(1) AUTHORITY.—Not later than 90 days after 
the Secretary prescribes regulations under sub-
section (a), the Director of the Office of Personnel 
Management shall prescribe such regulations as are 
necessary to carry out this title with respect to em-
ployees described in section 101(3)(E) and other in-
dividuals affected by employers described in section 
101(4)(A)(i)(V). 
(2) AGENCY
REGULATIONS.—The regulations 
prescribed under paragraph (1) shall be the same as 
substantive regulations promulgated by the Sec-
retary to carry out this title except insofar as the 
Director may determine, for good cause shown and 
stated together with the regulations prescribed 
under paragraph (1), that a modification of such 
regulations would be more effective for the imple-
mentation of the rights and protections involved 
under this section. 
SEC. 111. EFFECTIVE DATES. 
(a) EFFECTIVE DATE.—This title, other than section 
110, shall take effect 6 months after the date of issuance 
of regulations under section 110(a)(1). 
(b) COLLECTIVE BARGAINING AGREEMENTS.—In the 
case of a collective bargaining agreement in effect on the 
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effective date prescribed by subsection (a), this title shall 
take effect on the earlier of— 
(1) the date of the termination of such agree-
ment; or 
(2) the date that occurs 18 months after the 
date of issuance of regulations under section 
110(a)(1). 
TITLE II—RESEARCH AND 
EDUCATION 
SEC. 201. PREGNANCY LOSS PUBLIC EDUCATION PRO-
GRAM. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Director of the Cen-
ters for Disease Control and Prevention, shall develop and 
disseminate to the public information regarding pregnancy 
loss, including information on— 
(1) awareness of pregnancy loss, and the inci-
dence and prevalence of pregnancy loss among preg-
nant people; and 
(2) the accessibility of the range of evidence- 
based treatment options, as medically appropriate, 
for pregnancy loss, including miscarriage and recur-
rent miscarriage, including comprehensive mental 
health supports, necessary procedures and medica-
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tions, and culturally responsive supports including 
pregnancy-loss doula care. 
(b) DISSEMINATION OF INFORMATION.—In carrying 
out subsection (a), the Secretary may disseminate infor-
mation to the public directly or through arrangements 
with agencies carrying out intra-agency initiatives, non-
profit organizations, consumer groups, community organi-
zations, institutions of higher education (as defined in sec-
tion 101 of the Higher Education Act of 1965 (20 U.S.C. 
1001)), or Federal, State, or local public-private partner-
ships. 
(c) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2022 through 2025. 
SEC. 202. RESEARCH WITH RESPECT TO PREGNANCY LOSS. 
(a) IN GENERAL.—The Director of the National In-
stitutes of Health (in this section referred to as the ‘‘Di-
rector of NIH’’) shall expand and coordinate programs for 
conducting and supporting evidence-based research with 
respect to causes of and current and novel treatment op-
tions and procedures for pregnancy loss. 
(b) ADMINISTRATION AND COORDINATION.—The Di-
rector of NIH, acting through the Director of the Office 
of Research on Women’s Health, shall carry out evidence- 
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based research conducted pursuant to subsection (a), in 
coordination with the appropriate institutes, offices, and 
centers of the National Institutes of Health, including the 
National Institute of Child Health and Human Develop-
ment, the National Institute of Environmental Health 
Sciences, the National Institute of Mental Health, and the 
Office on Women’s Health of the Department of Health 
and Human Services. 
(c) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$45,000,000 for each of fiscal years 2022 through 2025. 
SEC. 203. EDUCATION AND DISSEMINATION OF INFORMA-
TION TO PERINATAL HEALTH CARE WORK-
ERS WITH RESPECT TO PREGNANCY LOSS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Administrator of the 
Health Resources and Services Administration and the Di-
rector of the Agency for Healthcare Research and Quality 
shall, in consultation with and in accordance with guide-
lines from relevant medical societies, develop and dissemi-
nate to perinatal health care workers, including midwives, 
physician assistants, nurse practitioners, clinical nurse 
specialists, and non-clinical perinatal health care workers, 
information on pregnancy loss for the purpose of ensuring 
that such perinatal health care workers remain informed 
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about current information (as of the date of dissemina-
tion) regarding pregnancy loss, including miscarriage and 
recurrent miscarriage, and prioritizing both the physical 
and mental health care of the patient. 
(b) PERINATAL HEALTH CARE WORKER.—For pur-
poses of this section, the term ‘‘perinatal health care work-
er’’ includes any doula, community health worker, peer 
supporter, breastfeeding and lactation educator or coun-
selor, nutritionist or dietitian, childbirth educator, social 
worker, home visitor, language interpreter, or navigator. 
SEC. 204. DATA COLLECTION REGARDING PREGNANCY 
LOSS. 
The Secretary of Health and Human Services shall, 
in an manner that protects personal privacy, collect and 
assess data regarding pregnancy loss, including informa-
tion (disaggregated by race, ethnicity, health insurance 
status, disability, income level, and geography) on the 
prevalence of, the incidence of, and knowledge about preg-
nancy loss. 
Æ 
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