Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1696590899021.pdf (United States)
I 118TH CONGRESS 1ST SESSION H. R. 3322 To address social determinants of maternal health to eliminate maternal mortality, severe maternal morbidity, and maternal health disparities, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES MAY 15, 2023 Mrs. HAYES (for herself, Ms. UNDERWOOD, Mr. AGUILAR, Mr. ALLRED, Ms. BARRAGA´N, Mrs. BEATTY, Mr. BISHOP of Georgia, Mr. BLUMENAUER, Ms. BLUNT ROCHESTER, Ms. BROWNLEY, Ms. BUDZINSKI, Ms. BUSH, Ms. CARAVEO, Mr. CARBAJAL, Mr. CARSON, Mr. CARTER of Louisiana, Mrs. CHERFILUS-MCCORMICK, Ms. CLARKE of New York, Mr. COHEN, Mr. CLEAVER, Ms. CRAIG, Ms. CROCKETT, Mr. DAVIS of Illinois, Ms. DEAN of Pennsylvania, Ms. ESCOBAR, Mr. ESPAILLAT, Mr. EVANS, Mrs. FOUSHEE, Mr. GARAMENDI, Ms. GARCIA of Texas, Mr. GARCI´A of Illi- nois, Mr. GREEN of Texas, Mr. HORSFORD, Mr. HUFFMAN, Mr. IVEY, Mr. JACKSON of Illinois, Ms. JACKSON LEE, Ms. JACOBS, Ms. JAYAPAL, Mr. JOHNSON of Georgia, Ms. KAMLAGER-DOVE, Mr. KRISHNAMOORTHI, Ms. KUSTER, Ms. LEE of California, Mr. LIEU, Ms. LOFGREN, Mrs. MCBATH, Mrs. MCCLELLAN, Ms. MCCOLLUM, Mr. MCGOVERN, Mr. MEEKS, Ms. MENG, Mr. MFUME, Mr. MORELLE, Ms. MOORE of Wis- consin, Mr. MOULTON, Mr. MRVAN, Mr. MULLIN, Mrs. NAPOLITANO, Mr. NEGUSE, Ms. OCASIO-CORTEZ, Mr. PAPPAS, Mr. PAYNE, Mr. PHILLIPS, Ms. PORTER, Ms. PRESSLEY, Mr. RUPPERSBERGER, Ms. SALINAS, Ms. SCANLON, Mr. SCHIFF, Mr. SCHNEIDER, Ms. SCHOLTEN, Mr. DAVID SCOTT of Georgia, Ms. SEWELL, Mr. SMITH of Washington, Mr. SOTO, Ms. SPANBERGER, Ms. STANSBURY, Mrs. SYKES, Mr. TAKANO, Ms. TLAIB, Ms. TOKUDA, Mr. TONKO, Mrs. TORRES of California, Mrs. TRAHAN, Mr. TRONE, Mr. VARGAS, Mr. VEASEY, Ms. VELA´ZQUEZ, Ms. WASSERMAN SCHULTZ, Mrs. WATSON COLEMAN, Ms. WEXTON, Ms. WIL- LIAMS of Georgia, Mr. PASCRELL, Ms. DELBENE, and Mr. LYNCH) intro- duced the following bill; which was referred to the Committee on Energy and Commerce BILL To address social determinants of maternal health to elimi- nate maternal mortality, severe maternal morbidity, and maternal health disparities, and for other purposes.
Be it enacted by the Senate and House of Representa- tives of the United States of America in Congress assembled, SECTION 1.

SHORT TITLE.

This Act may be cited as the ‘‘Social Determinants for Moms Act’’.

SEC.

2.

TASK FORCE TO ADDRESS THE UNITED STATES MA- TERNAL HEALTH CRISIS.
(a) IN GENERAL.—The Secretary of Health and Human Services shall convene a task force (in this section referred to as the ‘‘Task Force’’) to develop strategies and coordinate efforts between Federal agencies and other stakeholders to eliminate preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, including actions to address clinical and nonclinical causes of maternal mortality, severe ma- ternal morbidity, and maternal health disparities.
(b) EX OFFICIO MEMBERS.—The ex officio members of the Task Force shall consist of the following: (1) The Secretary of Health and Human Serv- ices (or a designee thereof).

 •HR 3322 IH (2) The Secretary of Housing and Urban Devel- opment (or a designee thereof).
(3) The Secretary of Transportation (or a des- ignee thereof).

(4) The Secretary of Agriculture (or a designee thereof).

(5) The Secretary of Labor (or a designee thereof).

(6) The Administrator of the Environmental Protection Agency (or a designee thereof).

(7) The Assistant Secretary for the Administra- tion for Children and Families (or a designee there- of).

(8) The Administrator of the Centers for Medi- care & Medicaid Services (or a designee thereof).
(9) The Director of the Indian Health Service (or a designee thereof).

(10) The Director of the National Institutes of Health (or a designee thereof).

(11) The Director of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (or a designee thereof).

(12) The Administrator of the Health Re- sources and Services Administration (or a designee thereof).
•HR 3322 IH (13) The Deputy Assistant Secretary for Minor- ity Health of the Department of Health and Human Services (or a designee thereof).

(14) The Deputy Assistant Secretary for Wom- en’s Health of the Department of Health and Human Services (or a designee thereof).
(15) The Director of the Centers for Disease Control and Prevention (or a designee thereof).

(16) The Director of the Office on Violence Against Women at the Department of Justice (or a designee thereof).
(c) APPOINTED MEMBERS.—In addition to the ex officio members of the Task Force, the Secretary of Health and Human Services may appoint the following members of the Task Force: (1) Representatives of patients, to include— (A) a representative of patients who have suffered from severe maternal morbidity; or (B) a representative of patients who is a family member of an individual who suffered a pregnancy-related death.
(2) Leaders of community-based organizations that address maternal mortality, severe maternal morbidity, and maternal health with a specific focus on racial and ethnic disparities.
In appointing such •HR 3322 IH leaders under this paragraph, the Secretary of Health and Human Services shall give priority to in- dividuals who are leaders of organizations led by in- dividuals from demographic groups with elevated rates of maternal mortality, severe maternal mor- bidity, maternal health disparities, or other adverse perinatal or childbirth outcomes.
(3) Perinatal health workers.

(4) A professionally and geographically diverse panel of maternity care providers.

(5) Other maternal health stakeholders outside of the Federal Government with expertise in mater- nal health, including social determinants of maternal health.

(d) CHAIR.—The Secretary of Health and Human Services shall select the chair of the Task Force from among the members of the Task Force.
(e) TOPICS.—In developing strategies coordinating efforts between Federal agencies and other stakeholders to eliminate preventable maternal mortality, severe mater- nal morbidity, and maternal health disparities in the United States under this section, the Task Force may ad- dress topics such as— 24 25 (1) addressing barriers that prevent individuals from attending prenatal and postpartum appoint- •HR 3322 IH ments, accessing maternal health care services, or accessing services and resources related to social de- terminants of maternal health; (2) increasing access to safe, stable, affordable, and adequate housing for pregnant and postpartum individuals and their families; (3) delivering healthy food, infant formula, clean water, diapers, or other perinatal necessities to pregnant and postpartum individuals located in areas that are food deserts; (4) addressing the impacts of water and air quality, exposure to extreme temperatures, environ- mental chemicals, environmental risks in the work- place and the home, and pollution levels, on mater- nal and infant health outcomes; (5) offering free and accessible drop-in childcare services during prenatal and postpartum appointments; (6) addressing the clinical and nonclinical needs of postpartum individuals and their families for the duration of the postpartum period; (7) engaging with nongovernmental entities to address social determinants of maternal health, in- cluding through public-private partnerships; •HR 3322 IH (8) addressing the impact of domestic or inti- mate partner violence on maternal health outcomes; and (9) other topics determined by the chair of the Task Force.
(f) REPORT.—Not later than 2 years after the date of enactment of this Act, and every year thereafter, the Task Force shall submit to Congress and make publicly available on the website of the Department of Health and Human Services a report— (1) describing the Task Force’s efforts to de- velop strategies and coordinate efforts between Fed- eral agencies and other stakeholders to eliminate preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States; (2) providing an overview of actions taken by each member of the Task Force listed under sub- section (b) to eliminate preventable maternal mor- tality, severe maternal morbidity, and maternal health disparities in the United States; (3) providing recommendations on Federal funding amounts and authorities needed to imple- ment strategies developed by the Task Force to eliminate preventable maternal mortality, severe ma- •HR 3322 IH ternal morbidity, and maternal health disparities in the United States; (4) providing recommendations on actions that stakeholders outside of the Federal Government can take to eliminate preventable maternal mortality, se- vere maternal morbidity, and maternal health dis- parities in the United States; and (5) addressing other topics as determined by the chair of the Task Force.
(g) TERMINATION.—Section 1013 of title 5, United States Code, shall not apply to the Task Force with re- spect to termination.

13 SEC.

3.

SUSTAINED FUNDING TO ADDRESS SOCIAL DETER- MINANTS OF MATERNAL HEALTH.
(a) IN GENERAL.—The Secretary of Health and Human Services (in this section referred to as the ‘‘Sec- retary’’) shall award grants to eligible entities to address social determinants of maternal health to eliminate mater- nal mortality, severe maternal morbidity, and maternal 20 health disparities.
21 (b) ELIGIBLE ENTITIES.—In this section, the term 22 ‘‘eligible entity’’ means— 23 24 25 (1) a community-based organization, Indian Tribe or Tribal organization, or Urban Indian orga- nization; •HR 3322 IH (2) a public health department or nonprofit or- ganization working with an entity listed in para- graph (1); or (3) a consortium of entities listed in paragraph (1) or (2) that includes at minimum one entity listed in paragraph (1).
(c) APPLICATION.—To be eligible to receive a grant under this section, an eligible entity shall submit to the Secretary an application at such time, in such manner, 10 and containing such information as the Secretary may 11 provide.
(d) PRIORITIZATION.—In awarding grants under subsection (a), the Secretary shall give priority to an eligi- ble entity that is operating in an area with— (1) high rates of maternal mortality, severe ma- ternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; and (2) a high poverty rate.
(e) ACTIVITIES.—An eligible entity that receives a grant under this section may use the grant to address so- cial determinants of maternal health such as— (1) housing; (2) transportation; (3) nutrition; •HR 3322 IH 10 (4) employment, workplace conditions, and other economic factors; (5) environmental conditions; (6) intimate partner violence; and (7) other nonclinical factors that impact mater- nal health outcomes.
(f) TECHNICAL ASSISTANCE.—The Secretary shall provide to grant recipients under this section technical as- sistance to plan for sustaining programs to address social determinants of maternal health after the period of the 11 grant.
(g) REPORTING.— (1) GRANTEES.—Not later than 1 year after an eligible entity first receives a grant under this sec- tion, and annually thereafter, an eligible entity shall submit to the Secretary, and make publicly available, a report on the status of activities conducted using the grant.
Each such report shall include data on the effects of such activities, disaggregated by race, ethnicity, gender, primary language, geography, so- cioeconomic status, and other relevant factors.
(2) SECRETARY.—Not later than the end of fis- cal year 2028, the Secretary shall submit to Con- gress a report that includes— •HR 3322 IH 11 (A) a summary of the reports under para- graph (1); and (B) recommendations for future Federal grant allocations to address social determinants of maternal health.
(h) AUTHORIZATION OF APPROPRIATIONS.—There is authorized to be appropriated to carry out this section $100,000,000 for each of fiscal years 2024 through 2028.

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) MATERNITY CARE PROVIDER.—The term ‘‘maternity care provider’’ means a health care pro- vider who— (A) is a physician, a physician assistant, a midwife who meets, at a minimum, the inter- national definition of a midwife and global standards for midwifery education as estab- •HR 3322 IH 12 lished by the International Confederation of Midwives, an advanced practice registered nurse, or a lactation consultant certified by the International Board of Lactation Consultant Examiners; and (B) has a focus on maternal or perinatal health.
(3) PERINATAL HEALTH WORKER.—The term ‘‘perinatal health worker’’ means a nonclinical health worker focused on maternal or perinatal health, such as a doula, community health worker, peer sup- porter, lactation educator or counselor, nutritionist or dietitian, childbirth educator, social worker, home visitor, patient navigator or coordinator, or language interpreter.
(4) 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.
(5) 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- •HR 3322 IH 10 11 12 13 13 related condition by the physiologic effects of preg- nancy.
(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 short-term or long-term consequences to the health of the individual who was pregnant.

(7) SOCIAL DETERMINANTS OF MATERNAL HEALTH DEFINED.—The term ‘‘social determinants of maternal health’’ means nonclinical factors that impact maternal health outcomes.
•HR 3322 IH