110 
(c) USE OF FUNDS.—A State that is awarded a grant 
under this section shall use such grant to establish or ex-
pand programs for pregnant and postpartum incarcerated 
individuals, and such programs may— 
(1) provide access to doulas and other perinatal 
health workers from pregnancy through the postpar-
tum period; 
(2) provide access to healthy foods and coun-
seling on nutrition, recommended activity levels, and 
safety measures throughout pregnancy; 
(3) train correctional officers and medical per-
sonnel to ensure that pregnant incarcerated individ-
uals receive trauma-informed, culturally congruent 
care that promotes the health and safety of the 
pregnant individuals; 
(4) provide counseling and treatment for indi-
viduals who have suffered from— 
(A) diagnosed mental or behavioral health 
conditions, including trauma and substance use 
disorders; 
(B) domestic violence; 
(C) human immunodeficiency virus; 
(D) sexual abuse; 
(E) pregnancy or infant loss; or 
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(F) chronic conditions, including heart dis-
ease, diabetes, osteoporosis and osteopenia, hy-
pertension, asthma, liver disease, and bleeding 
disorders; 
(5) provide pregnancy and childbirth education, 
parenting support, and other relevant forms of 
health literacy; 
(6) offer opportunities for postpartum individ-
uals to maintain contact with the individual’s new-
born child to promote bonding, including enhanced 
visitation policies, access to prison nursery pro-
grams, or breastfeeding support; 
(7) provide reentry assistance, particularly to— 
(A) ensure continuity of health insurance 
coverage if an incarcerated individual exits the 
criminal justice system during such individual’s 
pregnancy or in the postpartum period; and 
(B) connect individuals exiting the criminal 
justice system during pregnancy or in the 
postpartum period to community-based re-
sources, such as referrals to health care pro-
viders and social services that address social de-
terminants of health like housing, employment 
opportunities, transportation, and nutrition; or 
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(8) establish partnerships with local public enti-
ties, private community entities, community-based 
organizations, 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)) to 
establish or expand pretrial diversion programs as 
an alternative to incarceration for pregnant and 
postpartum individuals. Such programs may in-
clude— 
(A) parenting classes; 
(B) prenatal health coordination; 
(C) family and individual counseling; 
(D) evidence-based screenings, education, 
and, as needed, treatment for mental and be-
havioral health conditions, including drug and 
alcohol treatments; 
(E) family case management services; 
(F) domestic violence education and pre-
vention; 
(G) physical and sexual abuse counseling; 
and 
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(H) programs to address social deter-
minants of health such as employment, housing, 
education, transportation, and nutrition. 
(d) PRIORITY.—In awarding grants under this sec-
tion, the Director of the Bureau of Justice Assistance 
shall give priority to applicants based on— 
(1) the number of pregnant and postpartum in-
dividuals incarcerated in the State and, among such 
individuals, the number of pregnant and postpartum 
minority individuals; and 
(2) the extent to which the State has dem-
onstrated a commitment to developing exemplary 
programs for pregnant and postpartum individuals 
incarcerated in the prisons and jails in the State. 
(e) GRANT DURATION.—A grant awarded under this 
section shall be for a 5-year period. 
(f) IMPLEMENTING AND REPORTING.—A State that 
receives a grant under this section shall be responsible 
for— 
(1) implementing the program funded by the 
grant; and 
(2) not later than 3 years after the date of en-
actment of this Act, and 6 years after the date of 
enactment of this Act, reporting results of such pro-
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gram to the Attorney General, including information 
describing— 
(A) relevant quantitative indicators of the 
program’s success in improving the standard of 
care and health outcomes for pregnant and 
postpartum incarcerated individuals who par-
ticipated in such program, including data strati-
fied by race, ethnicity, sex, age, geography, dis-
ability status, category of the criminal charge 
against such individual, incidence rates of preg-
nancy-related 
deaths, 
pregnancy-associated 
deaths, cases of infant mortality, cases of severe 
maternal morbidity, cases of violence against 
pregnant or postpartum individuals, diagnoses 
of maternal mental or behavioral health condi-
tions, and other such information as appro-
priate; 
(B) relevant qualitative evaluations from 
pregnant and postpartum incarcerated individ-
uals who participated in such programs, includ-
ing subjective measures of patient-reported ex-
perience of care; 
(C) evaluations of cost effectiveness; and 
(D) strategies to sustain such programs 
beyond the duration of the grant. 
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(g) REPORT.—Not later than 7 years after the date 
of enactment of this Act, the Attorney General shall sub-
mit to the Committee on the Judiciary of the House of 
Representatives and the Senate a report describing the re-
sults of such grant programs. 
(h) OVERSIGHT.—Not later than 1 year after the 
date of enactment of this Act, the Attorney General shall 
award a contract to an independent organization or inde-
pendent organizations to conduct oversight of the pro-
grams described in subsection (c). 
(i) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$10,000,000 for each of fiscal years 2021 through 2025. 
SEC. 705. GAO REPORT. 
(a) IN GENERAL.—Not later than 2 years after the 
date of enactment of this Act, the Comptroller General 
of the United States shall submit to Congress a report 
on adverse maternal health outcomes among incarcerated 
individuals, with a particular focus on racial and ethnic 
disparities in maternal health outcomes for incarcerated 
individuals. 
(b) CONTENTS OF REPORT.—The report described in 
this section shall include— 
(1) to the extent practicable— 
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(A) the number of incarcerated individuals, 
including those incarcerated in Federal, State, 
and local correctional facilities, who have expe-
rienced a pregnancy-related death or preg-
nancy-associated death in the most recent 10 
years of available data; 
(B) the number of cases of severe maternal 
morbidity among incarcerated individuals, in-
cluding those incarcerated in Federal, State, 
and local detention facilities, in the most recent 
year of available data; and 
(C) statistics on the racial and ethnic dis-
parities in maternal and infant health outcomes 
and severe maternal morbidity rates among in-
carcerated individuals, including those incarcer-
ated in Federal, State, and local detention fa-
cilities; 
(2) in the case that the Comptroller General of 
the United States is unable determine the informa-
tion required in paragraphs (1) through (4), an as-
sessment of the barriers to determining such infor-
mation and recommendations for improvements in 
tracking maternal health outcomes among incarcer-
ated individuals, including those incarcerated in 
Federal, State, and local detention facilities; 
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(3) causes of adverse maternal health outcomes 
that are unique to incarcerated individuals, including 
those incarcerated in Federal, State, and local deten-
tion facilities; 
(4) causes of adverse maternal health outcomes 
and severe maternal morbidity that are unique to in-
carcerated individuals of color; 
(5) recommendations to reduce maternal mor-
tality and severe maternal morbidity among incar-
cerated individuals and to address racial and ethnic 
disparities in maternal health outcomes for incarcer-
ated individuals in Bureau of Prisons facilities and 
State and local prisons and jails; and 
(6) such other information as may be appro-
priate to reduce the occurrence of adverse maternal 
health outcomes among incarcerated individuals and 
to address racial and ethnic disparities in maternal 
health outcomes for such individuals. 
SEC. 706. MACPAC REPORT. 
(a) IN GENERAL.—Not later than 2 years after the 
date of enactment of this Act, the Medicaid and CHIP 
Payment and Access Commission (referred to in this sec-
tion as ‘‘MACPAC’’) shall publish a report on the implica-
tions of pregnant and postpartum incarcerated individuals 
being ineligible for medical assistance under a State plan 
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under title XIX of the Social Security Act (42 U.S.C. 
1396 et seq.). 
(b) CONTENTS OF REPORT.—The report described in 
this section shall include— 
(1) information on the effect of ineligibility for 
medical assistance under a State plan under title 
XIX of the Social Security Act (42 U.S.C. 1396 et 
seq.) on maternal health outcomes for pregnant and 
postpartum incarcerated individuals, concentrating 
on the effects of such ineligibility for pregnant and 
postpartum individuals of color; and 
(2) the potential implications on maternal 
health outcomes resulting from suspending eligibility 
for medical assistance under a State plan under 
such title of such Act when a pregnant or 
postpartum individual is incarcerated. 
TITLE VIII—TECH TO SAVE 
MOMS 
SEC. 801. CMI MODELING OF INTEGRATED TELEHEALTH 
MODELS IN MATERNITY CARE SERVICES. 
(a) IN GENERAL.—Section 1115A(b)(2)(B) of the 
Social Security Act (42 U.S.C. 1315a(b)(2)(B)) is amend-
ed by adding at the end the following new clauses: 
‘‘(xxviii) Focusing on title XIX, pro-
viding for the adoption of and use of tele-
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health tools that allow for screening and 
treatment of common pregnancy-related 
complications (including anxiety and de-
pression, substance use disorder, hemor-
rhage, infection, amniotic fluid embolism, 
thrombotic pulmonary or other embolism, 
hypertensive disorders of pregnancy, cere-
brovascular accidents, cardiomyopathy, and 
other cardiovascular conditions) for a preg-
nant woman receiving medical assistance 
under such title during her pregnancy and 
for not more than a 1-year period begin-
ning on the last day of her pregnancy.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall take effect 1 year after the date of 
the enactment of this Act. 
SEC. 802. GRANTS TO EXPAND THE USE OF TECHNOLOGY- 
ENABLED COLLABORATIVE LEARNING AND 
CAPACITY MODELS THAT PROVIDE CARE TO 
PREGNANT AND POSTPARTUM WOMEN. 
Title III of the Public Health Service Act is amended 
by inserting after section 330M (42 U.S.C. 254c–19) the 
following:: 
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‘‘SEC. 
330N. 
EXPANDING 
CAPACITY 
FOR 
MATERNAL 
HEALTH OUTCOMES. 
‘‘(a) PROGRAM ESTABLISHED.—Beginning not later 
than 1 year after the date of enactment of this Act, the 
Secretary of Health and Human Services shall, as appro-
priate, award grants to eligible entities to evaluate, de-
velop, and, as appropriate, expand the use of technology- 
enabled collaborative learning and capacity building mod-
els, to improve maternal health outcomes in health profes-
sional shortage areas; areas with high rates of maternal 
mortality and severe maternal morbidity, and significant 
racial and ethnic disparities in maternal health outcomes; 
and for medically underserved populations or American 
Indians and Alaska Natives, including Indian tribes, tribal 
organizations, and urban Indian organizations. 
‘‘(b) USE OF FUNDS.— 
‘‘(1) REQUIRED USES.—Grants awarded under 
subsection (a) shall be used for— 
‘‘(A) the development and acquisition of 
instructional programming, and the training of 
maternal health care providers and other pro-
fessionals that provide or assist in the provision 
of services through models such as— 
‘‘(i) training on adopting and effec-
tively implementing Alliance for Innovation 
on Maternal Health (referred to in this 
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section as ‘AIM’) safety and quality im-
provement bundles; 
‘‘(ii) training on implicit and explicit 
bias, racism, and discrimination for pro-
viders of maternity care; 
‘‘(iii) training on best practices in 
screening for and, as needed, evaluating 
and treating maternal mental health condi-
tions and substance use disorders; 
‘‘(iv) training on how to screen for so-
cial determinants of health risks in the 
prenatal and postpartum periods such as 
inadequate housing, lack of access to nutri-
tion, environmental risks, and transpor-
tation barriers; and 
‘‘(v) training on the use of remote pa-
tient monitoring tools for pregnancy-re-
lated complications described in section 
1115A(b)(2)(B)(xxviii); 
‘‘(B) information collection and evaluation 
activities to— 
‘‘(i) study the impact of such models 
on— 
‘‘(I) access to and quality of care; 
‘‘(II) patient outcomes; 
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‘‘(III) subjective measures of pa-
tient experience; and 
‘‘(IV) cost-effectiveness; and 
‘‘(ii) identify best practices for the ex-
pansion and use of such models; 
‘‘(C) information collection and evaluation 
activities to study the impact of such models on 
patient outcomes and maternal health care pro-
viders, and to identify best practices for the ex-
pansion and use of such models; and 
‘‘(D) any other activity consistent with 
achieving the objectives of grants awarded 
under this section, as determined by the Sec-
retary. 
‘‘(2) PERMISSIBLE USES.—In addition to any of 
the uses under paragraph (1), grants awarded under 
subsection (a) may be used for— 
‘‘(A) equipment to support the use and ex-
pansion 
of 
technology-enabled 
collaborative 
learning and capacity building models, including 
for hardware and software that enables distance 
learning, maternal health care provider support, 
and the secure exchange of electronic health in-
formation; and 
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‘‘(B) support for maternal health care pro-
viders and other professionals that provide or 
assist in the provision of maternity care services 
through such models. 
‘‘(c) LIMITATIONS.— 
‘‘(1) NUMBER.—The Secretary may not award 
more than 1 grant under this section to an eligible 
entity. 
‘‘(2) DURATION.—Each grant under this sec-
tion shall be made for a period of up to 5 years. 
‘‘(3) AMOUNT.—The Secretary shall determine 
the maximum amount of each grant under this sec-
tion. 
‘‘(d) GRANT REQUIREMENTS.—The Secretary shall 
require entities awarded a grant under this section to col-
lect information on the effect of the use of technology- 
enabled collaborative learning and capacity building mod-
els, such as on maternal health outcomes, access to mater-
nal health care services, quality of maternal health care, 
and maternal health care provider retention in areas and 
populations described in subsection (a). The Secretary 
may award a grant or contract to assist in the coordina-
tion of such models, including to assess outcomes associ-
ated with the use of such models in grants awarded under 
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subsection (a), including for the purpose described in sub-
section (b)(1)(B). 
‘‘(e) APPLICATION.— 
‘‘(1) IN
GENERAL.—An eligible entity that 
seeks to receive a grant under subsection (a) shall 
submit to the Secretary an application, at such time, 
in such manner, and containing such information as 
the Secretary may require. 
‘‘(2) MATTERS TO BE INCLUDED.—Such appli-
cation shall include plans to assess the effect of 
technology-enabled collaborative learning and capac-
ity building models on indicators, including access to 
and quality of care, patient outcomes, subjective 
measures of patient experience, and cost-effective-
ness. Such indicators may focus on— 
‘‘(A) health professional shortage areas; 
‘‘(B) areas with high rates of maternal 
mortality and severe maternal morbidity, and 
significant racial and ethnic disparities in ma-
ternal health outcomes; and 
‘‘(C) medically underserved populations or 
American Indians and Alaska Natives, includ-
ing Indian tribes, tribal organizations, and 
urban Indian organizations. 
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‘‘(f) ACCESS
TO BROADBAND.—In administering 
grants under this section, the Secretary may coordinate 
with other agencies to ensure that funding opportunities 
are available to support access to reliable, high-speed 
internet for grantees. 
‘‘(g) TECHNICAL ASSISTANCE.—The Secretary shall 
provide (either directly through the Department of Health 
and Human Services or by contract) technical assistance 
to eligible entities, including recipients of grants under 
subsection (a), on the development, use, and post-grant 
sustainability of technology-enabled collaborative learning 
and capacity building models in order to expand access 
to maternal health care services provided by such entities, 
including for health professional shortage areas and areas 
with high rates of maternal mortality and severe maternal 
morbidity, and significant racial and ethnic disparities in 
maternal health outcomes, and to medically underserved 
populations or American Indians and Alaska Natives, in-
cluding Indian tribes, tribal organizations, and urban In-
dian organizations. 
‘‘(h) RESEARCH AND EVALUATION.—The Secretary, 
in consultation with stakeholders with appropriate exper-
tise in such models, shall develop a strategic plan to re-
search and evaluate the evidence for such models. The 
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Secretary shall use such plan to inform the activities car-
ried out under this section. 
‘‘(i) REPORTING.— 
‘‘(1) BY ELIGIBLE ENTITIES.—An eligible enti-
ty that receives a grant under subsection (a) shall 
submit to the Secretary a report, at such time, in 
such manner, and containing such information as 
the Secretary may require. 
‘‘(2) BY THE SECRETARY.—Not later than 4 
years after the date of enactment of this section, the 
Secretary shall prepare and submit to the Congress, 
and post on the internet website of the Department 
of Health and Human Services, a report including, 
at minimum— 
‘‘(A) a description of any new and con-
tinuing grants awarded under subsection (a) 
and the specific purpose and amounts of such 
grants; 
‘‘(B) an overview of— 
‘‘(i) the evaluations conducted under 
subsection (b); 
‘‘(ii) technical assistance provided 
under subsection (g); and 
‘‘(iii) activities conducted by entities 
awarded grants under subsection (a); and 
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‘‘(C) a description of any significant find-
ings related to patient outcomes or maternal 
health care providers and best practices for eli-
gible entities expanding, using, or evaluating 
technology-enabled collaborative learning and 
capacity building models. 
‘‘(j) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
$6,000,000 for each of fiscal years 2021 through 2025. 
‘‘(k) DEFINITIONS.—In this section: 
‘‘(1) ELIGIBLE ENTITY.— 
‘‘(A) IN GENERAL.—The term ‘eligible en-
tity’ means an entity that provides, or supports 
the provision of, maternal health care services 
or other evidence-based services for pregnant 
and postpartum women— 
‘‘(i) in health professional shortage 
areas; 
‘‘(ii) in areas with high rates of ad-
verse maternal health outcomes and sig-
nificant racial and ethnic disparities in ma-
ternal health outcomes; or 
‘‘(iii) medically underserved popu-
lations or American Indians and Alaska 
Natives, including Indian tribes, tribal or-
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ganizations, and urban Indian organiza-
tions. 
‘‘(B) INCLUSIONS.—An eligible entity may 
include entities leading, or capable of leading, a 
technology-enabled collaborative learning and 
capacity building model or engaging in tech-
nology-enabled collaborative training of partici-
pants in such model. 
‘‘(2) 
HEALTH
PROFESSIONAL
SHORTAGE 
AREA.—The term ‘health professional shortage area’ 
means a health professional shortage area des-
ignated under section 332. 
‘‘(3) INDIAN TRIBE.—The term ‘Indian tribe’ 
has the meaning given such term in section 4 of the 
Indian Self-Determination and Education Assistance 
Act. 
‘‘(4) MATERNAL MORTALITY.—The term ‘ma-
ternal mortality’ means a death occurring during or 
within 1-year period after pregnancy caused by preg-
nancy or childbirth complications. 
‘‘(5) 
MEDICALLY
UNDERSERVED
POPU-
LATION.—The term ‘medically underserved popu-
lation’ has the meaning given such term in section 
330(b)(3). 
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‘‘(6) POSTPARTUM.—The term ‘postpartum’ 
means the 1-year period beginning on the last date 
of the pregnancy of a woman. 
‘‘(7) SEVERE
MATERNAL
MORBIDITY.—The 
term ‘severe maternal morbidity’ means an unex-
pected outcome caused by labor and delivery of a 
woman that results in significant short-term or long- 
term consequences to the health of the woman. 
‘‘(8) TECHNOLOGY-ENABLED
COLLABORATIVE 
LEARNING AND CAPACITY BUILDING MODEL.—The 
term ‘technology-enabled collaborative learning and 
capacity building model’ means a distance health 
education model that connects health care profes-
sionals, and particularly specialists, with multiple 
other health care professionals through simultaneous 
interactive videoconferencing for the purpose of fa-
cilitating case-based learning, disseminating best 
practices, and evaluating outcomes in the context of 
maternal health care. 
‘‘(9) TRIBAL ORGANIZATION.—The term ‘Tribal 
organization’ has the meaning given such term in 
section 4 of the Indian Self-Determination and Edu-
cation Assistance Act. 
‘‘(10) URBAN
INDIAN
ORGANIZATION.—The 
term ‘urban Indian organization’ has the meaning 
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given such term in section 4 of the Indian Health 
Care Improvement Act.’’. 
SEC. 803. GRANTS TO PROMOTE EQUITY IN MATERNAL 
HEALTH OUTCOMES BY INCREASING ACCESS 
TO DIGITAL TOOLS. 
(a) IN GENERAL.—Beginning not later than 1 year 
after the date of the enactment of this Act, the Secretary 
of Health and Human Services shall carry out a program 
(in this section referred to as ‘‘Investments in Digital 
Tools to Promote Equity in Maternal Health Outcomes 
Program’’ or ‘‘Program’’) under which the Secretary 
makes grants to eligible entities reduce racial and ethnic 
disparities in maternal health outcomes by increasing ac-
cess to digital tools related to maternal health care. 
(b) APPLICATIONS.—To be eligible to receive a grant 
under this section, an eligible entity shall submit to the 
Secretary an application at such time, in such manner, 
and containing such information as the Secretary may re-
quire. 
(c) LIMITATIONS.— 
(1) NUMBER.—The Secretary may not award 
more than 1 grant under this section to an eligible 
entity. 
(2) DURATION.—Each grant under this section 
shall be made for a period of not more than 5 years. 
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(3) AMOUNT.—The Secretary shall determine 
the maximum amount of each grant under this sec-
tion. 
(4) 
PRIORITIZATION.—In 
awarding 
grants 
under this section, the Secretary shall prioritize the 
selection of an eligible entity that— 
(A) operates in an area with high rates of 
adverse maternal health outcomes and signifi-
cant racial and ethnic disparities in maternal 
health outcomes; and 
(B) promotes technology that addresses ra-
cial and ethnic disparities in maternal health 
outcomes. 
(d) TECHNICAL ASSISTANCE.—The Secretary shall 
provide technical assistance to an eligible entity on the de-
velopment, use, evaluation, and post-grant sustainability 
of digital tools for purposes of promoting equity in mater-
nal health outcomes. 
(e) REPORTING.— 
(1) BY ELIGIBLE ENTITIES.—An eligible entity 
that receives a grant under subsection (a) shall sub-
mit to the Secretary a report, at such time, in such 
manner, and containing such information as the Sec-
retary may require. 
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(2) BY
THE
SECRETARY.—Not later than 4 
years after the date of the enactment of this Act, the 
Secretary shall submit to Congress a report that— 
(A) evaluates the effectiveness of grants 
awarded under this section in improving mater-
nal health outcomes for minority women; 
(B) makes recommendations for future 
grant programs that promote the use of tech-
nology to improve maternal health outcomes for 
minority women; and 
(C) makes recommendations that ad-
dress— 
(i) privacy and security safeguards 
that should be implemented in the use of 
technology in maternal health care; 
(ii) reimbursement rates for maternal 
telehealth services; 
(iii) the use of digital tools to analyze 
large data sets for the purposes of identi-
fying potential pregnancy-related complica-
tions as early as possible; 
(iv) barriers that prevent maternal 
health care providers from providing tele-
health services across states and rec-
ommendations from the Centers for Medi-
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