,,ii  #aai? ,,congress  #b;d ,session   
,s4 #ebhc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #f1 #bjbf,mr4   
,book] 7= himself1 ,mr4 ,s&]s1 ,mrs4    
,murray1 ,ms4 ,blunt ,ro*e/]1 ,ms4      
,alsobrooks1 ,mr4 ,van ,holl51 ,mr4     
,hick5loop]1 ,mr4 ,m]kley1 ,mr4 ,ka9e1  
,ms4 ,duckwor?1 ,mr4 ,w>nock1 ,mr4      
,gallego1 ,mr4 ,he9ri*1 ,mr4 ,s*atz1    
,mr4 ,blum5?al1 ,mr4 ,padilla1 ,ms4     
,hirono1 ,ms4 ,baldw91 ,mr4 ,wel*1 ,ms4 
,cortez ,ma/o1 ,ms4 ,klobu*>1 ,mrs4     
,gillibr&1 ,mr4 ,s*iff1 ,ms4 ,slotk91   
,mr4 ,b5net1 ,mr4 ,kim1 ,ms4 ,smi?1 ,mr4
 ,m>key1 & ,mr4 ,pet]s7 introduc$ !     
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to end  
prev5table mat]nal mortality1 sev]e     
mat]nal morbidity1 & mat]nal heal?      
disp>ities 9 ! ,unit$ ,/ates1 & = o!r   
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,momnibus ,act4  #b4 ,table
 ( cont5ts ,! table ( cont5ts = ?is ,act
 is z foll[s3 ,sec4 #a4 ,%ort           

title4,sec4 #b4 ,table ( cont5ts4,sec4  
#c4 ,def9itions4,sec4 #d4 ,s5se (       
,congress4,title ,i--,social ,det]m9ants
 = ,moms,sec4 #aja4 ,task =ce to address
 ! ,unit$ ,/ates mat]nal heal?          
crisis4,sec4 #ajb4 ,su/a9$ fund+ to     
address social det]m9ants ( mat]nal     
heal?4,title ,,ii--,ext5d+ ,,wic = ,new 
,moms,sec4 #bja4 ,ext5d+ ,,wic          
eligibility = new moms4,title           
,,iii--,honor+ ,kira ,johnson,sec4 #cja4
 ,su/a9$ fund+ = community-bas$         
organizations to advance mat]nal heal?  
equity4,sec4 #cjb4 ,respectful mat]nity 
c>e tra9+ = all employees 9 mat]nity c>e
 sett+s4,sec4 #cjc4 ,/udy on r$uc+ &    
prev5t+ bias1 racism1 & discrim9ation 9 
mat]nity c>e sett+s4,sec4 #cjd4         
,respectful mat]nity c>e compliance     
program4,sec4 #cje4 ,,gao report4,title 
,,iv--,mat]nal heal? = veterans,sec4    
#dja4 ,support = mat]nity heal? c>e &   
coord9ation programs ( ! ,dep>tm5t (    
,vet]ans ,affairs4,title ,v--,p]9atal   
workforce,sec4 #eja4 ,,hhs ag5cy        

directives4,sec4 #ejb4 ,grants to gr[ & 
div]sify ! p]9atal work=ce4,sec4 #ejc4  
,grants to gr[ & div]sify ! nurs+       
work=ce 9 mat]nal & p]9atal heal?4,sec4 
#ejd4 ,,gao report4,title ,,vi--,data to
 save moms,sec4 #fja4 ,fund+ = mat]nal  
mortality review committees to promote  
repres5tative community engagem5t4,sec4 
#fjb4 ,data collection & review4,sec4   
#fjc4 ,review ( mat]nal heal? data      
collection processes & quality          
measures4,sec4 #fjd4 ,/udy on mat]nal   
heal? among ,am]ican ,indian & ,alaska  
,native individuals4,sec4 #fje4 ,grants 
to m9ority-s]v+ in/itutions to /udy     
mat]nal mortality1 sev]e mat]nal        
morbidity1 & o!r adv]se mat]nal heal?   
outcomes4,title ,,vii--,moms matter,sec4
 #gja4 ,mat]nal m5tal heal? equity grant
 program4,sec4 #gjb4 ,grants to gr[ &   
div]sify ! mat]nal m5tal & behavioral   
heal? c>e work=ce4,title ,,viii--,ju/ice
 = inc>c]at$ moms,sec4 #hja4 ,end+ !    
%ackl+ ( pregnant individuals4,sec4     
#hjb4 ,creat+ model programs = ! c>e (  

inc>c]at$ individuals 9 ! pr5atal &     
po/p>tum p]iods4,sec4 #hjc4 ,grant      
program to improve mat]nal heal?        
outcomes = individuals 9 ,/ate & local  
prisons & jails4,sec4 #hjd4 ,,gao       
report4,title ,,ix--,te* to save        
moms,sec4 #ija4 ,integrat$ teleheal?    
models 9 mat]nity c>e s]vices4,sec4     
#ijb4 ,grants to exp& ! use (           
te*nology-enabl$ collaborative le>n+ &  
capacity models = pregnant & po/p>tum   
individuals4,sec4 #ijc4 ,grants to      
promote equity 9 mat]nal heal? outcomes 
?r\gh digital tools4,sec4 #ijd4 ,report 
on ! use ( te*nology 9 mat]nity         
c>e4,title ,x--,impact to save moms,sec4
 #ajja4 ,p]9atal ,c>e ,alt]native       
,paym5t ,model ,demon/ration            
,project4,title ,,xi--,mat]nal heal?    
p&emic response,sec4 #aaja4             
,def9itions4,sec4 #aajb4 ,fund+ = data  
collection1 surveillance1 & rese>* on   
mat]nal heal? outcomes dur+ public heal?
 em]g5cies4,sec4 #aajc4 ,public heal?   
em]g5cy mat]nal heal? data collection & 

disclosure4,sec4 #aajd4 ,public heal?   
communication reg>d+ mat]nal c>e dur+   
public heal? em]g5cies4,sec4 #aaje4     
,task =ce on bir?+ exp]i5ce & safe1     
respectful1 responsive1 & emp[]+        
mat]nity c>e dur+ public heal?          
em]g5cies4,title ,,xii--,protect+ moms &
 babies aga9/ climate change,sec4 #abja4
 ,def9itions4,sec4 #abjb4 ,grant program
 to protect vuln]able mo!rs & babies f  
climate *ange risks4,sec4 #abjc4 ,grant 
program = education & tra9+ at heal?    
pr(ession s*ools4,sec4 #abjd4 ,,nih     
,consortium on ,bir? & ,climate ,*ange  
,rese>*4,sec4 #abje4 ,/rategy = id5tify+
 climate *ange risk zones = vuln]able   
mo!rs & babies4,title ,,xiii--,,nih     
,i,m,p,r,o,v,e,sec4 #acja4 ,,improve    
,initiative4,title ,,xiv--,mat]nal      
vaccinations,sec4 #adja4 ,mat]nal       
vacc9ation aw>5ess & equity campaign4   
#c4 ,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 ,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#i7      
,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#aj7     
,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#aa7 ,social det]m9ants ( mat]nal heal?
 ,! t]m social det]m9ants ( mat]nal     
heal? means noncl9ical factors t impact 
mat]nal heal? outcomes4  #d4 ,s5se (    
,congress ,x is ! s5se ( ,congress t--  
7#a7 ! respect & prop] c>e t bir?+ p    
des]ve is inclusive2 &  7#b7 reg>dless (
 race1 e?nicity1 g5d] id5tity1 sexual   
ori5tation1 religion1 m>ital /atus1     
prim>y language1 familial /atus1        
socioeconomic /atus1 immigration /atus1 
inc>c]ation /atus1 or disability1 all   
des]ve dignity4  ,i ,social ,det]m9ants 
= ,moms  #aja4 ,task =ce to address !   
,unit$ ,/ates mat]nal heal? crisis  7a7 
,9 g5]al ,! ,secret>y ( ,heal? & ,human 
,s]vices %all conv5e a task =ce 79 ?is  
section ref]r$ to z ! ,task ,=ce7 to    
develop /rategies & coord9ate ef=ts     
betwe5 ,f$]al ag5cies & o!r /akehold]s  
to elim9ate prev5table mat]nal          
mortality1 sev]e mat]nal morbidity1 &   
mat]nal heal? disp>ities 9 ! ,unit$     
,/ates1 includ+ actions to address      
cl9ical & noncl9ical causes ( mat]nal   

mortality1 sev]e mat]nal morbidity1 &   
mat]nal heal? disp>ities4  7b7 ,ex      
(ficio memb]s ,! ex (ficio memb]s ( !   
,task ,=ce %all consi/ ( ! foll[+3 7#a7 
,! ,secret>y ( ,heal? & ,human ,s]vices 
7or a designee !re(74  7#b7 ,! ,secret>y
 ( ,h\s+ & ,urban ,developm5t 7or a     
designee !re(74  7#c7 ,! ,secret>y (    
,transportation 7or a designee !re(74   
7#d7 ,! ,secret>y ( ,agriculture 7or a  
designee !re(74  7#e7 ,! ,secret>y (    
,labor 7or a designee !re(74  7#f7 ,!   
,adm9i/rator ( ! ,environm5tal          
,protection ,ag5cy 7or a designee !re(74
  7#g7 ,! ,assi/ant ,secret>y = !       
,adm9i/ration = ,*ildr5 & ,families 7or 
a designee !re(74  7#h7 ,! ,adm9i/rator 
( ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices 
7or a designee !re(74  7#i7 ,! ,director
 ( ! ,indian ,heal? ,s]vice 7or a       
designee !re(74  7#aj7 ,! ,director ( ! 
,national ,in/itutes ( ,heal? 7or a     
designee !re(74  7#aa7 ,! ,director ( ! 
,eunice ,k5n$y ,%riv] ,national         
,in/itute ( ,*ild ,heal? & ,human       

,developm5t 7or a designee !re(74  7#ab7
 ,! ,director ( ! ,tribal ,heal? ,rese>*
 ,(fice ( ! ,national ,in/itutes (      
,heal? 7or a designee !re(74  7#ac7 ,!  
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration 7or a designee   
!re(74  7#ad7 ,! ,deputy ,assi/ant      
,secret>y = ,m9ority ,heal? ( !         
,dep>tm5t ( ,heal? & ,human ,s]vices 7or
 a designee !re(74  7#ae7 ,! ,deputy    
,assi/ant ,secret>y = ,wom5's ,heal? ( !
 ,dep>tm5t ( ,heal? & ,human ,s]vices   
7or a designee !re(74  7#af7 ,!         
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion 7or a designee !re(74     
7#ag7 ,! ,director ( ! ,(fice on        
,viol5ce ,aga9/ ,wom5 at ! ,dep>tm5t (  
,ju/ice 7or a designee !re(74  7c7      
,appo9t$ memb]s ,9 addition to ! ex     
(ficio memb]s ( ! ,task ,=ce1 !         
,secret>y ( ,heal? & ,human ,s]vices may
 appo9t ! foll[+ memb]s ( ! ,task ,=ce3 
7#a7 ,repres5tatives ( pati5ts1 to      
include-- 7,a7 a repres5tative ( pati5ts
 :o h suff]$ f sev]e mat]nal morbidity2 

or  7,b7 a repres5tative ( pati5ts :o is
 a family memb] ( an individual :o      
suff]$ a pregnancy-relat$ dea?4  7#b7   
,lead]s ( community-bas$ organizations t
 address mat]nal mortality1 sev]e       
mat]nal morbidity1 & mat]nal heal? ) a  
specific focus on racial & e?nic        
disp>ities4 ,9 appo9t+ su* lead]s "u ?is
 p>agraph1 ! ,secret>y ( ,heal? & ,human
 ,s]vices %all give priority to         
individuals :o are lead]s (             
organizations l$ by 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#c7 ,lead]s f ! ,indian heal? c>e    
sy/em1 includ+ lead]s f ,tribal         
,epidemiology ,c5t]s4  7#d7 ,p]9atal    
heal? work]s4  7#e7 ,a pr(essionally &  
geographically div]se panel ( mat]nity  
c>e provid]s4  7#f7 ,o!r mat]nal heal?  
/akehold]s outside ( ! ,f$]al ,gov]nm5t 
) exp]tise 9 mat]nal heal?1 includ+     
social det]m9ants ( mat]nal heal?4  7d7 

,*air ,! ,secret>y ( ,heal? & ,human    
,s]vices %all select ! *air ( ! ,task   
,=ce f among ! memb]s ( ! ,task ,=ce4   
7e7 ,topics ,9 develop+ /rategies       
coord9at+ ef=ts betwe5 ,f$]al ag5cies & 
o!r /akehold]s to elim9ate prev5table   
mat]nal mortality1 sev]e mat]nal        
morbidity1 & mat]nal heal? disp>ities 9 
! ,unit$ ,/ates "u ?is section1 ! ,task 
,=ce may address topics su* z-- 7#a7    
address+ b>ri]s t prev5t individuals f  
att5d+ pr5atal & po/p>tum appo9tm5ts1   
access+ mat]nal heal? c>e s]vices1 or   
access+ s]vices & res\rces relat$ to    
social det]m9ants ( mat]nal heal?2  7#b7
 increas+ access to safe1 /able1        
af=dable1 & adequate h\s+ = pregnant &  
po/p>tum individuals & _! families2     
7#c7 deliv]+ heal?y food1 infant =mula1 
clean wat]1 diap]s1 or o!r p]9atal      
necessities to pregnant & po/p>tum      
individuals locat$ 9 areas t are food   
des]ts2  7#d7 address+ ! impacts ( wat] 
& air quality1 exposure to extreme      
temp]atures1 environm5tal *emicals1     

environm5tal risks 9 ! workplace & !    
home1 & pollution levels1 on mat]nal &  
infant heal? outcomes2  7#e7 (f]+ free &
 accessible drop-9 *ildc>e s]vices dur+ 
pr5atal & po/p>tum appo9tm5ts2  7#f7    
address+ ! cl9ical & noncl9ical ne$s (  
po/p>tum individuals & _! families = !  
duration ( ! po/p>tum p]iod2  7#g7      
engag+ ) nongov]nm5tal entities to      
address social det]m9ants ( mat]nal     
heal?1 includ+ ?r\gh public-private     
p>tn]%ips2  7#h7 address+ ! impact (    
dome/ic or intimate p>tn] viol5ce on    
mat]nal heal? outcomes2 &  7#i7 o!r     
topics det]m9$ by ! *air ( ! ,task ,=ce4
  7f7 ,report ,n lat] ?an #b ye>s aft] !
 date ( enactm5t ( ?is ,act1 & e ye>    
!reaft]1 ! ,task ,=ce %all submit to    
,congress & make publicly available on !
 website ( ! ,dep>tm5t ( ,heal? & ,human
 ,s]vices a report-- 7#a7 describ+ !    
,task ,=ce's ef=ts to develop /rategies 
& coord9ate ef=ts betwe5 ,f$]al ag5cies 
& o!r /akehold]s to elim9ate prev5table 
mat]nal mortality1 sev]e mat]nal        

morbidity1 & mat]nal heal? disp>ities 9 
! ,unit$ ,/ates2  7#b7 provid+ an       
ov]view ( actions tak5 by ea* memb] ( ! 
,task ,=ce li/$ "u subsection 7b7 to    
elim9ate prev5table mat]nal mortality1  
sev]e mat]nal morbidity1 & mat]nal heal?
 disp>ities 9 ! ,unit$ ,/ates2  7#c7    
provid+ recomm5dations on ,f$]al fund+  
am\nts & au?orities ne$$ to implem5t    
/rategies develop$ by ! ,task ,=ce to   
elim9ate prev5table mat]nal mortality1  
sev]e mat]nal morbidity1 & mat]nal heal?
 disp>ities 9 ! ,unit$ ,/ates2  7#d7    
provid+ recomm5dations on actions t     
/akehold]s outside ( ! ,f$]al ,gov]nm5t 
c take to elim9ate prev5table mat]nal   
mortality1 sev]e mat]nal morbidity1 &   
mat]nal heal? disp>ities 9 ! ,unit$     
,/ates2 &  7#e7 address+ o!r topics z   
det]m9$ by ! *air ( ! ,task ,=ce4  7g7  
,t]m9ation ,section #ajac ( title #e1   
,unit$ ,/ates ,code1 %all n apply to !  
,task ,=ce ) respect to t]m9ation4      
#ajb4 ,su/a9$ fund+ to address social   
det]m9ants ( mat]nal heal?  7a7 ,9 g5]al

 ,! ,secret>y ( ,heal? & ,human ,s]vices
 79 ?is section ref]r$ to z ! ,secret>y7
 %all aw>d grants to eligible entities  
to address social det]m9ants ( mat]nal  
heal? to elim9ate mat]nal mortality1    
sev]e mat]nal morbidity1 & mat]nal heal?
 disp>ities4  7b7 ,eligible entities ,9 
?is section1 ! t]m eligible entity      
means-- 7#a7 a community-bas$           
organization1 ,indian ,tribe or ,tribal 
organization1 or ,urban ,indian         
organization2  7#b7 a public heal?      
dep>tm5t or nonpr(it organization work+ 
) an entity li/$ 9 p>agraph 7#a72 or    
7#c7 a consortium ( entities li/$ 9     
p>agraph 7#a7 or 7#b7 t includes at     
m9imum "o entity li/$ 9 p>agraph 7#a74  
7c7 ,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 provide4  7d7             
,prioritization ,9 aw>d+ grants "u      
subsection 7a71 ! ,secret>y %all give   

priority to an eligible entity t is     
op]at+ 9 an area )-- 7#a7 high 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 high pov]ty rate4  7e7       
,activities ,an eligible entity t       
receives a grant "u ?is section may use 
! grant to address social det]m9ants (  
mat]nal heal? su* z-- 7#a7 h\s+2  7#b7  
transportation2  7#c7 nutrition2  7#d7  
employm5t1 workplace conditions1 & o!r  
economic factors2  7#e7 environm5tal    
conditions2  7#f7 intimate p>tn]        
viol5ce2 &  7#g7 o!r noncl9ical factors 
t impact mat]nal heal? outcomes4  7f7   
,te*nical assi/ance ,! ,secret>y %all   
provide to grant recipi5ts "u ?is       
section te*nical assi/ance to plan =    
su/a9+ programs to address social       
det]m9ants ( mat]nal heal? aft] ! p]iod 
( ! grant4  7g7 ,report+  7#a7 ,grantees
 ,n lat] ?an #a ye> aft] an eligible    
entity fir/ receives a grant "u ?is     
section1 & annually !reaft]1 an eligible

 entity %all submit to ! ,secret>y1 &   
make publicly available1 a report on !  
/atus ( activities conduct$ us+ ! grant4
 ,ea* su* report %all include data on ! 
effects ( su* activities1 disaggregat$  
by race1 e?nicity1 g5d]1 prim>y         
language1 geography1 socioeconomic      
/atus1 & o!r relevant factors4  7#b7    
,secret>y ,n lat] ?an ! end ( fiscal ye>
 #bjca1 ! ,secret>y %all submit to      
,congress a report t includes-- 7,a7 a  
summ>y ( ! reports "u p>agraph 7#a72 &  
7,b7 recomm5dations = future ,f$]al     
grant allocations to address social     
det]m9ants ( mat]nal heal?4  7h7        
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #ajj1jjj1jjj = ea* ( fiscal 
ye>s #bjbg ?r\gh #bjca4  ,,ii ,ext5d+   
,,wic = ,new ,moms  #bja4 ,ext5d+ ,,wic 
eligibility = new moms  7a7 ,ext5sion ( 
po/p>tum p]iod ,section #ag7;b77#aj7 ( !
 ,*ild ,nutrition ,act ( #aiff 7#db     
,u4,s4,c4 #aghf7;b77#aj77 is am5d$ by   
/rik+ six mon?s & ins]t+ #bd mon?s4  7b7

 ,ext5sion ( brea/fe$+ p]iod ,section   
#ag7;d77#c77;,a77ii7 ( ! ,*ild          
,nutrition ,act ( #aiff 7#db ,u4,s4,c4  
#aghf7;d77#c77;,a77ii77 is am5d$ by     
/rik+ #a ye> & ins]t+ #bd mon?s4  7c7   
,report ,n lat] ?an #b ye>s aft] ! date 
( ! enactm5t ( ?is section1 ! ,secret>y 
%all submit to ,congress a report t     
includes an evaluation ( ! effect ( ea* 
( ! am5dm5ts made by ?is section on--   
7#a7 mat]nal & infant heal? outcomes1   
includ+ racial & e?nic disp>ities )     
respect to su* outcomes2  7#b7 brea/fe$+
 rates among po/p>tum individuals2  7#c7
 qualitative evaluations ( family       
exp]i5ces "u ! special supplem5tal      
nutrition program "u section #ag ( !    
,*ild ,nutrition ,act ( #aiff 7#db      
,u4,s4,c4 #aghf72 &  7#d7 o!r relevant  
in=mation z det]m9$ by ! ,secret>y4     
,,iii ,honor+ ,kira ,johnson  #cja4     
,su/a9$ fund+ = community-bas$          
organizations to advance mat]nal heal?  
equity  7a7 ,9 g5]al ,! ,secret>y (     
,heal? & ,human ,s]vices 79 ?is section 

ref]r$ to z ! ,secret>y7 %all aw>d      
grants to eligible entities to e/abli%  
or exp& programs to advance mat]nal     
heal? equity4  7b7 ,tim+ ,foll[+ !      
#a-ye> p]iod describ$ 9 subsection 7d71 
! ,secret>y %all comm5ce aw>d+ ! grants 
au?oriz$ by subsection 7a74  7c7        
,eligible entities ,to be eligible to   
seek a grant "u ?is section1 an entity  
%all be a community-bas$ organization   
(f]+ programs & res\rces align$ )       
evid5ce-bas$ practices = improv+ mat]nal
 heal? outcomes = 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  7d7 ,outrea* &      
te*nical assi/ance p]iod ,dur+ ! #a-ye> 
p]iod beg9n+ on ! date ( enactm5t ( ?is 
,act1 ! ,secret>y %all-- 7#a7 conduct   
outrea* to enc\rage eligible entities to
 apply = grants "u ?is section2 &  7#b7 
provide te*nical assi/ance to eligible  
entities on be/ practices = apply+ =    
grants "u ?is section4  7e7 ,special    

consid]ation  7#a7 ,outrea* ,9 conduct+ 
outrea* "u subsection 7d71 ! ,secret>y  
%all give special consid]ation to       
eligible entities t-- 7,a7 are bas$ 91 &
 provide support =1 communities )       
elevat$ rates ( mat]nal mortality1 sev]e
 mat]nal morbidity1 mat]nal heal?       
disp>ities1 or o!r adv]se p]9atal or    
*ildbir? outcomes1 to ! ext5t su* data  
are available2  7,b7 are l$ by          
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,c7 (f] programs 
& res\rces t are align$ ) evid5ce-bas$  
practices = improv+ mat]nal heal?       
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  7#b7     
,aw>ds ,9 aw>d+ grants "u ?is section1 !
 ,secret>y %all give special            
consid]ation to eligible entities t--   

7,a7 are describ$ 9 subp>agraphs 7,a71  
7,b71 & 7,c7 ( p>agraph 7#a72  7,b7 (f] 
programs & res\rces design$ 9           
consultation ) & int5d$ = 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,c7 (f] programs & res\rces 9 !      
communities 9 :i* ! respective eligible 
entities are locat$ t-- 7i7 promote     
mat]nal m5tal heal? & mat]nal sub/ance  
use disord] treatm5ts & supports t are  
align$ ) evid5ce-bas$ practices =       
improv+ mat]nal m5tal & behavioral heal?
 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? outcomes2  7ii7     
address social det]m9ants ( mat]nal     
heal?2  7iii7 promote evid5ce-bas$ heal?
 lit]acy & pregnancy1 *ildbir?1 & p>5t+ 
education2  7iv7 provide support f      
p]9atal heal? work]s2  7v7 provide      

culturally & l+ui/ically congru5t tra9+ 
to p]9atal heal? work]s2  7vi7 conduct  
or support rese>* on mat]nal heal?      
issues disproportionately impact+       
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  7vii7 (f] gr\p      
pr5atal c>e or gr\p po/p>tum c>e2       
7viii7 coord9ate mutual aid ef=ts dur+  
infant =mula %ortages1 includ+ community
 milk depots1 donor human milk banks &  
ex*anges1 & =ums = community outrea* &  
education2  7ix7 provide support to     
individuals or family memb]s (          
individuals :o suff]$ a pregnancy loss1 
pregnancy-associat$ dea?1 or            
pregnancy-relat$ dea?2 or  7x7 op]ate   
midwif]y practices t provide culturally 
& l+ui/ically congru5t mat]nal heal? c>e
 & support1 includ+ = ! purposes (--    
7,i7 support+ additional education1     
tra9+1 & c]tification programs1 includ+ 
support = di/ance le>n+2  7,,ii7 provid+

 f9ancial support to curr5t & future    
midwives to address education co/s1     
debts1 & o!r ne$s2  7,,iii7 cl9ical site
 inve/m5ts2  7,,iv7 support+ preceptor  
developm5t tra9+s2  7,v7 exp&+ !        
midwif]y practice2 or  7,,vi7 relat$    
ne$s id5tifi$ by ! midwif]y practice &  
describ$ 9 ! practice's application2 &  
7,d7 h develop$ o!r programs & res\rces 
t address community-specific ne$s =     
pregnant & po/p>tum individuals & are   
align$ ) evid5ce-bas$ practices =       
improv+ mat]nal heal? 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  7f7 ,te*nical       
assi/ance ,! ,secret>y %all provide to  
grant recipi5ts "u ?is section te*nical 
assi/ance on-- 7#a7 capacity build+ to  
e/abli% or exp& programs to advance     
mat]nal heal? equity2  7#b7 be/         
practices 9 data collection1 measurem5t1
 evaluation1 & report+2 &  7#c7 plann+ =

 su/a9+ programs to advance mat]nal     
heal? equity aft] ! p]iod ( ! grant4    
7g7 ,evaluation ,n lat] ?an ! end (     
fiscal ye> #bjca1 ! ,secret>y %all      
submit to ! ,congress an evaluation ( ! 
grant program "u ?is section t-- 7#a7   
assesses ! effectiv5ess ( outrea* ef=ts 
dur+ ! application process 9 div]sify+ !
 pool ( grant recipi5ts2  7#b7 makes    
recomm5dations = future outrea* ef=ts to
 div]sify ! pool ( grant recipi5ts =    
,dep>tm5t ( ,heal? & ,human ,s]vices    
grant programs & fund+ opportunities    
relat$ to mat]nal heal?2  7#c7 assesses 
! effectiv5ess ( programs fund$ by      
grants "u ?is section 9 improv+ mat]nal 
heal? 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? outcomes1
 to ! ext5t practicable2 &  7#d7 makes  
recomm5dations = future ,dep>tm5t (     
,heal? & ,human ,s]vices grant programs 
& fund+ opportunities t deliv] fund+ to 

community-bas$ organizations t provide  
programs & res\rces t are align$ )      
evid5ce-bas$ practices = improv+ mat]nal
 heal? 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
  7h7 ,au?orization ( appropriations ,to
 c>ry out ?is section1 !re is au?oriz$  
to be appropriat$ #ajj1jjj1jjj = ea* (  
fiscal ye>s #bjbg ?r\gh #bjca4  #cjb4   
,respectful mat]nity c>e tra9+ = all    
employees 9 mat]nity c>e sett+s ,"p ,b (
 title ,,vii ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bic et seq47 is    
am5d$ by add+ at ! end ! foll[+ new     
section3  #gdb4 ,respectful mat]nity c>e
 tra9+ = all employees 9 mat]nity c>e   
sett+s  7a7 ,grants ,! ,secret>y %all   
aw>d grants = programs to r$uce & prev5t
 bias1 racism1 & discrim9ation 9        
mat]nity c>e sett+s & to advance        
respectful1 culturally & l+ui/ically    
congru5t1 trauma-in=m$ c>e4  7b7        

,special consid]ation ,9 aw>d+ grants "u
 subsection 7a71 ! ,secret>y %all give  
special consid]ation to applications =  
programs t w\ld-- 7#a7 apply to all     
mat]nity c>e provid]s & any employees :o
 int]act ) pregnant & po/p>tum          
individuals 9 ! provid] sett+1 includ+  
front desk employees1 sonograph]s1      
s*$ul]s1 heal? c>e pr(essionals1        
hospital or heal? sy/em adm9i/rators1   
security /aff1 & o!r employees2  7#b7   
emphasize p]iodic1 z oppos$ to "o-"t1   
tra9+s = all bir?+ pr(essionals &       
employees describ$ 9 p>agraph 7#a72     
7#c7 address implicit bias1 racism1 &   
cultural humility2  7#d7 be deliv]$ 9   
ongo+ education sett+s = provid]s       
ma9ta9+ _! lic5ses1 ) a pref]5ce =      
tra9+s t provide cont9u+ education      
units2  7#e7 include trauma-in=m$ c>e   
be/ practices & an emphasis on %>$      
decision mak+ betwe5 provid]s & pati5ts2
  7#f7 include antiracism tra9+ &       
programs2  7#g7 be deliv]$ 9            
und]graduate programs t funnel into     

heal? pr(essions s*ools2  7#h7 be       
deliv]$ 9 sett+s t apply to provid]s ( !
 special supplem5tal nutrition program =
 wom51 infants1 & *ildr5 "u section #ag 
( ! ,*ild ,nutrition ,act ( #aiff2  7#i7
 integrate bias tra9+ 9 ob/etric em]g5cy
 simulation tra9+s or relat$ tra9+s2    
7#aj7 include tra9+ = em]g5cy dep>tm5t  
employees & em]g5cy m$ical te*nicians on
 recogniz+ w>n+ signs = sev]e           
pregnancy-relat$ complications2  7#aa7  
(f] tra9+ to all mat]nity c>e provid]s  
on ! value ( racially1 e?nically1 &     
pr(essionally div]se mat]nity c>e teams 
to provide culturally & l+ui/ically     
congru5t c>e2 or  7#ab7 be bas$ on "o or
 m programs design$ by a hi/orically    
,black college or univ]sity or o!r      
m9ority-s]v+ in/itution4  7c7           
,application ,to seek a grant "u        
subsection 7a71 an entity %all submit an
 application at su* "t1 9 su* mann]1 &  
conta9+ su* in=mation z ! ,secret>y may 
require4  7d7 ,report+ ,ea* recipi5t ( a
 grant "u ?is section %all annually     

submit to ! ,secret>y a report on !     
/atus ( activities conduct$ us+ ! grant1
 includ+1 z applicable1 a description ( 
! impact ( tra9+ provid$ ?r\gh ! grant  
on pati5t outcomes & pati5t exp]i5ce =  
pregnant & po/p>tum individuals f racial
 & e?nic m9ority gr\ps & _! families4   
7e7 ,be/ practices ,bas$ on ! annual    
reports submitt$ pursuant to subsection 
7d71 ! ,secret>y-- 7#a7 %all produce an 
annual report on ! f9d+s result+ f      
programs fund$ ?r\gh ?is section2  7#b7 
%all dissem9ate su* report to all       
recipi5ts ( grants "u ?is section & to !
 public2 &  7#c7 may include 9 su*      
report f9d+s on be/ practices = improv+ 
pati5t outcomes & pati5t exp]i5ce =     
pregnant & po/p>tum individuals f racial
 & e?nic m9ority gr\ps & _! families 9  
mat]nity c>e sett+s4  7f7 ,def9itions ,9
 ?is section3 7#a7 ,! t]m po/p>tum means
 ! #a-ye> p]iod beg9n+ on ! la/ day ( an
 individual's pregnancy4  7#b7 ,! t]m   
culturally & l+ui/ically congru5t means 
9 agreem5t ) ! pref]r$ cultural values1 

beliefs1 worldview1 language1 &         
practices ( ! heal? c>e consum] & o!r   
/akehold]s4  7#c7 ,! t]m racial & e?nic 
m9ority gr\p has ! mean+ giv5 su* t]m 9 
section #agjg7;g77#a74  7g7             
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #e1jjj1jjj = ea* ( fiscal   
ye>s #bjbg ?r\gh #bjca4  4  #cjc4 ,/udy 
on r$uc+ & prev5t+ bias1 racism1 &      
discrim9ation 9 mat]nity c>e sett+s  7a7
 ,9 g5]al ,! ,secret>y ( ,heal? & ,human
 ,s]vices %all seek to ent] into an     
agreem5t1 n lat] ?an #ij days aft] !    
date ( enactm5t ( ?is ,act1 ) !         
,national ,academies ( ,sci5ces1        
,eng9e]+1 & ,m$ic9e 7ref]r$ to 9 ?is    
section z ! ,national ,academies7 "u :i*
 ! ,national ,academies agree to-- 7#a7 
conduct a /udy on ! design &            
implem5tation ( programs to r$uce &     
prev5t bias1 racism1 & discrim9ation 9  
mat]nity c>e sett+s & to advance        
respectful1 culturally & l+ui/ically    
congru5t1 trauma-in=m$ c>e2 &  7#b7 n   

lat] ?an #bd mon?s aft] ! date (        
enactm5t ( ?is ,act-- 7,a7 complete !   
/udy2 &  7,b7 transmit a report on !    
results ( ! /udy to ! ,congress4  7b7   
,possible topics ,! agreem5t ent]$ into 
pursuant to subsection 7a7 may provide =
 ! /udy ( any ( ! foll[+3 7#a7 ,!       
developm5t ( a scorec>d or o!r          
evaluation /&>ds = programs design$ to  
r$uce & prev5t bias1 racism1 &          
discrim9ation 9 mat]nity c>e sett+s to  
assess ! effectiv5ess ( su* programs 9  
improv+ pati5t outcomes & pati5t        
exp]i5ce = pregnant & po/p>tum          
individuals f racial & e?nic m9ority    
gr\ps & _! families4  7#b7 ,det]m9ation 
( ! types & frequ5cy ( tra9+ to r$uce & 
prev5t bias1 racism1 & discrim9ation 9  
mat]nity c>e sett+s t are demon/rat$ to 
improve pati5t outcomes or pati5t       
exp]i5ce = pregnant & po/p>tum          
individuals f racial & e?nic m9ority    
gr\ps & _! families4  #cjd4 ,respectful 
mat]nity c>e compliance program  7a7 ,9 
g5]al ,! ,secret>y ( ,heal? & ,human    

,s]vices 7ref]r$ to 9 ?is section z !   
,secret>y7 %all aw>d grants to accr$it$ 
hospitals1 heal? sy/ems1 & o!r mat]nity 
c>e sett+s to e/abli% z an integral "p (
 quality implem5tation initiatives )9 "o
 or m hospitals or o!r bir? sett+s a    
respectful mat]nity c>e compliance      
program4  7b7 ,program requirem5ts ,a   
respectful mat]nity c>e compliance      
program fund$ ?r\gh a grant "u ?is      
section %all-- 7#a7 in/itutionalize     
me*anisms to all[ pati5ts receiv+       
mat]nity c>e s]vices1 ! families ( su*  
pati5ts1 or p]9atal heal? work]s        
support+ su* pati5ts to report in/ances 
( racism or evid5ce ( bias on ! basis ( 
race1 e?nicity1 or ano!r protect$ class2
  7#b7 in/itutionalize response         
me*anisms ?r\gh :i* repres5tatives ( !  
program c directly foll[ up ) ! pati5t1 
if possible1 & ! pati5t's family 9 a    
timely mann]2  7#c7 prep>e & make       
publicly available a hospital- or heal? 
sy/em-wide /rategy to r$uce bias on !   
basis ( race1 e?nicity1 or ano!r        

protect$ class 9 ! deliv]y ( mat]nity   
c>e t includes-- 7,a7 in=mation on !    
tra9+ programs to r$uce & prev5t bias1  
racism1 & discrim9ation on ! basis (    
race1 e?nicity1 or ano!r protect$ class 
= all employees 9 mat]nity c>e sett+s2  
7,b7 in=mation on ! numb] ( cases       
report$ to ! compliance program2 &  7,c7
 ! developm5t ( me?ods to r\t9ely assess
 ! ext5t to :i* bias1 racism1 or        
discrim9ation on ! basis ( race1        
e?nicity1 or ano!r protect$ class is    
pres5t 9 ! deliv]y ( mat]nity c>e to    
pati5ts f racial & e?nic m9ority gr\ps2 
7#d7 develop me*anisms to r\t9ely       
collect & publicly report hospital-level
 data relat$ to pati5t-report$ exp]i5ce 
( c>e2 &  7#e7 provide annual reports to
 ! ,secret>y ) in=mation ab\t ea* case  
report$ to ! compliance program ov] !   
c\rse ( ! ye> conta9+ su* in=mation z ! 
,secret>y may require1 su* z-- 7,a7     
deid5tifi$ demographic in=mation on !   
pati5t 9 ! case1 su* z race1 e?nicity1  
g5d] id5tity1 & prim>y language2  7,b7 !

 cont5t ( ! report f ! pati5t or !      
family ( ! pati5t to ! compliance       
program2  7,c7 ! response f ! compliance
 program2 &  7,d7 to ! ext5t applicable1
 in/itutional *anges made z a result ( !
 case4  7c7 ,secret>y requirem5ts  7#a7 
,processes ,n lat] ?an #ahj days aft] ! 
date ( enactm5t ( ?is ,act1 ! ,secret>y 
%all e/abli% processes =-- 7,a7         
dissem9at+ be/ practices = e/abli%+ &   
implem5t+ a respectful mat]nity c>e     
compliance program )9 a hospital or o!r 
bir? sett+2  7,b7 promot+ coord9ation & 
collaboration betwe5 hospitals1 heal?   
sy/ems1 & o!r mat]nity c>e deliv]y      
sett+s on ! e/abli%m5t & implem5tation (
 respectful mat]nity c>e compliance     
programs2 &  7,c7 evaluat+ !            
effectiv5ess ( respectful mat]nity c>e  
compliance programs on mat]nal heal?    
outcomes & pati5t & family exp]i5ces1   
especially = pati5ts f racial & e?nic   
m9ority gr\ps & _! families4  7#b7 ,/udy
  7,a7 ,9 g5]al ,n lat] ?an #b ye>s aft]
 ! date ( enactm5t ( ?is ,act1 !        

,secret>y %all1 ?r\gh a contract ) an   
indep5d5t rese>* organization1 conduct a
 /udy on /rategies to address-- 7i7     
racism or bias on ! basis ( race1       
e?nicity1 or ano!r protect$ class 9 !   
deliv]y ( mat]nity c>e s]vices2 &  7ii7 
successful implem5tation ( respectful   
c>e initiatives4  7,b7 ,compon5ts ( /udy
 ,! /udy %all include ! foll[+3 7i7 ,an 
assessm5t ( ! reports submitt$ to !     
,secret>y f ! respectful mat]nity c>e   
compliance programs pursuant to         
subsection 7b77#e74  7ii7 ,bas$ on su*  
assessm5t1 recomm5dations = pot5tial    
acc\ntability me*anisms relat$ to cases 
( racism or bias on ! basis ( race1     
e?nicity1 or ano!r protect$ class 9 !   
deliv]y ( mat]nity c>e s]vices at       
hospitals & o!r bir? sett+s4 ,su*       
recomm5dations %all take into           
consid]ation m$ical & nonm$ical factors 
t contribute to adv]se pati5t exp]i5ces 
& mat]nal heal? outcomes4  7,c7 ,report 
,! ,secret>y %all submit to ! ,congress 
& make publicly available a report on ! 

results ( ! /udy "u ?is p>agraph4  7d7  
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re are au?oriz$ to be 
appropriat$ su* sums z may be necess>y =
 fiscal ye>s #bjbg ?r\gh #bjcb4  #cje4  
,,gao report  7a7 ,9 g5]al ,n lat] ?an  
#b ye>s aft] ! date ( enactm5t ( ?is    
,act & annually !reaft]1 ! ,comptroll]  
,g5]al ( ! ,unit$ ,/ates %all submit to 
! ,congress & make publicly available a 
report on ! e/abli%m5t ( respectful     
mat]nity c>e compliance programs )9     
hospitals1 heal? sy/ems1 & o!r mat]nity 
c>e sett+s4  7b7 ,matt]s includ$ ,!     
report "u subsection 7a7 %all include ! 
foll[+3 7#a7 ,in=mation reg>d+ ! ext5t  
to :i* hospitals1 heal? sy/ems1 & o!r   
mat]nity c>e sett+s h elect$ to e/abli% 
respectful mat]nity c>e compliance      
programs1 includ+-- 7,a7 :i* hospitals &
 o!r bir? sett+s elect to e/abli%       
compliance programs & :5 su* programs   
are e/abli%$2  7,b7 to ! ext5t          
practicable1 impacts ( ! e/abli%m5t (   
su* programs on mat]nal heal? outcomes &

 pati5t & family exp]i5ces 9 ! hospitals
 & o!r bir? sett+s t h e/abli%$ su*     
programs1 especially = pati5ts f racial 
& e?nic m9ority gr\ps & _! families2    
7,c7 in=mation on geographic areas1 &   
types ( hospitals or o!r bir? sett+s1   
:]e respectful mat]nity c>e compliance  
programs are n be+ e/abli%$ & in=mation 
on factors contribut+ to decisions to n 
e/abli% su* programs2 &  7,d7           
recomm5dations = e/abli%+ respectful    
mat]nity c>e compliance programs 9      
geographic areas1 & types ( hospitals or
 o!r bir? sett+s1 :]e su* programs are n
 be+ e/abli%$4  7#b7 ,:e!r ! fund+ made 
available to c>ry out ?is section has   
be5 suffici5t &1 if applicable1         
recomm5dations = additional             
appropriations to c>ry out ?is section4 
7#c7 ,su* o!r in=mation z ! ,comptroll] 
,g5]al det]m9es appropriate4  ,,iv      
,mat]nal heal? = vet]ans  #dja4 ,support
 = mat]nity heal? c>e & coord9ation     
programs ( ! ,dep>tm5t ( ,vet]ans       
,affairs  7a7 ,report to ,congress ,n   

lat] ?an #a ye> aft] ! date ( ! enactm5t
 ( ?is ,act1 & annually !reaft] until   
,septemb] #cj1 #bjca1 ! ,secret>y (     
,vet]ans ,affairs %all submit to !      
,committees on ,vet]ans' ,affairs ( !   
,h\se ( ,repres5tatives & ! ,s5ate1 &   
make publicly available1 a report t     
conta9s ! foll[+3 7#a7 ,a summ>y ( !    
activities c>ri$ out "u ! programs ( !  
,dep>tm5t ( ,vet]ans ,affairs relat+ to 
mat]nity heal? c>e or coord9ation4  7#b7
 ,data on mat]nal heal? outcomes (      
vet]ans :o receive c>e furni%$ by !     
,secret>y ( ,vet]ans ,affairs1 includ+  
pursuant to su* programs4  7#c7 ,data on
 pati5ts :o are dually eligible to      
receive assi/ance f ! ,dep>tm5t (       
,vet]ans ,affairs & ! ,indian ,heal?    
,s]vice & ! mat]nity heal? c>e outcomes 
associat$ ) receiv+ su* c>e4  7#d7      
,recomm5dations by ! ,secret>y (        
,vet]ans ,affairs to improve ! mat]nal  
heal? outcomes ( vet]ans1 ) a p>ticul>  
focus on vet]ans 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  7b7 ,au?orization ( 
appropriations  7#a7 ,9 g5]al ,!re is   
au?oriz$ to be appropriat$ to !         
,secret>y ( ,vet]ans ,affairs           
#ae1jjj1jjj = ea* ( fiscal ye>s #bjbg1  
#bjbh1 #bjbi1 #bjcj1 & #bjca1 = !       
programs ( ! ,dep>tm5t ( ,vet]ans       
,affairs relat+ to mat]nity c>e         
coord9ation & relat$ programs1 includ+ !
 mat]nity c>e coord9ation program       
describ$ 9 ,vet]ans ,heal? ,adm9i/ration
 ,directive #accj4jc4  7#b7 ,supplem5t n
 supplant ,am\nts au?oriz$ "u p>agraph  
7#a7 are au?oriz$ 9 addition to any o!r 
am\nts au?oriz$ = mat]nity heal? c>e &  
coord9ation = ! ,dep>tm5t ( ,vet]ans    
,affairs4  ,v ,p]9atal work=ce  #eja4   
,,hhs ag5cy directives  7a7 ,guidance to
 ,/ates  7#a7 ,9 g5]al ,n lat] ?an #b   
ye>s aft] ! date ( enactm5t ( ?is ,act1 
! ,secret>y ( ,heal? & ,human ,s]vices  
%all issue & dissem9ate guidance to     
,/ates to educate provid]s1 manag$ c>e  

entities1 & o!r insur]s ab\t ! value &  
process ( deliv]+ respectful mat]nal    
heal? c>e ?r\gh div]se & multidiscipl9>y
 c>e provid] models4  7#b7 ,cont5ts ,!  
guidance requir$ by p>agraph 7#a7 %all  
address h[ ,/ates c enc\rage &          
inc5tivize hospitals1 heal? sy/ems1     
midwif]y practices1 free/&+ bir? c5t]s1 
o!r mat]nity c>e provid] gr\ps1 manag$  
c>e entities1 & o!r insur]s-- 7,a7 to   
recruit & reta9 mat]nity c>e provid]s1  
m5tal & behavioral heal? c>e provid]s   
act+ 9 accordance ) ,/ate law1 & regi/]$
 dietitians or nutrition pr(essionals 7z
 su* t]m is def9$ 9 section             
#ahfa7vv77#b7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciex7vv77#b777-- 7i7 f
 racially1 e?nically1 & l+ui/ically     
div]se backgr\nds2  7ii7 ) exp]i5ce     
practic+ 9 racially & e?nically div]se  
communities2 &  7iii7 :o h und]gone     
tra9+ on implicit bias & racism2  7,b7  
to incorporate into mat]nity c>e teams--
 7i7 midwives :o meet1 at a m9imum1 !   
int]national def9ition ( a midwife &    

global /&>ds = midwif]y education z     
e/abli%$ by ! ,int]national ,conf$]ation
 ( ,midwives2  7ii7 p]9atal heal?       
work]s2  7iii7 physician assi/ants2     
7iv7 advanc$ practice regi/]$ nurses2 & 
7v7 lactation consultants c]tifi$ by !  
,int]national ,bo>d ( ,lactation        
,consultant ,exam9]s2  7,c7 to provide  
collaborative1 culturally & l+ui/ically 
congru5t c>e2 &  7,d7 to provide        
opportunities = individuals enroll$ 9   
accr$it$ midwif]y education programs to 
p>ticipate 9 job %ad[+ ) mat]nity c>e   
teams 9 hospitals1 heal? sy/ems1        
midwif]y practices1 & free/&+ bir?      
c5t]s4  7b7 ,/udy on respectful &       
culturally & l+ui/ically congru5t       
mat]nity c>e  7#a7 ,/udy ,! ,secret>y ( 
,heal? & ,human ,s]vices act+ ?r\gh !   
,director ( ! ,national ,in/itutes (    
,heal? 79 ?is subsection ref]r$ to z !  
,secret>y7 %all conduct a /udy on be/   
practices 9 respectful & culturally &   
l+ui/ically congru5t mat]nity c>e4  7#b7
 ,report ,n lat] ?an #b ye>s aft] ! date

 ( enactm5t ( ?is ,act1 ! ,secret>y     
%all-- 7,a7 complete ! /udy requir$ by  
p>agraph 7#a72  7,b7 submit to !        
,congress & make publicly available a   
report on ! results ( su* /udy2 &  7,c7 
include 9 su* report-- 7i7 a comp5dium (
 examples ( hospitals1 heal? sy/ems1    
midwif]y practices1 free/&+ bir? c5t]s1 
o!r mat]nity c>e provid] gr\ps1 manag$  
c>e entities1 & o!r insur]s t are       
deliv]+ respectful & culturally &       
l+ui/ically congru5t mat]nal heal? c>e2 
7ii7 a comp5dium ( examples ( hospitals1
 heal? sy/ems1 midwif]y practices1      
free/&+ bir? c5t]s1 o!r mat]nity c>e    
provid] gr\ps1 manag$ c>e entities1 &   
o!r insur]s t h made progress 9 r$uc+   
disp>ities 9 mat]nal heal? outcomes &   
improv+ bir?+ exp]i5ces = pregnant &    
po/p>tum individuals f racial & e?nic   
m9ority gr\ps2 &  7iii7 recomm5dations  
to hospitals1 heal? sy/ems1 midwif]y    
practices1 free/&+ bir? c5t]s1 o!r      
mat]nity c>e provid] gr\ps1 manag$ c>e  
entities1 & o!r insur]s1 = be/ practices

 9 respectful & culturally & l+ui/ically
 congru5t mat]nity c>e4  #ejb4 ,grants  
to gr[ & div]sify ! p]9atal work=ce     
,title ,,vii ( ! ,public ,heal? ,s]vice 
,act is am5d$ by ins]t+ aft] section    
#geg 7#db ,u4,s4,c4 #bid;f7 ! foll[+ new
 section3  #geh4 ,p]9atal work=ce grants
  7a7 ,9 g5]al ,! ,secret>y %all aw>d   
grants to entities to e/abli% or exp&   
programs describ$ 9 subsection 7b7 to   
gr[ & div]sify ! p]9atal work=ce4  7b7  
,use ( funds ,recipi5ts ( grants "u ?is 
section %all use ! grants to gr[ &      
div]sify ! p]9atal work=ce by-- 7#a7    
e/abli%+ accr$it$ s*ools or programs t  
provide education & tra9+ to individuals
 seek+ appropriate lic5s+ & c]tification
 z-- 7,a7 physician assi/ants :o w      
complete cl9ical tra9+ 9 ! field (      
mat]nal & p]9atal heal?2  7,b7 p]9atal  
heal? work]s2 or  7,c7 midwives :o meet1
 at a m9imum1 ! int]national def9ition (
 a midwife & global /&>ds = midwif]y    
education z e/abli%$ by ! ,int]national 
,conf$]ation ( ,midwives2 &  7#b7 exp&+ 

! capacity ( exi/+ accr$it$ s*ools or   
programs describ$ 9 p>agraph 7#a71 = !  
purposes ( increas+ ! numb] ( /ud5ts    
enroll$ 9 su* accr$it$ s*ools or        
programs1 su* z by aw>d+ s*ol>%ips =    
/ud5ts 7includ+ /ud5ts f racially1      
e?nically1 & l+ui/ically div]se         
backgr\nds74  7c7 ,prioritization ,9    
aw>d+ grants "u ?is section1 ! ,secret>y
 %all give priority to a s*ool or       
program describ$ 9 subsection 7b7 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 ! s*ool or    
program describ$ 9 subsection 7b7 t is  
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
 racial & e?nic disp>ities 9 mat]nal    
heal? outcomes1 to ! ext5t practicable2 
&  7#e7 includes 9 ! /&>d curriculum =  
all /ud5ts )9 ! s*ool or program        
describ$ 9 subsection 7b7 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    
s*ool or program describ$ 9 subsection  
7b71 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 ! s*ool or program2 
7#b7 ! ext5t to :i* /ud5ts 9 ! s*ool or 
program are ent]+ c>e]s 9-- 7,a7 heal?  
pr(essional %ortage areas designat$ "u  
section #ccb2 &  7,b7 areas ) elevat$   
rates ( mat]nal mortality1 sev]e mat]nal
 morbidity1 mat]nal heal? disp>ities1 or
 o!r adv]se p]9atal or *ildbir?         
outcomes1 to ! ext5t su* data are       
available2 &  7#c7 :e!r ! s*ool or      

program has includ$ 9 ! /&>d curriculum 
= all /ud5ts a bias1 racism1 or         
discrim9ation tra9+ program t includes  
explicit & implicit bias1 & 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 ( ! s*ool or program       
describ$ 9 subsection 7b7 t is propos$  
to be1 or is 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 ! int]net 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\ps2  7#b7 increas+ ! numb] ( heal?  
pr(essionals describ$ 9 subp>agraphs    
7,a71 7,b71 & 7,c7 ( subsection 7b77#a7 
f racial & e?nic m9ority gr\ps & o!r    
und]s]v$ populations2  7#c7 increas+ !  
numb] ( su* heal? pr(essionals work+ 9  
heal? pr(essional %ortage areas         
designat$ "u section #ccb2 &  7#d7      
increas+ ! numb] ( su* heal?            
pr(essionals work+ 9 areas ) significant
 racial & e?nic disp>ities 9 mat]nal    
heal? outcomes1 to ! ext5t su* data are 
available4  7i7 ,def9ition ,9 ?is       
section1 ! t]m racial & e?nic m9ority   
gr\p has ! mean+ giv5 su* t]m 9 section 
#agjg7;g77#a74  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  #ejc4 ,grants to gr[ & 
div]sify ! nurs+ work=ce 9 mat]nal &    
p]9atal heal? ,title ,,viii ( ! ,public 
,heal? ,s]vice ,act is am5d$ by ins]t+  
aft] section #haa ( t ,act 7#db         
,u4,s4,c4 #bif;j7 ! foll[+3  #hab4      
,p]9atal nurs+ work=ce grants  7a7 ,9   
g5]al ,! ,secret>y %all aw>d grants to  
s*ools ( nurs+ to gr[ & div]sify !      
p]9atal nurs+ work=ce4  7b7 ,use ( funds
 ,recipi5ts ( grants "u ?is section %all
 use ! grants to gr[ & div]sify !       
p]9atal nurs+ work=ce by provid+        
s*ol>%ips to /ud5ts seek+ to become--   
7#a7 nurse practition]s ^: education    
includes a focus on mat]nal & p]9atal   
heal?2  7#b7 c]tifi$ nurse-midwives2 or 
7#c7 cl9ical nurse speciali/s ^:        
education includes a focus on mat]nal & 
p]9atal heal?4  7c7 ,prioritization ,9  
aw>d+ grants "u ?is section1 ! ,secret>y
 %all give priority to any s*ool ( nurs+
 t-- 7#a7 has develop$ a /rategy to     
recruit & reta9 a div]se pool ( /ud5ts  
seek+ to ent] c>e]s focus$ on mat]nal & 

p]9atal heal?1 p>ticul>ly /ud5ts f      
racial & e?nic m9ority gr\ps & o!r      
und]s]v$ populations2  7#b7 has develop$
 a p>tn]%ip ) a practice sett+ 9 a heal?
 pr(essional %ortage area designat$ "u  
section #ccb = ! cl9ical placem5ts ( !  
s*ool's /ud5ts2  7#c7 has develop$ a    
/rategy to recruit & reta9 /ud5ts :o    
plan to practice 9 an area ) significant
 racial & e?nic disp>ities 9 mat]nal    
heal? outcomes1 to ! ext5t practicable2 
&  7#d7 includes 9 ! /&>d curriculum =  
all /ud5ts seek+ to ent] c>e]s focus$ on
 mat]nal & p]9atal heal? a bias1 racism1
 or discrim9ation tra9+ program t       
includes education on implicit bias &   
racism4  7d7 ,report+ ,z a condition on 
receipt ( a grant "u ?is section1 a     
s*ool ( nurs+ %all agree to submit to ! 
,secret>y an annual report on !         
activities conduct$ ?r\gh ! grant1      
includ+1 to ! ext5t practicable-- 7#a7 !
 numb] & demographics ( /ud5ts 9 ! s*ool
 ( nurs+ seek+ to ent] c>e]s focus$ on  
mat]nal & p]9atal heal?2  7#b7 ! ext5t  

to :i* su* /ud5ts are prep>+ to ent]    
c>e]s 9-- 7,a7 heal? pr(essional %ortage
 areas designat$ "u section #ccb2 &     
7,b7 areas ) elevat$ rates ( mat]nal    
mortality1 sev]e mat]nal morbidity1     
mat]nal heal? disp>ities1 or o!r adv]se 
p]9atal or *ildbir? outcomes1 to ! ext5t
 su* data are available2 &  7#c7 :e!r ! 
/&>d curriculum = all /ud5ts seek+ to   
ent] c>e]s focus$ on mat]nal & p]9atal  
heal? includes a bias1 racism1 or       
discrim9ation tra9+ program t includes  
education on implicit bias & racism4    
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 application1 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      
s*ools ( nurs+ seek+ or receiv+ a grant 

"u ?is section on ! processes ( aw>d+ & 
evaluat+ s*ol>%ips ?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 !       
int]net 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] ( advanc$ practice regi/]$ nurses 
ent]+ c>e]s focus$ on mat]nal & p]9atal 
heal? f racial & e?nic m9ority gr\ps &  
o!r und]s]v$ populations2  7#c7 increas+
 ! numb] ( advanc$ practice regi/]$     
nurses ent]+ c>e]s focus$ on mat]nal &  
p]9atal heal? work+ 9 heal? pr(essional 
%ortage areas designat$ "u section #ccb2
 &  7#d7 increas+ ! numb] ( advanc$     
practice regi/]$ nurses ent]+ c>e]s     
focus$ on mat]nal & p]9atal heal? work+ 
9 areas ) significant racial & e?nic    
disp>ities 9 mat]nal heal? outcomes1 to 

! ext5t su* data are available4  7i7    
,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  #ejd4 ,,gao 
report  7a7 ,9 g5]al ,n lat] ?an #b ye>s
 aft] ! date ( enactm5t ( ?is ,act & e  
#e ye>s !reaft]1 ! ,comptroll] ,g5]al ( 
! ,unit$ ,/ates %all submit to ,congress
 a report on b>ri]s to mat]nal heal?    
education & access to c>e 9 ! ,unit$    
,/ates4 ,su* report %all include !      
in=mation & recomm5dations describ$ 9   
subsection 7b74  7b7 ,cont5t ( report ,!
 report "u subsection 7a7 %all include--
 7#a7 an assessm5t ( curr5t b>ri]s to   
ent]+ & successfully complet+ accr$it$  
midwif]y education programs1 &          
recomm5dations = address+ su* b>ri]s1   
p>ticul>ly = l[-income wom5 & wom5 f    
racial & e?nic m9ority gr\ps2  7#b7 an  
assessm5t ( curr5t b>ri]s to ent]+ &    
successfully complet+ accr$it$ education
 programs = o!r heal? pr(essional c>e]s 
relat$ to mat]nity c>e1 includ+ mat]nity

 c>e provid]s1 m5tal & behavioral heal? 
c>e provid]s act+ 9 accordance ) ,/ate  
law1 & regi/]$ dietitians or nutrition  
pr(essionals 7z su* t]m is def9$ 9      
section #ahfa7vv77#b7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciex7vv77#b7771 p>ticul>ly = l[-income
 wom5 & wom5 f racial & e?nic m9ority   
gr\ps2  7#c7 an assessm5t ( curr5t      
b>ri]s t prev5t midwives f meet+ !      
int]national def9ition ( a midwife &    
global /&>ds = midwif]y education z     
e/abli%$ by ! ,int]national ,conf$]ation
 ( ,midwives1 & recomm5dations =        
address+ su* b>ri]s1 p>ticul>ly =       
l[-income wom5 & wom5 f racial & e?nic  
m9ority gr\ps2  7#d7 an assessm5t (     
disp>ities 9 access to mat]nity c>e     
provid]s1 m5tal or behavioral heal? c>e 
provid]s act+ 9 accordance ) ,/ate law1 
& regi/]$ dietitians or nutrition       
pr(essionals 7z su* t]m is def9$ 9      
section #ahfa7vv77#b7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciex7vv77#b7771 & p]9atal heal?       

work]s1 /ratifi$ by race1 e?nicity1 g5d]
 id5tity1 prim>y language1 geographic   
location1 & insurance type &            
recomm5dations to promote great] access 
equity2 &  7#e7 recomm5dations to       
promote great] equity 9 comp5sation =   
p]9atal heal? work]s "u public & private
 insur]s1 p>ticul>ly = su* individuals f
 racially & e?nically div]se backgr\nds4
  ,,vi ,data to save moms  #fja4 ,fund+ 
= mat]nal mortality review committees to
 promote repres5tative community        
engagem5t  7a7 ,9 g5]al ,section        
#cag,k7d7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #bdg;b-#ab7;d77 is  
am5d$ by add+ at ! end ! foll[+3  7#i7  
,grants to promote repres5tative        
community engagem5t 9 mat]nal mortality 
review committees  7,a7 ,9 g5]al ,!     
,secret>y may1 us+ funds made available 
pursuant to subp>agraph 7,c71 provide   
assi/ance to an applicable mat]nal      
mortality review committee ( a ,/ate1   
,indian ,tribe1 ,tribal organization1 or
 ,urban ,indian organization 7z su* t]ms

 are def9$ 9 section #d ( ! ,indian     
,heal? ,c>e ,improvem5t ,act7-- 7i7 to  
select = inclusion 9 ! memb]%ip ( su* a 
committee community memb]s f ! ,/ate1   
,indian ,tribe1 ,tribal organization1 or
 ,urban ,indian organization by-- 7,i7  
prioritiz+ community memb]s :o c        
increase ! div]sity ( ! committee's     
memb]%ip ) respect to race & e?nicity1  
location1 p]sonal or family exp]i5ces ( 
mat]nal mortality or sev]e mat]nal      
morbidity1 & pr(essional backgr\nd1     
includ+ memb]s ) noncl9ical exp]i5ces2 &
  7,,ii7 to ! ext5t applicable1 us+     
funds res]v$ "u subsection 7f71 to      
address b>ri]s to mat]nal mortality     
review committee p>ticipation =         
community memb]s1 includ+ requir$ tra9+1
 transportation b>ri]s1 comp5sation1 &  
o!r supports z may be necess>y2  7ii7 to
 e/abli% initiatives to conduct outrea* 
& community engagem5t ef=ts )9          
communities ?r\gh\t ! ,/ate or ,tribe to
 seek input f community memb]s on ! "w (
 su* mat]nal mortality review committee1

 ) a p>ticul> focus on outrea* to wom5 f
 racial & e?nic m9ority gr\ps 7z su* t]m
 is def9$ 9 section #agjg7;g77#a772 &   
7iii7 to release public reports         
assess+-- 7,i7 ! pregnancy-relat$ dea? &
 pregnancy-associat$ dea? review        
processes ( ! mat]nal mortality review  
committee1 ) a p>ticul> focus on !      
mat]nal mortality review committee's    
s5sitivity to ! unique circum/ances (   
pregnant & po/p>tum individuals f racial
 & e?nic m9ority gr\ps 7z su* t]m is    
def9$ 9 section #agjg7;g77#a77 :o h     
suff]$ pregnancy-relat$ dea?s2 &  7,,ii7
 ! impact ( ! use ( funds made available
 pursuant to subp>agraph 7,c7 on        
increas+ ! div]sity ( ! mat]nal         
mortality review committee memb]%ip &   
promot+ community engagem5t ef=ts       
?r\gh\t ! ,/ate or ,tribe4  7,b7        
,te*nical assi/ance ,! ,secret>y %all   
provide 7ei!r directly ?r\gh ! ,dep>tm5t
 ( ,heal? & ,human ,s]vices or by       
contract7 te*nical assi/ance to any     
mat]nal mortality review committee      

receiv+ a grant "u ?is p>agraph on be/  
practices = increas+ ! div]sity ( !     
mat]nal mortality review committee's    
memb]%ip & = conduct+ effective         
community engagem5t ?r\gh\t ! ,/ate or  
,tribe4  7,c7 ,au?orization (           
appropriations ,9 addition to any funds 
made available "u subsection 7f71 !re is
 au?oriz$ to be appropriat$ to c>ry out 
?is p>agraph #aj1jjj1jjj = ea* ( fiscal 
ye>s #bjbg ?r\gh #bjca4  4  7b7         
,res]vation ( funds ,section #cag,k7f7 (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #bdg;b-#ab7;f77 is am5d$ by   
add+ at ! end ! foll[+3 ,( ! am\nt made 
available "u ! prec$+ s5t5ce = a fiscal 
ye>1 n less ?an #a1ejj1jjj %all be      
res]v$ = grants to ,indian ,tribes1     
,tribal organizations1 or ,urban ,indian
 organizations 7z ^? t]ms are def9$ 9   
section #d ( ! ,indian ,heal? ,c>e      
,improvem5t ,act74  #fjb4 ,data         
collection & review ,section            
#cag,k7d77#c77;,a77i7 ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4            

#bdg;b-#ab7;d77#c77;,a77i77 is am5d$--  
7#a7 by r$esignat+ subclauses 7,,ii7 &  
7,,iii7 z subclauses 7,v7 & 7,,vi71     
respectively2 &  7#b7 by ins]t+ aft]    
subclause 7,i7 ! foll[+3  7,,ii7 to !   
ext5t practicable1 review+ cases ( sev]e
 mat]nal morbidity1 accord+ to ! mo/    
up-to-date indicators2  7,,iii7 to !    
ext5t practicable1 review+ dea?s dur+   
pregnancy or up to #a ye> aft] ! end ( a
 pregnancy f suicide1 ov]dose1 or o!r   
dea? f a m5tal heal? condition or       
sub/ance use disord] attribut$ to or    
aggravat$ by pregnancy or *ildbir?      
complications2  7,,iv7 to ! ext5t       
practicable1 consult+ ) local           
community-bas$ organizations repres5t+  
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? outcomes 
to ensure t1 9 addition to cl9ical      
factors1 noncl9ical factors t might h   
contribut$ to a pregnancy-relat$ dea?   

are appropriately consid]$2  4  #fjc4   
,review ( mat]nal heal? data collection 
processes & quality measures  7a7 ,9    
g5]al ,! ,secret>y ( ,heal? & ,human    
,s]vices1 act+ ?r\gh ! ,adm9i/rator ( ! 
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices & ! 
,director ( ! ,ag5cy = ,heal?c>e ,rese>*
 & ,quality1 %all consult ) relevant    
/akehold]s-- 7#a7 to review exi/+       
mat]nal heal? data collection processes 
& quality measures2 &  7#b7 to make     
recomm5dations to improve su* processes 
& measures1 includ+ topics describ$ "u  
subsection 7c74  7b7 ,collaboration ,9  
c>ry+ out ?is section1 ! ,secret>y %all 
consult ) a div]se gr\p ( mat]nal heal? 
/akehold]s1 :i* may include-- 7#a7      
pregnant & po/p>tum individuals & _!    
family memb]s1 & nonpr(it organizations 
repres5t+ su* individuals1 ) a p>ticul> 
focus on pati5ts f racial & e?nic       
m9ority gr\ps2  7#b7 community-bas$     
organizations t provide support =       
pregnant & po/p>tum individuals1 ) 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     
memb]%ip organizations = mat]nity c>e   
provid]s2  7#d7 organizations repres5t+ 
p]9atal heal? work]s2  7#e7             
organizations t focus on mat]nal m5tal  
or behavioral heal?2  7#f7 organizations
 t focus on intimate p>tn] viol5ce2     
7#g7 in/itutions ( high] education1 ) a 
p>ticul> focus on m9ority-s]v+          
in/itutions2  7#h7 lic5s$ & accr$it$    
hospitals1 bir? c5t]s1 midwif]y         
practices1 or o!r facilities t provide  
mat]nal heal? c>e s]vices2  7#i7        
relevant ,/ate & local public ag5cies1  
includ+ ,/ate mat]nal mortality review  
committees2 &  7#aj7 ! ,national        
,quality ,=um1 or su* o!r /&>d-sett+    
organizations specifi$ by ! ,secret>y4  
7c7 ,topics ,! review ( mat]nal heal?   
data collection processes &             
recomm5dations to improve su* processes 
& measures requir$ "u subsection 7a7    

%all assess all available relevant      
in=mation1 includ+ in=mation f          
,/ate-level s\rces1 & %all consid] at   
lea/ ! foll[+3 7#a7 ,curr5t ,/ate &     
,tribal practices = mat]nal heal?1      
mat]nal mortality1 & sev]e mat]nal      
morbidity data collection &             
dissem9ation1 includ+ consid]ation (--  
7,a7 ! timel9ess ( processes = am5d+ a  
dea? c]tificate :5 new in=mation p]ta9+ 
to ! dea? becomes available to reflect  
:e!r ! dea? 0 a pregnancy-relat$ dea?2  
7,b7 relevant data collect$ ) electronic
 heal? records1 includ+ data on race1   
e?nicity1 prim>y language1 socioeconomic
 /atus1 geography1 insurance type1 & o!r
 relevant demographic in=mation2  7,c7  
mat]nal heal? data collect$ & publicly  
report$ by hospitals1 heal? sy/ems1     
midwif]y practices1 & bir? c5t]s2  7,d7 
! b>ri]s prev5t+ ,/ates f correlat+     
mat]nal outcome data ) data on race1    
e?nicity1 & o!r demographic *>act]i/ics2
  7,e7 processes = det]m9+ ! cause ( a  
pregnancy-associat$ dea? 9 ,/ates t d n 

h a mat]nal mortality review committee2 
7,f7 :e!r mat]nal mortality review      
committees include multidiscipl9>y &    
div]se memb]%ip 7z describ$ 9 section   
#cag,k7d77#a77;,a7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#bdg;b-#ab7;d77#a77;,a7772  7,g7 :e!r   
memb]s ( mat]nal mortality review       
committees p>ticipate 9 tra9+s on bias1 
racism1 or discrim9ation1 & ! quality ( 
su* tra9+s2  7,h7 ! ext5t to :i* ,/ates 
h implem5t$ sy/ematic processes ( li/5+ 
to ! /ories ( pregnant & po/p>tum       
individuals & _! family memb]s1 ) a     
p>ticul> 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? outcomes1 & _! family memb]s1  
to fully und]/& ! causes (1 & in=m      
pot5tial solutions to1 ! mat]nal        
mortality & sev]e mat]nal morbidity     
crisis )9 _! respective ,/ates2  7,i7 ! 
ext5t to :i* mat]nal mortality review   

committees are consid]+ social          
det]m9ants ( mat]nal heal? :5 exam9+ !  
causes ( pregnancy-associat$ &          
pregnancy-relat$ dea?s2  7,j7 ! ext5t to
 :i* mat]nal mortality review committees
 are mak+ actionable recomm5dations bas$
 on _! reviews ( adv]se mat]nal heal?   
outcomes & ! ext5t to :i* su*           
recomm5dations are be+ implem5t$ by     
appropriate /akehold]s2  7,k7 ! legal & 
adm9i/rative b>ri]s prev5t+ !           
collection1 collation1 & dissem9ation ( 
,/ate mat]nity c>e data2  7,l7 !        
effectiv5ess ( data collection & report+
 processes 9 sep>at+ pregnancy-associat$
 dea?s f pregnancy-relat$ dea?s2 &  7,m7
 ! curr5t ,f$]al1 ,/ate1 local1 &       
,tribal fund+ support = ! activities    
ref]r$ to 9 subp>agraphs 7,a7 ?r\gh     
7,l74  7#b7 ,:e!r ! fund+ support ref]r$
 to 9 p>agraph 7#a77,m7 is adequate =   
,/ates to c>ry out optimal data         
collection & dissem9ation processes )   
respect to mat]nal heal?1 mat]nal       
mortality1 & sev]e mat]nal morbidity4   

7#c7 ,curr5t quality measures = mat]nity
 c>e1 includ+ pr5atal measures1 labor & 
deliv]y measures1 & po/p>tum measures1  
includ+ topics su* z-- 7,a7 effective   
quality measures = mat]nity c>e us$ by  
hospitals1 heal? sy/ems1 midwif]y       
practices1 bir? c5t]s1 heal? plans1 &   
o!r relevant entities2  7,b7 !          
suffici5cy ( curr5t outcome measures us$
 to evaluate mat]nity c>e = driv+       
improv$ c>e1 exp]i5ces1 & outcomes 9    
mat]nity c>e paym5t & deliv]y sy/em     
models2  7,c7 mat]nal heal? quality     
measures t o!r c\ntries effectively use2
  7,d7 validat$ measures t h be5 us$ =  
rese>* purposes t c\ld be te/$1 ref9$1 &
 submitt$ = national endorsem5t2  7,e7  
b>ri]s prev5t+ mat]nity c>e provid]s &  
insur]s f implem5t+ quality measures t  
are align$ ) be/ practices2  7,f7 !     
frequ5cy ) :i* mat]nity c>e quality     
measures are review$ & revis$2  7,g7 !  
/r5g?s & weaknesses ( ! ,pr5atal &      
,po/p>tum ,c>e measures ( ! ,heal? ,plan
 ,employ] ,data & ,in=mation ,set       

measures e/abli%$ by ! ,national        
,committee = ,quality ,assurance2  7,h7 
! /r5g?s & weaknesses ( mat]nity c>e    
quality measures "u ! ,m$icaid program  
"u title ,,xix ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif et seq47 & !  
,*ildr5's ,heal? ,insurance ,program "u 
title ,,xxi ( su* ,act 7#db ,u4,s4,c4   
#acig et seq471 includ+ ! ext5t to :i*  
,/ates volunt>ily report relevant       
measures2  7,i7 ! ext5t to :i* mat]nity 
c>e quality measures are in=m$ by pati5t
 exp]i5ces t include measures (         
pati5t-report$ exp]i5ce ( c>e2  7,j7 !  
curr5t processes = collect+ & mak+      
publicly available1 to ! ext5t          
practicable1 /ratifi$ data on race1     
e?nicity1 & o!r demographic *>act]i/ics 
( pregnant & po/p>tum individuals 9     
hospitals1 heal? sy/ems1 midwif]y       
practices1 & bir? c5t]s1 & = incorporat+
 su* demographically /ratifi$ data 9    
mat]nity c>e quality measures2  7,k7 !  
ext5t to :i* mat]nity c>e quality       
measures acc\nt = ! unique exp]i5ces (  

pregnant & po/p>tum individuals f racial
 & e?nic m9ority gr\ps2 &  7,l7 ! ext5t 
to :i* hospitals1 heal? sy/ems1 midwif]y
 practices1 & bir? c5t]s are implem5t+  
exi/+ mat]nity c>e quality measures4    
7#d7 ,recomm5dations on au?oriz+        
additional funds & provid+ additional   
te*nical assi/ance to improve mat]nal   
mortality review committees & ,/ate &   
,tribal mat]nal heal? data collection & 
report+ processes4  7#e7 ,recomm5dations
 = new au?orities t may be grant$ to    
mat]nal mortality review committees to  
be able to-- 7,a7 access records f o!r  
,f$]al & ,/ate ag5cies & dep>tm5ts t may
 be necess>y to id5tify causes (        
pregnancy-associat$ & pregnancy-relat$  
dea?s t are unique to pregnant &        
po/p>tum individuals f specific         
populations1 su* z vet]ans & individuals
 :o are inc>c]at$2 &  7,b7 "w ) relevant
 exp]ts :o are n memb]s ( ! mat]nal     
mortality review committee to assi/ 9 ! 
review ( pregnancy-associat$ dea?s (    
pregnant & po/p>tum individuals f       

specific populations1 su* z vet]ans &   
individuals :o are inc>c]at$4  7#f7     
,recomm5dations to improve & /&>dize    
curr5t quality measures = mat]nity c>e1 
) a p>ticul> focus on mat]nal heal?     
disp>ities4  7#g7 ,recomm5dations to    
improve ! coord9ation by ! ,dep>tm5t (  
,heal? & ,human ,s]vices ( ! ef=ts      
und]tak5 by ! ag5cies & organizations )9
 ! ,dep>tm5t relat$ to mat]nal heal?    
data & quality measures4  7d7 ,report ,n
 lat] ?an #a ye> aft] ! enactm5t ( ?is  
,act1 ! ,secret>y %all submit to !      
,congress & make publicly available a   
report on ! results ( ! review ( mat]nal
 heal? data collection processes &      
quality measures & recomm5dations to    
improve su* processes & measures requir$
 "u subsection 7a74  7e7 ,def9ition ,9  
?is section1 ! t]m mat]nal mortality    
review committee means a mat]nal        
mortality review committee duly au?oriz$
 by a ,/ate & receiv+ fund+ "u section  
#cag,k7a77#b77;,d7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             

#bdg;b-#ab7;a77#b77;,d774  7f7          
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ su* sums z   
may be necess>y to c>ry out ?is section 
= fiscal ye>s #bjbg ?r\gh #bjcj4  #fjd4 
,/udy on mat]nal heal? among ,am]ican   
,indian & ,alaska ,native individuals   
7a7 ,9 g5]al ,! ,secret>y ( ,heal? &    
,human ,s]vices 7ref]r$ to 9 ?is section
 z ! ,secret>y7 %all1 9 coord9ation )   
entities describ$ 9 subsection 7b7--    
7#a7 n lat] ?an #ij days aft] ! enactm5t
 ( ?is ,act1 ent] into a contract ) an  
indep5d5t rese>* organization or ,tribal
 ,epidemiology ,c5t] to conduct a       
compreh5sive /udy on mat]nal mortality1 
sev]e mat]nal morbidity1 & o!r adv]se   
p]9atal or *ildbir? outcomes 9 !        
populations ( ,am]ican ,indian & ,alaska
 ,native individuals2 &  7#b7 n lat] ?an
 #c ye>s aft] ! date ( ! enactm5t ( ?is 
,act1 submit to ,congress a report on   
su* /udy t conta9s recomm5dations =     
policies & practices t c be adopt$ to   
improve mat]nal heal? outcomes =        

,am]ican ,indian & ,alaska ,native      
individuals4  7b7 ,p>ticipat+ entities  
,! entities describ$ 9 ?is subsection   
%all consi/ ( #ab memb]s1 select$ by !  
,secret>y f among individuals nom9at$ by
 ,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 #afjc774 ,9 select+ su*       
memb]s1 ! ,secret>y %all ensure t ea* ( 
! #ab s]vice areas ( ! ,indian ,heal?   
,s]vice is repres5t$4  7c7 ,cont5ts (   
/udy ,! /udy conduct$ pursuant to       
subsection 7a7 %all-- 7#a7 exam9e !     
causes ( mat]nal mortality & sev]e      
mat]nal morbidity t are unique to       
,am]ican ,indian & ,alaska ,native      
individuals2  7#b7 include a sy/ematic  
process ( li/5+ to ! /ories ( ,am]ican  
,indian & ,alaska ,native individuals to
 fully und]/& ! causes (1 & in=m        

pot5tial solutions to1 ! mat]nal heal?  
crisis )9 _! respective communities2    
7#c7 di/+ui% betwe5 ! causes (1 l&scape 
( mat]nity c>e at1 & recomm5dations to  
improve mat]nal heal? outcomes )91 !    
diff]5t sett+s 9 :i* ,am]ican ,indian & 
,alaska ,native individuals receive     
mat]nity c>e1 su* z-- 7,a7 facilities   
op]at$ by ! ,indian ,heal? ,s]vice2     
7,b7 an ,indian heal? program op]at$ by 
an ,indian ,tribe or ,tribal            
organization pursuant to a contract1    
grant1 coop]ative agreem5t1 or compact )
 ! ,indian ,heal? ,s]vice pursuant to ! 
,indian ,self-,det]m9ation ,act2  7,c7  
an urban ,indian heal? program op]at$ by
 an ,urban ,indian organization pursuant
 to a grant or contract ) ! ,indian     
,heal? ,s]vice pursuant to title ,v ( ! 
,indian ,heal? ,c>e ,improvem5t ,act2 & 
7,d7 facilities outside ( ! ,indian     
,heal? ,s]vice 9 :i* ,am]ican ,indian & 
,alaska ,native individuals receive     
mat]nity c>e s]vices2  7#d7 review      
processes = coord9at+ programs ( !      

,indian ,heal? ,s]vice ) social s]vices 
provid$ ?r\gh o!r programs adm9i/]$ by !
 ,secret>y ( ,heal? & ,human ,s]vices   
7o!r ?an ! ,m$ic>e ,program "u title    
,,xviii ( ! ,social ,security ,act 7#db 
,u4,s4,c4 #acie et seq4771 ! ,m$icaid   
,program "u title ,,xix ( su* ,act 7#db 
,u4,s4,c4 #acif et seq471 & ! ,*ildr5's 
,heal? ,insurance ,program "u title     
,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig et
 seq472  7#e7 review curr5t data        
collection & quality measurem5t         
processes & practices2  7#f7 assess     
causes & frequ5cy ( mat]nal m5tal heal? 
conditions & sub/ance use disord]s2     
7#g7 consid] social det]m9ants ( heal?1 
includ+ pov]ty1 lack ( heal? insurance1 
unemploym5t1 sexual & dome/ic viol5ce1 &
 environm5tal conditions 9 ,tribal      
areas2  7#h7 consid] ! role t hi/orical 
mi/reatm5t ( ,am]ican ,indian & ,alaska 
,native wom5 has play$ 9 caus+ curr5tly 
elevat$ rates ( mat]nal mortality1 sev]e
 mat]nal morbidity1 & o!r adv]se p]9atal
 or *ildbir? outcomes2  7#i7 consid] h[ 

curr5t fund+ ( ! ,indian ,heal? ,s]vice 
affects ! ability ( ! ,s]vice to deliv] 
quality mat]nity c>e2  7#aj7 consid] !  
ext5t to :i* ! deliv]y ( mat]nity c>e   
s]vices is culturally appropriate =     
,am]ican ,indian & ,alaska ,native      
individuals2  7#aa7 make recomm5dations 
to r$uce misclassification ( ,am]ican   
,indian & ,alaska ,native individuals1  
includ+ consid]ation ( be/ practices 9  
tra9+ = mat]nal mortality review        
committee memb]s to be able to correctly
 classify ,am]ican ,indian & ,alaska    
,native individuals2 &  7#ab7 make      
recomm5dations in=m$ by ! /ories %>$ by 
,am]ican ,indian & ,alaska ,native      
individuals ref]r$ to 9 p>agraph 7#b7 to
 improve mat]nal heal? outcomes = su*   
individuals4  7d7 ,report ,! agreem5t   
ent]$ into "u subsection 7a7 ) an       
indep5d5t rese>* organization or ,tribal
 ,epidemiology ,c5t] %all require t !   
organization or ,c5t] transmit to       
,congress a report on ! results ( ! /udy
 conduct$ pursuant to t agreem5t n lat] 

?an #cf mon?s aft] ! date ( ! enactm5t (
 ?is ,act4  7e7 ,au?orization (         
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section     
#b1jjj1jjj = ea* ( fiscal ye>s #bjbg    
?r\gh #bjbi4  #fje4 ,grants to          
m9ority-s]v+ in/itutions to /udy mat]nal
 mortality1 sev]e mat]nal morbidity1 &  
o!r adv]se mat]nal heal? outcomes  7a7  
,9 g5]al ,! ,secret>y ( ,heal? & ,human 
,s]vices %all e/abli% a program "u :i* !
 ,secret>y %all aw>d grants to rese>*   
c5t]s1 heal? pr(essions s*ools &        
programs1 & o!r entities at m9ority-s]v+
 in/itutions to /udy specific aspects ( 
! mat]nal heal? crisis among pregnant & 
po/p>tum individuals f racial & e?nic   
m9ority gr\ps4 ,su* rese>* may-- 7#a7   
include ! developm5t & implem5tation (  
sy/ematic processes ( li/5+ to ! /ories 
( pregnant & po/p>tum individuals f     
racial & e?nic m9ority gr\ps1 & p]9atal 
heal? work]s support+ su* individuals1  
to fully und]/& ! causes (1 & in=m      
pot5tial solutions to1 ! mat]nal        

mortality & sev]e mat]nal morbidity     
crisis )9 _! respective communities2    
7#b7 assess ! pot5tial causes (         
relatively l[ rates ( mat]nal mortality 
among ,hispanic individuals1 includ+    
pot5tial racial misclassification & o!r 
data collection & report+ issues t might
 be misrepres5t+ mat]nal mortality rates
 among ,hispanic individuals 9 ! ,unit$ 
,/ates2  7#c7 assess diff]5ces 9 rates (
 adv]se mat]nal heal? outcomes among    
subgr\ps id5tify+ z ,hispanic1 includ+  
disp>ities 9 access to e>ly pr5atal c>e2
 &  7#d7 include lactation education to 
promote racial & e?nic div]sity )9 !    
work=ce ( heal? c>e pr(essionals )      
brea/fe$+ & lactation exp]tise4  7b7    
,application ,to be eligible to receive 
a grant "u subsection 7a71 an entity    
describ$ 9 su* subsection %all submit to
 ! ,secret>y an application at su* "t1 9
 su* mann]1 & conta9+ su* in=mation z ! 
,secret>y may require4  7c7 ,te*nical   
assi/ance ,! ,secret>y may use n m ?an  
#aj p]c5t ( ! funds made available "u   

subsection 7g7-- 7#a7 to conduct outrea*
 to m9ority-s]v+ in/itutions to raise   
aw>5ess ( ! availability ( grants "u    
subsection 7a72  7#b7 to provide        
te*nical assi/ance 9 ! application      
process = su* a grant2 &  7#c7 to       
promote capacity build+ z ne$$ to enable
 entities describ$ 9 su* subsection to  
submit su* an application4  7d7 ,report+
 requirem5t ,ea* entity aw>d$ a grant "u
 ?is section %all p]iodically submit to 
! ,secret>y a report on ! /atus (       
activities conduct$ us+ ! grant4  7e7   
,evaluation ,beg9n+ #a ye> aft] ! date  
on :i* ! fir/ grant is aw>d$ "u ?is     
section1 ! ,secret>y %all submit to     
,congress an annual report summ>iz+ !   
f9d+s ( rese>* conduct$ us+ funds made  
available "u ?is section4  7f7          
,m9ority-,s]v+ in/itutions def9$ ,9 ?is 
section1 ! t]m m9ority-s]v+ in/itution  
has ! mean+ giv5 ! t]m 9 section        
#cga7;a7 ( ! ,high] ,education ,act (   
#aife 7#bj ,u4,s4,c4 #ajfgq7a774  7g7   
,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  ,,vii ,moms    
matt]  #gja4 ,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 ,secret>y ,! t]m    
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  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  #gjb4 ,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 #geh ( su* ,act 7#db
 ,u4,s4,c4 #bid;f71 z add$ by section   
#djb ( ?is ,act1 ! foll[+ new section3  
#geh;,a4 ,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 ! int]net 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] ref]s to 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  ,,viii      
,ju/ice = inc>c]at$ moms  #hja4 ,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  #hjb4 ,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  #hjc4 ,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  #hjd4 ,,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 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  ,,ix 
,te* to save moms  #ija4 ,integrat$     
teleheal? models 9 mat]nity c>e s]vices 
7a7 ,9 g5]al ,section                   
#aaae;,a7b77#b77;,b7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#acae;a7b77#b77;,b77 is am5d$ by add+ at

 ! end ! foll[+3  7xxviii7 ,focus+ on   
title ,,xix1 provid+ = ! adoption ( &   
use ( teleheal? tools t all[ = scre5+1  
monitor+1 & managem5t ( common heal?    
complications ) respect to an individual
 receiv+ m$ical assi/ance dur+ su*      
individual's pregnancy & = n m ?an a    
#a-ye> p]iod beg9n+ on ! la/ day ( !    
pregnancy4  4  7b7 ,effective date ,!   
am5dm5t made by subsection 7a7 %all take
 effect #a ye> aft] ! date ( ! enactm5t 
( ?is ,act4  #ijb4 ,grants to exp& ! use
 ( te*nology-enabl$ collaborative le>n+ 
& capacity models = pregnant & po/p>tum 
individuals ,title ,,iii ( ! ,public    
,heal? ,s]vice ,act is am5d$ by ins]t+  
aft] section #ccj,p 7#db ,u4,s4,c4      
#bed;c-#bb7 ! foll[+3  #ccj,q4 ,exp&+   
capacity = mat]nal heal? outcomes  7a7  
,e/abli%m5t ,beg9n+ n lat] ?an #a ye>   
aft] ! date ( enactm5t ( ?is ,act1 !    
,secret>y %all aw>d grants to eligible  
entities to evaluate1 develop1 & exp& ! 
use ( te*nology-enabl$ collaborative    
le>n+ & capacity build+ models & improve

 mat]nal heal? outcomes-- 7#a7 9 heal?  
pr(essional %ortage areas2  7#b7 9 areas
 ) high rates ( mat]nal mortality &     
sev]e mat]nal morbidity2  7#c7 9 rural &
 und]s]v$ areas2  7#d7 9 areas )        
significant mat]nal heal? disp>ities2 & 
7#e7 = m$ically und]s]v$ populations &  
,am]ican ,indians & ,alaska ,natives1   
includ+ ,indian ,tribes1 ,tribal        
organizations1 & ,urban ,indian         
organizations4  7b7 ,use ( ,funds  7#a7 
,requir$ uses ,recipi5ts ( grants "u ?is
 section %all use ! grants to-- 7,a7    
tra9 mat]nal heal? c>e provid]s1 /ud5ts1
 & o!r simil> pr(essionals ?r\gh models 
t include-- 7i7 me?ods to increase      
safety & heal? c>e quality2  7ii7       
implicit bias1 racism1 & discrim9ation2 
7iii7 be/ practices 9 scre5+ = &1 z     
ne$$1 evaluat+ & treat+ mat]nal m5tal   
heal? conditions & sub/ance use         
disord]s2  7iv7 tra9+ on be/ practices 9
 mat]nity c>e = pregnant & po/p>tum     
individuals dur+ public heal? em]g5cies2
  7v7 me?ods to scre5 = social          

det]m9ants ( mat]nal heal? risks 9 !    
pr5atal & po/p>tum2 &  7vi7 ! use (     
remote pati5t monitor+ tools =          
pregnancy-relat$ complications describ$ 
9 section #aaae;,a7b77#b77;,b77xxviii72 
7,b7 evaluate & collect in=mation on !  
effect ( su* models on-- 7i7 access to &
 quality ( c>e2  7ii7 outcomes ) respect
 to ! heal? ( an individual2 &  7iii7 ! 
exp]i5ce ( individuals :o receive       
pregnancy-relat$ heal? c>e2  7,c7       
develop qualitative & quantitative      
measures to id5tify be/ practices = !   
expansion & use ( su* models2  7,d7 /udy
 ! effect ( su* models on pati5t        
outcomes & mat]nity c>e provid]s2 &     
7,e7 conduct any o!r activity det]m9$ by
 ! ,secret>y4  7#b7 ,p]missible uses    
,recipi5ts ( grants "u ?is section may  
use grants to support-- 7,a7 ! use &    
expansion ( te*nology-enabl$            
collaborative le>n+ & capacity build+   
models1 includ+ h>dw>e & s(tw>e t-- 7i7 
enables di/ance le>n+ & te*nical        
support2 &  7ii7 supports ! secure      

ex*ange ( electronic heal? in=mation2 & 
7,b7 mat]nity c>e provid]s1 /ud5ts1 &   
o!r simil> pr(essionals 9 ! provision ( 
mat]nity c>e ?r\gh su* models4  7c7     
,application  7#a7 ,9 g5]al ,an eligible
 entity seek+ a grant "u subsection 7a7 
%all submit to ! ,secret>y an           
application1 at su* "t1 9 su* mann]1 &  
conta9+ su* in=mation z ! ,secret>y may 
require4  7#b7 ,assurance ,an           
application "u p>agraph 7#a7 %all       
include an assurance t su* entity %all  
collect in=mation on & assess ! effect (
 ! use ( te*nology-enabl$ collaborative 
le>n+ & capacity build+ models1 includ+ 
) respect to-- 7,a7 mat]nal heal?       
outcomes2  7,b7 access to mat]nal heal? 
c>e s]vices2  7,c7 quality ( mat]nal    
heal? c>e2 &  7,d7 ret5tion ( mat]nity  
c>e provid]s s]v+ areas & populations   
describ$ 9 subsection 7a74  7d7         
,limitations  7#a7 ,numb] ,! ,secret>y  
may n aw>d m ?an #a grant "u ?is        
section4  7#b7 ,duration ,a grant aw>d$ 
"u ?is section %all be = a #e-ye> p]iod4

  7e7 ,access to broadb& ,9 adm9i/]+    
grants "u ?is section1 ! ,secret>y may  
coord9ate ) o!r ag5cies to ensure t     
fund+ opportunities are available to    
support access to reliable1 high-spe$   
int]net = grantees4  7f7 ,te*nical      
assi/ance ,! ,secret>y %all provide     
7ei!r directly or by contract7 te*nical 
assi/ance to eligible entities1 includ+ 
recipi5ts ( grants "u subsection 7a71 on
 ! developm5t1 use1 & su/a9ability (    
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models to exp& access to
 mat]nal heal? c>e s]vices provid$ by   
su* entities1 includ+-- 7#a7 9 heal?    
pr(essional %ortage areas2  7#b7 9 areas
 ) high rates ( mat]nal mortality &     
sev]e mat]nal morbidity or significant  
mat]nal heal? disp>ities2  7#c7 9 rural 
& und]s]v$ areas2 &  7#d7 = m$ically    
und]s]v$ populations or ,am]ican        
,indians & ,alaska ,natives4  7g7       
,rese>* & evaluation ,! ,secret>y1 9    
consultation ) exp]ts1 %all develop a   
/rategic plan to rese>* & evaluate !    

evid5ce = te*nology-enabl$ collaborative
 le>n+ & capacity build+ models4  7h7   
,report+  7#a7 ,eligible entities ,an   
eligible entity t receives a grant "u   
subsection 7a7 %all submit to !         
,secret>y a report1 at su* "t1 9 su*    
mann]1 & conta9+ su* in=mation z !      
,secret>y may require4  7#b7 ,secret>y  
,n lat] ?an #d ye>s aft] ! date (       
enactm5t ( ?is section1 ! ,secret>y %all
 submit to ! ,congress1 & make available
 on ! website ( ! ,dep>tm5t ( ,heal? &  
,human ,s]vices1 a report t includes--  
7,a7 a description ( grants aw>d$ "u    
subsection 7a7 & ! purpose & am\nts (   
su* grants2  7,b7 a summ>y (-- 7i7 !    
evaluations conduct$ "u subsection      
7b77#a77;,b72  7ii7 any te*nical        
assi/ance provid$ "u subsection 7f72 &  
7iii7 ! activities conduct$ "u          
subsection 7a72 &  7,c7 a description ( 
any significant f9d+s ) respect to-- 7i7
 pati5t outcomes2 &  7ii7 be/ practices 
= exp&+1 us+1 or evaluat+               
te*nology-enabl$ collaborative le>n+ &  

capacity build+ models4  7i7            
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section1 #f1jjj1jjj = ea* ( fiscal  
ye>s #bjbg ?r\gh #bjca4  7j7 ,def9itions
 ,9 ?is section3 7#a7 ,eligible entity  
7,a7 ,9 g5]al ,! t]m eligible entity    
means an entity t provides1 or supports 
! provision (1 mat]nal heal? c>e s]vices
 or o!r evid5ce-bas$ s]vices = pregnant 
& po/p>tum individuals-- 7i7 9 heal?    
pr(essional %ortage areas2  7ii7 9 rural
 or und]s]v$ areas2  7iii7 9 areas )    
high rates ( adv]se mat]nal heal?       
outcomes or significant racial & e?nic  
disp>ities 9 mat]nal heal? outcomes2 &  
7iv7 :o are-- 7,i7 memb]s ( m$ically    
und]s]v$ populations2 or  7,,ii7        
,am]ican ,indians & ,alaska ,natives1   
includ+ ,indian ,tribes1 ,tribal        
organizations1 & ,urban ,indian         
organizations4  7,b7 ,inclusions ,an    
eligible entity may include entities t  
lead1 or are capable ( lead+ a          
te*nology-enabl$ collaborative le>n+ &  

capacity build+ model4  7#b7 ,heal?     
pr(essional %ortage area ,! t]m heal?   
pr(essional %ortage area means a heal?  
pr(essional %ortage area designat$ "u   
section #ccb4  7#c7 ,indian ,tribe ,!   
t]m ,indian ,tribe has ! mean+ giv5 su* 
t]m 9 section #d ( ! ,indian            
,self-,det]m9ation & ,education         
,assi/ance ,act4  7#d7 ,mat]nal         
mortality ,! t]m mat]nal mortality means
 a dea? occurr+ dur+ or )9 #a-ye> p]iod 
aft] pregnancy 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  
or *ildbir? complications4  7#e7        
,m$ically und]s]v$ population ,! t]m    
m$ically und]s]v$ population has ! mean+
 giv5 su* t]m 9 section #ccj7;b77#c74   
7#f7 ,po/p>tum ,! t]m po/p>tum means !  
#a-ye> p]iod beg9n+ on ! la/ date ( an  
individual's pregnancy4  7#g7 ,sev]e    
mat]nal morbidity ,! t]m sev]e mat]nal  
morbidity means a heal? condition1      

includ+ a m5tal heal? 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  7#h7 ,te*nology-enabl$    
collaborative le>n+ & capacity build+   
model ,! t]m te*nology-enabl$           
collaborative le>n+ & capacity build+   
model means a di/ance heal? education   
model t connects heal? c>e pr(essionals1
 & o!r speciali/s1 ?r\gh simultane\s    
int]active video conf]5c+ = ! purpose ( 
facilitat+ case-bas$ le>n+1 dissem9at+  
be/ practices1 & evaluat+ outcomes 9 !  
context ( mat]nal heal? c>e4  7#i7      
,tribal organization ,! t]m ,tribal     
organization has ! mean+ giv5 su* t]m 9 
section #d ( ! ,indian                  
,self-,det]m9ation & ,education         
,assi/ance ,act4  7#aj7 ,urban ,indian  
organization ,! t]m ,urban ,indian      
organization has ! mean+ giv5 su* t]m 9 
section #d ( ! ,indian ,heal? ,c>e      
,improvem5t ,act4  4  #ijc4 ,grants to  

promote equity 9 mat]nal heal? outcomes 
?r\gh digital tools  7a7 ,9 g5]al       
,beg9n+ n lat] ?an #a ye> aft] ! date ( 
! enactm5t ( ?is ,act1 ! ,secret>y (    
,heal? & ,human ,s]vices 79 ?is section 
ref]r$ to z ! ,secret>y7 %all make      
grants to eligible entities to r$uce    
mat]nal heal? disp>ities by increas+    
access to digital tools relat$ to       
mat]nal heal? c>e1 includ+ provid]-fac+ 
te*nologies1 su* z e>ly w>n+ sy/ems &   
cl9ical decision support me*anisms4  7b7
 ,applications ,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             
,prioritization ,9 aw>d+ grants "u ?is  
section1 ! ,secret>y %all prioritize an 
eligible entity-- 7#a7 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#b7 9 a heal?      

pr(essional %ortage area designat$ "u   
section #ccb ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bed;e7 or a rural  
or und]s]v$ area2 &  7#c7 t promotes    
te*nology t addresses mat]nal heal?     
disp>ities4  7d7 ,limitations  7#a7     
,numb] ,! ,secret>y may aw>d n m ?an #a 
grant "u ?is section4  7#b7 ,duration ,a
 grant aw>d$ "u ?is section %all be = a 
#e-ye> p]iod4  7e7 ,te*nical assi/ance  
,! ,secret>y %all provide te*nical      
assi/ance to an eligible entity on !    
developm5t1 use1 evaluation1 & po/grant 
su/a9ability ( digital tools = purposes 
( promot+ equity 9 mat]nal heal?        
outcomes4  7f7 ,report+  7#a7 ,eligible 
entities ,an eligible entity t receives 
a grant "u subsection 7a7 %all submit to
 ! ,secret>y a report1 at su* "t1 9 su* 
mann]1 & conta9+ su* in=mation z !      
,secret>y may require4  7#b7 ,secret>y  
,n lat] ?an #d ye>s aft] ! date ( !     
enactm5t ( ?is ,act1 ! ,secret>y %all   
submit to ,congress a report t          
includes-- 7,a7 an evaluation on !      

effectiv5ess ( grants aw>d$ "u ?is      
section to improve mat]nal heal?        
outcomes1 p>ticul>ly = pregnant &       
po/p>tum individuals f racial & e?nic   
m9ority gr\ps2  7,b7 recomm5dations on  
new grant programs t promote ! use (    
te*nology to improve su* mat]nal heal?  
outcomes2 &  7,c7 recomm5dations )      
respect to-- 7i7 te*nology-bas$ privacy 
& security safegu>ds 9 mat]nal heal?    
c>e2  7ii7 reimbursem5t rates = mat]nal 
teleheal? s]vices2  7iii7 ! use (       
digital tools to analyze l>ge data sets 
to id5tify pot5tial pregnancy-relat$    
complications2  7iv7 b>ri]s t prev5t    
mat]nity c>e provid]s f provid+         
teleheal? s]vices across ,/ates2  7v7 ! 
use ( consum] digital tools su* z mobile
 phone applications1 pati5t portals1 &  
we>able te*nologies to improve mat]nal  
heal? outcomes2  7vi7 b>ri]s t prev5t   
access to teleheal? s]vices1 includ+ a  
lack ( access to reliable1 high-spe$    
int]net or electronic devices2  7vii7   
b>ri]s to data %>+ betwe5 ! ,special    

,supplem5tal ,nutrition ,program =      
,wom51 ,infants1 & ,*ildr5 program &    
mat]nity c>e provid]s1 & recomm5dations 
= address+ su* b>ri]s2 &  7viii7 lessons
 le>n$ f exp&$ access to teleheal?      
relat$ to mat]nity c>e dur+ !           
,,covid-#ai public heal? em]g5cy4  7g7  
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #f1jjj1jjj = ea* ( fiscal   
ye>s #bjbg ?r\gh #bjca4  #ijd4 ,report  
on ! use ( te*nology 9 mat]nity c>e  7a7
 ,9 g5]al ,n lat] ?an #fj days aft] !   
date ( enactm5t ( ?is ,act1 ! ,secret>y 
( ,heal? & ,human ,s]vices %all seek to 
ent] an agreem5t ) ! ,national          
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e 7ref]r$ to 9 ?is ,act z !       
,national ,academies7 "u :i* ! ,national
 ,academies %all conduct a /udy on ! use
 ( te*nology & pati5t monitor+ devices 9
 mat]nity c>e4  7b7 ,cont5t ,! agreem5t 
ent]$ into pursuant to subsection 7a7   
%all provide = ! /udy ( ! foll[+3 7#a7  
,! use ( innovative te*nology 7includ+  

artificial intellig5ce7 9 mat]nal heal? 
c>e1 includ+ ! ext5t to :i* su*         
te*nology has affect$ racial or e?nic   
biases 9 mat]nal heal? c>e4  7#b7 ,! use
 ( pati5t monitor+ devices 7includ+     
pulse oximet] devices7 9 mat]nal heal?  
c>e1 includ+ ! ext5t to :i* su* devices 
h affect$ racial or e?nic biases 9      
mat]nal heal? c>e4  7#c7 ,be/ practices 
= r$uc+ & prev5t+ racial or e?nic biases
 9 ! use ( innovative te*nology & pati5t
 monitor+ devices 9 mat]nity c>e4  7#d7 
,be/ practices 9 ! use ( innovative     
te*nology & pati5t monitor+ devices =   
pregnant & po/p>tum individuals f racial
 & e?nic m9ority gr\ps4  7#e7 ,be/      
practices ) respect to privacy &        
security safegu>ds 9 su* use4  7c7      
,report ,! agreem5t "u subsection 7a7   
%all direct ! ,national ,academies to   
complete ! /udy "u ?is section1 &       
transmit to ,congress a report on !     
results ( ! /udy1 n lat] ?an #bd mon?s  
aft] ! date ( enactm5t ( ?is ,act4  ,x  
,impact to save moms  #ajja4 ,p]9atal   

,c>e ,alt]native ,paym5t ,model         
,demon/ration ,project  7a7 ,9 g5]al ,= 
! p]iod ( fiscal ye>s #bjbg ?r\gh #bjca1
 ! ,secret>y ( ,heal? & ,human ,s]vices 
7ref]r$ to 9 ?is section z ! ,secret>y71
 act+ ?r\gh ! ,adm9i/rator ( ! ,c5t]s = 
,m$ic>e  ,m$icaid ,s]vices1 %all e/abli%
 & implem5t1 9 accordance ) !           
requirem5ts ( ?is section1 a            
demon/ration project1 to be kn[n z !    
,p]9atal ,c>e ,alt]native ,paym5t ,model
 ,demon/ration ,project 7ref]r$ to 9 ?is
 section z ! ,demon/ration ,project71 = 
purposes ( all[+ ,/ates to te/ paym5t   
models "u _! ,/ate plans "u title ,,xix 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acif et seq47 & ,/ate *ild   
heal? plans "u title ,,xxi ( su* ,act   
7#db ,u4,s4,c4 #acig;aa et seq47 )      
respect to mat]nity c>e provid$ to      
pregnant & po/p>tum individuals enroll$ 
9 su* ,/ate plans & ,/ate *ild heal?    
plans4  7b7 ,coord9ation ,9 e/abli%+ !  
,demon/ration ,project1 ! ,secret>y %all
 coord9ate ) /akehold]s su* z-- 7#a7    

,/ate ,m$icaid programs2  7#b7 mat]nity 
c>e provid]s & organizations repres5t+  
mat]nity c>e provid]s2  7#c7 relevant   
organizations repres5t+ pati5ts1 ) a    
p>ticul> focus on pati5ts f demographic 
gr\ps ) elevat$ 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#d7     
relevant community-bas$ organizations1  
p>ticul>ly organizations t seek to      
improve mat]nal heal? 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? outcomes2  7#e7 p]9atal heal?  
work]s2  7#f7 relevant heal? insurance  
issu]s2  7#g7 hospitals1 heal? sy/ems1  
midwif]y practices1 free/&+ bir? c5t]s  
7z su* t]m is def9$ 9 p>agraph 7#c77;,b7
 ( section #aije7l7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acif;d7l7771 ,f$]ally-qualifi$ heal?   
c5t]s 7z su* t]m is def9$ 9 p>agraph    

7#b77;,b7 ( su* section71 & rural heal? 
cl9ics 7z su* t]m is def9$ 9 section    
#ahfa7;aa7 ( su* ,act 7#db ,u4,s4,c4    
#aciex7aa7772  7#h7 rese>*]s & policy   
exp]ts 9 fields relat$ to mat]nity c>e  
paym5t models2 &  7#i7 any o!r          
/akehold]s z ! ,secret>y det]m9es       
appropriate1 ) a p>ticul> focus on      
/akehold]s 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  7c7 ,consid]ations  
,9 e/abli%+ ! ,demon/ration ,project1 ! 
,secret>y %all consid] any alt]native   
paym5t model t-- 7#a7 is design$ to     
improve mat]nal heal? 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? outcomes2  7#b7 includes me?ods
 = /ratify+ pati5ts by pregnancy risk   
level &1 z appropriate1 adju/+ paym5ts  
"u su* model to take into acc\nt        

pregnancy risk level1 includ+           
consid]ation ( ! appropriate transf] (  
pati5ts by pregnancy risk level2  7#c7  
e/abli%es evid5ce-bas$ quality metrics =
 su* paym5ts2  7#d7 includes            
consid]ation ( nonhospital bir? sett+s  
su* z free/&+ bir? c5t]s 7z s def9$72   
7#e7 includes consid]ation ( social     
det]m9ants ( mat]nal heal?2  7#f7       
includes div]se mat]nity c>e teams t    
include-- 7,a7 mat]nity c>e provid]s1   
m5tal & behavioral heal? c>e provid]s   
act+ 9 accordance ) ,/ate law1 & regi/]$
 dietitians or nutrition pr(essionals 7z
 su* t]m is def9$ 9 section             
#aciex7vv77#b7 ( title #db1 ,unit$      
,/ates ,code7-- 7i7 f racially1         
e?nically1 & pr(essionally div]se       
backgr\nds2  7ii7 ) exp]i5ce practic+ 9 
racially & e?nically div]se communities2
 or  7iii7 :o h und]gone tra9+ on       
implicit bias & racism2 &  7,b7 p]9atal 
heal? work]s2 or  7#g7 includes         
consid]ation ( mat]nal m5tal heal?      
conditions & sub/ance use disord]s4  7d7

 ,eligibility ,to be eligible to        
p>ticipate 9 ! ,demon/ration ,project1 a
 ,/ate %all submit an application to !  
,secret>y at su* "t1 9 su* mann]1 &     
conta9+ su* in=mation z ! ,secret>y may 
require4  7e7 ,evaluation ,! ,secret>y  
%all conduct an evaluation ( !          
,demon/ration ,project to det]m9e !     
impact ( ! ,demon/ration ,project on--  
7#a7 mat]nal heal? outcomes1 ) data     
/ratifi$ by race1 e?nicity1 prim>y      
language1 socioeconomic /atus1          
geography1 insurance type1 & o!r factors
 z ! ,secret>y det]m9es appropriate2    
7#b7 sp5d+ on mat]nity c>e by ,/ates    
p>ticipat+ 9 ! ,demon/ration ,project2  
7#c7 to ! ext5t practicable1 qualitative
 & quantitative measures ( pati5t       
exp]i5ce2 &  7#d7 any o!r areas (       
assessm5t t ! ,secret>y det]m9es        
relevant4  7f7 ,report ,n lat] ?an "o   
ye> aft] ! completion or t]m9ation date 
( ! ,demon/ration ,project1 ! ,secret>y 
%all submit to ! ,congress1 & make      
publicly available1 a report conta9+--  

7#a7 ! results ( any evaluation conduct$
 "u subsection 7e72 &  7#b7 a           
recomm5dation reg>d+ :e!r !             
,demon/ration ,project %\ld be cont9u$  
aft] fiscal ye> #bjca & exp&$ on a      
national basis4  7g7 ,au?orization (    
appropriations ,!re are au?oriz$ to be  
appropriat$ su* sums z are necess>y to  
c>ry out ?is section4  7h7 ,def9itions  
,9 ?is section3 7#a7 ,alt]native paym5t 
model ,! t]m alt]native paym5t model has
 ! mean+ giv5 su* t]m 9 section         
#ahcc7z77#c77;,c7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciel7z77#c77;,c774
  7#b7 ,p]9atal ,! t]m p]9atal means !  
p]iod beg9n+ on ! day an individual     
becomes pregnant & end+ on ! la/ day ( !
 #a-ye> p]iod beg9n+ on ! la/ day ( su* 
individual's pregnancy4  ,,xi ,mat]nal  
heal? p&emic response  #aaja4           
,def9itions ,9 ?is title3 7#a7          
,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#b7         
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,heal? & ,human ,s]vices4   
#aajb4 ,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  #aajc4 ,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]g5cy "u section #cai ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bdg;d71 ! ,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  #aajd4 ,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  #aaje4 ,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 subsection    
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+ ! ,,covid-#ai 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    
,,xii ,protect+ moms & babies aga9/     
climate *ange  #abja4 ,def9itions ,9 ?is
 title1 ! foll[+ def9itions apply3 7#a7 
,adv]se mat]nal & infant heal? outcomes 
,! t]m adv]se mat]nal & infant heal?    
outcomes includes ! outcomes ( pret]m   
bir?1 l[ bir? weight1 /illbir?1 infant  
or mat]nal mortality1 & sev]e mat]nal   
morbidity4  7#b7 ,in/itution ( high]    
education ,! t]m in/itution ( high]     
education has ! mean+ giv5 su* t]m 9    
section #aja ( ! ,high] ,education ,act 
( #aife 7#bj ,u4,s4,c4 #ajja74  7#c7    
,m9ority-s]v+ in/itution ,! t]m         
m9ority-s]v+ in/itution means an entity 
specifi$ 9 any ( p>agraphs 7#a7 ?r\gh   
7#g7 ( section #cga7;a7 ( ! ,high]      
,education ,act ( #aife 7#bj ,u4,s4,c4  
#ajfgq7a774  7#d7 ,risks associat$ )    
climate *ange ,! t]m risks associat$ )  
climate *ange includes risks associat$ )
 extreme heat1 air pollution1 extreme   
wea!r ev5ts1 & o!r environm5tal issues  

associat$ ) climate *ange t c result 9  
adv]se mat]nal & infant heal? outcomes4 
7#e7 ,secret>y ,! t]m ,secret>y means ! 
,secret>y ( ,heal? & ,human ,s]vices4   
7#f7 ,/akehold] organization ,! t]m     
/akehold] organization means-- 7,a7 a   
community-bas$ organization ) exp]tise 9
 provid+ assi/ance to vuln]able         
individuals2  7,b7 a nonpr(it           
organization ) exp]tise 9-- 7i7 mat]nal 
or infant heal?2 or  7ii7 environm5tal  
or climate ju/ice2 &  7,c7 a pati5t     
advocacy organization repres5t+         
vuln]able individuals4  7#g7 ,vuln]able 
individual ,! t]m vuln]able individual  
means-- 7,a7 an individual :o is        
pregnant2  7,b7 an individual :o 0      
pregnant dur+ any portion ( ! prec$+    
#a-ye> p]iod2 &  7,c7 an individual "u  
#c ye>s ( age4  #abjb4 ,grant program to
 protect vuln]able mo!rs & babies f     
climate *ange risks  7a7 ,9 g5]al ,n    
lat] ?an #ahj days aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,secret>y %all   
e/abli% a grant program to protect      

vuln]able individuals f risks associat$ 
) climate *ange4  7b7 ,grant au?ority ,9
 c>ry+ out ! ,program1 ! ,secret>y may  
aw>d1 on a competitive basis1 grants to 
#aj cov]$ entities4  7c7 ,applications  
,to be eligible = a grant "u ! ,program1
 a cov]$ entity %all submit to !        
,secret>y an application at su* "t1 9   
su* =m1 & conta9+ su* in=mation z !     
,secret>y may require1 :i* %all include1
 at a m9imum1 a description ( ! foll[+3 
7#a7 ,plans = ! use ( grant funds aw>d$ 
"u ! ,program & h[ pati5ts & /akehold]  
organizations 7 involv$ 9 ! developm5t (
 su* plans4  7#b7 ,h[ su* grant funds w 
be t>get$ to geographic areas t h       
disproportionately high levels ( risks  
associat$ ) climate *ange = vuln]able   
individuals4  7#c7 ,h[ su* grant funds w
 be us$ to address racial & e?nic       
disp>ities 9-- 7,a7 adv]se mat]nal &    
infant heal? outcomes2 &  7,b7 exposure 
to risks associat$ ) climate *ange =    
vuln]able individuals4  7#d7 ,/rategies 
to prev5t an initiative assi/$ ) su*    

grant funds f caus+-- 7,a7 adv]se       
environm5tal impacts2  7,b7 displacem5t 
( resid5ts & bus9esses2  7,c7 r5t & h\s+
 price increases2 or  7,d7              
disproportionate adv]se impacts on      
racial & e?nic m9ority gr\ps & o!r      
und]s]v$ populations4  7d7 ,selection ( 
grant recipi5ts  7#a7 ,tim+ ,n lat] ?an 
#bgj days aft] ! date ( enactm5t ( ?is  
,act1 ! ,secret>y %all select !         
recipi5ts ( grants "u ! ,program4  7#b7 
,consultation ,9 select+ cov]$ entities 
= grants "u ! ,program1 ! ,secret>y %all
 consult )-- 7,a7 repres5tatives (      
/akehold] organizations2  7,b7 !        
,adm9i/rator ( ! ,environm5tal          
,protection ,ag5cy2  7,c7 ! ,adm9i/rator
 ( ! ,national ,oceanic & ,atmosph]ic   
,adm9i/ration2 &  7,d7 f ! ,dep>tm5t (  
,heal? & ,human ,s]vices-- 7i7 ! ,deputy
 ,assi/ant ,secret>y = ,m9ority ,heal?2 
7ii7 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e
  ,m$icaid ,s]vices2  7iii7 !           
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration2  7iv7 !         

,director ( ! ,national ,in/itutes (    
,heal?2 &  7v7 ! ,director ( ! ,c5t]s = 
,disease ,control & ,prev5tion4  7#c7   
,priority ,9 select+ grantees "u !      
,program1 ! ,secret>y %all give priority
 to cov]$ entities t s]ve a c\nty or    
locality-- 7,a7 designat$1 or locat$ 9  
an area designat$1 z a nonatta9m5t area 
pursuant to section #ajg ( ! ,clean ,air
 ,act 7#db ,u4,s4,c4 #gdjg7 = any air   
pollutant = :i* air quality crit]ia h   
be5 issu$ "u section #ajh7;a7 ( su* ,act
 7#db ,u4,s4,c4 #gdjh7;a772  7,b7 ) a   
level ( vuln]ability ( mod]ate-to-high  
or high]1 accord+ to ! ,social          
,vuln]ability ,index ( ! ,c5t]s =       
,disease ,control & ,prev5tion1 or a    
simil> rat+ ( social vuln]ability       
accord+ to relat$ ,f$]al mapp+ tools2   
7,c7 ) temp]atures t pose a risk to     
human heal?1 z det]m9$ by ! ,secret>y1 9
 consultation ) ! ,adm9i/rator ( !      
,national ,oceanic & ,atmosph]ic        
,adm9i/ration & ! ,*air ( ! ,unit$      
,/ates ,global ,*ange ,rese>* ,program1 

bas$ on ! be/ available sci5ce2  7,d7 ) 
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,e7 ) a rat+ ( v   
high or relatively high risk accord+ to 
! ,national ,risk ,index = ,natural     
,haz>ds ( ! ,f$]al ,em]g5cy ,managem5t  
,ag5cy2 or  7,f7 ) o!r climate-s5sitive 
haz>ds ) associations to adv]se mat]nal 
or infant heal? outcomes1 z det]m9$ by !
 ,secret>y4  7#d7 ,limitation ,a        
recipi5t ( grant funds "u ! ,program may
 n use su* grant funds to s]ve a c\nty  
or locality t is s]v$ by any o!r        
recipi5t ( a grant "u ! ,program4  7e7  
,use ( funds ,a cov]$ entity aw>d$ grant
 funds "u ! ,program may only use su*   
grant funds = ! foll[+3 7#a7            
,initiatives to id5tify risks associat$ 
) climate *ange = vuln]able individuals 
& to provide s]vices & support to su*   
individuals t address su* risks1 :i* may
 include-- 7,a7 tra9+ = heal? c>e       
provid]s1 p]9atal heal? work]s1 & o!r   

employees 9 hospitals1 bir? c5t]s1      
midwif]y practices1 & o!r heal? c>e     
practices t provide pr5atal or labor &  
deliv]y s]vices to vuln]able individuals
 on ! id5tification (1 & pati5t c\nsel+ 
relat+ to1 risks associat$ ) climate    
*ange = vuln]able individuals2  7,b7    
hir+1 tra9+1 or provid+ res\rces to     
p]9atal heal? work]s :o c help id5tify  
risks associat$ ) climate *ange =       
vuln]able individuals1 provide pati5t   
c\nsel+ ab\t su* risks1 & c>ry out !    
di/ribution ( relevant s]vices &        
support2  7,c7 enhanc+ ! monitor+ (     
risks associat$ ) climate *ange =       
vuln]able individuals1 includ+ by-- 7i7 
collect+ data on su* risks 9 specific   
c5sus tracts1 neighborhoods1 or o!r     
geographic areas2 &  7ii7 %>+ su* data )
 local heal? c>e provid]s1 p]9atal heal?
 work]s1 & o!r employees 9 hospitals1   
bir? c5t]s1 midwif]y practices1 & o!r   
heal? c>e practices t provide pr5atal or
 labor & deliv]y s]vices to local       
vuln]able individuals2 &  7,d7 provid+  

vuln]able individuals-- 7i7 air         
condition+ units1 resid5tial            
wea!rization support1 filtration sy/ems1
 h\sehold appliances1 or relat$ items2  
7ii7 direct f9ancial assi/ance2 &  7iii7
 s]vices & support1 includ+ h\s+        
assi/ance1 evacuation assi/ance1        
transportation assi/ance1 access to     
cool+ %elt]s1 & m5tal heal? c\nsel+1 to 
prep>e = or recov] f extreme wea!r      
ev5ts1 :i* may include floods1          
hurricanes1 wildfires1 dr\ghts1 & relat$
 ev5ts4  7#b7 ,initiatives to mitigate  
levels ( & exposure to risks associat$ )
 climate *ange = vuln]able individuals1 
:i* %all be bas$ on ! be/ available     
sci5ce & :i* may include initiatives    
to-- 7,a7 develop1 ma9ta91 or exp& urban
 or community =e/ry initiatives & tree  
canopy cov]age initiatives2  7,b7       
improve infra/ructure1 su* z build+s &  
pav$ surfaces2  7,c7 develop or improve 
community outrea* networks to provide   
culturally & l+ui/ically appropriate    
in=mation & notifications ab\t risks    

associat$ ) climate *ange = vuln]able   
individuals2 &  7,d7 provide enhanc$    
s]vices to racial & e?nic m9ority gr\ps 
& o!r und]s]v$ populations4  7f7 ,l5g? (
 aw>d ,a grant "u ?is section %all be   
disburs$ ov] #d fiscal ye>s4  7g7       
,te*nical assi/ance ,! ,secret>y %all   
provide te*nical assi/ance to a cov]$   
entity aw>d$ a grant "u ! ,program to   
support ! developm5t1 implem5tation1 &  
evaluation ( activities fund$ ) su*     
grant4  7h7 ,reports to ,secret>y  7#a7 
,annual report ,= ea* fiscal ye> dur+   
:i* a cov]$ entity is disburs$ grant    
funds "u ! ,program1 su* cov]$ entity   
%all submit to ! ,secret>y a report t   
summ>izes ! activities c>ri$ out by su* 
cov]$ entity ) su* grant funds dur+ su* 
fiscal ye>1 :i* %all include a          
description ( ! foll[+3 7,a7 ,!         
involvem5t ( /akehold] organizations 9 !
 implem5tation ( initiatives assi/$ )   
su* grant funds4  7,b7 ,relevant heal? &
 environm5tal data1 disaggregat$1 to !  
ext5t practicable1 by race1 e?nicity1   

prim>y language1 socioeconomic /atus1   
geography1 insurance type1 pregnancy    
/atus1 & o!r relevant demographic       
in=mation4  7,c7 ,qualitative fe$back   
receiv$ f vuln]able individuals )       
respect to initiatives assi/$ ) su*     
grant funds4  7,d7 ,crit]ia us$ 9       
select+ ! geographic areas assi/$ ) su* 
grant funds4  7,e7 ,ef=ts to address    
racial & e?nic disp>ities 9 adv]se      
mat]nal & infant heal? outcomes & 9     
exposure to risks associat$ ) climate   
*ange = vuln]able individuals4  7,f7    
,any negative & un9t5d$ impacts (       
initiatives assi/$ ) su* grant funds1   
includ+-- 7i7 adv]se environm5tal       
impacts2  7ii7 displacem5t ( resid5ts & 
bus9esses2  7iii7 r5t & h\s+ price      
increases2 &  7iv7 disproportionate     
adv]se impacts on racial & e?nic m9ority
 gr\ps & o!r und]s]v$ populations4  7,g7
 ,h[ ! cov]$ entity w address & prev5t  
any impacts describ$ 9 subp>agraph 7,f74
  7#b7 ,publication ,n lat] ?an #cj days
 aft] ! date on :i* a report is submitt$

 "u p>agraph 7#a71 ! ,secret>y %all     
publi% su* report on a public website ( 
! ,dep>tm5t ( ,heal? & ,human ,s]vices4 
7i7 ,report to ,congress ,n lat] ?an !  
date t is #e ye>s aft] ! date on :i* !  
,program is e/abli%$1 ! ,secret>y %all  
submit to ,congress & publi% on a public
 website ( ! ,dep>tm5t ( ,heal? & ,human
 ,s]vices a report on ! results ( !     
,program1 includ+ ! foll[+3 7#a7        
,summ>ies ( ! annual reports submitt$ "u
 subsection 7h74  7#b7 ,evaluations ( ! 
initiatives assi/$ ) grant funds "u !   
,program4  7#c7 ,an assessm5t ( !       
effectiv5ess ( ! ,program 9-- 7,a7      
id5tify+ risks associat$ ) climate *ange
 = vuln]able individuals2  7,b7 provid+ 
s]vices & support to su* individuals2   
7,c7 mitigat+ levels ( & exposure to su*
 risks2 &  7,d7 address+ racial & e?nic 
disp>ities 9 adv]se mat]nal & infant    
heal? outcomes & 9 exposure to su*      
risks4  7#d7 ,a description ( h[ !      
,program c\ld be exp&$1 includ+-- 7,a7  
monitor+ ef=ts or data collection t w\ld

 be requir$ to id5tify areas ) high     
levels ( risks associat$ ) climate *ange
 = vuln]able individuals2  7,b7 h[ su*  
areas c\ld be id5tifi$ us+ ! /rategy    
develop$ "u section #abje2 &  7,c7      
recomm5dations = additional fund+4  7j7 
,def9itions ,9 ?is section3 7#a7 ,! t]m 
cov]$ entity means a consortium (       
organizations s]v+ a c\nty t-- 7,a7 %all
 include a community-bas$ organization2 
&  7,b7 may include-- 7i7 ano!r         
/akehold] organization2  7ii7 ! gov]nm5t
 ( su* c\nty2  7iii7 ! gov]nm5ts ( "o or
 m municipalities )9 su* c\nty2  7iv7 a 
,/ate or local public heal? dep>tm5t or 
em]g5cy managem5t ag5cy2  7v7 a local   
heal? c>e practice1 :i* may include a   
lic5s$ & accr$it$ hospital1 bir? c5t]1  
midwif]y practice1 or o!r heal? c>e     
practice t provides pr5atal or labor &  
deliv]y s]vices to vuln]able            
individuals2  7vi7 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 
7vii7 an ,urban ,indian organization 7z 
def9$ 9 section #d ( ! ,indian ,heal?   
,c>e ,improvem5t ,act 7#be ,u4,s4,c4    
#afjc772 &  7viii7 an in/itution ( high]
 education4  7#b7 ,! t]m ,program means 
! grant program "u ?is section4  7k7    
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #ajj1jjj1jjj = ! p]iod (    
fiscal ye>s #bjbg ?r\gh #bjcj4  #abjc4  
,grant program = education & tra9+ at   
heal? pr(ession s*ools  7a7 ,9 g5]al ,n 
lat] ?an #a ye> aft] ! date ( ! enactm5t
 ( ?is ,act1 ! ,secret>y ( ,heal? &     
,human ,s]vices %all e/abli% a grant    
program to provide funds to heal?       
pr(ession s*ools to support ! developm5t
 & integration ( education & tra9+      
programs = id5tify+ & address+ risks    
associat$ ) climate *ange = vuln]able   
individuals4  7b7 ,grant au?ority ,9    
c>ry+ out ! ,program1 ! ,secret>y may   
aw>d1 on a competitive basis1 grants to 
heal? pr(ession s*ools4  7c7            

,application ,to be eligible = a grant  
"u ! ,program1 a heal? pr(ession s*ool  
%all submit to ! ,secret>y an           
application at su* "t1 9 su* =m1 &      
conta9+ su* in=mation z ! ,secret>y may 
require1 :i* %all include1 at a m9imum1 
a description ( ! foll[+3 7#a7 ,h[ su*  
heal? pr(ession s*ool w engage )        
vuln]able individuals1 & /akehold]      
organizations repres5t+ su* individuals1
 9 develop+ & implem5t+ ! education &   
tra9+ programs support$ by grant funds  
aw>d$ "u ! ,program4  7#b7 ,h[ su* heal?
 pr(ession s*ool w ensure t su*         
education & tra9+ programs w address    
racial & e?nic disp>ities 9 exposure to1
 & ! effects (1 risks associat$ )       
climate *ange = vuln]able individuals4  
7d7 ,use ( funds ,a heal? pr(ession     
s*ool aw>d$ a grant "u ! ,program %all  
use ! grant funds to develop1 &         
integrate into ! curriculum & cont9u+   
education ( su* heal? pr(ession s*ool1  
education & tra9+ on ea* ( ! foll[+3    
7#a7 ,id5tify+ risks associat$ ) climate

 *ange = vuln]able individuals &        
individuals ) ! int5t to become         
pregnant4  7#b7 ,h[ risks associat$ )   
climate *ange affect vuln]able          
individuals & individuals ) ! int5t to  
become pregnant4  7#c7 ,racial & e?nic  
disp>ities 9 exposure to1 & ! effects (1
 risks associat$ ) climate *ange =      
vuln]able individuals & individuals ) ! 
int5t to become pregnant4  7#d7 ,pati5t 
c\nsel+ & mitigation /rategies relat+ to
 risks associat$ ) climate *ange =      
vuln]able individuals4  7#e7 ,relevant  
s]vices & support = vuln]able           
individuals relat+ to risks associat$ ) 
climate *ange & /rategies = ensur+      
vuln]able individuals h access to su*   
s]vices & support4  7#f7 ,implicit &    
explicit bias1 racism1 & discrim9ation4 
7#g7 ,relat$ topics id5tifi$ by su*     
heal? pr(ession s*ool bas$ on !         
engagem5t ( su* heal? pr(ession s*ool ) 
vuln]able individuals & /akehold]       
organizations repres5t+ su* individuals4
  7e7 ,p>tn]%ips ,9 c>ry+ out activities

 ) grant funds1 a heal? pr(ession s*ool 
aw>d$ a grant "u ! ,program may p>tn] ) 
"o or m ( ! foll[+3 7#a7 ,a ,/ate or    
local public heal? dep>tm5t4  7#b7 ,a   
heal? c>e pr(essional memb]%ip          
organization4  7#c7 ,a /akehold]        
organization4  7#d7 ,a heal? pr(ession  
s*ool4  7#e7 ,an in/itution ( high]     
education4  7f7 ,reports to ,secret>y   
7#a7 ,annual report ,= ea* fiscal ye>   
dur+ :i* a heal? pr(ession s*ool is     
disburs$ grant funds "u ! ,program1 su* 
heal? pr(ession s*ool %all submit to !  
,secret>y a report t describes !        
activities c>ri$ out ) su* grant funds  
dur+ su* fiscal ye>4  7#b7 ,f9al report 
,n lat] ?an ! date t is #a ye> aft] !   
end ( ! la/ fiscal ye> dur+ :i* a heal? 
pr(ession s*ool is disburs$ grant funds 
"u ! ,program1 ! heal? pr(ession s*ool  
%all submit to ! ,secret>y a f9al report
 t summ>izes ! activities c>ri$ out )   
su* grant funds4  7g7 ,report to        
,congress ,n lat] ?an ! date t is #f    
ye>s aft] ! date on :i* ! ,program is   

e/abli%$1 ! ,secret>y %all submit to    
,congress & publi% on a public website (
 ! ,dep>tm5t ( ,heal? & ,human ,s]vices 
a report t includes ! foll[+3 7#a7 ,a   
summ>y ( ! reports submitt$ "u          
subsection 7f74  7#b7 ,recomm5dations to
 improve education & tra9+ programs at  
heal? pr(ession s*ools ) respect to     
id5tify+ & address+ risks associat$ )   
climate *ange = vuln]able individuals4  
7h7 ,def9itions ,9 ?is section3 7#a7 ,! 
t]m heal? pr(ession s*ool means an      
accr$it$-- 7,a7 m$ical s*ool2  7,b7     
s*ool ( nurs+2  7,c7 midwif]y program2  
7,d7 physician assi/ant education       
program2  7,e7 tea*+ hospital2  7,f7    
resid5cy or fell[%ip program2 or  7,g7  
o!r s*ool or program det]m9$ appropriate
 by ! ,secret>y4  7#b7 ,! t]m ,program  
means ! grant program "u ?is section4   
7i7 ,au?orization ( ,appropriations ,!re
 is au?oriz$ to be appropriat$ to c>ry  
out ?is section #e1jjj1jjj = ! p]iod (  
fiscal ye>s #bjbg ?r\gh #bjcj4  #abjd4  
,,nih ,consortium on ,bir? & ,climate   

,*ange ,rese>*  7a7 ,e/abli%m5t ,n lat] 
?an "o ye> aft] ! date ( ! enactm5t (   
?is ,act1 ! ,director ( ! ,national     
,in/itutes ( ,heal? %all e/abli% !      
,consortium on ,bir? & ,climate ,*ange  
,rese>* 79 ?is section ref]r$ to z !    
,consortium74  7b7 ,duties  7#a7 ,9     
g5]al ,! ,consortium %all coord9ate1    
across ! in/itutes1 c5t]s1 & (fices ( ! 
,national ,in/itutes ( ,heal?1 rese>* on
 ! risks associat$ ) climate *ange =    
vuln]able individuals4  7#b7 ,requir$   
activities ,9 c>ry+ out p>agraph 7#a71 !
 ,consortium %all-- 7,a7 e/abli% rese>* 
priorities1 includ+ by prioritiz+ rese>*
 t-- 7i7 id5tifies ! risks associat$ )  
climate *ange = vuln]able individuals ) 
a p>ticul> focus on disp>ities 9 su*    
risks among racial & e?nic m9ority gr\ps
 & o!r und]s]v$ populations2 &  7ii7    
id5tifies /rategies to r$uce levels (1 &
 exposure to1 su* risks1 ) a p>ticul>   
focus on risks among racial & e?nic     
m9ority gr\ps & o!r und]s]v$            
populations2  7,b7 id5tify gaps 9       

available data relat$ to su* risks2     
7,c7 id5tify gaps 91 & opportunities =1 
rese>* collaborations2  7,d7 id5tify    
fund+ opportunities = community-bas$    
organizations & rese>*]s f racially1    
e?nically1 & geographically div]se      
backgr\nds2  7,e7 id5tify opportunities 
to increase public aw>5ess relat$ to    
risks associat$ ) climate *ange =       
vuln]able individuals2 &  7,f7 publi%   
annual reports on ! "w & f9d+s ( !      
,consortium on a public website ( !     
,national ,in/itutes ( ,heal?4  7c7     
,memb]%ip ,! ,director %all appo9t to ! 
,consortium repres5tatives ( su*        
in/itutes1 c5t]s1 & (fices ( ! ,national
 ,in/itutes ( ,heal? z ! ,director      
consid]s appropriate1 includ+1 at a     
m9imum1 repres5tatives (-- 7#a7 !       
,national ,in/itute ( ,environm5tal     
,heal? ,sci5ces2  7#b7 ! ,national      
,in/itute on ,m9ority ,heal? & ,heal?   
,disp>ities2  7#c7 ! ,eunice ,k5n$y     
,%riv] ,national ,in/itute ( ,*ild      
,heal? & ,human ,developm5t2  7#d7 !    

,national ,in/itute ( ,m5tal ,heal?2    
7#e7 ! ,national ,in/itute ( ,nurs+     
,rese>*2 &  7#f7 ! ,(fice ( ,rese>* on  
,wom5's ,heal?4  7d7 ,*airp]son ,!      
,*airp]son ( ! ,consortium %all be      
designat$ by ! ,director & select$ f    
among ! repres5tatives appo9t$ "u       
subsection 7c74  7e7 ,consultation ,9   
c>ry+ out ! duties describ$ 9 subsection
 7b71 ! ,consortium %all consult )--    
7#a7 ! heads ( relevant ,f$]al ag5cies1 
includ+-- 7,a7 ! ,environm5tal          
,protection ,ag5cy2  7,b7 ! ,national   
,oceanic & ,atmosph]ic ,adm9i/ration2   
7,c7 ! ,occupational ,safety & ,heal?   
,adm9i/ration2 &  7,d7 f ! ,dep>tm5t (  
,heal? & ,human ,s]vices-- 7i7 ! ,(fice 
( ,m9ority ,heal? 9 ! ,(fice ( !        
,secret>y2  7ii7 ! ,c5t]s = ,m$ic>e     
,m$icaid ,s]vices2  7iii7 ! ,heal?      
,res\rces & ,s]vices ,adm9i/ration2     
7iv7 ! ,c5t]s = ,disease ,control &     
,prev5tion2  7v7 ! ,indian ,heal?       
,s]vice2 &  7vi7 ! ,adm9i/ration =      
,*ildr5 & ,families2 &  7#b7            

repres5tatives (-- 7,a7 /akehold]       
organizations2  7,b7 heal? c>e provid]s 
& pr(essional memb]%ip organizations )  
exp]tise 9 mat]nal heal? or environm5tal
 ju/ice2  7,c7 ,/ate & local public     
heal? dep>tm5ts2  7,d7 lic5s$ & accr$it$
 hospitals1 bir? c5t]s1 midwif]y        
practices1 or o!r heal? c>e practices t 
provide pr5atal or labor & deliv]y      
s]vices to vuln]able individuals2 &     
7,e7 in/itutions ( high] education1     
includ+ su* in/itutions t are           
m9ority-s]v+ in/itutions or h exp]tise 9
 mat]nal heal? or environm5tal ju/ice4  
#abje4 ,/rategy = id5tify+ climate *ange
 risk zones = vuln]able mo!rs & babies  
7a7 ,9 g5]al ,! ,secret>y ( ,heal? &    
,human ,s]vices1 act+ ?r\gh ! ,director 
( ! ,c5t]s = ,disease ,control &        
,prev5tion1 %all develop a /rategy 79   
?is section ref]r$ to z ! ,/rategy7 =   
designat+ areas t ! ,secret>y det]m9es  
to h a high risk ( adv]se mat]nal &     
infant heal? outcomes among vuln]able   
individuals z a result ( risks associat$

 ) climate *ange4  7b7 ,/rategy         
requirem5ts  7#a7 ,9 g5]al ,9 develop+ !
 ,/rategy1 ! ,secret>y %all e/abli% a   
process to id5tify areas :]e vuln]able  
individuals are expos$ to a high risk ( 
adv]se mat]nal & infant heal? outcomes z
 a result ( risks associat$ ) climate   
*ange 9 conjunction ) o!r factors t c   
impact su* heal? outcomes1 includ+--    
7,a7 ! incid5ce ( diseases associat$ )  
air pollution1 extreme heat1 & o!r      
environm5tal factors2  7,b7 !           
availability & accessibility ( mat]nal &
 infant heal? c>e provid]s2  7,c7       
,engli%-language pr(ici5cy among wom5 ( 
reproductive age2  7,d7 ! heal?         
insurance /atus ( wom5 ( reproductive   
age2  7,e7 ! numb] ( wom5 ( reproductive
 age :o are memb]s ( racial or e?nic    
gr\ps ) disproportionately high rates ( 
adv]se mat]nal & infant heal? outcomes2 
7,f7 ! socioeconomic /atus ( wom5 (     
reproductive age1 includ+ ) respect to--
 7i7 pov]ty2  7ii7 unemploym5t2  7iii7  
h\sehold income2 &  7iv7 educational    

atta9m5t2 &  7,g7 access to quality     
h\s+1 transportation1 & nutrition4  7#b7
 ,res\rces ,9 develop+ ! ,/rategy1 !    
,secret>y %all id5tify1 & incorporate a 
description (1 ! foll[+3 7,a7 ,exi/+    
mapp+ tools or ,f$]al programs t        
id5tify-- 7i7 risks associat$ ) climate 
*ange = vuln]able individuals2 &  7ii7  
o!r factors t c influ5ce mat]nal &      
infant heal? outcomes1 includ+ ! factors
 describ$ 9 p>agraph 7#a74  7,b7        
,environm5tal1 heal?1 socioeconomic1 &  
demographic data relevant to id5tify+   
risks associat$ ) climate *ange =       
vuln]able individuals4  7,c7 ,exi/+     
monitor+ networks t collect data        
describ$ 9 subp>agraph 7,b71 & any gaps 
9 su* networks4  7,d7 ,f$]al1 ,/ate1 &  
local /akehold]s involv$ 9 ma9ta9+      
monitor+ networks id5tifi$ "u           
subp>agraph 7,c71 & h[ su* /akehold]s   
are coord9at+ _! monitor+ ef=ts4  7,e7  
,additional monitor+ networks1 &        
enhancem5ts to exi/+ monitor+ networks1 
t w\ld be requir$ to address gaps       

id5tifi$ "u subp>agraph 7,c71 includ+ at
 ! subc\nty & c5sus tract level4  7,f7  
,fund+ am\nts requir$ to e/abli% !      
monitor+ networks id5tifi$ "u           
subp>agraph 7,e7 & recomm5dations =     
,f$]al1 ,/ate1 & local coord9ation )    
respect to su* networks4  7,g7 ,pot5tial
 uses = data collect$ & g5]at$ z a      
result ( ! ,/rategy1 includ+ h[ su* data
 may be us$ 9 det]m9+ recipi5ts ( grants
 "u ! program e/abli%$ by section #abjb 
or o!r simil> programs4  7,h7 ,o!r      
in=mation ! ,secret>y consid]s relevant 
= ! developm5t ( ! ,/rategy4  7c7       
,coord9ation & consultation ,9 develop+ 
! ,/rategy1 ! ,secret>y %all-- 7#a7     
coord9ate ) ! ,adm9i/rator ( !          
,environm5tal ,protection ,ag5cy & !    
,adm9i/rator ( ! ,national ,oceanic &   
,atmosph]ic ,adm9i/ration2 &  7#b7      
consult )-- 7,a7 /akehold]              
organizations2  7,b7 heal? c>e provid]s 
& pr(essional memb]%ip organizations )  
exp]tise 9 mat]nal heal? or environm5tal
 ju/ice2  7,c7 ,/ate & local public     

heal? dep>tm5ts2  7,d7 lic5s$ & accr$it$
 hospitals1 bir? c5t]s1 midwif]y        
practices1 or o!r heal? c>e provid]s t  
provide pr5atal or labor & deliv]y      
s]vices to vuln]able individuals2 &     
7,e7 in/itutions ( high] education1     
includ+ su* in/itutions t are           
m9ority-s]v+ in/itutions or h exp]tise 9
 mat]nal heal? or environm5tal ju/ice4  
7d7 ,notice & comm5t ,at lea/ #bdj days 
be=e ! date on :i* ! ,/rategy is publi%$
 9 accordance ) subsection 7e71 !       
,secret>y %all provide-- 7#a7 notice ( !
 ,/rategy on a public website ( !       
,dep>tm5t ( ,heal? & ,human ,s]vices2 & 
7#b7 an opportunity = public comm5t ( at
 lea/ #ij days4  7e7 ,publication ,n    
lat] ?an #ah mon?s aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,secret>y %all   
publi% on a public website ( ! ,dep>tm5t
 ( ,heal? & ,human ,s]vices-- 7#a7 !    
,/rategy2  7#b7 ! public comm5ts receiv$
 "u subsection 7d72 &  7#c7 ! responses 
( ! ,secret>y to su* public comm5ts4    
,,xiii ,,nih ,,improve  #acja4 ,,improve

 ,initiative ,"p ,b ( title ,,iv ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhd et seq47 is am5d$ by add+
 at ! end ! foll[+3  #dji,k4 ,,improve  
initiative  7a7 ,9 g5]al ,! ,director ( 
,,nih %all cont9ue to c>ry out a program
 to improve mat]nal heal? outcomes1 to  
be kn[n z ! ,implem5t+ a ,mat]nal heal? 
& ,p,regnancy ,outcomes ,vision =       
,ev]yone ,initiative or ! ,,improve     
,initiative 7ref]r$ to 9 ?is section z !
 ,initiative74  7b7 ,objectives ,!      
,initiative %all-- 7#a7 advance rese>*  
to-- 7,a7 r$uce prev5table causes (     
mat]nal mortality & sev]e mat]nal       
morbidity2  7,b7 r$uce heal? disp>ities 
relat$ to mat]nal heal? outcomes1       
includ+ su* disp>ities associat$ )      
populations ) disproportionately high   
rates ( mat]nal mortality & sev]e       
mat]nal morbidity relative to ! national
 rate2 &  7,c7 improve heal? = pregnant 
& po/p>tum wom5 be=e1 dur+1 & aft]      
pregnancy2  7#b7 use an integrat$       
approa* to und]/& ! factors1 includ+    

biological1 behavioral1 & o!r factors1 t
 affect mat]nal mortality & sev]e       
mat]nal morbidity by build+ an evid5ce  
base = improv$ outcomes 9 specific      
regions ( ! ,unit$ ,/ates2 &  7#c7 t>get
 heal? disp>ities associat$ ) mat]nal   
mortality & sev]e mat]nal morbidity by--
 7,a7 implem5t+ & evaluat+              
community-bas$ int]v5tions =            
disproportionately affect$ wom52 &  7,b7
 id5tify+ risk factors & ! und]ly+      
biological me*anisms associat$ ) lead+  
causes ( mat]nal mortality & sev]e      
mat]nal morbidity 9 ! ,unit$ ,/ates4    
7c7 ,implem5tation ,! ,director ( ,,nih 
may aw>d grants or ent] into contracts1 
coop]ative agreem5ts1 or o!r            
transactions to c>ry out ?is section4   
7d7 ,au?orization ( appropriations ,!re 
is au?oriz$ to be appropriat$ to c>ry   
out ?is section #gc1djj1jjj = ea* (     
fiscal ye>s #bjbg ?r\gh #bjcb4  4  ,,xiv
 ,mat]nal vacc9ations  #adja4 ,mat]nal  
vacc9ation aw>5ess & equity campaign    
7a7 ,campaign ,section #cac ( ! ,public 

,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bde7
 is am5d$-- 7#a7 9 subsection 7a71 by   
ins]t+ & among pregnant & po/p>tum      
individuals1 aft] l[ rates (            
vacc9ation12  7#b7 9 subsection 7c77#c71
 by /rik+ pr5atal & p$iatric & ins]t+   
pr5atal1 ob/etric1 & p$iatric2  7#c7 9  
subsection 7d77#d77;,b71 by ins]t+      
pregnant & po/p>tum individuals & aft]  
includ+2 &  7#d7 9 subsection 7g71 by   
/rik+ #ae1jjj1jjj = ea* ( fiscal ye>s   
#bjba ?r\gh #bjbe & ins]t+ #ag1jjj1jjj =
 ea* ( fiscal ye>s #bjbg ?r\gh #bjca4   
7b7 ,additional activities ,section     
#cag7k77#a77;,e7 ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4             
#bdg;b7k77#a77;,e77 is am5d$-- 7#a7 9   
clause 7v71 by /rik+ & at ! end2 &  7#b7
 by add+ at ! end ! foll[+3  7vii7      
increase vacc9ation rates ( pregnant &  
po/p>tum individuals1 includ+           
individuals f racial & e?nic m9ority    
gr\ps1 & _! *ildr52 &  4