,,ii #aai? ,,congress #b;d ,session ,s4 #ddhb ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,may #aa1 #bjbf,ms4 ,blunt ,ro*e/] introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act to require hospitals to develop dis*>ge plans = pregnant individuals z a condition ( p>ticipation "u ,m$ic>e1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,wom5 ,expansion ( ,le>n+ & ,labor ,safety ,act or ! ,,wells ,act4 #b4 ,requir+ hospitals p>ticipat+ 9 ,m$ic>e to develop dis*>ge plans = pregnant individuals ,section #ahff ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc7 is am5d$-- 7#a7 9 subsection 7a77#a7-- 7,a7 9 subp>agraph 7,x71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,y71 by /rik+ ! p]iod at ! end & ins]t+ 1 &2 & 7,c7 by add+ at ! end ! foll[+ new subp>agraph3 7,z7 beg9n+ ,janu>y #a1 #bjbg1 9 ! case ( a hospital1 critical access hospital1 or rural em]g5cy hospital1 to comply ) ! requirem5ts describ$ 9 subsection 7l77#a74 2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7l7 ,dis*>ge plan requirem5ts = pregnant individuals 7#a7 ,9 g5]al ,= purposes ( subsection 7a77#a77,z71 ! requirem5ts describ$ 9 ?is p>agraph are1 ) respect to a hospital1 critical access hospital1 or rural em]g5cy hospital1 t ! hospital-- 7,a7 provides = ! developm5t & implem5tation ( a dis*>ge plan meet+ ! /&>ds "u p>agraph 7#b7 ) respect to any individual 7:e!r or n eligible = b5efits "u ?is title7 admitt$ to ! hospital :o-- 7i7 is pregnant2 7ii7 is exp]i5c+ signs or symptoms consi/5t ) labor1 :i* may include contractions2 & 7iii7 is expect$ to be dis*>g$ f ! hospital1 critical access hospital1 or rural em]g5cy hospital prior to deliv]y1 z det]m9$ bas$ on ! docum5t$ cl9ical judgm5t ( ! treat+ physician or practition] at ! "t t su* dis*>ge is contemplat$2 7,b7 includes su* dis*>ge plan 9 ! individual's m$ical record2 & 7,c7 provides = su* dis*>ge plan to be discuss$ ) ! individual 7or ! individual's repres5tative7 prior to dis*>ge4 7#b7 ,dis*>ge plan /&>ds ,a dis*>ge plan = an individual describ$ 9 p>agraph 7#a77;,a7 meets ! /&>ds "u ?is p>agraph if su* plan includes at lea/ ! foll[+ in=mation3 7,a7 ,a cl9ical ju/ification = ! dis*>ge4 7,b7 ,an assessm5t ( travel di/ance & "t betwe5 ! prim>y resid5ce ( ! individual & ! hospital1 critical access hospital1 or rural em]g5cy hospital4 7,c7 ,v]ification ( reliable transportation betwe5 ! prim>y resid5ce ( ! individual & ! hospital1 critical access hospital1 or rural em]g5cy hospital4 7,d7 ,id5tification ( a second>y hospital or facility at :i* su* individual may obta9 labor & deliv]y s]vices4 7,e7 ,confirmation t ! plan 0 review$ & approv$ by a regi/]$ pr(essional nurse1 social work]1 or o!r appropriately qualifi$ p]sonnel4 7,f7 ,confirmation t ! individual 7or ! individual's repres5tative7 has receiv$ ! in=mation describ$ 9 subp>agraphs 7,a7 ?r\gh 7,d71 t su* in=mation 0 provid$ 9 ! prim>y language ( su* individual 7or repres5tative71 & t su* individual 7or repres5tative7 confirm$ _! und]/&+ ( su* in=mation4 7#c7 ,rule ( con/ruction ,no?+ 9 ?is subsection %all be con/ru$ z limit+ or o!rwise affect+ ! dis*>ge plann+ requirem5ts o!rwise applicable to a hospital1 critical access hospital1 or rural em]g5cy hospital "u ?is title1 or any obligation ( a heal? c>e provid] to furni% em]g5cy s]vices z requir$ "u ,/ate or ,f$]al law1 includ+ section #ahfg ( ?is title 7commonly kn[n z ! ,em]g5cy ,m$ical ,treatm5t & ,labor ,act74 4 #c4 ,rural mat]nal & ob/etric c>e tra9+ demon/ration grants ,section #gfd ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bids7 is am5d$-- 7#a7 by r$esignat+ subsections 7d7 & 7e7 z subsections 7e7 & 7f71 respectively2 7#b7 by ins]t+ aft] subsection 7c7 ! foll[+3 7d7 ,m9imum p]=mance mile/ones 7#a7 ,e/abli%m5t ,beg9n+ ) ! grants aw>d$ "u ?is section = fiscal ye> #bjbg1 ! ,secret>y %all e/abli% m9imum p]=mance mile/ones t grant recipi5ts mu/ meet dur+ a fiscal ye> z a condition ( rema9+ eligible = fund+ ?r\gh su* a grant = any subsequ5t fiscal ye>4 7#b7 ,mile/ones relat$ to p]c5t ( /aff tra9$ ,! m9imum p]=mance mile/ones ref]r$ to 9 p>agraph 7#a7 %all include mile/ones relat$ to ! p]c5t ( all /aff ( ! grant recipi5t t are tra9$1 or t receive refre%] tra9+1 ) support f a grant "u ?is section4 2 & 7#c7 9 subsection 7e71 z s r$esignat$-- 7,a7 9 ! subsection head+1 by /rik+ report & ins]t+ reports2 7,b7 9 p>agraph 7#a77;,b71 by /rik+ ! report describ$ 9 p>agraph 7#b7 & ins]t+ ! reports describ$ 9 p>agraphs 7#b7 & 7#c72 & 7,c7 by add+ at ! end ! foll[+3 7#c7 ,subsequ5t reports ,n lat] ?an ,janu>y #a1 #bjbg1 & annually !reaft]1 ! ,secret>y %all submit to ,congress1 & make publicly available1 a report t includes-- 7,a7 updates to ! in=mation describ$ 9 subp>agraphs 7,a7 ?r\gh 7,c7 ( p>agraph 7#b72 & 7,b7 additional in=mation reg>d+ ! grants "u ?is section1 includ+-- 7i7 a li/ ( ! entities receiv+ su* grants2 7ii7 ! numb] & am\nt ( su* grants2 7iii7 :e!r tra9+ support$ by su* grants 0 deliv]$ 9-p]son1 virtually1 asyn*ron\sly1 or ?r\gh "s o!r =mat2 & 7iv7 descriptions ( ! geographical cov]age ( su* grants1 ! numb] ( provid]s tra9$ "u su* grants1 & pati5t-level metrics l9k$ to su* tra9+ 7su* z *anges 9 cl9ical outcomes1 pati5t exp]i5ce1 & racial disp>ities74 4 #d4 ,multi-c5t] implem5tation sci5ce initiative = mat]nal heal? 7a7 ,e/abli%m5t ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,director ( ! ,ag5cy = ,heal?c>e ,rese>* & ,quality & ! ,director ( ! ,national ,in/itutes ( ,heal? 79 ?is section ref]r$ to z ! ,secret>y7 %all e/abli% a multi-c5t] implem5tation sci5ce initiative = mat]nal heal? to rigor\sly evaluate diff]5t tra9+ models = heal? c>e pr(essionals 7includ+ 9-p]son1 virtual1 simulation1 & cohort-bas$7 & ! impact ( su* models on provid] behavior1 pati5t outcomes1 & mat]nal heal? disp>ities4 7b7 ,int]ag5cy mat]nal heal? da%bo>d ,z "p ( ! initiative describ$ 9 subsection 7a71 ! ,secret>y %all develop1 ma9ta91 & make publicly available on ! website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices an int]ag5cy mat]nal heal? da%bo>d1 :i* %all include mat]nal heal? outcome metrics f ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices4