‘‘(1) shall produce an annual report on the find-
ings resulting from programs funded through this 
section; 
‘‘(2) shall disseminate such report to all recipi-
ents of grants under this section and to the public; 
and 
‘‘(3) may include in such report findings on 
best practices for improving patient outcomes and 
patient experience for pregnant and postpartum in-
dividuals from racial and ethnic minority groups and 
their families in maternity care settings. 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) The term ‘postpartum’ means the 1-year 
period beginning on the last day of an individual’s 
pregnancy. 
‘‘(2) The term ‘culturally and linguistically con-
gruent’ means in agreement with the preferred cul-
tural values, beliefs, worldview, language, and prac-
tices of the health care consumer and other stake-
holders. 
‘‘(3) The term ‘racial and ethnic minority 
group’ has the meaning given such term in section 
1707(g)(1). 
‘‘(g) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
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priated $5,000,000 for each of fiscal years 2024 through 
2028.’’. 
SEC. 4. STUDY ON REDUCING AND PREVENTING BIAS, RAC-
ISM, AND DISCRIMINATION IN MATERNITY 
CARE SETTINGS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall seek to enter into an agreement, 
not later than 90 days after the date of enactment of this 
Act, with the National Academies of Sciences, Engineer-
ing, and Medicine (referred to in this section as the ‘‘Na-
tional Academies’’) under which the National Academies 
agree to— 
(1) conduct a study on the design and imple-
mentation of programs to reduce and prevent bias, 
racism, and discrimination in maternity care settings 
and to advance respectful, culturally and linguis-
tically congruent, trauma-informed care; and 
(2) not later than 24 months after the date of 
enactment of this Act— 
(A) complete the study; and 
(B) transmit a report on the results of the 
study to the Congress. 
(b) POSSIBLE TOPICS.—The agreement entered into 
pursuant to subsection (a) may provide for the study of 
any of the following: 
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(1) The development of a scorecard or other 
evaluation standards for programs designed to re-
duce and prevent bias, racism, and discrimination in 
maternity care settings to assess the effectiveness of 
such programs in improving patient outcomes and 
patient experience for pregnant and postpartum in-
dividuals from racial and ethnic minority groups and 
their families. 
(2) Determination of the types and frequency of 
training to reduce and prevent bias, racism, and dis-
crimination in maternity care settings that are dem-
onstrated to improve patient outcomes or patient ex-
perience for pregnant and postpartum individuals 
from racial and ethnic minority groups and their 
families. 
SEC. 5. RESPECTFUL MATERNITY CARE COMPLIANCE PRO-
GRAM. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (referred to in this section as the ‘‘Sec-
retary’’) shall award grants to accredited hospitals, health 
systems, and other maternity care settings to establish as 
an integral part of quality implementation initiatives with-
in one or more hospitals or other birth settings a respect-
ful maternity care compliance program. 
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(b) PROGRAM REQUIREMENTS.—A respectful mater-
nity care compliance program funded through a grant 
under this section shall— 
(1) institutionalize mechanisms to allow pa-
tients receiving maternity care services, the families 
of such patients, or perinatal health workers sup-
porting such patients to report instances of racism 
or evidence of bias on the basis of race, ethnicity, or 
another protected class; 
(2) 
institutionalize 
response 
mechanisms 
through which representatives of the program can 
directly follow up with the patient, if possible, and 
the patient’s family in a timely manner; 
(3) prepare and make publicly available a 
hospital- or health system-wide strategy to reduce 
bias on the basis of race, ethnicity, or another pro-
tected class in the delivery of maternity care that in-
cludes— 
(A) information on the training programs 
to reduce and prevent bias, racism, and dis-
crimination on the basis of race, ethnicity, or 
another protected class for all employees in ma-
ternity care settings; 
(B) information on the number of cases re-
ported to the compliance program; and 
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(C) the development of methods to rou-
tinely assess the extent to which bias, racism, 
or discrimination on the basis of race, ethnicity, 
or another protected class is present in the de-
livery of maternity care to patients from racial 
and ethnic minority groups; 
(4) develop mechanisms to routinely collect and 
publicly report hospital-level data related to patient- 
reported experience of care; and 
(5) provide annual reports to the Secretary with 
information about each case reported to the compli-
ance program over the course of the year containing 
such information as the Secretary may require, such 
as— 
(A) deidentified demographic information 
on the patient in the case, such as race, eth-
nicity, gender identity, and primary language; 
(B) the content of the report from the pa-
tient or the family of the patient to the compli-
ance program; 
(C) the response from the compliance pro-
gram; and 
(D) to the extent applicable, institutional 
changes made as a result of the case. 
(c) SECRETARY REQUIREMENTS.— 
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