,,ii  #aai? ,,congress  #b;d ,session   
,s4 #dfid  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #d1 #bjbf,ms4    
,duckwor? 7= h]self & ,ms4 ,coll9s7     
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to am5d 
title #ch1 ,unit$ ,/ates ,code1 to      
require ! ,secret>y ( ,vet]ans ,affairs 
to c>ry out a mat]nity c>e coord9ation  
program1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,mat]nal
 ,heal? = ,vet]ans ,act4  #b4 ,mat]nity 
heal? c>e coord9ation program (         
,dep>tm5t ( ,vet]ans ,affairs  7a7 ,9   
g5]al ,sub*apt] ,,viii ( *apt] #ag (    
title #ch1 ,unit$ ,/ates ,code1 is am5d$
 by ins]t+ aft] section #aghf ! foll[+  
new section3  #aghf;,a4 ,mat]nity c>e   
coord9ation  7a7 ,9 g5]al ,! ,secret>y  
%all c>ry out a mat]nity c>e coord9ation
 program = eligible vet]ans4  7b7       
,requirem5ts ,9 c>ry+ out ! program "u  
subsection 7a71 ! ,secret>y %all-- 7#a7 
provide c>e to eligible vet]ans f !     

beg9n+ ( pregnancy until #ab mon?s      
po/p>tum2  7#b7 sy/ematically & regul>ly
 compile & review data on scre5+s by    
mat]nity c>e coord9ators ( eligible     
vet]ans = m5tal heal? conditions1       
includ+ data on completion by su*       
coord9ators ( requir$ m5tal heal?       
scre5+s & ! results ( su* scre5+s2 &    
7#c7 implem5t a p]=mance managem5t      
process t-- 7,a7 id5tifies desir$       
program results & requisite p]=mance    
goals = ! program2 &  7,b7 collects &   
uses p]=mance in=mation to measure      
progress t[>ds program goals4  7c7      
,tra9+ & support to community mat]nity  
c>e provid]s ,9 c>ry+ out ! program "u  
subsection 7a71 ! ,secret>y %all provide
 to community mat]nity c>e provid]s     
tra9+ & support ) respect to ! unique   
ne$s ( pregnant & po/p>tum eligible     
vet]ans1 p>ticul>ly reg>d+ m5tal &      
behavioral heal? conditions relat+ to ! 
s]vice ( su* vet]ans 9 ! uni=m$ s]vices4
  7d7 ,annual report  7#a7 ,9 g5]al ,n  
lat] ?an "o ye> aft] ! date ( ! enactm5t

 ( ?is section1 & annually !reaft]1 !   
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report t      
conta9s ! foll[+3 7,a7 ,a summ>y ( !    
activities c>ri$ out "u ! program       
requir$ by subsection 7a74  7,b7 ,data  
on mat]nal heal? outcomes1 includ+      
mat]nal mortality1 pregnancy-associat$  
dea?s1 pregnancy-relat$ dea?s1 & sev]e  
mat]nal morbidity1 ( eligible vet]ans :o
 receive hospital c>e or m$ical s]vices 
furni%$ at a facility ( ! ,dep>tm5t or  
by a heal? c>e provid] describ$ 9       
section #agjc7;c7 ( ?is title :o        
provides su* c>e or s]vices to vet]ans  
"u su* section & o!r laws adm9i/]$ by ! 
,secret>y1 disaggregat$ by relevant     
vet]an *>act]i/ics1 su* z race &        
e?nicity1 age1 disability1 & :e!r !     
eligible vet]an lives 9 a rural area4   
7,c7 ,progress on implem5tation (       
relevant recomm5dations on improvem5ts  
to ! program made by1 at m9imum1 !      

,comptroll] ,g5]al ( ! ,unit$ ,/ates1 ! 
,inspector ,g5]al ( ! ,dep>tm5t (       
,vet]ans ,affairs1 ! ,secret>y 7bas$ on 
previ\s annual reports1 if applicable71 
& an explanation if ! ,secret>y *ooses  
to n implem5t a recomm5dation4  7,d7    
,recomm5dations by ! ,secret>y1 if any1 
to improve ! mat]nal heal? outcomes (   
eligible vet]ans1 ) a p>ticul> focus on 
eligible vet]ans f demographic gr\ps )  
elevat$ rates ( mat]nal mortality1      
pregnancy-associat$ dea?s 7includ+      
pregnancy-relat$ dea?s71 sev]e mat]nal  
morbidity1 mat]nal heal? disp>ities1 or 
o!r adv]se p]9atal or *ildbir? outcomes1
 includ+ eligible vet]ans :o belong to  
"o or m racial & e?nic m9ority gr\p1 :o 
id5tify z hav+ a disability or m ?an "o 
disability1 or :o live 9 a rural area4  
7#b7 ,provision ( in=mation ,! ,secret>y
 %all provide ! data requir$ "u p>agraph
 7#a7 9 a mann] t is :olly consi/5t )   
applicable ,f$]al privacy &             
confid5tiality laws1 includ+ section    
#eeb;a ( title #e 7commonly kn[n z !    

,privacy ,act ( #aigd71 ! ,heal?        
,insurance ,portability & ,acc\ntability
 ,act ( #aiif 7,public ,law #ajd-aia71  
relevant regulations1 includ+ p>ts #afj 
& #afd ( title #de1 ,code ( ,f$]al      
,regulations 7or successor regulations71
 & sections #egja1 #egje1 & #gccb ( ?is 
title to ensure t su* data1 or any      
portion ( su* data1 w n und]m9e !       
anonymity ( a vet]an4  7e7 ,def9itions  
,9 ?is section3 7#a7 ,community mat]nity
 c>e provid] ,! t]m community mat]nity  
c>e provid] means a mat]nity c>e provid]
 locat$ at a non-,dep>tm5t facility :o  
provides mat]nity c>e to vet]ans "u     
section #agjc ( ?is title1 or any o!r   
law adm9i/]$ by ! ,secret>y4  7#b7      
,disability ,! t]m disability has !     
mean+ giv5 t t]m 9 section #c ( !       
,am]icans ) ,disabilities ,act ( #aiij  
7#db ,u4,s4,c4 #abajb74  7#c7 ,eligible 
vet]an ,! t]m eligible vet]an means a   
vet]an enroll$ 9 ! sy/em ( annual pati5t
 enrollm5t ( ! ,dep>tm5t e/abli%$ &     
op]at$ "u section #agje ( ?is title4    

7#d7 ,mat]nal mortality ,! t]m mat]nal  
mortality means a dea? occurr+ dur+ or  
)9 a "o-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#e7 ,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#f7
 ,po/p>tum ,! t]m po/p>tum1 ) respect to
 an individual1 means ! "o-ye> p]iod    
beg9n+ on ! la/ day ( ! pregnancy ( !   
individual4  7#g7 ,pregnancy-associat$  
dea? ,! t]m pregnancy-associat$ dea?    
means ! dea? ( a pregnant or po/p>tum   
individual1 by any cause1 t occurs dur+ 
pregnancy or )9 "o ye> foll[+ pregnancy1
 reg>dless ( ! outcome1 duration1 or    
site ( ! pregnancy4  7#h7               
,pregnancy-relat$ dea? ,! t]m           
pregnancy-relat$ dea? means ! dea? ( a  
pregnant or po/p>tum individual t occurs
 dur+ pregnancy or )9 "o ye> foll[+     
pregnancy f a pregnancy complication1 a 
*a9 ( ev5ts initiat$ by pregnancy1 or ! 
aggravation ( an unrelat$ condition by !
 physiologic effects ( pregnancy4  7#i7 
,racial & e?nic m9ority gr\p ,! t]m     
racial & e?nic m9ority gr\p has ! mean+ 
giv5 t t]m 9 section #agjg ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjju-#f74  7#aj7 ,rural ,! t]m rural   
has ! mean+ giv5 t t]m "u !             

,rural-,urban ,commut+ ,areas 7,,ruca7  
cod+ sy/em ( ! ,dep>tm5t ( ,agriculture4
  7#aa7 ,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  4  
7b7 ,cl]ical am5dm5t ,! table ( sections
 at ! beg9n+ ( su* *apt] is am5d$ by    
ins]t+ aft] ! item relat+ to section    
#aghf ! foll[+ new item3 #aghf;,a4      
,mat]nity ,c>e ,coord9ation44  7c7      
,con=m+ repeal ,section #c ( ! ,protect+
 ,moms ,:o ,s]v$ ,act ( #bjba 7,public  
,law #aag-fi2 #ace ,/at4 #adif7 is      
repeal$4