I 

116TH CONGRESS 

1ST SESSION H. R. 4768 

To amend section 511 of the Social Security Act to reduce maternal mortality 

by continuing to invest in evidence-based home visiting models that 

are addressing the social determinants of maternal health and morbidity. 

IN THE HOUSE OF REPRESENTATIVES 

OCTOBER 21, 2019 

Mr. DANNY K. DAVIS of Illinois (for himself, Mr. NEAL, Mr. DOGGETT, Mr. 

BLUMENAUER, Ms. CASTOR of Florida, Ms. JUDY CHU of California, Ms. 

DEGETTE, Mr. EVANS, Mr. HIGGINS of New York, Mr. HORSFORD, Mr. 

KILDEE, Mr. LARSON of Connecticut, Mr. LEWIS, Ms. MOORE, Mr. PASCRELL, Ms. SA ́NCHEZ, Ms. SEWELL of Alabama, and Mr. SUOZZI) introduced the following bill; which was referred to the Committee on Ways 

and Means, and in addition to the Committee on Energy and Commerce, 

for a period to be subsequently determined by the Speaker, in each case 

for consideration of such provisions as fall within the jurisdiction of the 

committee concerned 

A BILL 

To amend section 511 of the Social Security Act to reduce 

maternal mortality by continuing to invest in evidencebased home visiting models that are addressing the social 

determinants of maternal health and morbidity. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Home Visiting to Re3 duce Maternal Mortality and Morbidity Act’’. 

4 SEC. 2. INCREASE IN TRIBAL SET-ASIDE PERCENTAGE. 

5 (a) IN GENERAL.—Section 511(j)(2)(A) of the Social 

6 Security Act (42 U.S.C. 711(j)(2)(A)) is amended by 

7 striking ‘‘3’’ and inserting ‘‘6’’. 

8 (b) EFFECTIVE DATE.—The amendment made by 

9 subsection (a) shall take effect on October 1, 2020. 

10 SEC. 3. INCREASE IN FUNDING. 

11 Section 511(j)(1) of the Social Security Act (42 

12 U.S.C. 711(j)(1)) is amended— 

13 (1) by striking ‘‘and’’ at the end of subpara14 graph (G); and 

15 (2) by striking subparagraph (H) and inserting 

16 the following: 

17 ‘‘(H) $400,000,000 for each of fiscal years 

18 2017 through 2020; 

19 ‘‘(I) $600,000,000 for fiscal year 2021; 

20 and 

21 ‘‘(J) $800,000,000 for fiscal year 2022.’’. 

22 SEC. 4. USE OF ADDITIONAL FUNDS. 

23 Section 511(c) of the Social Security Act (42 U.S.C. 

24 711(c)) is amended by adding at the end the following: 

25 ‘‘(6) USE OF CERTAIN FUNDS TO PROVIDE AD26 DITIONAL RESOURCES TO ADDRESS HIGH RATES OF


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1 MATERNAL MORTALITY AND MORBIDITY, SUPPORT

2 UNMET NEEDS IDENTIFIED BY THE NEEDS ASSESS3 MENT, OR INCREASE ALLOCATIONS TO STATES AND

4 TERRITORIES BASED ON RELATIVE POPULATION OR

5 POVERTY.—The Secretary shall ensure that any 

6 amounts exceeding $400,000,000 that are used for 

7 grants under this subsection for a fiscal year are 

8 used to— 

9 ‘‘(A) provide additional funding priority to 

10 States, tribes, and territories to address high 

11 rates of maternal mortality and morbidity docu12 mented in needs assessments conducted under 

13 subsection (b) or performed under other Fed14 eral programs; 

15 ‘‘(B) address unmet needs identified by a 

16 needs assessment conducted under subsection 

17 (b); or 

18 ‘‘(C) increase the amounts allocated under 

19 this section to States and to Puerto Rico, 

20 Guam, the Virgin Islands, the Northern Mar21 iana Islands, and American Samoa, based on 

22 the proportion of children who have not at23 tained 5 years of age and are living in pov24 erty.’’. 

Æ 


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