Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1696590938666.pdf (United States)
117TH CONGRESS 1ST SESSION H. R. 958 AN ACT To codify maternity care coordination programs at the Department of Veterans Affairs, and for other purposes.

1 2 Be it enacted by the Senate and House of Representa- tives of the United States of America in Congress assembled, SECTION 1.

SHORT TITLE.

2 This Act may be cited as the ‘‘Protecting Moms Who Served Act’’.

SEC.

2.

SUPPORT FOR MATERNITY CARE COORDINATION.


(a) PROGRAM ON MATERNITY CARE COORDINA- TION.— (1) IN GENERAL.—The Secretary of Veterans Affairs shall carry out the maternity care coordina- tion program described in Veterans Health Adminis- tration Handbook 1330.03, or any successor hand- book.
(2) TRAINING AND SUPPORT.—In carrying out the program under paragraph (1), the Secretary shall provide to community maternity care providers training and support with respect to the unique needs of pregnant and postpartum veterans, particu- larly regarding mental and behavioral health condi- tions relating to the service of the veterans in the Armed Forces.
(b) AUTHORIZATION OF APPROPRIATIONS.—There is authorized to be appropriated to the Secretary 22 23 24 25 $15,000,000 for fiscal year 2022 for the maternity care coordination program.

Such amounts are authorized in ad- dition to any other amounts authorized for such purpose.
(c) DEFINITIONS.—In this section: •HR 958 EH 3 (1) The term ‘‘community maternity care pro- viders’’ means maternity care providers located at non-Department facilities who provide maternity care to veterans under section 1703 of title 38, United States Code, or other provisions of law ad- ministered by the Secretary of Veterans Affairs.

(2) The term ‘‘non-Department facilities’’ has the meaning given that term in section 1701 of title 38, United States Code.

SEC.

3.
SEC.

3.

REPORT ON MATERNAL MORTALITY AND SEVERE MATERNAL MORBIDITY AMONG PREGNANT AND POSTPARTUM VETERANS.
(a) GAO REPORT.—Not later than 2 years after the date of the enactment of this Act, the Comptroller General of the United States shall submit to the Committees on Veterans’ Affairs of the Senate and the House of Rep- resentatives, and make publicly available, a report on ma- ternal mortality and severe maternal morbidity among pregnant and postpartum veterans, with a particular focus on racial and ethnic disparities in maternal health out- comes for veterans.
22 23 24 (b) MATTERS INCLUDED.—The report under sub- section (a) shall include the following: (1) To the extent practicable— •HR 958 EH (A) the number of pregnant and postpar- tum veterans who have experienced a preg- nancy-related death or pregnancy-associated death in the most recent 10 years of available data; (B) the rate of pregnancy-related deaths per 100,000 live births for pregnant and post- partum veterans; (C) the number of cases of severe maternal morbidity among pregnant and postpartum vet- erans in the most recent year of available data; (D) the racial and ethnic disparities in ma- ternal mortality and severe maternal morbidity rates among pregnant and postpartum veterans; (E) identification of the causes of maternal mortality and severe maternal morbidity that are unique to veterans, including post-traumatic stress disorder, military sexual trauma, and in- fertility or miscarriages that may be caused by such service; (F) identification of the causes of maternal mortality and severe maternal morbidity that are unique to veterans from racial and ethnic minority groups and other at-risk populations as deemed appropriate; •HR 958 EH (G) identification of any correlations be- tween the former rank of veterans and their maternal health outcomes; (H) the number of veterans who have been diagnosed with infertility by Veterans Health Administration providers each year in the most recent 5 years, disaggregated by age, race, eth- nicity, sex, marital status, sexual orientation, gender identity, and geographical location; (I) the number of veterans who receive a clinical diagnosis of unexplained infertility by Veterans Health Administration providers each year in the most recent 5 years; and (J) the extent to which the rate of inci- dence of clinically diagnosed infertility among veterans compare or differ to the rate of inci- dence of clinically diagnosed infertility among the civilian population.
(2) An assessment of the barriers to deter- mining the information required under paragraph (1) and recommendations for improvements in track- ing maternal health outcomes among pregnant and postpartum veterans— (A) who have health care coverage through the Department; •HR 958 EH (B) enrolled in the TRICARE program; (C) who are eligible to use the Indian Health Service, Tribal health programs, or urban Indian health organizations; (D) with employer-based or private insur- ance; (E) enrolled in the Medicaid program; and (F) who are uninsured.
(3) Recommendations for legislative and admin- istrative actions to increase access to mental and be- havioral health care for pregnant and postpartum veterans who screen positively for maternal mental or behavioral health conditions.

(4) Recommendations to address homelessness, food insecurity, poverty, and related issues among pregnant and postpartum veterans.
(5) Recommendations on how to effectively edu- cate maternity care providers on best practices for providing maternity care services to veterans that addresses the unique maternal health care needs of the veteran population.
(6) Recommendations to reduce maternal mor- tality and severe maternal morbidity among preg- nant and postpartum veterans and to address racial and ethnic disparities in maternal health outcomes •HR 958 EH 7 for each of the groups described in subparagraphs (A) through (E) of paragraph (2).
(7) Recommendations to improve coordination of care between the Department and non-Depart- ment facilities for pregnant and postpartum vet- erans, including recommendations to improve— (A) health record interoperability; and (B) training for the directors of the Vet- erans Integrated Service Networks, directors of medical facilities of the Department, chiefs of staff of such facilities, maternity care coordina- tors, and staff of relevant non-Department fa- cilities.
(8) An assessment of the authority of the Sec- retary of Veterans Affairs to access maternal health data collected by the Department of Health and Human Services and, if applicable, recommendations to increase such authority.

(9) To the extent applicable, an assessment of potential causes of or explanations for lower mater- nal mortality rates among veterans who have health coverage through the Department of Veterans Af- fairs compared to maternal mortality rates in the general United States population.
•HR 958 EH 8 (10) Any other information the Comptroller General determines appropriate with respect to the reduction of maternal mortality and severe maternal morbidity among pregnant and postpartum veterans and to address racial and ethnic disparities in ma- ternal health outcomes for veterans.

SEC.

4.

DEFINITIONS.


In this Act: (1) MATERNAL MORTALITY.—The term ‘‘mater- nal mortality’’ means a death occurring during or within a 1-year period after pregnancy, caused by pregnancy-related or childbirth complications, in- cluding a suicide, overdose, or other death resulting from a mental health or substance use disorder at- tributed to or aggravated by pregnancy-related or childbirth complications.
(2) POSTPARTUM AND POSTPARTUM PERIOD.— The terms ‘‘postpartum’’ and ‘‘postpartum period’’ refer to the 1-year period beginning on the last day of the pregnancy of an individual.
(3) PREGNANCY-ASSOCIATED DEATH.—The term ‘‘pregnancy-associated death’’ means a death of a pregnant or postpartum individual, by any cause, that occurs during, or within 1 year following, the •HR 958 EH 9 individual’s pregnancy, regardless of the outcome, duration, or site of the pregnancy.
(4) PREGNANCY-RELATED DEATH.—The term ‘‘pregnancy-related death’’ means a death of a preg- nant or postpartum individual that occurs during, or within 1 year following, the individual’s pregnancy, from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an un- related condition by the physiologic effects of preg- nancy.
(5) RACIAL AND ETHNIC MINORITY GROUP.— The term ‘‘racial and ethnic minority group’’ has the meaning given such term in section 1707(g)(1) of the Public Health Service Act (42 U.S.C.

300u– 6(g)(1)).
300u– 6(g)(1)).

(6) SEVERE MATERNAL MORBIDITY.—The term ‘‘severe maternal morbidity’’ means a health condi- tion, including mental health conditions and sub- stance use disorders, attributed to or aggravated by pregnancy or childbirth that results in significant •HR 958 EH 10 1 2 short-term or long-term consequences to the health of the individual who was pregnant.

Passed the House of Representatives May 12, 2021.

Attest: Clerk.
Attest: Clerk.

•HR 958 EH 1 S T S E S S I O N 1 1 7 T H C O N G R E S S H .

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