,,ii  #aai? ,,congress  #b;d ,session   
,s4 #deej  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ah1 #bjbf,ms4    
,w>r5 7= h]self1 ,mr4 ,book]1 ,mrs4     
,gillibr&1 ,mr4 ,murphy1 ,ms4 ,smi?1    
,mr4 ,s*iff1 ,ms4 ,blunt ,ro*e/]1 & ,ms4
 ,alsobrooks7 introduc$ ! foll[+ bill2  
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to      
au?orize appropriations = data          
collection1 surveillance1 & rese>* on   
mat]nal heal? outcomes dur+ public heal?
 em]g5cies1 & = o!r purposes4  #a4 ,%ort
 title ,?is ,act may be cit$ z !        
,mat]nal ,heal? ,p&emic ,response ,act4 
#b4 ,fund+ = data collection1           
surveillance1 & rese>* on mat]nal heal? 
outcomes dur+ public heal? em]g5cies ,to
 conduct or support data collection1    
surveillance1 & rese>* on mat]nal heal? 
z a result ( public heal? em]g5cies &   
infecti\s diseases t pose a risk to     
mat]nal & infant heal?1 includ+ support 
to assi/ 9 ! capacity build+ = ,/ate1   

,tribal1 t]ritorial1 & local public     
heal? dep>tm5ts to collect & transmit   
racial1 e?nic1 & o!r demographic data   
relat$ to mat]nal heal?1 !re are        
au?oriz$ to be appropriat$-- 7#a7       
#ajj1jjj1jjj = ! ,surveillance = ,em]g+ 
,?reats to ,mo!rs & ,babies program ( ! 
,c5t]s = ,disease ,control & ,prev5tion1
 to support ! ,c5t]s = ,disease ,control
 & ,prev5tion 9 its ef=ts to-- 7,a7 "w )
 public heal?1 cl9ical1 & community-bas$
 organizations to provide timely1       
cont9ually updat$ guidance to families &
 heal? c>e provid]s on ways to r$uce    
risk to pregnant & po/p>tum individuals 
& _! newborns & tailor int]v5tions to   
improve _! long-t]m heal?2  7,b7 p>tn] )
 m ,/ate1 ,tribal1 t]ritorial1 & local  
public heal? programs 9 ! collection &  
analysis ( cl9ical data on ! impact (   
public heal? em]g5cies & infecti\s      
diseases t pose a risk to mat]nal &     
infant heal? on pregnant & po/p>tum     
pati5ts & _! newborns1 p>ticul>ly among 
pati5ts f racial & e?nic m9ority gr\ps2 

&  7,c7 e/abli% regionally bas$ c5t]s ( 
excell5ce to (f] m$ical1 public heal?1 &
 o!r k to ensure communities c help     
pregnant & po/p>tum individuals &       
newborns get ! c>e & support !y ne$1    
p>ticul>ly 9 areas ) l>ge populations ( 
individuals f demographic gr\ps )       
elevat$ 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 #cj1jjj1jjj = !
 ,enhanc+ ,reviews & ,surveillance to   
,elim9ate ,mat]nal ,mortality program   
7commonly kn[n z ! ,,erase ,,mm program7
 ( ! ,c5t]s = ,disease ,control &       
,prev5tion1 to support ! ,c5t]s =       
,disease ,control & ,prev5tion 9 exp&+  
its p>tn]%ips ) ,/ates & ,indian ,tribes
 & provide te*nical assi/ance to exi/+  
,mat]nal ,mortality ,review ,committees2
  7#c7 #de1jjj1jjj = ! ,pregnancy ,risk 
,assessm5t ,monitor+ ,sy/em 7commonly   
kn[n z ! ,,prams7 ( ! ,c5t]s = ,disease 
,control & ,prev5tion1 to support !     
,c5t]s = ,disease ,control & ,prev5tion 

9 its ef=ts to-- 7,a7 create a supplem5t
 to its ,,prams survey relat$ to public 
heal? em]g5cies & infecti\s diseases t  
pose a risk to mat]nal & infant heal?2  
7,b7 add que/ions ar\nd exp]i5ces (     
respectful mat]nity c>e 9 pr5atal1      
intrap>tum1 & po/p>tum c>e2 &  7,c7 "w  
to transition su* ,,prams survey to an  
electronic plat=m & exp& su* ,,prams    
survey to a l>g] population1 ) a special
 focus on rea*+ und]repres5t$           
communities1 & o!r program improvem5ts2 
&  7#d7 #ae1jjj1jjj = ! ,national       
,in/itute ( ,*ild ,heal? & ,human       
,developm5t1 to conduct or support      
rese>* = int]v5tions to mitigate !      
effects ( public heal? em]g5cies &      
infecti\s diseases t pose a risk to     
mat]nal & infant heal?1 ) a p>ticul>    
focus on 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? outcomes4  #c4 ,public heal?   
em]g5cy mat]nal heal? data collection & 

disclosure  7a7 ,availability ( collect$
 data ,! ,secret>y1 act+ ?r\gh !        
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion & ! ,adm9i/rator ( !      
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1    
%all make publicly available on !       
website ( ! ,c5t]s = ,disease ,control &
 ,prev5tion data describ$ 9 subsection  
7b74  7b7 ,data describ$ ,! data        
describ$ 9 ?is subsection are data      
collect$ ?r\gh ,f$]al surveillance      
sy/ems "u ! ,c5t]s = ,disease ,control &
 ,prev5tion ) respect to public heal?   
em]g5cies & individuals :o are pregnant 
or 9 a po/p>tum p]iod4 ,su* data %all   
include ! foll[+3 7#a7 ,diagno/ic te/+1 
confirm$ cases1 hospitalizations1 dea?s1
 & o!r heal? outcomes relat$ to an      
infecti\s disease outbreak among        
pregnant & po/p>tum individuals4  7#b7  
,mat]nal & infant heal? outcomes among  
individuals :o te/ positive = an        
infecti\s disease dur+ or aft]          
pregnancy4  7c7 ,am]ican ,indian &      
,alaska ,native ,heal? outcomes ,9 c>ry+

 out subsection 7a71 ! ,secret>y %all   
consult ) ,indian ,tribes & conf] )     
,urban ,indian organizations4  7d7      
,disaggregat$ in=mation ,9 c>ry+ out    
subsection 7a71 ! ,secret>y %all        
disaggregate data by race1 e?nicity1    
g5d]1 prim>y language1 geography1       
socioeconomic /atus1 & o!r relevant     
factors4  7e7 ,update ,dur+ public heal?
 em]g5cies1 ! ,secret>y %all update !   
data made available "u ?is section--    
7#a7 at lea/ on a mon?ly basis2 &  7#b7 
n less ?an "o mon? aft] ! end ( su*     
public heal? em]g5cy4  7f7 ,privacy ,9  
c>ry+ out subsection 7a71 ! ,secret>y   
%all-- 7#a7 take /eps to protect !      
privacy ( individuals pursuant to       
regulations promulgat$ "u section       
#bfd7;c7 ( ! ,heal? ,insurance          
,portability & ,acc\ntability ,act (    
#aiif 7#db ,u4,s4,c4 #acbj;d-#b note72 &
  7#b7 ensure t-- 7,a7 all data collect$
 is deid5tifi$2  7,b7 at a m9imum1 !re  
is no disclosure ( any individually     
id5tify+ or pot5tially id5tify+         

in=mation reg>d+ a pati5t or a pati5t's 
heal? c>e provid]2 &  7,c7 all data is  
collect$ 9 a mann] t is consi/5t )      
applicable ,f$]al & ,/ate privacy law4  
7g7 ,guidance  7#a7 ,9 g5]al ,n lat] ?an
 #cj days aft] ! decl>ation ( a public  
heal? em]g5cy1 ! ,secret>y %all issue   
guidance to ,/ates & local public heal? 
dep>tm5ts to ensure t-- 7,a7            
laboratories t te/ specim5s = an        
infecti\s disease receive all relevant  
demographic data on race1 e?nicity1     
pregnancy /atus1 & o!r demographic data 
z det]m9$ by ! ,secret>y2 &  7,b7 data  
describ$ 9 subsection 7b7 are           
disaggregat$ by race1 e?nicity1 g5d]1   
prim>y language1 geography1             
socioeconomic /atus1 & o!r relevant     
factors4  7#b7 ,consultation ,9 c>ry+   
out p>agraph 7#a71 ! ,secret>y %all     
consult ) ,indian ,tribes-- 7,a7 to     
ensure t su* guidance includes tribally 
develop$ be/ practices2 &  7,b7 to r$uce
 misclassification ( ,am]ican ,indians &
 ,alaska ,natives4  #d4 ,public heal?   

communication reg>d+ mat]nal c>e dur+   
public heal? em]g5cies ,! ,director ( ! 
,c5t]s = ,disease ,control & ,prev5tion 
%all conduct public heal? education     
campaigns dur+ public heal? em]g5cies to
 ensure t pregnant & po/p>tum           
individuals1 _! employ]s1 & _! heal? c>e
 provid]s h accurate1 evid5ce-bas$      
in=mation on mat]nal & infant heal?     
risks dur+ ! public heal? em]g5cy1 ) a  
p>ticul> focus on rea*+ pregnant &      
po/p>tum individuals 9 und]s]v$         
communities4  #e4 ,task =ce on bir?+    
exp]i5ce & safe1 respectful1 responsive1
 & emp[]+ mat]nity c>e dur+ public heal?
 em]g5cies  7a7 ,e/abli%m5t ,!          
,secret>y1 9 consultation ) ! ,director 
( ! ,c5t]s = ,disease ,control &        
,prev5tion & ! ,adm9i/rator ( ! ,heal?  
,res\rces & ,s]vices ,adm9i/ration1 %all
 conv5e a task =ce 79 ?is section ref]r$
 to z ! ,task ,=ce7 to develop ,f$]al   
recomm5dations reg>d+ respectful1       
responsive1 & emp[]+ mat]nity c>e1      
includ+ safe bir? c>e & po/p>tum c>e1   

dur+ public heal? em]g5cies4  7b7       
,duties ,! ,task ,=ce %all develop1     
publicly po/1 & update ,f$]al           
recomm5dations 9 multiple languages to  
ensure high-quality1 nondiscrim9atory   
mat]nity c>e1 promote positive bir?+    
exp]i5ces1 & improve mat]nal heal?      
outcomes dur+ public heal? em]g5cies1 ) 
a p>ticul> focus on outcomes =          
individuals f demographic gr\ps )       
elevat$ rates ( mat]nal mortality1 sev]e
 mat]nal morbidity1 mat]nal heal?       
disp>ities1 or o!r adv]se p]9atal or    
*ildbir? outcomes4 ,su* recomm5dations  
%all-- 7#a7 address1 ) p>ticul> att5tion
 to ensur+ equitable treatm5t on ! basis
 ( race & e?nicity-- 7,a7 measures to   
facilitate respectful1 responsive1 &    
emp[]+ mat]nity c>e2  7,b7 measures to  
facilitate teleheal? mat]nity c>e =     
pregnant individuals :o _c regul>ly     
access 9-p]son c>e2  7,c7 /rategies to  
increase access to specializ$ c>e = ^? )
 high-risk pregnancies or pregnant      
individuals ) elevat$ risk factors2     

7,d7 diagno/ic te/+ = pregnant & labor+ 
pati5ts2  7,e7 bir?+ )\t "o's *os5      
companions1 ) "o's *os5 companions1 & ) 
sm>tphone or o!r teleheal? connection to
 "o's *os5 companions2  7,f7 newborn    
sep>ation aft] bir? 9 relation to       
mat]nal infection /atus2  7,g7 brea/    
milk fe$+ 9 relation to mat]nal         
infection /atus2  7,h7 lic5sure1 tra9+1 
scope ( practice1 & ,m$icaid & o!r      
insurance reimbursem5t = c]tifi$        
midwives1 c]tifi$ nurse-midwives1 &     
c]tifi$ pr(essional midwives1 :o meet1  
at a m9imum1 ! int]national def9ition ( 
a midwife & global /&>ds = midwif]y     
education1 z e/abli%$ by ! ,int]national
 ,conf$]ation ( ,midwives1 9 a mann] t  
facilitates inclusion ( midwives ( color
 & midwives f und]s]v$ communities2     
7,i7 f9ancial support & tra9+ = p]9atal 
heal? work]s :o provide noncl9ical      
support to individuals f pregnancy ?r\gh
 ! po/p>tum p]iod 9 a mann] t           
facilitates inclusion f und]s]v$        
communities2  7,j7 /rategies to ensure &

 exp& d\la cov]age "u ,/ate ,m$icaid    
programs2  7,k7 h[ to id5tify1 address1 
& treat pr5atal & po/p>tum m5tal &      
behavioral heal? conditions1 su* z      
anxiety1 sub/ance use disord]1 &        
depression1 dur+ public heal? em]g5cies2
  7,l7 h[ to id5tify & address in/ances 
( intimate p>tn] viol5ce dur+ pregnancy 
:i* may arise or int5sify dur+ public   
heal? em]g5cies2  7,m7 /rategies to     
address hospital capacity conc]ns 9     
communities ) a surge 9 infecti\s       
disease cases & to provide *ildbe>+     
individuals ) options t r$uce ! pot5tial
 = cross-contam9ation & increase !      
ability to implem5t _! c>e pref]5ces    
:ile ma9ta9+ safety & quality1 su* z !  
use ( free/&+ bir? c5t]s2  7,n7         
provision ( *ild c>e s]vices dur+       
pr5atal & po/p>tum appo9tm5ts = mo!rs ^:
 *ildr5 are unable to att5d z a result (
 re/rictions relat+ to ! public heal?   
em]g5cies2  7,o7 h[ to id5tify & address
 racism1 bias1 & discrim9ation 9 !      
deliv]y ( mat]nity c>e s]vices to       

pregnant & po/p>tum individuals1 includ+
 evaluat+ ! value ( tra9+ = hospital    
/aff on implicit bias & racism1         
respectful1 responsive1 & emp[]+        
mat]nity c>e1 & demographic data        
collection2  7,p7 h[ to address ! ne$s (
 undocum5t$ pregnant individuals & new  
mo!rs :o may be afraid or unable to seek
 ne$$ c>e dur+ ! public heal? em]g5cy2  
7,q7 h[ to address ! ne$s ( un9sur$ &   
und]9sur$ pregnant individuals :o h     
hi/orically reli$ on em]g5cy dep>tm5ts =
 c>e2  7,r7 h[ to id5tify pregnant &    
po/p>tum individuals at risk =          
depression1 anxiety disord]1 psy*osis1  
obsessive-compulsive disord]1 & o!r     
mat]nal mood disord]s be=e1 dur+1 & aft]
 pregnancy1 & h[ to treat ^? diagnos$ ) 
a pr5atal or po/p>tum mood disord]2     
7,s7 h[ to effectively & compassionately
 scre5 = sub/ance use disord] dur+      
pregnancy & po/p>tum & help pregnant &  
po/p>tum individuals f9d support &      
effective treatm5t2  7,t7 h[ to ensure  
access to infant nutrition dur+ public  

heal? em]g5cies2 &  7,u7 su* o!r matt]s 
z ! ,task ,=ce det]m9es appropriate2    
7#b7 id5tify b>ri]s to ! implem5tation (
 ! recomm5dations2  7#c7 take into      
consid]ation exi/+ ,/ate & o!r programs 
t h demon/rat$ effectiv5ess 9 address+  
pregnancy1 bir?1 & po/p>tum c>e dur+    
public heal? em]g5cies2 &  7#d7 id5tify 
policies specific to public heal?       
em]g5cies t %\ld be discont9u$ :5 safely
 possible & ^? t %\ld be cont9u$ z !    
public heal? em]g5cy abates4  7c7       
,memb]%ip ,! ,secret>y %all appo9t !    
memb]s ( ! ,task ,=ce4 ,su* memb]s %all 
be compris$ (-- 7#a7 repres5tatives ( ! 
,dep>tm5t ( ,heal? & ,human ,s]vices1   
includ+ repres5tatives (-- 7,a7 !       
,secret>y2  7,b7 ! ,director ( ! ,c5t]s 
= ,disease ,control & ,prev5tion2  7,c7 
! ,adm9i/rator ( ! ,heal? ,res\rces &   
,s]vices ,adm9i/ration2  7,d7 !         
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices2  7,e7 ! ,director ( !
 ,ag5cy = ,heal?c>e ,rese>* & ,quality2 
7,f7 ! ,commission] ( ,food & ,drugs2   

7,g7 ! ,assi/ant ,secret>y = ,m5tal     
,heal? & ,sub/ance ,use2 &  7,h7 !      
,director ( ! ,indian ,heal? ,s]vice2   
7#b7 at lea/ #c ,/ate1 local1 or        
t]ritorial public heal? (ficials        
repres5t+ dep>tm5ts ( public heal?1 :o  
%all repres5t jurisdictions f diff]5t   
regions ( ! ,unit$ ,/ates ) relatively  
high conc5trations ( hi/orically        
m>g9aliz$ populations2  7#c7 at lea/ #a 
,tribal public heal? (ficial repres5t+  
dep>tm5ts ( public heal?2  7#d7 #a or m 
repres5tatives ( community-bas$         
organizations t address adv]se mat]nal  
heal? outcomes ) a specific focus on    
racial & e?nic inequities 9 mat]nal     
heal? outcomes1 ) special consid]ation  
giv5 to repres5tatives ( su*            
organizations t are l$ by a p]son (     
color or f communities ) significant    
m9ority populations2  7#e7 a            
pr(essionally div]se panel ( mat]nity   
c>e provid]s & p]9atal heal? work]s2    
7#f7 #a or m pati5ts :o 7 pregnant or   
gave bir? dur+ ! ,,covid-#ai public     

heal? em]g5cy or a subsequ5t public     
heal? em]g5cy2  7#g7 #a or m pati5ts :o 
h receiv$ support f a p]9atal heal?     
work]2 &  7#h7 racially & e?nically     
div]se repres5tation f at lea/ #c       
indep5d5t exp]ts ) k or field exp]i5ce )
 racial & e?nic disp>ities 9 public     
heal?1 wom5's heal?1 or mat]nal         
mortality & sev]e mat]nal morbidity4    
#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 ,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#d7 ,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#e7 ,public heal? em]g5cy 
,! t]m public heal? em]g5cy means a     
public heal? em]g5cy decl>$ "u section  
#cai ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bdg;d74  7#f7 ,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#g7 ,respectful    
mat]nity c>e ,! t]m respectful mat]nity 
c>e ref]s to c>e organiz$ =1 & provid$  

to1 pregnant & po/p>tum individuals 9 a 
mann] t-- 7,a7 is culturally &          
l+ui/ically congru5t2  7,b7 ma9ta9s _!  
dignity1 privacy1 & confid5tiality2     
7,c7 ensures fre$om f h>m & mi/reatm5t2 
&  7,d7 enables in=m$ *oice & cont9u\s  
support4  7#h7 ,secret>y ,! t]m         
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  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