SEC. 2. GRANTS FOR DEMONSTRATION PROJECTS TO PRO-
VIDE CAREER PATHWAYS IN THE FIELD OF 
PREGNANCY, 
CHILDBIRTH, 
OR 
POST- 
PARTUM. 
Section 2008 of the Social Security Act (42 U.S.C. 
1397g) is amended by redesignating subsection (d) as sub-
section (e) and inserting after subsection (c) the following: 
‘‘(d) DEMONSTRATION PROJECTS TO PROVIDE CA-
REER PATHWAYS IN THE FIELD OF PREGNANCY, CHILD-
BIRTH, OR POST-PARTUM.— 
‘‘(1) GRANT
AUTHORITY.—The Secretary, in 
consultation with the Secretary of Labor and the 
Secretary of Education, shall award grants in ac-
cordance with this subsection to eligible entities to 
conduct demonstration projects for the purpose of 
providing education and training for eligible individ-
uals to enter and follow a career pathway in the field 
of pregnancy, childbirth, or post partum, in a State 
that recognizes doulas or midwives and that provides 
payment for services provided by doulas or midwives, 
as the case may be, under private or public health 
insurance plans. 
‘‘(2) DURATION.—A demonstration project shall 
be conducted under this subsection for not less than 
3 years. 
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‘‘(3) APPLICATION REQUIREMENTS.—An appli-
cant seeking a grant under this subsection for a 
demonstration project shall submit to the Secretary 
an application for the grant, that includes the fol-
lowing: 
‘‘(A) A description of the partnerships, 
strategic staff hiring decisions, tailored program 
activities, or other programmatic elements of 
the project that are designed to support a 
strong career pathway in pregnancy, birth, or 
post-partum services. 
‘‘(B) A demonstration that the State in 
which the project is to be conducted recognizes 
and permits doulas and midwives to practice in 
the State. 
‘‘(C) A demonstration that the applicant 
has experience working with low-income popu-
lations, or a description of the plan of the appli-
cant to work with a partner that has the experi-
ence. 
‘‘(4) EVALUATIONS.—The Secretary shall, by 
grant, contract, or interagency agreement, conduct 
rigorous and well-designed evaluations of the dem-
onstration projects for which a grant is made under 
this section, which shall include identification of suc-
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cessful activities for creating opportunities for devel-
oping and sustaining, particularly with respect to 
low-income individuals and other entry-level workers, 
a doula-to-midwife workforce career pathway that 
has accessible entry points, that meets high stand-
ards for education, training, certification, and pro-
fessional development, and that provides increased 
wages and affordable benefits, including health care 
coverage, that are responsive to the needs of the 
workforce. 
‘‘(5) DEFINITIONS.—In this subsection: 
‘‘(A) ELIGIBLE ENTITY.—The term ‘eligi-
ble entity’ means any of the following entities 
that demonstrates in an application submitted 
under this subsection that the entity has the ca-
pacity to fully develop and administer the dem-
onstration project described in the application: 
‘‘(i) A local workforce development 
board established under section 107 of the 
Workforce Innovation and Opportunity 
Act. 
‘‘(ii) A State or territory, a political 
subdivision of a State or territory, or an 
agency of a State, territory, or such a po-
litical subdivision. 
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‘‘(iii) An Indian tribe, a tribal organi-
zation, or a tribal college or university. 
‘‘(iv) An institution of higher edu-
cation (as defined in the Higher Education 
Act of 1965). 
‘‘(v) A hospital (as defined in section 
1861(e)). 
‘‘(vi) A skilled nursing facility (as de-
fined in section 1819(h)(1)(A)). 
‘‘(vii) A Federally qualified health 
center (as defined in section 1861(aa)(4)). 
‘‘(viii) A nonprofit organization de-
scribed in section 501(c)(3) of the Internal 
Revenue Code of 1986, a labor organiza-
tion, or an entity with shared labor-man-
agement oversight, that has a dem-
onstrated history of providing health pro-
fession training to eligible individuals. 
‘‘(ix) An entity recognized by a State, 
Indian tribe, or tribal organization as 
qualified to train doulas or midwives, if 
midwives or doulas, as the case may be, 
are permitted to practice medicine in the 
State involved. 
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‘‘(x) An opioid treatment program (as 
defined in section 1861(iii)(2)) and other 
high quality comprehensive addiction care 
providers. 
‘‘(B) ELIGIBLE
INDIVIDUAL.—The term 
‘eligible individual’ means an individual whose 
income does not exceed 138 percent of the Fed-
eral poverty level. 
‘‘(C) 
MIDWIFE.—The 
term 
‘midwife’ 
means a midwife who meets, at a minimum, the 
international definition of the midwife and glob-
al standards for midwifery education as estab-
lished by the International Confederation of 
Midwives. 
‘‘(D) TRIBALLY-RECOGNIZED
MIDWIFE.— 
The term ‘tribally-recognized midwife’ means 
an individual who is recognized by an Indian 
tribe (as defined in section 4 of the Indian 
Health Care Improvement Act) to practice mid-
wifery for the tribe. 
‘‘(6) APPROPRIATION.—Out of any funds in the 
Treasury of the United States not otherwise appro-
priated, there are appropriated to the Secretary to 
carry out this subsection $10,000,000 for fiscal year 
2024.’’. 
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SEC. 3. EFFECTIVE DATE. 
The amendment made by this Act shall take effect 
on October 1, 2023. 
Æ 
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