( ! ,bureau (     
,ju/ice ,assi/ance an application at su*
 "t1 9 su* mann]1 & conta9+ su*         
in=mation z ! ,director may require4    
7c7 ,use ( funds ,a ,/ate t is aw>d$ a  
grant "u ?is section %all use su* grant 
to e/abli% or exp& programs = pregnant &
 po/p>tum inc>c]at$ individuals1 & su*  
programs may--  7#a7 provide access to  
p]9atal heal? work]s f pregnancy ?r\gh !
 po/p>tum p]iod2  7#b7 provide access to
 heal?y foods & c\nsel+ on nutrition1   
recomm5d$ activity levels1 & safety     
measures ?r\gh\t pregnancy2  7#c7 tra9  
correctional (fic]s to ensure t pregnant
 inc>c]at$ individuals receive safe &   
respectful treatm5t2  7#d7 tra9 m$ical  
p]sonnel to ensure t pregnant inc>c]at$ 
individuals receive trauma-in=m$1       
culturally & l+ui/ically congru5t c>e t 
promotes ! heal? & safety ( ! pregnant  
individuals2  7#e7 provide c\nsel+ &    
treatm5t = individuals :o h suff]$ f--  
7,a7 diagnos$ m5tal or behavioral heal? 

conditions1 includ+ trauma & sub/ance   
use disord]s2  7,b7 trauma or viol5ce1  
includ+ dome/ic viol5ce2  7,c7 human    
immunodefici5cy virus2  7,d7 sexual     
abuse2  7,e7 pregnancy or infant loss2  
or  7,f7 *ronic conditions2  7#f7       
provide evid5ce-bas$ pregnancy &        
*ildbir? education1 p>5t+ support1 & o!r
 relevant =ms ( heal? lit]acy2  7#g7    
provide cl9ical education opportunities 
to mat]nity c>e provid]s 9 tra9+ to exp&
 pa?ways into mat]nal heal? c>e c>e]s   
s]v+ inc>c]at$ individuals2  7#h7 (f]   
opportunities = po/p>tum individuals to 
ma9ta9 contact ) ! individual's newborn 
*ild to promote bond+1 includ+ enhanc$  
visitation policies1 access to prison   
nurs]y programs1 or brea/fe$+ support2  
7#i7 provide re5try assi/ance1          
p>ticul>ly to-- 7,a7 ensure access to   
heal? insurance cov]age & transf] (     
heal? records to community provid]s if  
an inc>c]at$ individual exits ! crim9al 
ju/ice sy/em dur+ su* individual's      
pregnancy or 9 ! po/p>tum p]iod2 &  7,b7

 connect individuals exit+ ! crim9al    
ju/ice sy/em dur+ pregnancy or 9 !      
po/p>tum p]iod to community-bas$        
res\rces1 su* z ref]rals to heal? c>e   
provid]s1 sub/ance use disord]          
treatm5ts1 & social s]vices t address   
social det]m9ants ( mat]nal heal?2 or   
7#aj7 e/abli% p>tn]%ips ) local public  
entities1 private community entities1   
community-bas$ organizations1 ,indian   
,tribes & ,tribal organizations 7z su*  
t]ms are def9$ 9 section #d ( ! ,indian 
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 
& ,urban ,indian organizations 7z su*   
t]m is def9$ 9 section #d ( ! ,indian   
,heal? ,c>e ,improvem5t ,act 7#be       
,u4,s4,c4 #afjc77 to e/abli% or exp&    
pretrial div]sion programs z an         
alt]native to inc>c]ation = pregnant &  
po/p>tum individuals4 ,su* programs may 
include--  7,a7 evid5ce-bas$ *ildbir?   
education or p>5t+ classes2  7,b7       
pr5atal heal? coord9ation2  7,c7 family 
& individual c\nsel+2  7,d7 evid5ce-bas$

 scre5+s1 education1 &1 z ne$$1 treatm5t
 = m5tal & behavioral heal? conditions1 
includ+ drug & alcohol treatm5ts2  7,e7 
family case managem5t s]vices2  7,f7    
dome/ic viol5ce education & prev5tion2  
7,g7 physical & sexual abuse c\nsel+2 & 
7,h7 programs to address social         
det]m9ants ( heal? su* z employm5t1     
h\s+1 education1 transportation1 &      
nutrition4  7d7 ,priority ,9 aw>d+      
grants "u ?is section1 ! ,director ( !  
,bureau ( ,ju/ice ,assi/ance %all give  
priority to applicants bas$ on-- 7#a7 ! 
numb] ( pregnant & po/p>tum individuals 
inc>c]at$ 9 ! ,/ate &1 among su*        
individuals1 ! numb] ( pregnant &       
po/p>tum 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? outcomes2 &  7#b7 ! ext5t to   
:i* ! ,/ate has demon/rat$ a commitm5t  
to develop+ exempl>y programs = pregnant
 & po/p>tum individuals inc>c]at$ 9 !   
prisons & jails 9 ! ,/ate4  7e7 ,grant  

duration ,a grant aw>d$ "u ?is section  
%all be = a #e-ye> p]iod4  7f7          
,implem5t+ & report+ ,a ,/ate t receives
 a grant "u ?is section %all be         
responsible =-- 7#a7 implem5t+ ! program
 fund$ by ! grant2 &  7#b7 n lat] ?an #c
 ye>s aft] ! date ( enactm5t ( ?is ,act1
 & #f ye>s aft] ! date ( enactm5t ( ?is 
,act1 report+ results ( su* program to !
 ,attorney ,g5]al1 includ+ in=mation    
describ+-- 7,a7 relevant quantitative   
indicators ( ! program's success 9      
improv+ ! /&>d ( c>e & heal? outcomes = 
pregnant & po/p>tum inc>c]at$           
individuals 9 ! facility1 includ+ data  
/ratifi$ by race1 e?nicity1 sex1 g5d]1  
prim>y language1 age1 geography1        
disability /atus1 category ( ! crim9al  
*>ge aga9/ su* individual1 incid5ce     
rates ( pregnancy-relat$ dea?s1         
pregnancy-associat$ dea?s1 cases (      
infant mortality & morbidity1 rates (   
pret]m bir?s & l[-bir?weight bir?s1     
cases ( sev]e mat]nal morbidity1 cases (
 viol5ce aga9/ pregnant or po/p>tum     

individuals1 diagnoses ( mat]nal m5tal  
or behavioral heal? conditions1 & o!r   
su* in=mation z appropriate2  7,b7      
relevant qualitative & quantitative     
evaluations f pregnant & po/p>tum       
inc>c]at$ individuals :o p>ticipat$ 9   
su* programs1 includ+ measures (        
pati5t-report$ exp]i5ce ( c>e2 &  7,c7  
/rategies to su/a9 su* programs beyond !
 duration ( ! grant & exp& su* programs 
to o!r facilities4  7g7 ,report ,n lat] 
?an #f ye>s aft] ! date ( enactm5t ( ?is
 ,act1 ! ,attorney ,g5]al %all submit to
 ! ,congress a report describ+ ! results
 ( su* grant programs4  7h7 ,ov]sight ,n
 lat] ?an #a ye> aft] ! date ( enactm5t 
( ?is ,act1 ! ,attorney ,g5]al %all aw>d
 a contract to an indep5d5t organization
 or indep5d5t organizations to conduct  
ov]sight ( ! programs describ$ 9        
subsection 7c74  7i7 ,au?orization (    
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section     
#aj1jjj1jjj = ea* ( fiscal ye>s #bjbg   
?r\gh #bjca4  #e4 ,,gao report  7a7 ,9  

g5]al ,n lat] ?an #b ye>s aft] ! date ( 
enactm5t ( ?is ,act1 ! ,comptroll]      
,g5]al ( ! ,unit$ ,/ates %all submit to 
,congress a report on adv]se mat]nal &  
infant heal? outcomes among inc>c]at$   
individuals & infants born to su*       
individuals1 ) a p>ticul> focus on      
racial & e?nic disp>ities 9 mat]nal &   
infant heal? outcomes = inc>c]at$       
individuals4  7b7 ,cont5ts ( report ,!  
report describ$ 9 ?is section %all      
include-- 7#a7 to ! ext5t practicable-- 
7,a7 ! numb] ( pregnant individuals :o  
are inc>c]at$ 9 ,bureau ( ,prisons      
facilities2  7,b7 ! numb] ( inc>c]at$   
individuals1 includ+ ^? inc>c]at$ 9     
,f$]al1 ,/ate1 & local correctional     
facilities1 :o h exp]i5c$ a             
pregnancy-relat$ dea?1                  
pregnancy-associat$ dea?1 or ! dea? ( an
 infant 9 ! mo/ rec5t #aj ye>s (        
available data2  7,c7 ! numb] ( cases ( 
sev]e mat]nal morbidity among inc>c]at$ 
individuals1 includ+ ^? inc>c]at$ 9     
,f$]al1 ,/ate1 & local det5tion         

facilities1 9 ! mo/ rec5t #aj ye>s (    
available data2  7,d7 ! numb] ( pret]m &
 l[-bir?weight bir?s ( infants born to  
inc>c]at$ individuals1 includ+ ^?       
inc>c]at$ 9 ,f$]al1 ,/ate1 & local      
correctional facilities1 9 ! mo/ rec5t  
#aj ye>s ( available data2 &  7,e7      
/ati/ics on ! racial & e?nic disp>ities 
9 mat]nal & infant heal? outcomes &     
sev]e mat]nal morbidity rates among     
inc>c]at$ individuals1 includ+ ^?       
inc>c]at$ 9 ,f$]al1 ,/ate1 & local      
det5tion facilities2  7#b7 9 ! case t ! 
,comptroll] ,g5]al ( ! ,unit$ ,/ates is 
unable to det]m9e ! in=mation requir$ 9 
subp>agraphs 7,a7 ?r\gh 7,c7 ( p>agraph 
7#a71 an assessm5t ( ! b>ri]s to det]m9+
 su* in=mation & recomm5dations =       
improvem5ts 9 track+ mat]nal heal?      
outcomes among inc>c]at$ individuals1   
includ+ ^? inc>c]at$ 9 ,f$]al1 ,/ate1 & 
local det5tion facilities2  7#c7 !      
implications ( pregnant & po/p>tum      
inc>c]at$ individuals be+ ineligible =  
m$ical assi/ance "u a ,/ate plan "u     

title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acif et seq47 includ+   
in=mation ab\t-- 7,a7 ! effects ( su*   
ineligibility on mat]nal heal? outcomes 
= pregnant & po/p>tum inc>c]at$         
individuals1 ) emphasis giv5 to su*     
effects = pregnant & po/p>tum           
individuals f racial & e?nic m9ority    
gr\ps2 &  7,b7 pot5tial implications on 
mat]nal heal? outcomes result+ f        
tempor>ily susp5d+1 r ?an p]man5tly     
t]m9at+1 su* eligibility :5 a pregnant  
or po/p>tum individual is inc>c]at$2    
7#d7 ! ext5t to :i* ,f$]al1 ,/ate1 &    
local correctional facilities are hold+ 
pregnant & po/p>tum individuals :o te/  
positive = illicit drug use 9 det5tion )
 special conditions1 su* z additional   
bond requirem5ts1 due to ! individual's 
drug use1 & ! effect ( su* det5tion     
policies on mat]nal & infant heal?      
outcomes2  7#e7 causes ( adv]se mat]nal 
heal? outcomes t are unique to inc>c]at$
 individuals1 includ+ ^? inc>c]at$ 9    
,f$]al1 ,/ate1 & local det5tion         

facilities2  7#f7 causes ( adv]se       
mat]nal heal? outcomes & sev]e mat]nal  
morbidity t are unique to inc>c]at$     
individuals f racial & e?nic m9ority    
gr\ps2  7#g7 recomm5dations to r$uce    
mat]nal mortality & sev]e mat]nal       
morbidity among inc>c]at$ individuals & 
to address racial & e?nic disp>ities 9  
mat]nal heal? outcomes = inc>c]at$      
individuals 9 ,bureau ( ,prisons        
facilities & ,/ate & local prisons &    
jails2 &  7#h7 su* o!r in=mation z may  
be appropriate to r$uce ! occurr5ce (   
adv]se mat]nal heal? outcomes among     
inc>c]at$ individuals & to address      
racial & e?nic disp>ities 9 mat]nal     
heal? outcomes = su* individuals4  #f4  
,def9itions ,9 ?is ,act3 7#a7           
,culturally & l+ui/ically congru5t ,!   
t]m culturally & l+ui/ically congru5t1 )
 respect to c>e or mat]nity c>e1 means  
c>e t is 9 agreem5t ) ! pref]r$ cultural
 values1 beliefs1 worldview1 language1 &
 practices ( ! heal? c>e consum] & o!r  
/akehold]s4  7#b7 ,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#c7 ,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#d7
 ,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#e7 ,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#f7 ,pregnancy-associat$  
dea? ,! t]m pregnancy-associat$ dea?    
means a dea? ( a pregnant or po/p>tum   
individual1 by any cause1 t occurs dur+1
 or )9 #a ye> foll[+1 ! individual's    
pregnancy1 reg>dless ( ! outcome1       
duration1 or site ( ! pregnancy4  7#g7  
,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#h7 ,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#i7 ,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#aj7 ,social det]m9ants (
 mat]nal heal? ,! t]m social det]m9ants 
( mat]nal heal? means noncl9ical factors
 t impact mat]nal heal? outcomes4