,,ii  #aai? ,,congress  #b;d ,session   
,s4 #deeb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ah1 #bjbf,mrs4   
,gillibr& 7= h]self1 ,ms4 ,blunt        
,ro*e/]1 & ,mr4 ,book]7 introduc$ !     
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to      
address mat]nal m5tal heal? conditions &
 sub/ance use disord]s1 & = o!r         
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,moms ,matt] ,act4  #b4    
,mat]nal m5tal heal? equity grant       
program  7a7 ,9 g5]al ,! ,secret>y (    
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,assi/ant ,secret>y = ,m5tal ,heal? &   
,sub/ance ,use1 %all e/abli% a program  
to aw>d grants to eligible entities to  
address mat]nal m5tal heal? conditions &
 sub/ance use disord]s1 ) a focus on    
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
  7b7 ,application ,to be eligible to   

receive a grant "u ?is section1 an      
eligible entity %all submit to !        
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7c7 ,priority ,9
 aw>d+ grants "u ?is section1 !         
,secret>y %all give priority to an      
eligible entity t-- 7#a7 is1 or w p>tn] 
)1 a community-bas$ organization to     
address mat]nal m5tal heal? conditions &
 sub/ance use disord]s describ$ 9       
subsection 7a72  7#b7 is op]at+ 9 an    
area ) 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 is
 op]at+ 9 a heal? pr(essional %ortage   
area designat$ "u section #ccb ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bed;e74  7d7 ,use ( funds ,an
 eligible entity t receives a grant "u  
?is section %all use ! grant = ! foll[+3
 7#a7 ,e/abli%+ or exp&+ mat]nity c>e   
programs to improve ! integration (     
mat]nal m5tal heal? & behavioral heal?  

c>e s]vices into prim>y c>e sett+s :]e  
pregnant individuals regul>ly receive   
heal? c>e s]vices4  7#b7 ,e/abli%+ or   
exp&+ gr\p pr5atal c>e programs or      
po/p>tum c>e programs4  7#c7 ,exp&+     
exi/+ programs t improve mat]nal m5tal &
 behavioral heal? dur+ ! pr5atal &      
po/p>tum p]iods1 ) a 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  7#d7 ,provid+       
s]vices & support = pregnant & po/p>tum 
individuals ) mat]nal m5tal heal?       
conditions & sub/ance use disord]s1     
includ+ ref]rals to addiction treatm5t  
c5t]s t (f] evid5ce-bas$ treatm5t       
options4  7#e7 ,address+ /igma associat$
 ) mat]nal m5tal heal? conditions &     
sub/ance use disord]s1 ) a 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  7#f7 ,rais+ aw>5ess 
( w>n+ signs ( mat]nal m5tal heal?      
conditions & sub/ance use disord]s1 ) a 
focus on 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? outcomes4
  7#g7 ,e/abli%+ or exp&+ programs to   
prev5t suicide or self-h>m among        
pregnant & po/p>tum individuals4  7#h7  
,(f]+ evid5ce-align$ programs at free/&+
 bir? c5t]s t provide mat]nal m5tal &   
behavioral heal? c>e education1         
treatm5ts1 & s]vices1 & o!r s]vices =   
individuals ?r\gh\t ! pr5atal & po/p>tum
 p]iod4  7#i7 ,e/abli%+ or exp&+        
programs to provide education & tra9+ to
 mat]nity c>e provid]s ) respect to--   
7,a7 id5tify+ pot5tial w>n+ signs =     
mat]nal m5tal heal? conditions or       
sub/ance use disord]s 9 pregnant &      
po/p>tum individuals1 ) a 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? outcomes2 &  7,b7 9 ! case :]e 
su* provid]s id5tify su* w>n+ signs1    
(f]+ ref]rals to m5tal & behavioral     
heal? c>e pr(essionals4  7#aj7 ,develop+
 a website1 or o!r s\rce1 t includes    
in=mation on heal? c>e provid]s :o treat
 mat]nal m5tal heal? conditions &       
sub/ance use disord]s4  7#aa7 ,e/abli%+ 
or exp&+ programs 9 communities to      
improve coord9ation betwe5 mat]nity c>e 
provid]s & m5tal & behavioral heal? c>e 
provid]s :o treat mat]nal m5tal heal?   
conditions & sub/ance use disord]s1     
includ+ ?r\gh ! use ( toll-free hotl9es4
  7#ab7 ,c>ry+ out o!r programs align$ )
 evid5ce-bas$ practices = address+      
mat]nal m5tal heal? conditions &        
sub/ance use disord]s = 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? outcomes4  7e7 ,report+  7#a7  

,eligible entities ,an eligible entity t
 receives a grant "u subsection 7a7 %all
 submit annually to ! ,secret>y1 & make 
publicly available1 a report on !       
activities conduct$ us+ funds receiv$   
?r\gh a grant "u ?is section4 ,su*      
reports %all include quantitative &     
qualitative evaluations ( su*           
activities1 includ+ ! exp]i5ce (        
individuals :o receiv$ heal? c>e ?r\gh  
su* grant4  7#b7 ,secret>y ,n lat] ?an !
 end ( fiscal ye> #bjcj1 ! ,secret>y    
%all submit to ,congress a report t     
includes-- 7,a7 a summ>y ( ! reports    
receiv$ "u p>agraph 7#a72  7,b7 an      
evaluation ( ! effectiv5ess ( grants    
aw>d$ "u ?is section2  7,c7             
recomm5dations ) respect to exp&+       
cov]age ( evid5ce-bas$ scre5+s &        
treatm5ts = mat]nal m5tal heal?         
conditions & sub/ance use disord]s2 &   
7,d7 recomm5dations ) respect to ensur+ 
activities describ$ "u subsection 7d7   
cont9ue aft] ! end ( a grant p]iod4  7f7
 ,def9itions ,9 ?is section3 7#a7       

,eligible entity ,! t]m eligible entity 
means-- 7,a7 a community-bas$           
organization s]v+ pregnant & po/p>tum   
individuals1 includ+ su* organizations  
s]v+ 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 a nonpr(it or  
pati5t advocacy organization ) exp]tise 
9 mat]nal m5tal & behavioral heal?2     
7,c7 a mat]nity c>e provid]2  7,d7 a    
m5tal or behavioral heal? c>e provid] :o
 treats mat]nal m5tal heal? conditions  
or sub/ance use disord]s2  7,e7 a ,/ate 
or local gov]nm5tal entity1 includ+ a   
,/ate or local public heal? dep>tm5t2   
7,f7 an ,indian ,tribe or ,tribal       
organization 7z su* t]ms are def9$ 9    
section #d ( ! ,indian                  
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd772 
&  7,g7 an ,urban ,indian organization  
7z su* t]m is def9$ 9 section #d ( !    
,indian ,heal? ,c>e ,improvem5t ,act    

7#be ,u4,s4,c4 #afjc774  7#b7 ,free/&+  
bir? c5t] ,! t]m free/&+ bir? c5t] has !
 mean+ giv5 t t]m "u section #aije7l7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acif;d7#a774  7#c7 ,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#d7 ,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#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        
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,heal? & ,human ,s]vices4   
7#g7 ,sev]e mat]nal morbidity ,! t]m    
sev]e mat]nal morbidity means a heal?   
condition1 includ+ a m5tal heal?        
condition or sub/ance use disord]1      
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  7g7
 ,au?orization ( appropriations ,to c>ry
 out ?is section1 !re is au?oriz$ to be 
appropriat$ #be1jjj1jjj = ea* ( fiscal  
ye>s #bjbg ?r\gh #bjca4  #c4 ,grants to 
gr[ & div]sify ! mat]nal m5tal &        

behavioral heal? c>e work=ce ,title     
,,vii ( ! ,public ,heal? ,s]vice ,act is
 am5d$ by ins]t+ aft] section #geg ( su*
 ,act 7#db ,u4,s4,c4 #bid;f7 ! foll[+   
new section3  #geh4 ,mat]nal m5tal &    
behavioral heal? c>e work=ce grants  7a7
 ,9 g5]al ,! ,secret>y may aw>d grants  
to entities to e/abli% or exp& programs 
describ$ 9 subsection 7b7 to gr[ &      
div]sify ! mat]nal m5tal & behavioral   
heal? c>e work=ce4  7b7 ,use ( funds    
,recipi5ts ( grants "u ?is section %all 
use ! grants to gr[ & div]sify ! mat]nal
 m5tal & behavioral heal? c>e work=ce   
by-- 7#a7 e/abli%+ s*ools or programs t 
provide education & tra9+ to individuals
 seek+ appropriate lic5s+ or            
c]tification z m5tal or behavioral heal?
 c>e provid]s :o w specialize 9 mat]nal 
m5tal heal? conditions or sub/ance use  
disord]s2 or  7#b7 exp&+ ! capacity (   
exi/+ s*ools or programs describ$ 9     
p>agraph 7#a71 = ! purposes ( increas+ !
 numb] ( /ud5ts enroll$ 9 su* s*ools or 
programs1 includ+ by aw>d+ s*ol>%ips =  

/ud5ts4  7c7 ,prioritization ,9 aw>d+   
grants "u ?is section1 ! ,secret>y %all 
give priority to any entity t-- 7#a7 has
 demon/rat$ a commitm5t to recruit+ &   
reta9+ /ud5ts & faculty f racial & e?nic
 m9ority gr\ps2  7#b7 has develop$ a    
/rategy to recruit & reta9 a div]se pool
 ( /ud5ts into ! mat]nal m5tal or       
behavioral heal? c>e work=ce program or 
s*ool support$ by funds receiv$ ?r\gh ! 
grant1 p>ticul>ly f racial & e?nic      
m9ority gr\ps & o!r und]s]v$            
populations2  7#c7 has develop$ a       
/rategy to recruit & reta9 /ud5ts :o    
plan to practice 9 a heal? pr(essional  
%ortage area designat$ "u section #ccb2 
7#d7 has develop$ a /rategy to recruit &
 reta9 /ud5ts :o plan to practice 9 an  
area ) significant mat]nal heal?        
disp>ities1 to ! ext5t practicable2 &   
7#e7 includes 9 ! /&>d curriculum = all 
/ud5ts )9 ! mat]nal m5tal or behavioral 
heal? c>e work=ce program or s*ool a    
bias1 racism1 or discrim9ation tra9+    
program t includes tra9+ on implicit    

bias & racism4  7d7 ,report+ ,z a       
condition on receipt ( a grant "u ?is   
section = a mat]nal m5tal or behavioral 
heal? c>e work=ce program or s*ool1 an  
entity %all agree to submit to !        
,secret>y an annual report on !         
activities conduct$ ?r\gh ! grant1      
includ+-- 7#a7 ! numb] & demographics ( 
/ud5ts p>ticipat+ 9 ! program or s*ool2 
7#b7 ! ext5t to :i* /ud5ts 9 ! program  
or s*ool are ent]+ c>e]s 9-- 7,a7 heal? 
pr(essional %ortage areas designat$ "u  
section #ccb2 &  7,b7 areas )           
significant mat]nal heal? disp>ities1 to
 ! ext5t su* data are available2 &  7#c7
 :e!r ! program or s*ool has includ$ 9 !
 /&>d curriculum = all /ud5ts a bias1   
racism1 or discrim9ation tra9+ program t
 includes tra9+ on implicit bias &      
racism1 & if s ! effectiv5ess ( su*     
tra9+ program4  7e7 ,p]iod ( grants ,!  
p]iod ( a grant "u ?is section %all be  
up to #e ye>s4  7f7 ,application ,to    
seek a grant "u ?is section1 an entity  
%all submit to ! ,secret>y an           

application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
require1 includ+ any in=mation necess>y 
= prioritization "u subsection 7c74  7g7
 ,te*nical assi/ance ,! ,secret>y %all  
provide1 directly or by contract1       
te*nical assi/ance to entities seek+ or 
receiv+ a grant "u ?is section on !     
developm5t1 use1 evaluation1 & po/grant 
p]iod su/a9ability ( ! mat]nal m5tal or 
behavioral heal? c>e work=ce programs or
 s*ools propos$ to be1 or be+1 e/abli%$ 
or exp&$ ?r\gh ! grant4  7h7 ,report by 
! ,secret>y ,n lat] ?an #d ye>s aft] !  
date ( enactm5t ( ?is section1 !        
,secret>y %all prep>e & submit to       
,congress1 & po/ on ! website ( !       
,dep>tm5t ( ,heal? & ,human ,s]vices1 a 
report on ! effectiv5ess ( ! grant      
program "u ?is section at-- 7#a7        
recruit+ /ud5ts f racial & e?nic m9ority
 gr\ps & o!r und]s]v$ populations2  7#b7
 increas+ ! numb] ( m5tal or behavioral 
heal? c>e provid]s specializ+ 9 mat]nal 
m5tal heal? conditions or sub/ance use  

disord]s f racial & e?nic m9ority gr\ps 
& o!r und]s]v$ populations2  7#c7       
increas+ ! numb] ( m5tal or behavioral  
heal? c>e provid]s specializ+ 9 mat]nal 
m5tal heal? conditions or sub/ance use  
disord]s work+ 9 heal? pr(essional      
%ortage areas designat$ "u section #ccb2
 &  7#d7 increas+ ! numb] ( m5tal or    
behavioral heal? c>e provid]s specializ+
 9 mat]nal m5tal heal? conditions or    
sub/ance use disord]s work+ 9 areas )   
significant mat]nal heal? disp>ities1 to
 ! ext5t su* data are available4  7i7   
,def9itions ,9 ?is section3 7#a7 ,racial
 & e?nic m9ority gr\p ,! t]m racial &   
e?nic m9ority gr\p has ! mean+ giv5 su* 
t]m 9 section #agjg7;g77#a74  7#b7      
,m5tal or behavioral heal? c>e provid]  
,! t]m m5tal or behavioral heal? c>e    
provid] means a heal? c>e provid] 9 !   
field ( m5tal & behavioral heal?1       
includ+ sub/ance use disord]s1 act+ 9   
accordance ) ,/ate law4  7j7            
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  

appropriat$ #ae1jjj1jjj = ea* ( fiscal  
ye>s #bjbg ?r\gh #bjca4  4