I 

118TH CONGRESS 

1ST SESSION H. R. 4930 

To provide grants for the conduct of demonstration projects designed to 

provide education and training for eligible individuals to enter and follow 

a career pathway in the field of pregnancy, childbirth, or post-partum, 

under the health profession opportunity grant program under section 

2008 of the Social Security Act. 

IN THE HOUSE OF REPRESENTATIVES 

JULY 26, 2023 

Ms. MOORE of Wisconsin introduced the following bill; which was referred to 

the Committee on Ways and Means 

A BILL 

To provide grants for the conduct of demonstration projects 

designed to provide education and training for eligible 

individuals to enter and follow a career pathway in the 

field of pregnancy, childbirth, or post-partum, under the 

health profession opportunity grant program under section 2008 of the Social Security Act. 

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

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Opportunities to Sup5 port Mothers and Deliver Children Act’’. 


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1 SEC. 2. GRANTS FOR DEMONSTRATION PROJECTS TO PRO2 VIDE CAREER PATHWAYS IN THE FIELD OF 

3 PREGNANCY, CHILDBIRTH, OR POST4 PARTUM. 

5 Section 2008 of the Social Security Act (42 U.S.C. 

6 1397g) is amended by redesignating subsection (d) as sub7 section (e) and inserting after subsection (c) the following: 

8 ‘‘(d) DEMONSTRATION PROJECTS TO PROVIDE CA9 REER PATHWAYS IN THE FIELD OF PREGNANCY, CHILD10 BIRTH, OR POST-PARTUM.— 

11 ‘‘(1) GRANT AUTHORITY.—The Secretary, in 

12 consultation with the Secretary of Labor and the 

13 Secretary of Education, shall award grants in ac14 cordance with this subsection to eligible entities to 

15 conduct demonstration projects for the purpose of 

16 providing education and training for eligible individ17 uals to enter and follow a career pathway in the field 

18 of pregnancy, childbirth, or post partum, in a State 

19 that recognizes doulas or midwives and that provides 

20 payment for services provided by doulas or midwives, 

21 as the case may be, under private or public health 

22 insurance plans. 

23 ‘‘(2) DURATION.—A demonstration project shall 

24 be conducted under this subsection for not less than 

25 3 years. 


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1 ‘‘(3) APPLICATION REQUIREMENTS.—An appli2 cant seeking a grant under this subsection for a 

3 demonstration project shall submit to the Secretary 

4 an application for the grant, that includes the fol5 lowing: 

6 ‘‘(A) A description of the partnerships, 

7 strategic staff hiring decisions, tailored program 

8 activities, or other programmatic elements of 

9 the project that are designed to support a 

10 strong career pathway in pregnancy, birth, or 

11 post-partum services. 

12 ‘‘(B) A demonstration that the State in 

13 which the project is to be conducted recognizes 

14 and permits doulas and midwives to practice in 

15 the State. 

16 ‘‘(C) A demonstration that the applicant 

17 has experience working with low-income popu18 lations, or a description of the plan of the appli19 cant to work with a partner that has the experi20 ence. 

21 ‘‘(4) EVALUATIONS.—The Secretary shall, by 

22 grant, contract, or interagency agreement, conduct 

23 rigorous and well-designed evaluations of the dem24 onstration projects for which a grant is made under 

25 this section, which shall include identification of sucVerDate Sep 11 2014 04:14 Aug 11, 2023 Jkt 039200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H4930.IH H4930

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1 cessful activities for creating opportunities for devel2 oping and sustaining, particularly with respect to 

3 low-income individuals and other entry-level workers, 

4 a doula-to-midwife workforce career pathway that 

5 has accessible entry points, that meets high stand6 ards for education, training, certification, and pro7 fessional development, and that provides increased 

8 wages and affordable benefits, including health care 

9 coverage, that are responsive to the needs of the 

10 workforce. 

11 ‘‘(5) DEFINITIONS.—In this subsection: 

12 ‘‘(A) ELIGIBLE ENTITY.—The term ‘eligi13 ble entity’ means any of the following entities 

14 that demonstrates in an application submitted 

15 under this subsection that the entity has the ca16 pacity to fully develop and administer the dem17 onstration project described in the application: 

18 ‘‘(i) A local workforce development 

19 board established under section 107 of the 

20 Workforce Innovation and Opportunity 

21 Act. 

22 ‘‘(ii) A State or territory, a political 

23 subdivision of a State or territory, or an 

24 agency of a State, territory, or such a po25 litical subdivision. 


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1 ‘‘(iii) An Indian tribe, a tribal organi2 zation, or a tribal college or university. 

3 ‘‘(iv) An institution of higher edu4 cation (as defined in the Higher Education 

5 Act of 1965). 

6 ‘‘(v) A hospital (as defined in section 

7 1861(e)). 

8 ‘‘(vi) A skilled nursing facility (as de9 fined in section 1819(h)(1)(A)). 

10 ‘‘(vii) A Federally qualified health 

11 center (as defined in section 1861(aa)(4)). 

12 ‘‘(viii) A nonprofit organization de13 scribed in section 501(c)(3) of the Internal 

14 Revenue Code of 1986, a labor organiza15 tion, or an entity with shared labor-man16 agement oversight, that has a dem17 onstrated history of providing health pro18 fession training to eligible individuals. 

19 ‘‘(ix) An entity recognized by a State, 

20 Indian tribe, or tribal organization as 

21 qualified to train doulas or midwives, if 

22 midwives or doulas, as the case may be, 

23 are permitted to practice medicine in the 

24 State involved. 


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1 ‘‘(x) An opioid treatment program (as 

2 defined in section 1861(iii)(2)) and other 

3 high quality comprehensive addiction care 

4 providers. 

5 ‘‘(B) ELIGIBLE INDIVIDUAL.—The term 

6 ‘eligible individual’ means an individual whose 

7 income does not exceed 138 percent of the Fed8 eral poverty level. 

9 ‘‘(C) MIDWIFE.—The term ‘midwife’ 

10 means a midwife who meets, at a minimum, the 

11 international definition of the midwife and glob12 al standards for midwifery education as estab13 lished by the International Confederation of 

14 Midwives. 

15 ‘‘(D) TRIBALLY-RECOGNIZED MIDWIFE.— 

16 The term ‘tribally-recognized midwife’ means 

17 an individual who is recognized by an Indian 

18 tribe (as defined in section 4 of the Indian 

19 Health Care Improvement Act) to practice mid20 wifery for the tribe. 

21 ‘‘(6) APPROPRIATION.—Out of any funds in the 

22 Treasury of the United States not otherwise appro23 priated, there are appropriated to the Secretary to 

24 carry out this subsection $10,000,000 for fiscal year 

25 2024.’’. 


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1 SEC. 3. EFFECTIVE DATE. 

2 The amendment made by this Act shall take effect 

3 on October 1, 2023. 

Æ 


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