‘‘(i) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $15,000,000 for each of fiscal years 2021 through 
2025.’’. 
SEC. 403. GRANTS TO GROW AND DIVERSIFY THE NURSING 
WORKFORCE IN MATERNAL AND PERINATAL 
HEALTH. 
Title VIII of the Public Health Service Act is amend-
ed by inserting after section 811 of that Act (42 U.S.C. 
296j) the following: 
‘‘SEC. 812. PERINATAL NURSING WORKFORCE GRANTS. 
‘‘(a) IN GENERAL.—The Secretary may award grants 
to schools of nursing to grow and diversify the perinatal 
nursing workforce. 
‘‘(b) USE OF FUNDS.—Recipients of grants under 
this section shall use the grants to grow and diversify the 
perinatal nursing workforce by providing scholarships to 
students seeking to become— 
‘‘(1) nurse practitioners whose education in-
cludes a focus on maternal and perinatal health; or 
‘‘(2) clinical nurse specialists whose education 
includes a focus on maternal and perinatal health. 
‘‘(c) PRIORITIZATION.—In awarding grants under 
this section, the Secretary shall give priority to any school 
of nursing that— 
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‘‘(1) has developed a strategy to recruit and re-
tain a diverse pool of students seeking to enter ca-
reers focused on maternal and perinatal health; 
‘‘(2) has developed a partnership with a prac-
tice setting in a health professional shortage area 
designated under section 332 for the clinical place-
ments of the school’s students; 
‘‘(3) has developed a strategy to recruit and re-
tain students who plan to practice in an area with 
significant racial and ethnic disparities in maternal 
health outcomes; and 
‘‘(4) includes in the standard curriculum for all 
students seeking to enter careers focused on mater-
nal and perinatal health a bias, racism, or discrimi-
nation training program that includes education on 
explicit and implicit bias. 
‘‘(d) REPORTING.—As a condition on receipt of a 
grant under this section, a school of nursing shall agree 
to submit to the Secretary an annual report on the activi-
ties conducted through the grant, including, to the extent 
practicable— 
‘‘(1) the number and demographics of students 
in the school of nursing seeking to enter careers fo-
cused on maternal and perinatal health; 
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‘‘(2) the extent to which such students are pre-
paring to enter careers in— 
‘‘(A) health professional shortage areas 
designated under section 332; and 
‘‘(B) areas with significant racial and eth-
nic disparities in maternal health outcomes; and 
‘‘(3) whether the standard curriculum for all 
students seeking to enter careers focused on mater-
nal and perinatal health includes a bias, racism, or 
discrimination training program that includes edu-
cation on explicit and implicit bias. 
‘‘(e) PERIOD OF GRANTS.—The period of a grant 
under this section shall be up to 5 years. 
‘‘(f) APPLICATION.—To seek a grant under this sec-
tion, an entity shall submit to the Secretary an applica-
tion, at such time, in such manner, and containing such 
information as the Secretary may require, including any 
information necessary for prioritization under subsection 
(c). 
‘‘(g) TECHNICAL ASSISTANCE.—The Secretary shall 
provide, directly or by contract, technical assistance to 
schools of nursing seeking or receiving a grant under this 
section on the processes of awarding and evaluating schol-
arships through the grant. 
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‘‘(h) REPORT
BY SECRETARY.—Not later than 4 
years after the date of enactment of this section, the Sec-
retary shall prepare and submit to the Congress, and post 
on the internet website of the Department of Health and 
Human Services, a report on the effectiveness of the grant 
program under this section at— 
‘‘(1) recruiting minority students, particularly 
from demographic groups experiencing high rates of 
maternal mortality and severe maternal morbidity; 
‘‘(2) increasing the number of nurse practi-
tioners and clinical nurse specialists entering careers 
focused on maternal and perinatal health from de-
mographic groups experiencing high rates of mater-
nal mortality and severe maternal morbidity; 
‘‘(3) increasing the number of nurse practi-
tioners and clinical nurse specialists entering careers 
focused on maternal and perinatal health working in 
health professional shortage areas designated under 
section 332; and 
‘‘(4) increasing the number of nurse practi-
tioners and clinical nurse specialists entering careers 
focused on maternal and perinatal health working in 
areas with significant racial and ethnic disparities in 
maternal health outcomes. 
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‘‘(i) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $15,000,000 for each of fiscal years 2021 through 
2025.’’. 
SEC. 404. GAO REPORT ON BARRIERS TO MATERNITY CARE. 
(a) IN GENERAL.—Not later than two years after the 
date of the enactment of this Act and every five years 
thereafter, the Comptroller General of the United States 
shall submit to Congress a report on barriers to maternity 
care in the United States. Such report shall include the 
information and recommendations described in subsection 
(b). 
(b) CONTENT OF REPORT.—The report under sub-
section (a) shall include— 
(1) an assessment of current barriers to enter-
ing accredited midwifery education programs, and 
recommendations for addressing such barriers, par-
ticularly for low-income and minority women; 
(2) an assessment of current barriers to enter-
ing accredited education programs for other mater-
nity care professional careers, including obstetrician- 
gynecologists, family physicians, physician assist-
ants, nurse practitioners, and clinical nurse special-
ists, particularly for low-income and minority 
women; 
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(3) an assessment of current barriers that pre-
vent midwives from meeting the international defini-
tion of the midwife and global standards for mid-
wifery education as established by the International 
Confederation of Midwives, and recommendations 
for addressing such barriers, particularly for low-in-
come and minority women; and 
(4) recommendations to promote greater equity 
in compensation for perinatal health workers, par-
ticularly for such individuals from racially and eth-
nically diverse backgrounds. 
TITLE V—DATA TO SAVE MOMS 
SEC. 501. FUNDING FOR MATERNAL MORTALITY REVIEW 
COMMITTEES TO PROMOTE REPRESENTA-
TIVE COMMUNITY ENGAGEMENT. 
(a) IN GENERAL.—Section 317K(d) of the Public 
Health Service Act (42 U.S.C. 247b–12(d)) is amended 
by adding at the end the following: 
‘‘(9) GRANTS
TO
PROMOTE
REPRESENTATIVE 
COMMUNITY
ENGAGEMENT
IN
MATERNAL
MOR-
TALITY REVIEW COMMITTEES.— 
‘‘(A) IN
GENERAL.—The Secretary may, 
using funds made available pursuant to sub-
paragraph (C), provide assistance to an applica-
ble maternal mortality review committee of a 
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State, Indian tribe, tribal organization, or 
urban Indian organization (as such term is de-
fined in section 4 of the Indian Health Care 
Improvement Act (25 U.S.C. 1603))— 
‘‘(i) to select for inclusion in the mem-
bership of such a committee community 
members from the State, Indian tribe, trib-
al organization, or urban Indian organiza-
tion by— 
‘‘(I) prioritizing community mem-
bers who can increase the diversity of 
the committee’s membership with re-
spect to race and ethnicity, location, 
and professional background, includ-
ing members with non-clinical experi-
ences; and 
‘‘(II) to the extent applicable, 
using funds reserved under subsection 
(f) to address barriers to maternal 
mortality review committee participa-
tion for community members, includ-
ing required training, transportation 
barriers, compensation, and other sup-
ports as may be necessary; 
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‘‘(ii) to establish initiatives to conduct 
outreach and community engagement ef-
forts within communities throughout the 
State or Tribe to seek input from commu-
nity members on the work of such mater-
nal mortality review committee, with a par-
ticular focus on outreach to minority 
women; and 
‘‘(iii) to release public reports assess-
ing— 
‘‘(I) the pregnancy-related death 
and pregnancy-associated death review 
processes of the maternal mortality 
review committee, with a particular 
focus on the maternal mortality re-
view committee’s sensitivity to the 
unique 
circumstances 
of 
minority 
women who have suffered pregnancy- 
related deaths; and 
‘‘(II) the impact of the use of 
funds made available pursuant to 
paragraph (C) on increasing the diver-
sity of the maternal mortality review 
committee membership and promoting 
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community 
engagement 
efforts 
throughout the State or Tribe. 
‘‘(B) TECHNICAL ASSISTANCE.—The Sec-
retary shall provide (either directly through the 
Department of Health and Human Services or 
by contract) technical assistance to any mater-
nal mortality review committee receiving a 
grant under this paragraph on best practices 
for increasing the diversity of the maternal 
mortality review committee’s membership and 
for conducting effective community engagement 
throughout the State or Tribe. 
‘‘(C) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—In addition to any funds made avail-
able under subsection (f), there are authorized 
to be appropriated to carry out this paragraph 
$10,000,000 for each of fiscal years 2021 
through 2025.’’. 
(b) RESERVATION OF FUNDS.—Section 317K(f) of 
the Public Health Service Act (42 U.S.C. 247b–12(f)) is 
amended by adding at the end the following: ‘‘Of the 
amount made available under the preceding sentence for 
a fiscal year, not less than $1,500,000 shall be reserved 
for grants to Indian tribes, tribal organizations, or urban 
Indian organizations (as such term is defined in section 
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4 of the Indian Health Care Improvement Act (25 U.S.C. 
1603))’’. 
SEC. 502. DATA COLLECTION AND REVIEW. 
(a) IN GENERAL.—Section 317K(d)(3)(A)(i) of the 
Public 
Health 
Service 
Act 
(42 
U.S.C. 
247b– 
12(d)(3)(A)(i)) is amended— 
(1) by redesignating subclauses (II) and (III) 
as subclauses (V) and (VI), respectively; and 
(2) by inserting after subclause (I) the fol-
lowing: 
‘‘(II) to the extent practicable, 
reviewing cases of severe maternal 
morbidity in which the patient re-
ceived a transfusion of four or more 
units of blood and was admitted to an 
intensive care unit; 
‘‘(III) to the extent practicable, 
consulting with local community-based 
organizations 
representing 
women 
from demographic groups dispropor-
tionately impacted by poor maternal 
health outcomes to ensure that, in ad-
dition to clinical factors, non-clinical 
factors that might have contributed to 
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a pregnancy-related death are appro-
priately considered;’’. 
(b) SEVERE MATERNAL MORBIDITY DEFINED.—Sec-
tion 317K(e) of the Public Health Service Act (42 U.S.C. 
247b–12(e)) is amended— 
(1) in paragraph (2), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (3), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(4) the term ‘severe maternal morbidity’ 
means one or more unexpected outcomes of labor 
and delivery that result in significant short-term or 
long-term consequences to a woman’s health.’’. 
SEC. 503. TASK FORCE ON MATERNAL HEALTH DATA AND 
QUALITY MEASURES. 
(a) ESTABLISHMENT.—Not later than 180 days after 
the date of enactment of this Act, the Secretary of Health 
and Human Services shall establish a task force, to be 
known as the Task Force on Maternal Health Data and 
Quality Measures (in this section referred to as the ‘‘Task 
Force’’). 
(b) DUTIES OF TASK FORCE.— 
(1) IN GENERAL.—The Task Force shall use all 
available relevant information, including information 
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from State-level sources, to prepare and submit a re-
port containing the following: 
(A) An evaluation of current State and 
Tribal practices for maternal health, maternal 
mortality, and severe maternal morbidity data 
collection and dissemination, including consider-
ation of— 
(i) the timeliness of processes for 
amending a death certificate when new in-
formation pertaining to the death becomes 
available to reflect whether the death was 
a pregnancy-related death; 
(ii) maternal health data collected 
with electronic health records, including 
data on race and ethnicity; 
(iii) the barriers preventing States 
from correlating maternal outcome data 
with race and ethnicity data; 
(iv) processes for determining the 
cause of a pregnancy-associated death in 
States that do not have a maternal mor-
tality review committee; 
(v) whether maternal mortality review 
committees include multidisciplinary and 
diverse membership (as described in sec-
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tion 317K(d)(1)(A) of the Public Health 
Service Act (42 U.S.C. 247b–12(d)(1)(A)); 
(vi) whether members of maternal 
mortality review committees participate in 
trainings on bias, racism, or discrimina-
tion, and the quality of such trainings; 
(vii) the extent to which States have 
implemented systematic processes of listen-
ing to the stories of pregnant and postpar-
tum women and their family members, 
with a particular focus on minority women 
and their family members, to fully under-
stand the causes of, and inform potential 
solutions to, the maternal mortality and se-
vere maternal morbidity crisis within their 
respective States; 
(viii) the consideration of social deter-
minants of health by maternal mortality 
review committees when examining the 
causes of pregnancy-associated and preg-
nancy-related deaths; 
(ix) the legal barriers preventing the 
collation of State maternity care data; 
(x) the effectiveness of data collection 
and reporting processes in separating preg-
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nancy-associated deaths from pregnancy- 
related deaths; and 
(xi) the current Federal, State, local, 
and Tribal funding support for the activi-
ties referred to in clauses (i) through (x). 
(B) An assessment of whether the funding 
referred to in subparagraph (A)(xi) is adequate 
for States to carry out optimal data collection 
and dissemination processes with respect to ma-
ternal health, maternal mortality, and severe 
maternal morbidity. 
(C) An evaluation of current quality meas-
ures for maternity care, including prenatal 
measures, labor and delivery measures, and 
postpartum measures up to one year postpar-
tum. Such evaluation shall be conducted in con-
sultation with the National Quality Forum and 
shall include consideration of— 
(i) effective quality measures for ma-
ternity care used by hospitals, health sys-
tems, birth centers, health plans, and other 
relevant entities; 
(ii) the sufficiency of current outcome 
measures used to evaluate maternity care 
for testing and validating new maternal 
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health care payment and service delivery 
models; 
(iii) quality measures for the child-
birth experiences of women that other 
countries effectively use; 
(iv) current maternity care quality 
measures that may be eliminated because 
they are not achieving their intended ef-
fect; 
(v) barriers preventing maternity care 
providers from implementing quality meas-
ures that are aligned from best practices; 
(vi) the frequency with which mater-
nity care quality measures are reviewed 
and revised; 
(vii) the strengths and weaknesses of 
the Prenatal and Postpartum Care meas-
ures of the Health Plan Employer Data 
and Information Set measures established 
by the National Committee for Quality As-
surance; 
(viii) the strengths and weaknesses of 
maternity care quality measures under the 
Medicaid program under title XIX of the 
Social Security Act (42 U.S.C. 1396 et 
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seq.) and the Children’s Health Insurance 
Program under title XXI of such Act (42 
U.S.C. 1397 et seq.), including the extent 
to which States voluntarily report relevant 
measures; 
(ix) the extent to which maternity 
care quality measures are informed by pa-
tient experiences that include subjective 
measures of patient-reported experience of 
care; 
(x) the current processes for collecting 
stratified data on the race and ethnicity of 
pregnant and postpartum women in hos-
pitals, health systems, and birth centers, 
and for incorporating such racially and 
ethnically stratified data in maternity care 
quality measures; 
(xi) the extent to which maternity 
care quality measures account for the 
unique experiences of minority women and 
their families; and 
(xii) the extent to which hospitals, 
health systems, and birth centers are im-
plementing existing maternity care quality 
measures. 
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(D) Recommendations on authorizing addi-
tional funds to improve maternal mortality re-
view committees and relevant maternal health 
initiatives by the agencies and organizations 
within the Department of Health and Human 
Services. 
(E) Recommendations for new authorities 
that may be granted to maternal mortality re-
view committees to be able to— 
(i) access records from other Federal 
and State agencies and departments that 
may be necessary to identify causes of 
pregnancy-associated 
deaths 
that 
are 
unique to women from specific populations, 
such as women veterans and women who 
are incarcerated; and 
(ii) work with relevant experts who 
are not members of the maternal mortality 
review committee to assist in the review of 
pregnancy-associated deaths of women 
from specific populations, such as women 
veterans and women who are incarcerated. 
(F) Recommendations to improve current 
quality measures for maternity care, including 
recommendations on updating the Pregnancy & 
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Delivery Care measures on the Hospital Com-
pare website of the Centers for Medicare & 
Medicaid Services or any successor website, 
with a particular focus on racial and ethnic dis-
parities in maternal health outcomes. 
(G) Recommendations to improve the co-
ordination by the Department of Health and 
Human Services of the efforts undertaken by 
the agencies and organizations within the De-
partment related to maternal health data and 
quality measures. 
(2) PUBLIC COMMENT.—Not later than 60 days 
after the date on which a majority of the members 
of the Task Force have been appointed, the Task 
Force shall publish in the Federal Register a notice 
for public comment period of 90 days, beginning on 
the date of publication, on the duties and activities 
of the Task Force. 
(c) MEMBERSHIP.— 
(1) IN
GENERAL.—The Task Force shall be 
composed of 18 members appointed by the Secretary 
of Health and Human Services. The Secretary shall 
give special consideration to individuals who are rep-
resentative of populations most affected by maternal 
mortality and severe maternal morbidity. 
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(2) MEMBER CRITERIA.—To be eligible to be 
appointed as a member of the Task Force, an indi-
vidual shall be— 
(A) a woman who has experienced severe 
maternal morbidity; 
(B) a family member of a woman who had 
a pregnancy-related death; 
(C) an individual who provides non-clinical 
support to women from pregnancy through the 
postpartum period, such as a doula, community 
health worker, peer supporter, certified lacta-
tion consultant, nutritionist or dietitian, social 
worker, home visitor, or a patient navigator; 
(D) a leader of a community-based organi-
zation that addresses adverse maternal health 
outcomes with a specific focus on racial and 
ethnic disparities; 
(E) an academic researcher in a field or 
policy area related to the duties of the Task 
Force; 
(F) a maternal health care provider; 
(G) an elected or duly appointed leader 
from an Indian Tribe; 
(H) an expert in a field or policy area re-
lated to the duties of the Task Force; or 
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(I) an individual who has experience with 
Federal or State government programs related 
to the duties of the Task Force. 
(3) APPOINTMENT
TIMING.—Appointments to 
the Task Force shall be made not later than 180 
days after the date of enactment of this Act. 
(4) DURATION.—Each member shall be ap-
pointed for the life of the Task Force. 
(5) CO-CHAIR SELECTION.—Not later than 30 
days after the date on which a majority of the mem-
bers of the Task Force have been appointed, the 
Secretary shall select two of the members of the 
Task Force to serve as co-chairs of the Task Force. 
(6) VACANCIES.— 
(A) IN GENERAL.—A vacancy in the Task 
Force— 
(i) shall not affect the powers of the 
Task Force; and 
(ii) shall be filled in the same manner 
as the original appointment. 
(B) CO-CHAIR VACANCY.—In the event of 
a vacancy of a co-chair of the Task Force, a re-
placement co-chair shall be selected in the same 
manner as the original selection. 
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(7) COMPENSATION.—Except as provided in 
paragraph (8), members of the Task Force shall 
serve without pay. 
(8) TRAVEL EXPENSES.—Members of the Task 
Force shall be allowed travel expenses, including per 
diem in lieu of subsistence, at rates authorized for 
employees of agencies under subchapter I of chapter 
57 of title 5, United States Code, while away from 
their homes or regular places of business in the per-
formance of service for the Task Force. 
(d) MEETINGS.— 
(1) IN GENERAL.—The Task Force shall meet 
at the call of the co-chairs of the Task Force. 
(2) QUORUM.—A majority of the members of 
the Task Force shall constitute a quorum. 
(3) INITIAL MEETING.—The Task Force shall 
meet not later than 60 days after the date on which 
a majority of the members of the Task Force have 
been appointed. 
(e) STAFF OF TASK FORCE.— 
(1) ADDITIONAL STAFF.—The co-chairs of the 
Task Force may appoint and fix the pay of addi-
tional staff to the Task Force as the co-chairs con-
sider appropriate. 
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(2) APPLICABILITY OF CERTAIN CIVIL SERVICE 
LAWS.—The staff of the Task Force may be ap-
pointed without regard to the provisions of title 5, 
United States Code, governing appointments in the 
competitive service, and may be paid without regard 
to the provisions of chapter 51 and subchapter III 
of chapter 53 of that title relating to classification 
and General Schedule pay rates. 
(3) DETAILEES.—Any Federal Government em-
ployee may be detailed to the Task Force without re-
imbursement from the Task Force, and the detailee 
shall retain the rights, status, and privileges of his 
or her regular employment without interruption. 
(f) POWERS OF TASK FORCE.— 
(1) TESTIMONY
AND
EVIDENCE.—The Task 
Force may take such testimony and receive such evi-
dence as the Task Force considers advisable to carry 
out this section. 
(2) OBTAINING
OFFICIAL
DATA.—The Task 
Force may secure directly from any Federal depart-
ment or agency information necessary to carry out 
its duties under this section. On request of the co- 
chairs of the Task Force, the head of that depart-
ment or agency shall furnish such information to the 
Task Force. 
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(3) POSTAL SERVICES.—The Task Force may 
use the United States mails in the same manner and 
under the same conditions as other Federal depart-
ments and agencies. 
(g) REPORT.—Not later than 2 years after the date 
on which the initial 18 members of the Task Force are 
appointed under subsection (c)(1), the Task Force shall 
submit to the Committee on Energy and Commerce, the 
Committee on Education and Labor, and the Committee 
on Ways and Means of the House of Representatives and 
the Committee on Finance and the Committee on Health, 
Education, Labor, and Pensions of the Senate, and make 
publicly available, a report that— 
(1) contains the information, evaluations, and 
recommendations described in subsection (b); and 
(2) is signed by more than half of the members 
of the Task Force. 
(h) TERMINATION.—Section 14 of the Federal Advi-
sory Committee Act (5 U.S.C. App.) shall not apply to 
the Task Force. 
(i) DEFINITIONS.—In this section: 
(1) MATERNAL HEALTH CARE PROVIDER.—The 
term ‘‘maternal health care provider’’ means an indi-
vidual who is an obstetrician-gynecologist, family 
physician, midwife who meets at a minimum the 
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international definition of the midwife and global 
standards for midwifery education as established by 
the International Confederation of Midwives, nurse 
practitioner, or clinical nurse specialist. 
(2) MATERNAL
MORTALITY
REVIEW
COM-
MITTEE.—The term ‘‘maternal mortality review 
committee’’ means a maternal mortality review com-
mittee duly authorized by a State and receiving 
funding under section 317k(a)(2)(D) of the Public 
Health Service Act (42 U.S.C. 247b–12(a)(2)(D)). 
(3) 
PREGNANCY-ASSOCIATED
DEATH.—The 
term ‘‘pregnancy-associated death’’ means a death of 
a woman, by any cause, that occurs during, or with-
in 1 year following, her 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 
woman that occurs during, or within 1 year fol-
lowing, her pregnancy, regardless of the outcome, 
duration, or site of the pregnancy— 
(A) from any cause related to, or aggra-
vated by, the pregnancy or its management; 
and 
(B) not from accidental or incidental 
causes. 
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(j) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated such sums as may be 
necessary to carry out this section for fiscal years 2021 
through 2024. 
SEC. 504. INDIAN HEALTH SERVICE STUDY ON MATERNAL 
MORTALITY. 
(a) IN GENERAL.—The Director of the Indian Health 
Service (referred to in this section as the ‘‘Director’’) 
shall, in coordination with entities described in subsection 
(b)— 
(1) not later than 90 days after the enactment 
of this Act, enter into a contract with an inde-
pendent research organization or Tribal Epidemi-
ology Center to conduct a comprehensive study on 
maternal mortality and severe maternal morbidity in 
the populations of American Indian and Alaska Na-
tive women; and 
(2) not later than 3 years after the date of the 
enactment of this Act, submit to Congress a report 
on such study that contains recommendations for 
policies and practices that can be adopted to im-
prove maternal health outcomes for such women. 
(b) PARTICIPATING
ENTITIES.—The entities de-
scribed in this subsection shall consist of 12 members, se-
lected by the Director from among individuals nominated 
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by Indian tribes and tribal organizations (as such terms 
are defined in section 4 of the Indian Self-Determination 
and Education Assistance Act (25 U.S.C. 5304)), and 
urban Indian organizations (as such term is defined in 
section 4 of the Indian Health Care Improvement Act (25 
U.S.C. 1603)). In selecting such members, the Director 
shall ensure that each of the 12 service areas of the Indian 
Health Service is represented. 
(c) CONTENTS
OF STUDY.—The study conducted 
pursuant to subsection (a) shall— 
(1) examine the causes of maternal mortality 
and severe maternal morbidity that are unique to 
American Indian and Alaska Native women; 
(2) include a systematic process of listening to 
the stories of American Indian and Alaska Native 
women to fully understand the causes of, and inform 
potential solutions to, the maternal mortality and se-
vere maternal morbidity crisis within their respective 
communities; 
(3) distinguish between the causes of, landscape 
of maternity care at, and recommendations to im-
prove maternal health outcomes within, the different 
settings in which American Indian and Alaska Na-
tive women receive maternity care, such as— 
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(A) facilities operated by the Indian 
Health Service; 
(B) an Indian health program operated by 
an Indian tribe or tribal organization pursuant 
to a contract, grant, cooperative agreement, or 
compact with the Indian Health Service pursu-
ant to the Indian Self-Determination Act; and 
(C) an urban Indian health program oper-
ated by an urban Indian organization pursuant 
to a grant or contract with the Indian Health 
Service pursuant to title V of the Indian Health 
Care Improvement Act; 
(4) review processes for coordinating programs 
of the Indian Health Service with social services pro-
vided through other programs administered by the 
Secretary of Health and Human Services (other 
than the Medicare program under title XVIII of the 
Social Security Act, the Medicaid program under 
title XIX of such Act, and the Children’s Health In-
surance Program under title XXI of such Act), in-
cluding coordination with the efforts of the Task 
Force established under section 503; 
(5) review current data collection and quality 
measurement processes and practices; 
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(6) consider social determinants of health, in-
cluding poverty, lack of health insurance, unemploy-
ment, sexual violence, and environmental conditions 
in Tribal areas; 
(7) consider the role that historical mistreat-
ment of American Indian and Alaska Native women 
has played in causing currently high rates of mater-
nal mortality and severe maternal morbidity; 
(8) consider how current funding of the Indian 
Health Service affects the ability of the Service to 
deliver quality maternity care; 
(9) consider the extent to which the delivery of 
maternity care services is culturally appropriate for 
American Indian and Alaska Native women; 
(10) make recommendations to reduce misclas-
sification of American Indian and Alaska Native 
women, including consideration of best practices in 
training for maternal mortality review committee 
members to be able to correctly classify American 
Indian and Alaska Native women; and 
(11) make recommendations informed by the 
stories shared by American Indian and Alaska Na-
tive women in paragraph (2) to improve maternal 
health outcomes for such women. 
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(d) REPORT.—The agreement entered into under 
subsection (a) with an independent research organization 
or Tribal Epidemiology Center shall require that the orga-
nization or center transmit to Congress a report on the 
results of the study conducted pursuant to that agreement 
not later than 36 months after the date of the enactment 
of this Act. 
(e) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$2,000,000 for each of fiscal years 2021 through 2023. 
SEC. 505. GRANTS TO MINORITY-SERVING INSTITUTIONS TO 
STUDY MATERNAL MORTALITY, SEVERE MA-
TERNAL MORBIDITY, AND OTHER ADVERSE 
MATERNAL HEALTH OUTCOMES. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall establish a program under which 
the Secretary shall award grants to research centers and 
other entities at minority-serving institutions to study spe-
cific aspects of the maternal health crisis among minority 
women. Such research may— 
(1) include the development and implementation 
of systematic processes of listening to the stories of 
minority women to fully understand the causes of, 
and inform potential solutions to, the maternal mor-
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tality and severe maternal morbidity crisis within 
their respective communities; and 
(2) assess the potential causes of low rates of 
maternal mortality among Hispanic women, includ-
ing potential racial misclassification and other data 
collection and reporting issues that might be mis-
representing maternal mortality rates among His-
panic women in the United States. 
(b) APPLICATION.—To be eligible to receive a grant 
under subsection (a), an entity described in such sub-
section shall submit to the Secretary an application at 
such time, in such manner, and containing such informa-
tion as the Secretary may require. 
(c) TECHNICAL ASSISTANCE.—The Secretary may 
use not more than 10 percent of the funds made available 
under subsection (f)— 
(1) to conduct outreach to Minority-Serving In-
stitutions to raise awareness of the availability of 
grants under this subsection (a); 
(2) to provide technical assistance in the appli-
cation process for such a grant; and 
(3) to promote capacity building as needed to 
enable entities described in such subsection to sub-
mit such an application. 
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(d) REPORTING REQUIREMENT.—Each entity award-
ed a grant under this section shall periodically submit to 
the Secretary a report on the status of activities conducted 
using the grant. 
(e) EVALUATION.—Beginning one year after the date 
on which the first grant is awarded under this section, 
the Secretary shall submit to Congress an annual report 
summarizing the findings of research conducted using 
funds made available under this section. 
(f) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$10,000,000 for each of fiscal years 2021 through 2025. 
(g) MINORITY-SERVING INSTITUTIONS DEFINED.— 
In this section, the term ‘‘minority-serving institution’’ 
has the meaning given the term in section 371(a) of the 
Higher Education Act of 1965 (20 U.S.C. 1067q(a)). 
TITLE VI—MOMS MATTER 
SEC. 601. INNOVATIVE MODELS TO REDUCE MATERNAL 
MORTALITY. 
Title III of the Public Health Service Act (42 U.S.C. 
241 et seq.) is amended by adding at the end the following 
new part: 
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‘‘PART W—INNOVATIVE MODELS TO REDUCE MA-
TERNAL MORTALITY AND SEVERE MATER-
NAL MORBIDITY 
‘‘SEC. 399OO. DEFINITIONS. 
‘‘In this part: 
‘‘(1) The terms ‘postpartum’ and ‘postpartum 
period’ refer to the 1-year period beginning on the 
last day of the pregnancy. 
‘‘(2) The term ‘Secretary’ means the Secretary 
of Health and Human Services. 
‘‘(3) The term ‘Task Force’ means the Mater-
nal Mental and Behavioral Health Task Force estab-
lished pursuant to section 399OO–1. 
‘‘(4) The term ‘behavioral health’ includes sub-
stance use disorder and other behavioral health con-
ditions. 
‘‘SEC. 399OO–1. MATERNAL MENTAL AND BEHAVIORAL 
HEALTH TASK FORCE. 
‘‘(a) ESTABLISHMENT.—The Secretary shall estab-
lish a task force, to be known as the Maternal Mental and 
Behavioral Health Task Force, to improve maternal men-
tal and behavioral health outcomes with a particular focus 
on outcomes for minority women. 
‘‘(b) MEMBERSHIP.— 
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‘‘(1) COMPOSITION.—The Task Force shall be 
composed of no fewer than 20 members, to be ap-
pointed by the Secretary. 
‘‘(2) CO-CHAIRS.—The Secretary shall des-
ignate 2 members of the Task Force to serve as the 
Co-Chairs of the Task Force. 
‘‘(3) MEMBERS.—The Task Force shall include 
the following: 
‘‘(A) Maternal mental and behavioral 
health care specialists; maternity care providers; 
and researchers, government officials, and pol-
icy experts who specialize in women’s health, 
maternal mental and behavioral health, mater-
nal substance use disorder, or maternal mor-
tality and severe maternal morbidity. In select-
ing such members of the Task Force, the Sec-
retary shall give special consideration to individ-
uals from diverse racial and ethnic backgrounds 
or individuals with experience providing cul-
turally congruent maternity care in diverse 
communities. 
‘‘(B) One or more patients who have suf-
fered from a diagnosed mental or behavioral 
health 
condition 
during 
the 
prenatal 
or 
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postpartum period, or a spouse or family mem-
ber of such patient. 
‘‘(C) One or more representatives of a 
community-based organization that addresses 
adverse maternal health outcomes with a spe-
cific focus on racial and ethnic disparities in 
maternal health outcomes. In selecting such 
representatives, the Secretary shall give special 
consideration to organizations from commu-
nities with significant minority populations. 
‘‘(D) One or more perinatal health workers 
who provide non-clinical support to pregnant 
and postpartum women, such as a doula, com-
munity health worker, peer supporter, certified 
lactation consultant, nutritionist or dietitian, 
social worker, home visitor, or navigator. In se-
lecting such perinatal health workers, the Sec-
retary shall give special consideration to individ-
uals with experience working in communities 
with significant minority populations. 
‘‘(E) One or more representatives of rel-
evant patient advocacy organizations, with a 
particular focus on organizations that address 
racial and ethnic disparities in maternal health 
outcomes. 
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‘‘(F) One or more representatives of rel-
evant health care provider organizations, with a 
particular focus on organizations that address 
racial and ethnic disparities in maternal health 
outcomes. 
‘‘(G) One or more leaders of a Federally- 
qualified health center or rural health clinic (as 
such terms are defined in section 1861 of the 
Social Security Act). 
‘‘(H) One or more representatives of health 
insurers. 
‘‘(4) TIMING
OF
APPOINTMENTS.—Not later 
than 180 days after the date of enactment of this 
part, the Secretary shall appoint all members of the 
Task Force. 
‘‘(5) PERIOD OF APPOINTMENT; VACANCIES.— 
‘‘(A) IN GENERAL.—Each member of the 
Task Force shall be appointed for the life of the 
Task Force. 
‘‘(B) VACANCIES.—Any vacancy in the 
Task Force— 
‘‘(i) shall not affect the powers of the 
Task Force; and 
‘‘(ii) shall be filled in the same man-
ner as the original appointment. 
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‘‘(6) NO
PAY.—Members of the Task Force 
(other than officers or employees of the United 
States) shall serve without pay. Members of the 
Task Force who are full-time officers or employees 
of the United States may not receive additional pay, 
allowances, or benefits by reason of their service on 
the Task Force. 
‘‘(7) TRAVEL
EXPENSES.—Members of the 
Task Force may be allowed travel expenses, includ-
ing per diem in lieu of subsistence, at rates author-
ized for employees of agencies under subchapter I of 
chapter 57 of title 5, United States Code, while 
away from their homes or regular places of business 
in the performance of services for the Task Force. 
‘‘(c) STAFF.—The Co-Chairs of the Task Force may 
appoint and fix the pay of staff to the Task Force. 
‘‘(d) DETAILEES.—Any Federal Government em-
ployee may be detailed to the Task Force without reim-
bursement from the Task Force, and the detailee shall re-
tain the rights, status, and privileges of his or her regular 
employment without interruption. 
‘‘(e) MEETINGS.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
the Task Force shall meet at the call of the Co- 
Chairs of the Task Force. 
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‘‘(2) INITIAL MEETING.—The Task Force shall 
meet not later than 30 days after the date on which 
all members of the Task Force have been appointed. 
‘‘(3) QUORUM.—A majority of the members of 
the Task Force shall constitute a quorum. 
‘‘(f) INFORMATION FROM FEDERAL AGENCIES.— 
‘‘(1) IN GENERAL.—The Task Force may se-
cure directly from any Federal department or agency 
such information as may be relevant to carrying out 
this part. 
‘‘(2) FURNISHING INFORMATION.—On request 
of the Co-Chairs of the Task Force pursuant to 
paragraph (1), the head of a Federal department or 
agency shall, not later than 60 days after the date 
of receiving such request, furnish to the Task Force 
the information so requested. 
‘‘(g) TERMINATION.—Termination under section 14 
of the Federal Advisory Committee Act (5 U.S.C. App.) 
shall not apply to the Task Force. 
‘‘(h) DUTIES.— 
‘‘(1) NATIONAL STRATEGY.—The Task Force 
shall make recommendations for a national strategy 
to improve maternal mental and behavioral health 
outcomes with a particular focus on outcomes for 
minority women. Such strategy shall— 
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‘‘(A) define collaborative maternity care; 
‘‘(B) make recommendations to the Sec-
retary and the Assistant Secretary for Mental 
Health and Substance Use on how to imple-
ment collaborative maternity care models to im-
prove maternal mental and behavioral health 
with a particular focus on such outcomes for 
minority women; 
‘‘(C) identify barriers to the implementa-
tion of collaborative maternity care models to 
improve maternal mental and behavioral health 
with a particular focus on such outcomes for 
minority women, and make recommendations to 
address such barriers; 
‘‘(D) take into consideration as models ex-
isting State and other programs that have dem-
onstrated effectiveness in improving maternal 
mental and behavioral health during the pre-
natal and postpartum periods; 
‘‘(E) promote treatment options and re-
duce stigma for pregnant and postpartum 
women with a substance use disorder; 
‘‘(F) assess the extent to which insurers 
are providing coverage for evidence-based men-
tal and behavioral health screenings and serv-
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ices that adhere to existing prenatal and 
postpartum guidelines; 
‘‘(G) assess the extent to which existing 
guidelines and processes are culturally con-
gruent for minority women, specifically— 
‘‘(i) guidelines for identifying mater-
nal mental and behavioral health condi-
tions, including substance use disorders; 
‘‘(ii) guidelines for screening and, as 
needed, follow-up referrals, evaluations, 
and treatments after positive screens for— 
‘‘(I) depression; 
‘‘(II) anxiety; 
‘‘(III) trauma; 
‘‘(IV) substance use disorders; 
and 
‘‘(V) other mental or behavioral 
health conditions at the discretion of 
the Task Force; 
‘‘(iii) processes for incorporating men-
tal and behavioral health screenings into 
the current timeline of standard screening 
practices for pregnant and postpartum 
women, with distinctions for postpartum 
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screening timelines for uncomplicated and 
complicated births; and 
‘‘(iv) processes for referring women 
with positive screens for substance use dis-
order to addiction treatment centers offer-
ing— 
‘‘(I) on-site wraparound treat-
ment or networks for referrals; 
‘‘(II) multidisciplinary staff; 
‘‘(III) psychotherapy; 
‘‘(IV) contingency management; 
‘‘(V) access to all evidence-based 
medication-assisted treatment; and 
‘‘(VI) 
evidence-based 
recovery 
supports; 
‘‘(H) propose to the Secretary a multi-
lingual public awareness campaign for maternal 
mental health and substance use disorder, with 
a particular focus on minority women, that in-
cludes information on— 
‘‘(i) symptoms, triggers, risk factors, 
and treatment options for maternal mental 
and behavioral health conditions; 
‘‘(ii) using the website developed 
under paragraph (3); 
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‘‘(iii) the physiological process of re-
covery after birth; 
‘‘(iv) the frequency of occurrences for 
common conditions such as postpartum 
hemorrhage, preeclampsia and eclampsia, 
infection, and thromboembolism; 
‘‘(v) best practices in patient report-
ing of health concerns to their maternity 
care providers in the prenatal and postpar-
tum periods; 
‘‘(vi) addressing stigma around mater-
nal mental and behavioral health condi-
tions; 
‘‘(vii) how to seek treatment for sub-
stance use disorder during pregnancy and 
in the postpartum period; and 
‘‘(viii) infant feeding options; and 
‘‘(I) disseminate to all State Medicaid pro-
grams under title XIX of the Social Security 
Act and State child health plans under title 
XXI of the Social Security Act an assessment 
of the extent to which States are providing cov-
erage 
of 
evidence-based 
prenatal 
and 
postpartum 
mental 
and 
behavioral 
health 
screenings through such programs and plans, 
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and an assessment of the benefits of such cov-
erage. 
‘‘(2) GRANT PROGRAMS.—The Task Force shall 
evaluate and advise on the grant programs under 
section 399OO–2. 
‘‘(3) CENTRALIZED WEBSITE.—The Task Force 
shall facilitate a coordinated effort between the Sub-
stance Abuse and Mental Health Services Adminis-
tration and State departments of health to develop, 
either directly or through a contract, a centralized 
website with information on finding local mental and 
behavioral health providers who treat prenatal and 
postpartum mental and behavioral health conditions, 
including substance use disorder. 
‘‘(4) REPORT.—Not later than 18 months after 
the date of enactment of the Black Maternal Health 
Momnibus Act of 2020, and every year thereafter, 
the Task Force shall submit to the Congress, the 
Centers for Medicare & Medicaid Services, and the 
Center for Medicare and Medicaid Innovation, and 
make publicly available, a report that— 
‘‘(A) describes the activities of the Task 
Force and the results of such activities, with 
data in such results stratified racially, eth-
nically, and geographically; and 
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‘‘(B) includes the strategy developed under 
paragraph (1). 
‘‘(i) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated such sums as may be necessary for fiscal years 
2021 through 2025. 
‘‘SEC. 399OO–2. INNOVATION IN MATERNITY CARE TO 
CLOSE 
RACIAL 
AND 
ETHNIC 
MATERNAL 
HEALTH DISPARITIES GRANTS. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants to eligible entities to establish, implement, evaluate, 
or expand innovative models in maternity care that are 
designed to reduce racial and ethnic disparities in mater-
nal health outcomes. 
‘‘(b) USE OF FUNDS.—An eligible entity receiving a 
grant under this section may use the grant to establish, 
implement, evaluate, or expand innovative models de-
scribed in subsection (a) including— 
‘‘(1) collaborative maternity care models to im-
prove maternal mental health, treat maternal sub-
stance use disorders, and reduce maternal mortality 
and severe maternal morbidity, especially for minor-
ity women, consistent with the national strategy de-
veloped by the Task Force under section 399OO– 
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1(h)(1) and other recommendations of the Task 
Force; 
‘‘(2) evidence-based programming at clinics 
that— 
‘‘(A) provide wraparound services for 
women with substance use disorders in the pre-
natal and postpartum periods that may include 
multidisciplinary staff, access to all evidence- 
based medication-assisted treatment, psycho-
therapy, contingency management, and recovery 
supports; or 
‘‘(B) make referrals for any such services 
that are not provided within the clinic; 
‘‘(3) evidence-based programs at freestanding 
birth centers that provide culturally congruent ma-
ternal mental and behavioral health care education, 
treatments, and services, and other wraparound sup-
ports for women throughout the prenatal and 
postpartum period; and 
‘‘(4) the development and implementation of 
evidence-based programs, including toll-free tele-
phone hotlines, that connect maternity care pro-
viders with women’s mental health clinicians to pro-
vide maternity care providers with guidance on ad-
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dressing maternal mental and behavioral health con-
ditions identified in patients. 
‘‘(c) SPECIAL CONSIDERATION.—In awarding grants 
under this section, the Secretary shall give special consid-
eration to applications for models that will— 
‘‘(1) operate in— 
‘‘(A) areas with high rates of adverse ma-
ternal health outcomes; 
‘‘(B) areas with significant racial and eth-
nic disparities in maternal health outcomes; or 
‘‘(C) health professional shortage areas 
designated under section 332; 
‘‘(2) be led by minority women from demo-
graphic groups with disproportionate rates of ad-
verse maternal health outcomes; or 
‘‘(3) be implemented with a culturally con-
gruent approach that is focused on improving out-
comes for demographic groups experiencing dis-
proportionate rates of adverse maternal health out-
comes. 
‘‘(d) EVALUATION.—As a condition on receipt of a 
grant under this section, an eligible entity shall agree to 
provide annual evaluations of the activities funded through 
the grant to the Secretary and the Task Force. Such eval-
uations may address— 
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‘‘(1) the effects of such activities on maternal 
health outcomes and subjective assessments of pa-
tient and family experiences, especially for minority 
women from demographic groups with dispropor-
tionate rates of adverse maternal health outcomes; 
and 
‘‘(2) the cost-effectiveness of such activities. 
‘‘(e) DEFINITIONS.—In this section: 
‘‘(1) The term ‘eligible entity’ means any public 
or private entity. 
‘‘(2) The term ‘collaborative maternity care’ 
means an integrated care model that includes the 
delivery of maternal mental and behavioral health 
care services in primary clinics or other care settings 
familiar to pregnant and postpartum patients. 
‘‘(3) The term ‘culturally congruent’ means 
care that is in agreement with the preferred cultural 
values, beliefs, worldview, language, and practices of 
the health care consumer and other stakeholders. 
‘‘(4) The term ‘freestanding birth center’ has 
the meaning given that term under section 
1905(l)(3)(A) of the Social Security Act. 
‘‘(f) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
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priated $15,000,000 for each of fiscal years 2021 through 
2025. 
‘‘SEC. 399OO–3. GROUP PRENATAL AND POSTPARTUM CARE 
MODELS. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants to eligible entities to establish, implement, evaluate, 
or expand culturally congruent group prenatal care models 
or group postpartum care models that are designed to re-
duce racial and ethnic disparities in maternal and infant 
health outcomes. 
‘‘(b) USE OF FUNDS.—An eligible entity receiving a 
grant under this section may use the grant for— 
‘‘(1) programming; 
‘‘(2) capital investments required to improve ex-
isting physical infrastructure for group prenatal care 
and group postpartum care programming, such as 
building space needed to implement such models; 
and 
‘‘(3) evaluations of group prenatal care and 
group postpartum care programming, with a par-
ticular focus on the impacts of such programming on 
minority women. 
‘‘(c) SPECIAL CONSIDERATION.—In awarding grants 
under this section, the Secretary shall give special consid-
eration to applicants that will— 
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