650 
(iii) Existing monitoring networks 
that collect data described in clause (ii), 
and any gaps in such networks. 
(iv) Federal, State, and local stake-
holders involved in maintaining monitoring 
networks identified under clause (iii), and 
how such stakeholders are coordinating 
their monitoring efforts. 
(v) Additional monitoring networks, 
and enhancements to existing monitoring 
networks, that would be required to ad-
dress gaps identified under clause (iii), in-
cluding at the subcounty and census tract 
level. 
(vi) Funding amounts required to es-
tablish the monitoring networks identified 
under clause (v) and recommendations for 
Federal, State, and local coordination with 
respect to such networks. 
(vii) Potential uses for data collected 
and generated as a result of the Strategy, 
including how such data may be used in 
determining recipients of grants under the 
program established by subsection (a) or 
other similar programs. 
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(viii) Other information the Secretary 
considers relevant for the development of 
the Strategy. 
(3) COORDINATION
AND
CONSULTATION.—In 
developing the Strategy, the Secretary shall— 
(A) coordinate with the Administrator of 
the Environmental Protection Agency and the 
Administrator of the National Oceanic and At-
mospheric Administration; and 
(B) consult with— 
(i) stakeholder organizations; 
(ii) health care providers and profes-
sional membership organizations with ex-
pertise in maternal health or environ-
mental justice; 
(iii) State and local public health de-
partments; 
(iv) licensed and accredited hospitals, 
birth centers, midwifery practices, or other 
health care providers that provide prenatal 
or labor and delivery services to vulnerable 
individuals; and 
(v) institutions of higher education, 
including such institutions that are minor-
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ity-serving institutions or have expertise in 
maternal health or environmental justice. 
(4) NOTICE AND COMMENT.—At least 240 days 
before the date on which the Strategy is published 
in accordance with paragraph (5), the Secretary 
shall provide— 
(A) notice of the Strategy on a public 
website of the Department of Health and 
Human Services; and 
(B) an opportunity for public comment of 
at least 90 days. 
(5) PUBLICATION.—Not later than 18 months 
after the date of the enactment of this Act, the Sec-
retary shall publish on a public website of the De-
partment of Health and Human Services— 
(A) the Strategy; 
(B) the public comments received under 
paragraph (4); and 
(C) the responses of the Secretary to such 
public comments. 
(e) DEFINITIONS.—In this section, the following defi-
nitions apply: 
(1) ADVERSE MATERNAL AND INFANT HEALTH 
OUTCOMES.—The term ‘‘adverse maternal and in-
fant health outcomes’’ includes the outcomes of pre- 
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term birth, low birth weight, stillbirth, infant or ma-
ternal mortality, and severe maternal morbidity. 
(2) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
meaning given such term in section 101 of the High-
er Education Act of 1965 (20 U.S.C. 1001). 
(3) 
MINORITY-SERVING
INSTITUTION.—The 
term ‘‘minority-serving institution’’ means an entity 
specified in any of paragraphs (1) through (7) of 
section 371(a) of the Higher Education Act of 1965 
(20 U.S.C. 1067q(a)). 
(4) RACIAL AND ETHNIC MINORITY GROUP.— 
The term ‘‘racial and ethnic minority group’’ has the 
meaning given such term in section 1707(g) of the 
Public Health Service Act (42 U.S.C. 300u–6(g)). 
(5) 
RISKS
ASSOCIATED
WITH
CLIMATE 
CHANGE.—The term ‘‘risks associated with climate 
change’’ includes risks associated with extreme heat, 
air pollution, extreme weather events, and other en-
vironmental issues associated with climate change 
that can result in adverse maternal and infant 
health outcomes. 
(6) STAKEHOLDER ORGANIZATION.—The term 
‘‘stakeholder organization’’ means— 
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(A) a community-based organization with 
expertise in providing assistance to vulnerable 
individuals; 
(B) a nonprofit organization with expertise 
in maternal or infant health or environmental 
justice; and 
(C) a patient advocacy organization rep-
resenting vulnerable individuals. 
(7) VULNERABLE INDIVIDUAL.—The term ‘‘vul-
nerable individual’’ means— 
(A) an individual who is pregnant; 
(B) an individual who was pregnant during 
any portion of the preceding 1-year period; and 
(C) an individual under 3 years of age. 
SEC. 5206. TECH TO SAVE MOMS. 
(a) DEFINITIONS.—In this section: 
(1) POSTPARTUM AND POSTPARTUM PERIOD.— 
The terms ‘‘postpartum’’ and ‘‘postpartum period’’ 
refer to the 1-year period beginning on the last day 
of the pregnancy of an individual. 
(2) RACIAL AND ETHNIC MINORITY GROUP.— 
The term ‘‘racial and ethnic minority group’’ has the 
meaning given such term in section 1707(g)(1) of 
the Public Health Service Act (42 U.S.C. 300u– 
6(g)(1)). 
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(3) SEVERE MATERNAL MORBIDITY.—The term 
‘‘severe maternal morbidity’’ means a health condi-
tion, including mental health conditions and sub-
stance use disorders, attributed to or aggravated by 
pregnancy or childbirth that results in significant 
short-term or long-term consequences to the health 
of the individual who was pregnant. 
(4) SOCIAL
DETERMINANTS
OF
MATERNAL 
HEALTH.—The term ‘‘social determinants of mater-
nal health’’ means non-clinical factors that impact 
maternal health outcomes, including— 
(A) economic factors, which may include 
poverty, employment, food security, support for 
and access to lactation and other infant feeding 
options, housing stability, and related factors; 
(B) neighborhood factors, which may in-
clude quality of housing, access to transpor-
tation, access to child care, availability of 
healthy foods and nutrition counseling, avail-
ability of clean water, air and water quality, 
ambient temperatures, neighborhood crime and 
violence, access to broadband, and related fac-
tors; 
(C) social and community factors, which 
may include systemic racism, gender discrimi-
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nation or discrimination based on other pro-
tected classes, workplace conditions, incarcer-
ation, and related factors; 
(D) household factors, which may include 
ability to conduct lead testing and abatement, 
car seat installation, indoor air temperatures, 
and related factors; 
(E) education access and quality factors, 
which may include educational attainment, lan-
guage and literacy, and related factors; and 
(F) health care access factors, including 
health insurance coverage, access to culturally 
congruent health care services, providers, and 
non-clinical support, access to home visiting 
services, access to wellness and stress manage-
ment programs, health literacy, access to tele-
health and items required to receive telehealth 
services, and related factors. 
(b) INTEGRATED TELEHEALTH MODELS IN MATER-
NITY CARE SERVICES.— 
(1) IN GENERAL.—Section 1115A(b)(2)(B) of 
the Social Security Act (42 U.S.C. 1315a(b)(2)(B)) 
is amended by adding at the end the following: 
‘‘(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, moni-
toring, and management of common health 
complications with respect to an individual 
receiving medical assistance during such 
individual’s pregnancy and for not more 
than a 1-year period beginning on the last 
day of the pregnancy.’’. 
(2) EFFECTIVE DATE.—The amendment made 
by paragraph (1) shall take effect 1 year after the 
date of the enactment of this section. 
(c) GRANTS TO EXPAND THE USE OF TECHNOLOGY- 
ENABLED COLLABORATIVE LEARNING
AND CAPACITY 
MODELS
FOR PREGNANT
AND POSTPARTUM INDIVID-
UALS.—Title III of the Public Health Service Act is 
amended by inserting after section 330N (42 U.S.C. 
254c–20) the following new section: 
‘‘SEC. 330. EXPANDING CAPACITY FOR MATERNAL HEALTH 
OUTCOMES. 
‘‘(a) ESTABLISHMENT.—Beginning not later than 1 
year after the date of enactment of this section, the Sec-
retary shall award grants to eligible entities to evaluate, 
develop, and expand the use of technology-enabled collabo-
rative learning and capacity building models and improve 
maternal health outcomes— 
‘‘(1) in health professional shortage areas; 
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‘‘(2) in areas with high rates of maternal mor-
tality and severe maternal morbidity; 
‘‘(3) in areas with significant racial and ethnic 
inequities in maternal health outcomes; and 
‘‘(4) for medically underserved populations and 
American Indians and Alaska Natives, including In-
dian Tribes, Tribal organizations, and Urban Indian 
organizations. 
‘‘(b) USE OF FUNDS.— 
‘‘(1) REQUIRED
USES.—Recipients of grants 
under this section shall use the grants to— 
‘‘(A) train maternal health care providers, 
students, 
and 
other 
similar 
professionals 
through models that include— 
‘‘(i) methods to increase safety and 
health care quality; 
‘‘(ii) training to increase awareness of, 
and eliminate implicit bias, racism, and 
discrimination in the provision of health 
care; 
‘‘(iii) best practices in screening for 
and, as needed, evaluating and treating 
maternal mental health conditions and 
substance use disorders; 
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‘‘(iv) training on best practices in ma-
ternity care for pregnant and postpartum 
individuals during the COVID–19 public 
health emergency or future public health 
emergencies; 
‘‘(v) methods to screen for social de-
terminants of maternal health risks in the 
prenatal and postpartum periods; and 
‘‘(vi) the use of remote patient moni-
toring tools for pregnancy-related com-
plications 
described 
in 
section 
1115A(b)(2)(B)(xxviii) of the Social Secu-
rity Act; 
‘‘(B) evaluate and collect information on 
the effect of such models on— 
‘‘(i) access to, and quality of, care; 
‘‘(ii) outcomes with respect to the 
health of an individual; and 
‘‘(iii) the experience of individuals who 
receive pregnancy-related health care; 
‘‘(C) develop qualitative and quantitative 
measures to identify best practices for the ex-
pansion and use of such models; 
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‘‘(D) study the effect of such models on 
patient outcomes and maternity care providers; 
and 
‘‘(E) conduct any other activity, as deter-
mined by the Secretary. 
‘‘(2) PERMISSIBLE USES.—Recipients of grants 
under this section may use grants to support— 
‘‘(A) the use and expansion of technology- 
enabled collaborative learning and capacity 
building models, including hardware and soft-
ware that— 
‘‘(i) enables distance learning and 
technical support; and 
‘‘(ii) supports the secure exchange of 
electronic health information; and 
‘‘(B) maternity care providers, students, 
and other similar professionals in the provision 
of maternity care through such models. 
‘‘(c) APPLICATION.— 
‘‘(1) IN GENERAL.—An eligible entity seeking a 
grant under subsection (a) shall submit to the Sec-
retary an application, at such time, in such manner, 
and containing such information as the Secretary 
may require. 
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661 
‘‘(2) ASSURANCE.—An application under para-
graph (1) shall include an assurance that such entity 
shall collect information on, and assess the effect of, 
the use of technology-enabled collaborative learning 
and capacity building models, including with respect 
to— 
‘‘(A) maternal health outcomes; 
‘‘(B) access to maternal health care serv-
ices; 
‘‘(C) quality of maternal health care; and 
‘‘(D) retention of maternity care providers 
serving areas and populations described in sub-
section (a). 
‘‘(d) LIMITATIONS.— 
‘‘(1) NUMBER.—The Secretary may not award 
more than 1 grant under this section to an eligible 
entity. 
‘‘(2) DURATION.—A grant awarded under this 
section shall be for a 5-year period. 
‘‘(e) 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. 
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662 
‘‘(f) TECHNICAL ASSISTANCE.—The Secretary shall 
provide (either directly or by contract) technical assistance 
to eligible entities, including recipients of grants under 
subsection (a), on the development, use, and sustainability 
of technology-enabled collaborative learning and capacity 
building models to expand access to maternal health care 
services provided by such entities, including— 
‘‘(1) in health professional shortage areas; 
‘‘(2) in areas with high rates of maternal mor-
tality and severe maternal morbidity or significant 
racial and ethnic inequities in maternal health out-
comes; and 
‘‘(3) for medically underserved populations or 
American Indians and Alaska Natives. 
‘‘(g) RESEARCH AND EVALUATION.—The Secretary, 
in consultation with experts, shall develop a strategic plan 
to research and evaluate the evidence for such models. 
‘‘(h) REPORTING.— 
‘‘(1) 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. 
‘‘(2) SECRETARY.—Not later than 4 years after 
the date of enactment of this section, the Secretary 
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shall submit to the Congress, and make available on 
the website of the Department of Health and 
Human Services, a report that includes— 
‘‘(A) a description of grants awarded 
under subsection (a) and the purpose and 
amounts of such grants; 
‘‘(B) a summary of— 
‘‘(i) the evaluations conducted under 
subsection (b)(1)(B); 
‘‘(ii) any technical assistance provided 
under subsection (g); and 
‘‘(iii) the activities conducted under 
subsection (a); and 
‘‘(C) a description of any significant find-
ings with respect to— 
‘‘(i) patient outcomes; and 
‘‘(ii) best practices for expanding, 
using, or evaluating technology-enabled col-
laborative learning and capacity building 
models. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section, 
$6,000,000 for each of fiscal years 2023 through 2027. 
‘‘(j) DEFINITIONS.—In this section: 
‘‘(1) ELIGIBLE ENTITY.— 
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664 
‘‘(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 individuals— 
‘‘(i) in health professional shortage 
areas; 
‘‘(ii) in areas with high rates of ad-
verse maternal health outcomes or signifi-
cant racial and ethnic inequities in mater-
nal health outcomes; or 
‘‘(iii) who are— 
‘‘(I) members of medically under-
served populations; or 
‘‘(II) American Indians and Alas-
ka Natives, including Indian Tribes, 
Tribal organizations, and Urban In-
dian organizations. 
‘‘(B) INCLUSIONS.—An eligible entity may 
include entities that lead, or are capable of 
leading a technology-enabled collaborative learn-
ing and capacity building model. 
‘‘(2) 
HEALTH
PROFESSIONAL
SHORTAGE 
AREA.—The term ‘health professional shortage area’ 
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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-related or childbirth complications, including a 
suicide, overdose, or other death resulting from a 
mental health or substance use disorder attributed 
to or aggravated by pregnancy or childbirth com-
plications. 
‘‘(5) 
MEDICALLY
UNDERSERVED
POPU-
LATION.—The term ‘medically underserved popu-
lation’ has the meaning given such term in section 
330(b)(3). 
‘‘(6) POSTPARTUM.—The term ‘postpartum’ 
means the 1-year period beginning on the last date 
of an individual’s pregnancy. 
‘‘(7) SEVERE
MATERNAL
MORBIDITY.—The 
term ‘severe maternal morbidity’ means a health 
condition, including a mental health or substance 
use disorder, attributed to or aggravated by preg-
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nancy or childbirth that results in significant short- 
term or long-term consequences to the health of the 
individual who was pregnant. 
‘‘(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 other specialists, 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 
given such term in section 4 of the Indian Health 
Care Improvement Act.’’. 
(d) GRANTS TO PROMOTE EQUITY IN MATERNAL 
HEALTH OUTCOMES THROUGH DIGITAL TOOLS.— 
(1) IN GENERAL.—Beginning not later than 1 
year after the date of the enactment of this Act, the 
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Secretary of Health and Human Services shall make 
grants to eligible entities to reduce racial and ethnic 
inequities in maternal health outcomes by increasing 
access to digital tools related to maternal health 
care. 
(2) APPLICATIONS.—To be eligible to receive a 
grant under this subsection, an eligible entity shall 
submit to the Secretary an application at such time, 
in such manner, and containing such information as 
the Secretary may require. 
(3) 
PRIORITIZATION.—In 
awarding 
grants 
under this subsection, the Secretary shall prioritize 
an eligible entity— 
(A) in an area with high rates of adverse 
maternal health outcomes or significant racial 
and ethnic inequities in maternal health out-
comes; 
(B) in a health professional shortage area 
designated under section 332 of the Public 
Health Service Act (42 U.S.C. 254e); and 
(C) that promotes technology that address-
es racial and ethnic inequities in maternal 
health outcomes. 
(4) LIMITATIONS.— 
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(A) NUMBER.—The Secretary may award 
not more than 1 grant under this subsection to 
an eligible entity. 
(B) DURATION.—A grant awarded under 
this subsection shall be for a 5-year period. 
(5) TECHNICAL
ASSISTANCE.—The Secretary 
shall provide technical assistance to an eligible entity 
on the development, use, evaluation, and post-grant 
sustainability of digital tools for purposes of pro-
moting equity in maternal health outcomes. 
(6) REPORTING.— 
(A) ELIGIBLE ENTITIES.—An eligible enti-
ty that receives a grant under paragraph (1) 
shall submit to the Secretary a report, at such 
time, in such manner, and containing such in-
formation as the Secretary may require. 
(B) SECRETARY.—Not later than 4 years 
after the date of the enactment of this Act, the 
Secretary shall submit to Congress a report 
that includes— 
(i) an evaluation on the effectiveness 
of grants awarded under this subsection to 
improve health outcomes for pregnant and 
postpartum individuals from racial and 
ethnic minority groups; 
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(ii) recommendations on new grant 
programs that promote the use of tech-
nology to improve such maternal health 
outcomes; and 
(iii) recommendations with respect 
to— 
(I) technology-based privacy and 
security safeguards in maternal health 
care; 
(II) reimbursement rates for ma-
ternal telehealth services; 
(III) the use of digital tools to 
analyze large data sets to identify po-
tential 
pregnancy-related 
complica-
tions; 
(IV) barriers that prevent mater-
nity care providers from providing 
telehealth services across States; 
(V) the use of consumer digital 
tools such as mobile phone applica-
tions, patient portals, and wearable 
technologies 
to 
improve 
maternal 
health outcomes; 
(VI) barriers that prevent access 
to telehealth services, including a lack 
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670 
of access to reliable, high-speed inter-
net or electronic devices; 
(VII) barriers to data sharing be-
tween the Special Supplemental Nu-
trition Program for Women, Infants, 
and Children program and maternity 
care providers, and recommendations 
for addressing such barriers; and 
(VIII) lessons learned from ex-
panded access to telehealth related to 
maternity care during the COVID–19 
public health emergency. 
(7) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $6,000,000 for each of fiscal years 
2023 through 2027. 
(e) REPORT ON THE USE OF TECHNOLOGY IN MA-
TERNITY CARE.— 
(1) IN GENERAL.—Not later than 60 days after 
the date of enactment of this Act, the Secretary of 
Health and Human Services shall enter into an 
agreement with the National Academies of Sciences, 
Engineering, and Medicine (referred to in this sec-
tion as the ‘‘National Academies’’) under which the 
National Academies shall conduct a study on the use 
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of technology and patient monitoring devices in ma-
ternity care. 
(2) CONTENT.—The agreement entered into 
pursuant to paragraph (1) shall provide for the 
study of the following: 
(A) The use of innovative technology (in-
cluding artificial intelligence) in maternal 
health care, including the extent to which such 
technology has affected racial or ethnic biases 
in maternal health care. 
(B) The use of patient monitoring devices 
(including pulse oximeter devices) in maternal 
health care, including the extent to which such 
devices have affected racial or ethnic biases in 
maternal health care. 
(C) Best practices for reducing and pre-
venting racial or ethnic biases in the use of in-
novative technology and patient monitoring de-
vices in maternity care. 
(D) Best practices in the use of innovative 
technology and patient monitoring devices for 
pregnant and postpartum individuals from ra-
cial and ethnic minority groups. 
(E) Best practices with respect to privacy 
and security safeguards in such use. 
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(3) REPORT.—Not later than 24 months after 
the date of enactment of this Act, the National 
Academies shall complete the study under this sub-
section, and transmit a report the results of such 
study to Congress. 
SEC. 5207. SOCIAL DETERMINANTS FOR MOMS. 
(a) TASK FORCE TO DEVELOP A STRATEGY TO AD-
DRESS
SOCIAL
DETERMINANTS
OF
MATERNAL 
HEALTH.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services shall convene a task force (in this 
subsection referred to as the ‘‘Task Force’’) to de-
velop a strategy to coordinate efforts between Fed-
eral agencies to address social determinants of ma-
ternal 
health 
with 
respect 
to 
pregnant 
and 
postpartum individuals. 
(2) EX
OFFICIO
MEMBERS.—The ex officio 
members of the Task Force shall consist of the fol-
lowing: 
(A) The Secretary of Health and Human 
Services (or a designee thereof). 
(B) The Secretary of Housing and Urban 
Development (or a designee thereof). 
(C) The Secretary of Transportation (or a 
designee thereof). 
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(D) The Secretary of Agriculture (or a 
designee thereof). 
(E) The Secretary of Labor (or a designee 
thereof). 
(F) The Administrator of the Environ-
mental Protection Agency (or a designee there-
of). 
(G) The Assistant Secretary for the Ad-
ministration for Children and Families (or a 
designee thereof). 
(H) The Administrator of the Centers for 
Medicare & Medicaid Services (or a designee 
thereof). 
(I) The Director of the Indian Health 
Service (or a designee thereof). 
(J) The Director of the National Institutes 
of Health (or a designee thereof). 
(K) The Administrator of the Health Re-
sources and Services Administration (or a des-
ignee thereof). 
(L) The Deputy Assistant Secretary for 
Minority Health of the Department of Health 
and Human Services (or a designee thereof). 
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(M) The Deputy Assistant Secretary for 
Women’s Health of the Department of Health 
and Human Services (or a designee thereof). 
(N) The Director of the Centers for Dis-
ease Control and Prevention (or a designee 
thereof). 
(O) The Director of the Office on Violence 
Against Women at the Department of Justice 
(or a designee thereof). 
(3) APPOINTED MEMBERS.—In addition to the 
ex officio members of the Task Force, the Secretary 
of Health and Human Services shall appoint the fol-
lowing members of the Task Force: 
(A) At least two representatives of pa-
tients, to include— 
(i) a representative of patients who 
have suffered from severe maternal mor-
bidity; or 
(ii) a representative of patients who is 
a family member of an individual who suf-
fered a pregnancy-related death. 
(B) At least two leaders of community- 
based organizations that address maternal mor-
tality and severe maternal morbidity with a spe-
cific focus on racial and ethnic inequities. In 
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appointing such leaders under this subpara-
graph, the Secretary of Health and Human 
Services shall give priority to individuals who 
are leaders of organizations led by individuals 
from racial and ethnic minority groups. 
(C) At least two perinatal health workers. 
(D) A professionally diverse panel of ma-
ternity care providers. 
(4) CHAIR.—The Secretary of Health and 
Human Services shall select the chair of the Task 
Force from among the members of the Task Force. 
(5) REPORT.—Not later than 2 years after the 
date of the enactment of this Act, the Task Force 
shall submit to Congress a report on— 
(A) the strategy developed under para-
graph (1); 
(B) recommendations on funding amounts 
with respect to implementing such strategy; and 
(C) recommendations for how to expand 
coverage of social services to address social de-
terminants of maternal health under Medicaid 
managed care organizations and State Medicaid 
programs. 
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676 
(6) TERMINATION.—Section 14 of the Federal 
Advisory Committee Act (5 U.S.C. App.) shall not 
apply to the Task Force with respect to termination. 
(b) HOUSING FOR MOMS GRANT PROGRAM.— 
(1) IN GENERAL.—The Secretary of Housing 
and Urban Development shall establish a Housing 
for Moms grant program under this subsection to 
make grants to eligible entities to increase access to 
safe, stable, affordable, and adequate housing for 
pregnant and postpartum individuals and their fami-
lies. 
(2) APPLICATION.—To be eligible to receive a 
grant under this subsection, an eligible entity shall 
submit to the Secretary an application at such time, 
in such manner, and containing such information as 
the Secretary may provide. 
(3) PRIORITY.—In awarding grants under this 
subsection, the Secretary shall give priority to an eli-
gible entity that— 
(A) is a community-based organization or 
will partner with a community-based organiza-
tion to implement initiatives to increase access 
to safe, stable, affordable, and adequate hous-
ing for pregnant and postpartum individuals 
and their families; 
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677 
(B) is operating in an area with high rates 
of adverse maternal health outcomes or signifi-
cant racial or ethnic inequities in maternal 
health outcomes, to the extent such data are 
available; and 
(C) is operating in an area with a high 
poverty rate or significant number of individ-
uals who lack consistent access to safe, stable, 
affordable, and adequate housing. 
(4) USE OF FUNDS.—An eligible entity that re-
ceives a grant under this subsection shall use funds 
under the grant for the purposes of— 
(A) identifying and conducting outreach to 
pregnant and postpartum individuals who are 
low-income and lack consistent access to safe, 
stable, affordable, and adequate housing; 
(B) providing safe, stable, affordable, and 
adequate housing options to such individuals; 
(C) connecting such individuals with local 
organizations offering safe, stable, affordable, 
and adequate housing options; 
(D) providing application assistance to 
such individuals seeking to enroll in programs 
offering safe, stable, affordable, and adequate 
housing options; 
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(E) providing direct financial assistance to 
such individuals for the purposes of maintaining 
safe, stable, and adequate housing for the dura-
tion 
of 
the 
individual’s 
pregnancy 
and 
postpartum periods; and 
(F) working with relevant stakeholders to 
ensure that local housing and homeless shelter 
infrastructure is supportive to pregnant and 
postpartum individuals, including through— 
(i) health-promoting housing codes; 
(ii) enforcement of housing codes; 
(iii) proactive rental inspection pro-
grams; 
(iv) code enforcement officer training; 
and 
(v) partnerships between regional of-
fices of the Department of Housing and 
Urban Development and community-based 
organizations to ensure housing laws are 
understood and violations are discovered. 
(5) REPORTING.— 
(A) ELIGIBLE
ENTITIES.—The Secretary 
shall require each eligible entity receiving a 
grant under this subsection to annually submit 
to the Secretary and make publicly available a 
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679 
report on the status of activities conducted 
using the grant. 
(B) SECRETARY.—Not later than the end 
of each fiscal year in which grants are made 
under this subsection, the Secretary shall sub-
mit to the Congress and make publicly available 
a report that— 
(i) summarizes the reports received 
under subparagraph (A); 
(ii) evaluates the effectiveness of 
grants awarded under this subsection in 
increasing access to safe, stable, afford-
able, and adequate housing for pregnant 
and postpartum individuals and their fami-
lies; and 
(iii) makes recommendations with re-
spect to ensuring activities described para-
graph (4) continue after grant amounts 
made available under this subsection are 
expended. 
(6) DEFINITIONS.—In this subsection: 
(A) ELIGIBLE ENTITY.—The term ‘‘eligible 
entity’’ means— 
(i) a community-based organization; 
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680 
(ii) a State or local governmental enti-
ty, including a State or local public health 
department; 
(iii) an Indian tribe or tribal organiza-
tion (as such terms are defined in section 
4 of the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 
5304)); or 
(iv) an Urban Indian organization (as 
such term is defined in section 4 of the In-
dian Health Care Improvement Act (25 
U.S.C. 1603)). 
(B) SECRETARY.—The term ‘‘Secretary’’ 
means the Secretary of Housing and Urban De-
velopment. 
(7) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $10,000,000 for fiscal year 2022, 
which shall remain available until expended. 
(c) DEPARTMENT OF TRANSPORTATION.— 
(1) REPORT.—Not later than one year after the 
date of enactment of this Act, the Secretary of 
Transportation shall submit to Congress and make 
publicly available a report containing— 
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681 
(A) an assessment of transportation bar-
riers preventing individuals from attending pre-
natal and postpartum appointments, accessing 
maternal health care services, or accessing serv-
ices and resources related to social deter-
minants maternal of health; 
(B) recommendations on how to overcome 
the barriers assessed under subparagraph (A); 
and 
(C) an assessment of transportation safety 
risks for pregnant individuals and recommenda-
tions on how to mitigate such risks. 
(2) CONSIDERATIONS.—In carrying out para-
graph (1), the Secretary shall give special consider-
ation to solutions for— 
(A) pregnant and postpartum individuals 
living in a health professional shortage area 
designated under section 332 of the Public 
Health Service Act (42 U.S.C. 254e); 
(B) pregnant and postpartum individuals 
living in areas with high maternal mortality or 
severe morbidity rates or significant racial or 
ethnic inequities in maternal health outcomes; 
and 
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682 
(C) pregnant and postpartum individuals 
with a disability that impacts mobility. 
(d) DEPARTMENT OF AGRICULTURE.— 
(1) SPECIAL SUPPLEMENTAL NUTRITION PRO-
GRAM.— 
(A) EXTENSION
OF
POSTPARTUM
PE-
RIOD.—Section 17(b)(10) of the Child Nutri-
tion Act of 1966 (42 U.S.C. 1786(b)(10)) is 
amended by striking ‘‘six months’’ and insert-
ing ‘‘24 months’’. 
(B) REPORT.—Not later than 2 years after 
the date of the enactment of this subsection, 
the Secretary shall submit to Congress a report 
that includes an evaluation of the effect of each 
of the amendments made by this paragraph 
on— 
(i) maternal and infant health out-
comes, including racial and ethnic inequi-
ties with respect to such outcomes; 
(ii) 
breastfeeding 
rates 
among 
postpartum individuals; 
(iii) qualitative evaluations of family 
experiences under the special supplemental 
nutrition program under section 17 of the 
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683 
Child Nutrition Act of 1966 (42 U.S.C. 
1786); and 
(iv) other relevant information as de-
termined by the Secretary. 
(2) GRANT PROGRAM FOR HEALTHY FOOD AND 
CLEAN
WATER
FOR
PREGNANT
AND
POSTPARTUM 
INDIVIDUALS.— 
(A) IN GENERAL.—The Secretary shall es-
tablish a program to award grants, on a com-
petitive basis, to eligible entities to carry out 
the activities described in subparagraph (D). 
(B) APPLICATION.—To be eligible for a 
grant under this paragraph, an eligible entity 
shall submit to the Secretary an application at 
such time, in such manner, and containing such 
information as the Secretary determines appro-
priate. 
(C) PRIORITY.—In awarding grants under 
this paragraph, the Secretary shall give priority 
to an eligible entity that— 
(i) is, or will partner with, a commu-
nity-based organization; and 
(ii) is operating in an area with high 
rates of— 
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684 
(I) adverse maternal health out-
comes; or 
(II) significant racial or ethnic 
inequities in maternal health out-
comes. 
(D) USE
OF
FUNDS.—An eligible entity 
shall use grant funds awarded under this para-
graph to deliver healthy food, infant formula, 
clean water, or diapers to pregnant and 
postpartum individuals located in areas that are 
food deserts, as determined by the Secretary 
using data from the Food Access Research 
Atlas of the Department of Agriculture. 
(E) REPORTS.— 
(i) ELIGIBLE ENTITY.—Not later than 
1 year after an eligible entity first receives 
a grant under this paragraph, and annu-
ally thereafter, an eligible entity shall sub-
mit to the Secretary a report on the status 
of activities conducted using the grant, 
which shall contain such information as 
the Secretary may require. 
(ii) SECRETARY.— 
(I) IN GENERAL.—Not later than 
2 years after the date on which the 
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685 
first grant is awarded under this 
paragraph, the Secretary shall submit 
to Congress a report that includes— 
(aa) a summary of the re-
ports submitted under clause (i); 
(bb) an assessment of the 
extent to which food distributed 
through the grant program was 
purchased from local and re-
gional food systems; 
(cc) an evaluation of the ef-
fect of the grant program under 
this paragraph on maternal and 
infant health outcomes, including 
racial and ethnic inequities with 
respect to such outcomes; and 
(dd) recommendations with 
respect to ensuring the activities 
described in subparagraph (D) 
continue after the grant period 
funding such activities expires. 
(II) 
PUBLICATION.—The 
Sec-
retary shall make the report sub-
mitted under subclause (I) publicly 
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686 
available on the website of the De-
partment of Agriculture. 
(F) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There are authorized to be appro-
priated $5,000,000 to carry out this paragraph 
for fiscal years 2022 through 2024. 
(3) DEFINITIONS.—In this subsection: 
(A) ELIGIBLE ENTITY.—The term ‘‘eligible 
entity’’ means— 
(i) a community-based organization; 
(ii) a State or local governmental enti-
ty, including a State or local public health 
department; 
(iii) an Indian Tribe or Tribal organi-
zation (as such terms are defined in sec-
tion 4 of the Indian Self-Determination 
and Education Assistance Act (25 U.S.C. 
5304)); or 
(iv) an Urban Indian organization (as 
such term is defined in section 4 of the In-
dian Health Care Improvement Act (25 
U.S.C. 1603)). 
(B) SECRETARY.—The term ‘‘Secretary’’ 
means the Secretary of Agriculture. 
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687 
(e) ENVIRONMENTAL STUDY THROUGH NATIONAL 
ACADEMIES.— 
(1) IN
GENERAL.—The Administrator of the 
Environmental Protection Agency shall seek to enter 
an agreement, not later than 60 days after the date 
of enactment of this Act, with the National Acad-
emies of Sciences, Engineering, and Medicine (re-
ferred to in this subsection as the ‘‘National Acad-
emies’’) under which the National Academies agree 
to conduct a study on the impacts of water and air 
quality, exposure to extreme temperatures, environ-
mental chemicals, environmental risks in the work-
place and the home, and pollution levels, on mater-
nal and infant health outcomes. 
(2) STUDY
REQUIREMENTS.—The agreement 
under paragraph (1) shall direct the National Acad-
emies to make recommendations for— 
(A) improving environmental conditions to 
improve maternal and infant health outcomes; 
and 
(B) reducing or eliminating racial and eth-
nic inequities in such outcomes. 
(3) REPORT.—The agreement under paragraph 
(1) shall direct the National Academies to complete 
the study under this subsection, and transmit to the 
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688 
Congress and make publicly available a report on the 
results of the study, not later than 12 months after 
the date of enactment of this Act. 
(f) CHILD CARE ACCESS.— 
(1) 
GRANT
PROGRAM.—The 
Secretary 
of 
Health and Human Services (in this subsection re-
ferred to as the ‘‘Secretary’’) shall award grants to 
eligible organizations to provide pregnant and 
postpartum individuals with free and accessible 
drop-in child care services during prenatal and 
postpartum appointments. 
(2) APPLICATION.—To be eligible to receive a 
grant under this subsection, an eligible entity shall 
submit to the Secretary an application at such time, 
in such manner, and containing such information as 
the Secretary may require. 
(3) ELIGIBLE ORGANIZATIONS.— 
(A) ELIGIBILITY.—To be eligible to receive 
a grant under this subsection, an organization 
shall be an organization that— 
(i) provides child care services; and 
(ii) can carry out programs providing 
pregnant and postpartum individuals with 
free and accessible drop-in child care serv-
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689 
ices during prenatal and postpartum ap-
pointments. 
(B) PRIORITIZATION.—In selecting grant 
recipients under this subsection, the Secretary 
shall give priority to eligible organizations that 
operate in an area, to the extent data with re-
spect to such an area are available— 
(i) with high rates of adverse mater-
nal health outcomes; or 
(ii) significant racial or ethnic inequi-
ties in maternal health outcomes. 
(4) TIMING.—The Secretary shall commence 
the grant program under paragraph (1) not later 
than 1 year after the date of enactment of this Act. 
(5) REPORTING.— 
(A) GRANTEES.—Each recipient of a grant 
under this subsection shall annually submit to 
the Secretary and make publicly available a re-
port on the status of activities conducted using 
the grant. Each such report shall include— 
(i) an analysis of the effect of the 
funded 
program 
on 
prenatal 
and 
postpartum appointment attendance rates; 
(ii) summaries of qualitative assess-
ments of the funded program from— 
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690 
(I) pregnant and postpartum in-
dividuals participating in the pro-
gram; and 
(II) the families of such individ-
uals; and 
(iii) such additional information as 
the Secretary may require. 
(B) SECRETARY.—Not later than the end 
of fiscal year 2024, the Secretary shall submit 
to the Congress, and make publicly available, a 
report containing the following: 
(i) A summary of the reports received 
under subparagraph (A). 
(ii) An assessment of the effects, if 
any, of the funded programs on maternal 
health outcomes, with a specific focus on 
racial and ethnic inequities in such out-
comes. 
(iii) A description of actions the Sec-
retary can take to ensure that pregnant 
and postpartum individuals eligible for 
medical assistance under a State plan 
under title XIX of the Social Security Act 
(42 U.S.C. 1936 et seq.) have access to 
free and accessible drop-in child care serv-
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691 
ices during prenatal and postpartum ap-
pointments, including identification of the 
funding necessary to carry out such ac-
tions. 
(6) DROP-IN
CHILD
CARE
SERVICES
DE-
FINED.—In this subsection, the term ‘‘drop-in child 
care services’’ means child care and early childhood 
education services that are— 
(A) delivered at a facility that meets the 
requirements of all applicable laws and regula-
tions of the State or local government in which 
it is located, including the licensing of the facil-
ity as a child care facility; and 
(B) provided in single encounters without 
requiring full-time enrollment of a person in a 
child care program. 
(7) AUTHORIZATION OF APPROPRIATIONS.—To 
carry out this subsection, there is authorized to be 
appropriated $5,000,000 for the period of fiscal 
years 2023 through 2025. 
(g) GRANTS TO LOCAL ENTITIES ADDRESSING SO-
CIAL DETERMINANTS OF MATERNAL HEALTH.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services (in this subsection referred to as 
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692 
the ‘‘Secretary’’) shall award grants to eligible enti-
ties to— 
(A) address social determinants of mater-
nal health for pregnant and postpartum individ-
uals; and 
(B) eliminate racial and ethnic inequities 
in maternal health outcomes. 
(2) APPLICATION.—To be eligible to receive a 
grant under this subsection an eligible entity shall 
submit to the Secretary an application at such time, 
in such manner, and containing such information as 
the Secretary may provide. 
(3) 
PRIORITIZATION.—In 
awarding 
grants 
under paragraph (1), the Secretary shall give pri-
ority to an eligible entity that— 
(A) is, or will partner with, a community- 
based organization to carrying out the activities 
under paragraph (4); 
(B) is operating in an area with high rates 
of adverse maternal health outcomes or signifi-
cant racial or ethnic inequities in maternal 
health outcomes; and 
(C) is operating in an area with a high 
poverty rate. 
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693 
(4) ACTIVITIES.—An eligible entity that re-
ceives a grant under this subsection may use funds 
received through the grant to— 
(A) hire and retain staff; 
(B) develop and distribute a list of avail-
able resources with respect to social service pro-
grams in a community; 
(C) establish a resource center that pro-
vides multiple social service programs in a sin-
gle location; 
(D) offer programs and resources in the 
communities in which the respective eligible en-
tities are located to address social determinants 
of health for pregnant and postpartum individ-
uals; and 
(E) consult with such pregnant and 
postpartum individuals to conduct an assess-
ment of the activities under this paragraph. 
(5) TECHNICAL
ASSISTANCE.—The Secretary 
shall provide to grant recipients under this sub-
section technical assistance to plan for sustaining 
programs to address social determinants of maternal 
health among pregnant and postpartum individuals 
after the period of the grant. 
(6) REPORTING.— 
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694 
(A) GRANTEES.—Not later than 1 year 
after the date on which an eligible entity first 
receives a grant under this subsection, and an-
nually thereafter, an eligible entity shall submit 
to the Secretary, and make publicly available, a 
report on the status of activities conducted 
using the grant. Each such report shall include 
data 
on 
the 
effects 
of 
such 
activities, 
disaggregated by race, ethnicity, gender, and 
other relevant factors. 
(B) SECRETARY.—Not later than the end 
of fiscal year 2026, the Secretary shall submit 
to Congress a report that includes— 
(i) a summary of the reports received 
under subparagraph (A); and 
(ii) recommendations for— 
(I) improving maternal health 
outcomes; and 
(II) reducing or eliminating ra-
cial and ethnic inequities in maternal 
health outcomes. 
(7) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $15,000,000 for each of fiscal years 
2023 through 2027. 
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695 
(h) DEFINITIONS.—In this section: 
(1) CULTURALLY CONGRUENT.—The term ‘‘cul-
turally congruent’’, with respect to care or maternity 
care provided to a health care consumer, means care 
that is in agreement with the preferred cultural val-
ues, beliefs, worldview, language, and practices of 
the health care consumer and other relevant stake-
holders. 
(2) MATERNITY
CARE
PROVIDER.—The term 
‘‘maternity care provider’’ means a health care pro-
vider who— 
(A) is a physician, physician assistant, 
midwife who meets at a minimum the inter-
national definition of the midwife and global 
standards for midwifery education as estab-
lished by the International Confederation of 
Midwives, nurse practitioner, or clinical nurse 
specialist; and 
(B) has a focus on maternal or perinatal 
health. 
(3) MATERNAL MORTALITY.—The term ‘‘mater-
nal mortality’’ means a death occurring during or 
within a one-year period after pregnancy, caused by 
pregnancy-related or childbirth complications, in-
cluding a suicide, overdose, or other death resulting 
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696 
from a mental health or substance use disorder at-
tributed to or aggravated by pregnancy-related or 
childbirth complications. 
(4) PERINATAL HEALTH WORKER.—The term 
‘‘perinatal health worker’’ means a doula, commu-
nity health worker, peer supporter, breastfeeding 
and lactation educator or counselor, nutritionist or 
dietitian, childbirth educator, social worker, home 
visitor, language interpreter, or navigator. 
(5) POSTPARTUM AND POSTPARTUM PERIOD.— 
The terms ‘‘postpartum’’ and ‘‘postpartum period’’ 
refer to the 1-year period beginning on the last day 
of the pregnancy of an individual. 
(6) RACIAL AND ETHNIC MINORITY GROUP.— 
The term ‘‘racial and ethnic minority group’’ has the 
meaning given such term in section 1707(g)(1) of 
the Public Health Service Act (42 U.S.C. 300u– 
6(g)(1)). 
(7) SEVERE MATERNAL MORBIDITY.—The term 
‘‘severe maternal morbidity’’ means a health condi-
tion, including mental health conditions and sub-
stance use disorders, attributed to or aggravated by 
pregnancy or childbirth that results in significant 
short-term or long-term consequences to the health 
of the individual who was pregnant. 
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697 
(8) SOCIAL
DETERMINANTS
OF
MATERNAL 
HEALTH DEFINED.—The term ‘‘social determinants 
of maternal health’’ means non-clinical factors that 
impact maternal health outcomes, including— 
(A) economic factors, which may include 
poverty, employment, food security, support for 
and access to lactation and other infant feeding 
options, housing stability, and related factors; 
(B) neighborhood factors, which may in-
clude quality of housing, access to transpor-
tation, access to child care, availability of 
healthy foods and nutrition counseling, avail-
ability of clean water, air and water quality, 
ambient temperatures, neighborhood crime and 
violence, access to broadband, and related fac-
tors; 
(C) social and community factors, which 
may include systemic racism, gender discrimi-
nation or discrimination based on other pro-
tected classes, workplace conditions, incarcer-
ation, and related factors; 
(D) household factors, which may include 
ability to conduct lead testing and abatement, 
car seat installation, indoor air temperatures, 
and related factors; 
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698 
(E) education access and quality factors, 
which may include educational attainment, lan-
guage and literacy, and related factors; and 
(F) health care access factors, including 
health insurance coverage, access to culturally 
congruent health care services, providers, and 
non-clinical support, access to home visiting 
services, access to wellness and stress manage-
ment programs, health literacy, access to tele-
health and items required to receive telehealth 
services, and related factors. 
SEC. 5208. DATA TO SAVE MOMS. 
(a) SHORT TITLE.—This section may be cited as the 
‘‘Data to Save Moms Act’’. 
(b) FUNDING FOR MATERNAL MORTALITY REVIEW 
COMMITTEES TO PROMOTE REPRESENTATIVE COMMU-
NITY ENGAGEMENT.— 
(1) IN GENERAL.—Section 317K(d) of the Pub-
lic 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-
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699 
paragraph (C), provide assistance to an applica-
ble maternal mortality review committee of a 
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 through providing required train-
ing, reducing transportation barriers, 
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700 
providing compensation, and providing 
other supports as may be necessary; 
‘‘(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 people who are 
members of minority groups; 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 pregnant and 
postpartum individuals from racial 
and ethnic minority groups (as such 
term is defined in section 1707(g)(1)) 
who have suffered pregnancy-related 
deaths; and 
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701 
‘‘(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 
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 2023 
through 2027.’’. 
(2) RESERVATION OF FUNDS.—Section 317K(f) 
of the Public Health Service Act (42 U.S.C. 247b– 
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702 
12(f)) is amended by adding at the end the fol-
lowing: ‘‘Of the amount made available under the 
preceding sentence for a fiscal year, not less than 
$1,500,000 shall be reserved for grants awarded 
under subsection (d)(9) to Indian tribes, tribal orga-
nizations, or Urban Indian organizations (as those 
terms are defined in section 4 of the Indian Health 
Care Improvement Act (25 U.S.C. 1603)).’’. 
(c) DATA
COLLECTION
AND
REVIEW.—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, according to the most up- 
to-date indicators; 
‘‘(III) to the extent practicable, 
reviewing deaths during pregnancy or 
up to 1 year after the end of a preg-
nancy from suicide, overdose, or other 
death from a mental health condition 
or substance use disorder attributed 
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703 
to, or aggravated by, pregnancy or 
childbirth complications; 
‘‘(IV) to the extent practicable, 
consulting with local community-based 
organizations representing pregnant 
and postpartum individuals from de-
mographic groups disproportionately 
impacted by poor maternal health out-
comes to ensure that, in addition to 
clinical factors, non-clinical factors 
that might have contributed to a preg-
nancy-related death are appropriately 
considered;’’. 
(d) REVIEW OF MATERNAL HEALTH DATA COLLEC-
TION PROCESSES AND QUALITY MEASURES.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Administrator 
for Centers for Medicare & Medicaid Serves and the 
Director of the Agency for Healthcare Research and 
Quality, shall consult with relevant stakeholders— 
(A) to review existing maternal health data 
collection processes and quality measures; and 
(B) make recommendations to improve 
such processes and measures, including topics 
described under paragraph (3). 
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704 
(2) COLLABORATION.—In carrying out this sub-
section, the Secretary shall consult with a diverse 
group of maternal health stakeholders, which may 
include— 
(A) pregnant and postpartum individuals 
and their family members, and nonprofit orga-
nizations representing such individuals, with a 
particular focus on patients from racial and 
ethnic minority groups; 
(B) community-based organizations that 
provide support for pregnant and postpartum 
individuals, with a particular focus on patients 
from racial and ethnic minority groups; 
(C) membership organizations for mater-
nity care providers; 
(D) organizations representing perinatal 
health workers; 
(E) organizations that focus on maternal 
mental or behavioral health; 
(F) organizations that focus on intimate 
partner violence; 
(G) institutions of higher education, with a 
particular focus on minority-serving institu-
tions; 
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705 
(H) licensed and accredited hospitals, birth 
centers, midwifery practices, or other medical 
practices that provide maternal health care 
services to pregnant and postpartum patients; 
(I) relevant State and local public agencies, 
including State maternal mortality review com-
mittees; and 
(J) the National Quality Forum, or such 
other standard-setting organizations specified 
by the Secretary. 
(3) TOPICS.—The review of maternal health 
data collection processes and recommendations to 
improve such processes and measures required under 
paragraph (1) shall assess all available relevant in-
formation, including information from State-level 
sources, and shall consider at least the following: 
(A) Current State and Tribal practices for 
maternal health, maternal mortality, and severe 
maternal morbidity data collection and dissemi-
nation, including consideration 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; 
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706 
(ii) relevant data collected with elec-
tronic health records, including data on 
race, ethnicity, socioeconomic status, insur-
ance type, and other relevant demographic 
information; 
(iii) maternal health data collected 
and publicly reported by hospitals, health 
systems, midwifery practices, and birth 
centers; 
(iv) the barriers preventing States 
from correlating maternal outcome data 
with race and ethnicity data; 
(v) processes for determining the 
cause of a pregnancy-associated death in 
States that do not have a maternal mor-
tality review committee; 
(vi) whether maternal mortality review 
committees include multidisciplinary and 
diverse membership (as described in sec-
tion 317K(d)(1)(A) of the Public Health 
Service 
Act 
(42 
U.S.C. 
247b– 
12(d)(1)(A))); 
(vii) whether members of maternal 
mortality review committees participate in 
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707 
trainings on bias, racism, or discrimina-
tion, and the quality of such trainings; 
(viii) the extent to which States have 
implemented systematic processes of listen-
ing to the stories of pregnant and 
postpartum individuals and their family 
members, with a particular focus on preg-
nant and postpartum individuals from ra-
cial and ethnic minority groups (as such 
term is defined in section 1707(g)(1) of 
the Public Health Service Act (42 U.S.C. 
300u–6(g)(1))) and their family members, 
to fully understand the causes of, and in-
form potential solutions to, the maternal 
mortality and severe maternal morbidity 
crisis within their respective States; 
(ix) the extent to which maternal mor-
tality review committees are considering 
social determinants of maternal health 
when examining the causes of pregnancy- 
associated and pregnancy-related deaths; 
(x) the extent to which maternal mor-
tality review committees are making ac-
tionable recommendations based on their 
reviews of adverse maternal health out-
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708 
comes and the extent to which such rec-
ommendations are being implemented by 
appropriate stakeholders; 
(xi) the legal and administrative bar-
riers preventing the collection, collation, 
and dissemination of State maternity care 
data; 
(xii) the effectiveness of data collec-
tion and reporting processes in separating 
pregnancy-associated deaths from preg-
nancy-related deaths; and 
(xiii) the current Federal, State, local, 
and Tribal funding support for the activi-
ties referred to in clauses (i) through (xii). 
(B) Whether the funding support referred 
to in subparagraph (A)(xiii) is adequate for 
States to carry out optimal data collection and 
dissemination processes with respect to mater-
nal health, maternal mortality, and severe ma-
ternal morbidity. 
(C) Current quality measures for mater-
nity care, including prenatal measures, labor 
and delivery measures, and postpartum meas-
ures, including topics such as— 
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709 
(i) effective quality measures for ma-
ternity care used by hospitals, health sys-
tems, midwifery practices, birth centers, 
health plans, and other relevant entities; 
(ii) the sufficiency of current outcome 
measures used to evaluate maternity care 
for driving improved care, experiences, and 
outcomes in maternity care payment and 
delivery system models; 
(iii) maternal health quality measures 
that other countries effectively use; 
(iv) validated measures that have been 
used for research purposes that could be 
tested, refined, and submitted for national 
endorsement; 
(v) barriers preventing maternity care 
providers and insurers from implementing 
quality measures that are aligned with 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 
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710 
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 
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 measures of 
patient-reported experience of care; 
(x) the current processes for collecting 
stratified data on the race and ethnicity of 
pregnant and postpartum individuals in 
hospitals, health systems, midwifery prac-
tices, and birth centers, and for incor-
porating such racially and ethnically strati-
fied data in maternity care quality meas-
ures; 
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711 
(xi) the extent to which maternity 
care quality measures account for the 
unique 
experiences 
of 
pregnant 
and 
postpartum individuals from racial and 
ethnic minority groups (as such term is de-
fined in section 1707(g)(1) of the Public 
Health Service Act (42 U.S.C. 300u– 
6(g)(1))); and 
(xii) the extent to which hospitals, 
health systems, midwifery practices, and 
birth centers are implementing existing 
maternity care quality measures. 
(D) Recommendations on authorizing addi-
tional funds and providing additional technical 
assistance to improve maternal mortality review 
committees and State and Tribal maternal 
health data collection and reporting processes. 
(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 
and 
pregnancy-re-
lated deaths that are unique to pregnant 
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712 
and postpartum individuals from specific 
populations, such as veterans and individ-
uals 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 pregnant 
and postpartum individuals from specific 
populations, such as veterans and individ-
uals who are incarcerated. 
(F) Recommendations to improve and 
standardize current quality measures for mater-
nity care, with a particular focus on racial and 
ethnic inequities 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. 
(4) REPORT.—Not later than 1 year after the 
date of the enactment of this Act, the Secretary 
shall submit to the Congress, and make publicly 
available, a report on the results of the review of 
maternal health data collection processes and quality 
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713 
measures and recommendations to improve such 
processes and measures required under paragraph 
(1). 
(5) DEFINITIONS.—In this subsection: 
(A) MATERNAL MORTALITY REVIEW COM-
MITTEE.—The term ‘‘maternal mortality review 
committee’’ means a maternal mortality review 
committee duly authorized by a State and re-
ceiving funding under section 317k(a)(2)(D) of 
the Public Health Service Act (42 U.S.C. 247b– 
12(a)(2)(D)). 
(B) PREGNANCY-ASSOCIATED
DEATH.— 
The term ‘‘pregnancy-associated’’, with respect 
to a death, means a death of a pregnant or 
postpartum individual, by any cause, that oc-
curs during, or within 1 year following, the in-
dividual’s pregnancy, regardless of the outcome, 
duration, or site of the pregnancy. 
(C) PREGNANCY-RELATED
DEATH.—The 
term ‘‘pregnancy-related’’, with respect to a 
death, means a death of a pregnant or 
postpartum individual that occurs during, or 
within 1 year following, the individual’s preg-
nancy, from a pregnancy complication, a chain 
of events initiated by pregnancy, or the aggra-
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714 
vation of an unrelated condition by the physio-
logic effects of pregnancy. 
(6) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated such sums 
as may be necessary to carry out this subsection for 
each of fiscal years 2023 through 2027. 
(e) INDIAN HEALTH SERVICE STUDY ON MATERNAL 
MORTALITY AND SEVERE MATERNAL MORBIDITY.— 
(1) IN GENERAL.—The Director of the Indian 
Health Service (referred to in this subsection as the 
‘‘Director’’) shall, in coordination with entities de-
scribed in paragraph (2)— 
(A) not later than 90 days after the enact-
ment of this Act, enter into a contract with an 
independent research organization or Tribal 
Epidemiology Center to conduct a comprehen-
sive study on maternal mortality and severe 
maternal morbidity in the populations of Amer-
ican Indian and Alaska Native individuals; and 
(B) not later than 3 years after the date 
of the enactment of this Act, submit to Con-
gress a report on such study that contains rec-
ommendations for policies and practices that 
can be adopted to improve maternal health out-
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715 
comes for pregnant and postpartum American 
Indian and Alaska Native individuals. 
(2) PARTICIPATING ENTITIES.—The entities de-
scribed in this paragraph shall consist of 12 mem-
bers, selected by the Director from among individ-
uals nominated by Indian Tribes and Tribal organi-
zations (as such terms are defined in section 4 of 
the Indian Self-Determination and Education Assist-
ance Act (25 U.S.C. 5304)), and Urban Indian or-
ganizations (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. 
(3) CONTENTS
OF
STUDY.—The study con-
ducted pursuant to paragraph (1) shall— 
(A) examine the causes of maternal mor-
tality and severe maternal morbidity that are 
unique to American Indian and Alaska Native 
individuals; 
(B) include a systematic process of listen-
ing to the stories of American Indian and Alas-
ka Native pregnant and postpartum individuals 
to fully understand the causes of, and inform 
potential solutions to, the maternal mortality 
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716 
and severe maternal morbidity crisis within 
their respective communities; 
(C) distinguish between the causes of, 
landscape of maternity care at, and rec-
ommendations to improve maternal health out-
comes within, the different settings in which 
American Indian and Alaska Native pregnant 
and postpartum individuals receive maternity 
care, such as— 
(i) facilities operated by the Indian 
Health Service; 
(ii) an Indian health program oper-
ated by an Indian Tribe or Tribal organi-
zation pursuant to a contract, grant, coop-
erative agreement, or compact with the In-
dian Health Service pursuant to the Indian 
Self-Determination Act; and 
(iii) an Urban Indian health program 
operated 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; 
(D) review processes for coordinating pro-
grams of the Indian Health Service with social 
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717 
services provided through other programs ad-
ministered by the Secretary of Health and 
Human Services (other than the Medicare pro-
gram under title XVIII of the Social Security 
Act (42 U.S.C. 1395 et seq.), the Medicaid pro-
gram under title XIX of such Act (42 U.S.C. 
1396 et seq.), and the Children’s Health Insur-
ance Program under title XXI of such Act (42 
U.S.C. 1397aa et seq.)); 
(E) review current data collection and 
quality measurement processes and practices; 
(F) assess causes and frequency of mater-
nal mental health conditions and substance use 
disorders; 
(G) consider social determinants of health, 
including poverty, lack of health insurance, un-
employment, sexual violence, and environmental 
conditions in Tribal areas; 
(H) consider the role that historical mis-
treatment of American Indian and Alaska Na-
tive people has played in causing currently high 
rates of maternal mortality and severe maternal 
morbidity; 
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(I) consider how current funding of the In-
dian Health Service affects the ability of the 
Service to deliver quality maternity care; 
(J) consider the extent to which the deliv-
ery of maternity care services is culturally ap-
propriate for American Indian and Alaska Na-
tive pregnant and postpartum individuals; 
(K) make recommendations to reduce 
misclassification of American Indian and Alaska 
Native pregnant and postpartum individuals, 
including consideration of best practices in 
training for maternal mortality review com-
mittee members to be able to correctly classify 
American Indian and Alaska Native individuals; 
and 
(L) make recommendations informed by 
the stories shared by American Indian and 
Alaska Native pregnant and postpartum indi-
viduals pursuant to subparagraph (B) to im-
prove maternal health outcomes for such indi-
viduals. 
(4) REPORT.—The agreement entered into 
under paragraph (1) with an independent research 
organization or Tribal Epidemiology Center shall re-
quire that the organization or center transmit to 
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Congress a report on the results of the study con-
ducted pursuant to that agreement not later than 36 
months after the date of the enactment of this Act. 
(5) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $2,000,000 for each of fiscal years 
2023 through 2025. 
(f) GRANTS TO MINORITY-SERVING INSTITUTIONS 
TO STUDY MATERNAL MORTALITY, SEVERE MATERNAL 
MORBIDITY, AND OTHER ADVERSE MATERNAL HEALTH 
OUTCOMES.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services shall establish a program under 
which the Secretary shall award grants to research 
centers, health professions schools and programs, 
and other entities at minority-serving institutions to 
study specific aspects of the maternal health crisis 
among pregnant and postpartum individuals from 
racial and ethnic minority groups. Such research 
may— 
(A) include the development and imple-
mentation of systematic processes of listening 
to the stories of pregnant and postpartum indi-
viduals from racial and ethnic minority groups, 
and perinatal health workers supporting such 
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720 
individuals, to fully understand the causes of, 
and inform potential solutions to, the maternal 
mortality and severe maternal morbidity crisis 
within their respective communities; 
(B) assess the potential causes of relatively 
low rates of maternal mortality among Hispanic 
individuals, 
including 
potential 
racial 
misclassification and other data collection and 
reporting issues that might be misrepresenting 
maternal mortality rates among Hispanic indi-
viduals in the United States; and 
(C) assess differences in rates of adverse 
maternal health outcomes among subgroups 
identifying as Hispanic. 
(2) APPLICATION.—To be eligible to receive a 
grant under paragraph (1), an entity described in 
such paragraph shall submit to the Secretary an ap-
plication at such time, in such manner, and con-
taining such information as the Secretary may re-
quire. 
(3) TECHNICAL
ASSISTANCE.—The Secretary 
may use not more than 10 percent of the funds 
made available under paragraph (7)— 
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(A) to conduct outreach to minority-serv-
ing institutions to raise awareness of the avail-
ability of grants under this paragraph (1); 
(B) to provide technical assistance in the 
application process for such a grant; and 
(C) to promote capacity building, as need-
ed to enable entities described in such para-
graph to submit such an application. 
(4) REPORTING
REQUIREMENT.—Each entity 
awarded a grant under this subsection shall periodi-
cally submit to the Secretary a report on the status 
of activities conducted using the grant. 
(5) EVALUATION.—Beginning one year after 
the date on which the first grant is awarded under 
this subsection, the Secretary shall submit to Con-
gress an annual report summarizing the findings of 
research conducted using funds made available 
under this subsection. 
(6) 
MINORITY-SERVING
INSTITUTIONS
DE-
FINED.—In this subsection, the term ‘‘minority-serv-
ing institution’’ has the meaning given the term in 
section 371(a) of the Higher Education Act of 1965 
(20 U.S.C. 1067q(a)). 
(7) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to carry out 
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722 
this subsection $10,000,000 for each of fiscal years 
2023 through 2027. 
(g) DEFINITIONS.—In this section: 
(1) CULTURALLY CONGRUENT.—The term ‘‘cul-
turally congruent’’, with respect to care or maternity 
care, means care that is in agreement with the pre-
ferred cultural values, beliefs, worldview, language, 
and practices of the health care consumer and other 
stakeholders. 
(2) MATERNITY
CARE
PROVIDER.—The term 
‘‘maternity care provider’’ means a health care pro-
vider who— 
(A) is a physician, physician assistant, 
midwife who meets at a minimum the inter-
national definition of the midwife and global 
standards for midwifery education as estab-
lished by the International Confederation of 
Midwives, nurse practitioner, or clinical nurse 
specialist; and 
(B) has a focus on maternal or perinatal 
health. 
(3) MATERNAL MORTALITY.—The term ‘‘mater-
nal mortality’’ means a death occurring during or 
within a one-year period after pregnancy, caused by 
pregnancy-related or childbirth complications, in-
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723 
cluding a suicide, overdose, or other death resulting 
from a mental health or substance use disorder at-
tributed to or aggravated by pregnancy-related or 
childbirth complications. 
(4) PERINATAL HEALTH WORKER.—The term 
‘‘perinatal health worker’’ means a doula, commu-
nity health worker, peer supporter, breastfeeding 
and lactation educator or counselor, nutritionist or 
dietitian, childbirth educator, social worker, home 
visitor, language interpreter, or navigator. 
(5) POSTPARTUM AND POSTPARTUM PERIOD.— 
The terms ‘‘postpartum’’ and ‘‘postpartum period’’ 
refer to the 1-year period beginning on the last day 
of the pregnancy of an individual. 
(6) 
PREGNANCY-ASSOCIATED
DEATH.—The 
term ‘‘pregnancy-associated death’’ means a death of 
a pregnant or postpartum individual, by any cause, 
that occurs during, or within 1 year following, the 
individual’s pregnancy, regardless of the outcome, 
duration, or site of the pregnancy. 
(7) PREGNANCY-RELATED
DEATH.—The term 
‘‘pregnancy-related death’’ means a death of a preg-
nant or postpartum individual that occurs during, or 
within 1 year following, the individual’s pregnancy, 
from a pregnancy complication, a chain of events 
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724 
initiated by pregnancy, or the aggravation of an un-
related condition by the physiologic effects of preg-
nancy. 
(8) RACIAL AND ETHNIC MINORITY GROUP.— 
The term ‘‘racial and ethnic minority group’’ has the 
meaning given such term in section 1707(g)(1) of 
the Public Health Service Act (42 U.S.C. 300u– 
6(g)(1)). 
(9) SEVERE MATERNAL MORBIDITY.—The term 
‘‘severe maternal morbidity’’ means a health condi-
tion, including mental health conditions and sub-
stance use disorders, attributed to or aggravated by 
pregnancy or childbirth that results in significant 
short-term or long-term consequences to the health 
of the individual who was pregnant. 
(10) SOCIAL
DETERMINANTS
OF
MATERNAL 
HEALTH DEFINED.—The term ‘‘social determinants 
of maternal health’’ means non-clinical factors that 
impact maternal health outcomes, including— 
(A) economic factors, which may include 
poverty, employment, food security, support for 
and access to lactation and other infant feeding 
options, housing stability, and related factors; 
(B) neighborhood factors, which may in-
clude quality of housing, access to transpor-
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725 
tation, access to child care, availability of 
healthy foods and nutrition counseling, avail-
ability of clean water, air and water quality, 
ambient temperatures, neighborhood crime and 
violence, access to broadband, and related fac-
tors; 
(C) social and community factors, which 
may include systemic racism, gender discrimi-
nation or discrimination based on other pro-
tected classes, workplace conditions, incarcer-
ation, and related factors; 
(D) household factors, which may include 
ability to conduct lead testing and abatement, 
car seat installation, indoor air temperatures, 
and related factors; 
(E) education access and quality factors, 
which may include educational attainment, lan-
guage and literacy, and related factors; and 
(F) health care access factors, including 
health insurance coverage, access to culturally 
congruent health care services, providers, and 
non-clinical support, access to home visiting 
services, access to wellness and stress manage-
ment programs, health literacy, access to tele-
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726 
health and items required to receive telehealth 
services, and related factors. 
SEC. 5209. KIRA JOHNSON ACT. 
(a) INVESTMENTS IN COMMUNITY-BASED ORGANIZA-
TIONS TO IMPROVE BLACK MATERNAL HEALTH OUT-
COMES.— 
(1) AWARDS.—Following the 1-year period de-
scribed in paragraph (3), the Secretary of Health 
and Human Services (in this subsection referred to 
as the ‘‘Secretary’’) shall award grants to eligible 
entities to establish or expand programs to prevent 
maternal mortality and severe maternal morbidity 
among Black pregnant and postpartum individuals. 
(2) ELIGIBILITY.—To be eligible to seek a 
grant under this subsection, an entity shall be a 
community-based organization offering programs 
and resources aligned with evidence-based practices 
for improving maternal health outcomes for Black 
pregnant and postpartum individuals. 
(3) OUTREACH
AND
TECHNICAL
ASSISTANCE 
PERIOD.—During the 1-year period beginning on the 
date of enactment of this Act, the Secretary shall— 
(A) conduct outreach to encourage eligible 
entities to apply for grants under this sub-
section; and 
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727 
(B) provide technical assistance to eligible 
entities on best practices for applying for grants 
under this subsection. 
(4) SPECIAL CONSIDERATION.— 
(A) OUTREACH.—In conducting outreach 
under paragraph (3), the Secretary shall give 
special consideration to eligible entities that— 
(i) are based in, and provide support 
for, communities with high rates of adverse 
maternal health outcomes or significant ra-
cial and ethnic inequities in maternal 
health outcomes, to the extent such data 
are available; 
(ii) are led by Black people; and 
(iii) offer programs and resources that 
are aligned with evidence-based practices 
for improving maternal health outcomes 
for Black pregnant and postpartum indi-
viduals. 
(B) AWARDS.—In awarding grants under 
this subsection, the Secretary shall give special 
consideration to eligible entities that— 
(i) are described in clauses (i), (ii), 
and (iii) of subparagraph (A); 
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728 
(ii) offer programs and resources de-
signed in consultation with and intended 
for Black pregnant and postpartum indi-
viduals; and 
(iii) offer programs and resources in 
the communities in which the respective el-
igible entities are located that— 
(I) promote maternal mental 
health and maternal substance use 
disorder treatments and supports that 
are aligned with evidence-based prac-
tices for improving maternal mental 
and behavioral health outcomes for 
Black pregnant and postpartum indi-
viduals; 
(II) address social determinants 
of maternal health for pregnant and 
postpartum individuals; 
(III) 
promote 
evidence-based 
health literacy and pregnancy, child-
birth, and parenting education for 
pregnant and postpartum individuals; 
(IV) 
provide 
support 
from 
perinatal health workers to pregnant 
and postpartum individuals; 
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729 
(V) provide culturally congruent 
training to perinatal health workers; 
(VI) conduct or support research 
on maternal health issues dispropor-
tionately impacting Black pregnant 
and postpartum individuals; 
(VII) provide support to family 
members of individuals who suffered a 
pregnancy-associated death or preg-
nancy-related death; or 
(VIII) operate midwifery prac-
tices that provide culturally congruent 
maternal health care and support, in-
cluding for the purposes of— 
(aa) supporting additional 
education, training, and certifi-
cation programs, including sup-
port for distance learning; 
(bb) providing financial sup-
port to current and future mid-
wives to address education costs, 
debts, and other needs; 
(cc) clinical site investments; 
(dd) supporting preceptor 
development trainings; 
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730 
(ee) expanding the mid-
wifery practice; or 
(ff) related needs identified 
by the midwifery practice and de-
scribed in the practice’s applica-
tion; or 
(IX) have developed other pro-
grams and resources that address 
community-specific needs for pregnant 
and postpartum individuals and are 
aligned with evidence-based practices 
for improving maternal health out-
comes 
for 
Black 
pregnant 
and 
postpartum individuals. 
(5) TECHNICAL
ASSISTANCE.—The Secretary 
shall provide to grant recipients under this sub-
section technical assistance on— 
(A) capacity building to establish or ex-
pand programs to prevent adverse maternal 
health outcomes among Black pregnant and 
postpartum individuals; 
(B) best practices in data collection, meas-
urement, evaluation, and reporting; and 
(C) planning for sustaining programs to 
prevent maternal mortality and severe maternal 
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731 
morbidity 
among 
Black 
pregnant 
and 
postpartum individuals after the period of the 
grant. 
(6) EVALUATION.—Not later than the end of 
fiscal year 2026, the Secretary shall submit to the 
Congress an evaluation of the grant program under 
this subsection that— 
(A) assesses the effectiveness of outreach 
efforts during the application process in diversi-
fying the pool of grant recipients; 
(B) makes recommendations for future 
outreach efforts to diversify the pool of grant 
recipients for Department of Health and 
Human Services grant programs and funding 
opportunities related to maternal health; 
(C) assesses the effectiveness of programs 
funded by grants under this subsection in im-
proving maternal health outcomes for Black 
pregnant and postpartum individuals, to the ex-
tent practicable; and 
(D) makes recommendations for future 
Department of Health and Human Services 
grant programs and funding opportunities that 
deliver funding to community-based organiza-
tions that provide programs and resources that 
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732 
are aligned with evidence-based practices for 
improving maternal health outcomes for Black 
pregnant and postpartum individuals. 
(7) AUTHORIZATION OF APPROPRIATIONS.—To 
carry out this subsection, there is authorized to be 
appropriated $10,000,000 for each of fiscal years 
2023 through 2027. 
(b) INVESTMENTS IN COMMUNITY-BASED ORGANIZA-
TIONS TO IMPROVE MATERNAL HEALTH OUTCOMES IN 
UNDERSERVED COMMUNITIES.— 
(1) AWARDS.—Following the 1-year period de-
scribed in paragraph (3), the Secretary of Health 
and Human Services (in this subsection referred to 
as the ‘‘Secretary’’) shall award grants to eligible 
entities to establish or expand programs to prevent 
maternal mortality and severe maternal morbidity 
among underserved groups. 
(2) ELIGIBILITY.—To be eligible to seek a 
grant under this subsection, an entity shall be a 
community-based organization offering programs 
and resources aligned with evidence-based practices 
for improving maternal health outcomes for preg-
nant and postpartum individuals. 
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733 
(3) OUTREACH
AND
TECHNICAL
ASSISTANCE 
PERIOD.—During the 1-year period beginning on the 
date of enactment of this Act, the Secretary shall— 
(A) conduct outreach to encourage eligible 
entities to apply for grants under this sub-
section; and 
(B) provide technical assistance to eligible 
entities on best practices for applying for grants 
under this subsection. 
(4) SPECIAL CONSIDERATION.— 
(A) OUTREACH.—In conducting outreach 
under paragraph (3), the Secretary shall give 
special consideration to eligible entities that— 
(i) are based in, and provide support 
for, communities with high rates of adverse 
maternal health outcomes or significant ra-
cial and ethnic inequities in maternal 
health outcomes, to the extent such data 
are available; 
(ii) are led by individuals from ra-
cially, ethnically, and geographically di-
verse backgrounds; and 
(iii) offer programs and resources that 
are aligned with evidence-based practices 
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734 
for improving maternal health outcomes 
for pregnant and postpartum individuals. 
(B) AWARDS.—In awarding grants under 
this subsection, the Secretary shall give special 
consideration to eligible entities that— 
(i) are described in clauses (i), (ii), 
and (iii) of subparagraph (A); 
(ii) offer programs and resources de-
signed in consultation with and intended 
for pregnant and postpartum individuals 
from underserved groups; and 
(iii) offer programs and resources in 
the communities in which the respective el-
igible entities are located that— 
(I) promote maternal mental 
health and maternal substance use 
disorder treatments and support that 
are aligned with evidence-based prac-
tices for improving maternal mental 
and behavioral health outcomes for 
pregnant and postpartum individuals; 
(II) address social determinants 
of maternal health for pregnant and 
postpartum individuals; 
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735 
(III) 
promote 
evidence-based 
health literacy and pregnancy, child-
birth, and parenting education for 
pregnant and postpartum individuals; 
(IV) 
provide 
support 
from 
perinatal health workers to pregnant 
and postpartum individuals; 
(V) provide culturally congruent 
training to perinatal health workers; 
(VI) conduct or support research 
on maternal health outcomes and in-
equities; 
(VII) provide support to family 
members of individuals who suffered a 
pregnancy-associated death or preg-
nancy-related death; or 
(VIII) operate midwifery prac-
tices that provide culturally congruent 
maternal health care and support, in-
cluding for the purposes of— 
(aa) supporting additional 
education, training, and certifi-
cation programs, including sup-
port for distance learning; 
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736 
(bb) providing financial sup-
port to current and future mid-
wives to address education costs, 
debts, and other needs; 
(cc) clinical site investments; 
(dd) supporting preceptor 
development trainings; 
(ee) expanding the mid-
wifery practice; or 
(ff) related needs identified 
by the midwifery practice and de-
scribed in the practice’s applica-
tion; or 
(iv) have developed other programs 
and resources that address community-spe-
cific needs for pregnant and postpartum 
individuals and are aligned with evidence- 
based practices for improving maternal 
health 
outcomes 
for 
pregnant 
and 
postpartum individuals. 
(5) TECHNICAL
ASSISTANCE.—The Secretary 
shall provide to grant recipients under this sub-
section technical assistance on— 
(A) capacity building to establish or ex-
pand programs to prevent adverse maternal 
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737 
health 
outcomes 
among 
pregnant 
and 
postpartum 
individuals 
from 
underserved 
groups; 
(B) best practices in data collection, meas-
urement, evaluation, and reporting; and 
(C) planning for sustaining programs to 
prevent maternal mortality and severe maternal 
morbidity among pregnant and postpartum in-
dividuals from underserved groups after the pe-
riod of the grant. 
(6) EVALUATION.—Not later than the end of 
fiscal year 2026, the Secretary shall submit to the 
Congress an evaluation of the grant program under 
this subsection that— 
(A) assesses the effectiveness of outreach 
efforts during the application process in diversi-
fying the pool of grant recipients; 
(B) makes recommendations for future 
outreach efforts to diversify the pool of grant 
recipients for Department of Health and 
Human Services grant programs and funding 
opportunities related to maternal health; 
(C) assesses the effectiveness of programs 
funded by grants under this subsection in im-
proving maternal health outcomes for pregnant 
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738 
and postpartum individuals from underserved 
groups, to the extent practicable; and 
(D) makes recommendations for future 
Department of Health and Human Services 
grant programs and funding opportunities that 
deliver funding to community-based organiza-
tions that provide programs and resources that 
are aligned with evidence-based practices for 
improving maternal health outcomes for preg-
nant and postpartum individuals. 
(7) DEFINITION.—In this subsection, the term 
‘‘underserved groups’’ refers to pregnant and 
postpartum individuals— 
(A) from racial and ethnic minority groups 
(as such term is defined in section 1707(g)(1) 
of the Public Health Service Act (42 U.S.C. 
300u–6(g)(1))); 
(B) whose household income is equal to or 
less than 150 percent of the Federal poverty 
line; 
(C) who live in health professional shortage 
areas (as such term is defined in section 332 of 
the Public Health Service Act (42 U.S.C. 
254e)); 
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739 
(D) who live in counties with no hospital 
offering obstetric care, no birth center, and no 
obstetric provider; or 
(E) who live in counties with a level of vul-
nerability of moderate-to-high or higher, accord-
ing to the Social Vulnerability Index of the Cen-
ters for Disease Control and Prevention. 
(8) AUTHORIZATION OF APPROPRIATIONS.—To 
carry out this subsection, there is authorized to be 
appropriated $10,000,000 for each of fiscal years 
2023 through 2027. 
(c) RESPECTFUL MATERNITY CARE TRAINING FOR 
ALL EMPLOYEES IN MATERNITY CARE SETTINGS.—Part 
B of title VII of the Public Health Service Act (42 U.S.C. 
293 et seq.) is amended by adding at the end the following 
new section: 
‘‘SEC. 742. RESPECTFUL MATERNITY CARE TRAINING FOR 
ALL EMPLOYEES IN MATERNITY CARE SET-
TINGS. 
‘‘(a) GRANTS.—The Secretary shall award grants for 
programs to reduce and prevent bias, racism, and dis-
crimination in maternity care settings and to advance re-
spectful, culturally congruent, trauma-informed care. 
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‘‘(b) SPECIAL CONSIDERATION.—In awarding grants 
under subsection (a), the Secretary shall give special con-
sideration to applications for programs that would— 
‘‘(1) apply to all maternity care providers and 
any employees who interact with pregnant and 
postpartum individuals in the provider setting, in-
cluding front desk employees, sonographers, sched-
ulers, health care professionals, hospital or health 
system administrators, security staff, and other em-
ployees; 
‘‘(2) emphasize periodic, as opposed to one- 
time, trainings for all birthing professionals and em-
ployees described in paragraph (1); 
‘‘(3) address implicit bias, racism, and cultural 
humility; 
‘‘(4) be delivered in ongoing education settings 
for providers maintaining their licenses, with a pref-
erence for trainings that provide continuing edu-
cation units; 
‘‘(5) include trauma-informed care best prac-
tices and an emphasis on shared decision making be-
tween providers and patients; 
‘‘(6) include antiracism training and programs; 
‘‘(7) be delivered in undergraduate programs 
that funnel into health professions schools; 
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‘‘(8) be delivered in settings that apply to pro-
viders of the special supplemental nutrition program 
for women, infants, and children under section 17 of 
the Child Nutrition Act of 1966; 
‘‘(9) integrate bias training in obstetric emer-
gency simulation trainings or related trainings; 
‘‘(10) include training for emergency depart-
ment employees and emergency medical technicians 
on recognizing warning signs for severe pregnancy- 
related complications; 
‘‘(11) offer training to all maternity care pro-
viders on the value of racially, ethnically, and profes-
sionally diverse maternity care teams to provide cul-
turally congruent care; or 
‘‘(12) be based on one or more programs de-
signed by a historically Black college or university or 
other minority-serving institution. 
‘‘(c) APPLICATION.—To seek a grant under sub-
section (a), an entity shall submit an application at such 
time, in such manner, and containing such information as 
the Secretary may require. 
‘‘(d) REPORTING TO SECRETARY.—Each recipient of 
a grant under this section shall annually submit to the 
Secretary a report on the status of activities conducted 
using the grant, including, as applicable, a description of 
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the impact of training provided through the grant on pa-
tient outcomes and patient experience for pregnant and 
postpartum individuals from racial and ethnic minority 
groups and their families. 
‘‘(e) DISSEMINATION OF FINDINGS.—Based on the 
annual reports submitted pursuant to subsection (d), the 
Secretary— 
‘‘(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 one-year 
period beginning on the last day of an individual’s 
pregnancy. 
‘‘(2) The term ‘culturally congruent’ means in 
agreement with the preferred cultural values, beliefs, 
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world view, language, and practices of the health 
care consumer and other stakeholders. 
‘‘(3) The term ‘maternity care provider’ means 
a health care provider who— 
‘‘(A) is a physician, physician assistant, 
midwife who meets at a minimum the inter-
national definition of the midwife and global 
standards for midwifery education as estab-
lished by the International Confederation of 
Midwives, nurse practitioner, or clinical nurse 
specialist; and 
‘‘(B) has a focus on maternal or perinatal 
health. 
‘‘(4) 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-
priated $5,000,000 for each of fiscal years 2023 through 
2027.’’. 
(d) STUDY ON REDUCING AND PREVENTING BIAS, 
RACISM, AND DISCRIMINATION IN MATERNITY CARE SET-
TINGS.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services shall seek to enter into an agree-
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ment, not later than 90 days after the date of enact-
ment of this Act, with the National Academies of 
Sciences, Engineering, and Medicine (referred to in 
this subsection as the ‘‘National Academies’’) under 
which the National Academies agree to— 
(A) conduct a study on the design and im-
plementation of programs to reduce and prevent 
bias, racism, and discrimination in maternity 
care settings and to advance respectful, cul-
turally congruent, trauma-informed care; and 
(B) not later than 24 months after the 
date of the enactment of this Act— 
(i) complete the study; and 
(ii) transmit a report on the results of 
the study to the Congress. 
(2) POSSIBLE TOPICS.—The agreement entered 
into pursuant to paragraph (1) may provide for the 
study of any of the following: 
(A) The development of a scorecard or 
other evaluation standards for programs de-
signed to reduce and prevent bias, racism, and 
discrimination in maternity care settings to as-
sess the effectiveness of such programs in im-
proving patient outcomes and patient experi-
ence for pregnant and postpartum individuals 
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745 
from racial and ethnic minority groups and 
their families. 
(B) Determination of the types and fre-
quency of training to reduce and prevent bias, 
racism, and discrimination in maternity care 
settings that are demonstrated to improve pa-
tient outcomes or patient experience for preg-
nant and postpartum individuals from racial 
and ethnic minority groups and their families. 
(e) RESPECTFUL MATERNITY CARE COMPLIANCE 
PROGRAM.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services (referred to in this subsection as 
the ‘‘Secretary’’) shall award grants to accredited 
hospitals, health systems, and other maternity care 
settings to establish as an integral part of quality 
implementation initiatives within one or more hos-
pitals or other birth settings a respectful maternity 
care compliance program. 
(2) PROGRAM
REQUIREMENTS.—A respectful 
maternity care compliance program funded through 
a grant under this subsection shall— 
(A) institutionalize mechanisms to allow 
patients receiving maternity care services, the 
families of such patients, or perinatal health 
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workers supporting such patients to report in-
stances of racism or evidence of bias on the 
basis of race, ethnicity, or another protected 
class; 
(B) institutionalize response mechanisms 
through which representatives of the program 
can directly follow up with the patient, if pos-
sible, and the patient’s family in a timely man-
ner; 
(C) prepare, and make publicly available, a 
hospital- or health system-wide strategy to re-
duce bias on the basis of race, ethnicity, or an-
other protected class in the delivery of mater-
nity care that includes— 
(i) information on the training pro-
grams to reduce and prevent bias, racism, 
and discrimination on the basis of race, 
ethnicity, or another protected class for all 
employees in maternity care settings; 
(ii) information on the number of 
cases reported to the compliance program; 
and 
(iii) the development of methods to 
routinely assess the extent to which bias, 
racism, or discrimination on the basis of 
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race, ethnicity, or another protected class 
are present in the delivery of maternity 
care to patients from racial and ethnic mi-
nority groups; and 
(D) develop mechanisms to routinely col-
lect and publicly report hospital-level data re-
lated to patient-reported experience of care; and 
(E) provide annual reports to the Sec-
retary with information about each case re-
ported to the compliance program over the 
course of the year containing such information 
as the Secretary may require, such as— 
(i) de-identified demographic informa-
tion on the patient in the case, such as 
race, ethnicity, gender identity, and pri-
mary language; 
(ii) the content of the report from the 
patient or the family of the patient to the 
compliance program; 
(iii) the response from the compliance 
program; and 
(iv) to the extent applicable, institu-
tional changes made as a result of the 
case. 
(3) SECRETARY REQUIREMENTS.— 
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748 
(A) PROCESSES.—Not later than 180 days 
after the date of the enactment of this Act, the 
Secretary shall establish processes for— 
(i) disseminating best practices for es-
tablishing and implementing a respectful 
maternity care compliance program within 
a hospital or other birth setting; 
(ii) promoting coordination and col-
laboration between hospitals, health sys-
tems, and other maternity care delivery 
settings on the establishment and imple-
mentation of respectful maternity care 
compliance programs; and 
(iii) evaluating the effectiveness of re-
spectful maternity care compliance pro-
grams on maternal health outcomes and 
patient and family experiences, especially 
for patients from racial and ethnic minor-
ity groups and their families. 
(B) STUDY.— 
(i) IN GENERAL.—Not later than 2 
years after the date of the enactment of 
this Act, the Secretary shall, through a 
contract with an independent research or-
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749 
ganization, conduct a study on strategies 
to address— 
(I) racism or bias on the basis of 
race, ethnicity, or another protected 
class in the delivery of maternity care 
services; and 
(II) successful implementation of 
respectful care initiatives. 
(ii) COMPONENTS
OF
STUDY.—The 
study shall include the following: 
(I) An assessment of the reports 
submitted to the Secretary from the 
respectful maternity care compliance 
programs 
pursuant 
to 
paragraph 
(2)(E). 
(II) Based on such assessment, 
recommendations for potential ac-
countability mechanisms related to 
cases of racism or bias on the basis of 
race, ethnicity, or another protected 
class in the delivery of maternity care 
services at hospitals and other birth 
settings. Such recommendations shall 
take into consideration medical and 
non-medical factors that contribute to 
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750 
adverse patient experiences and ma-
ternal health outcomes. 
(iii) REPORT.—The Secretary shall 
submit to the Congress, and make publicly 
available, a report on the results of the 
study under this subparagraph. 
(4) AUTHORIZATION OF APPROPRIATIONS.—To 
carry out this subsection, there is authorized to be 
appropriated such sums as may be necessary for fis-
cal years 2023 through 2028. 
(f) GAO REPORT.— 
(1) IN GENERAL.—Not later than 2 years after 
the date of enactment of this Act and annually 
thereafter, the Comptroller General of the United 
States shall submit to the Congress, and make pub-
licly available, a report on the establishment of re-
spectful maternity care compliance programs within 
hospitals, health systems, and other maternity care 
settings. 
(2) MATTERS
INCLUDED.—The report under 
paragraph (1) shall include the following: 
(A) Information regarding the extent to 
which hospitals, health systems, and other ma-
ternity care settings have elected to establish 
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751 
respectful maternity care compliance programs, 
including— 
(i) which hospitals and other birth 
settings elect to establish compliance pro-
grams and when such programs are estab-
lished; 
(ii) to the extent practicable, impacts 
of the establishment of such programs on 
maternal health outcomes and patient and 
family experiences in the hospitals and 
other birth settings that have established 
such programs, especially for patients from 
racial and ethnic minority groups and their 
families; 
(iii) information on geographic areas, 
and types of hospitals or other birth set-
tings, where respectful maternity care com-
pliance programs are not being established 
and information on factors contributing to 
decisions to not establish such programs; 
and 
(iv) recommendations for establishing 
respectful maternity care compliance pro-
grams in geographic areas, and types of 
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752 
hospitals or other birth settings, where 
such programs are not being established. 
(B) Whether the funding made available to 
carry out this subsection has been sufficient 
and, if applicable, recommendations for addi-
tional appropriations to carry out this sub-
section. 
(C) Such other information as the Comp-
troller General determines appropriate. 
(g) DEFINITIONS.—In this section: 
(1) CULTURALLY CONGRUENT.—The term ‘‘cul-
turally congruent’’, with respect to care or maternity 
care, means care that is in agreement with the pre-
ferred cultural values, beliefs, worldview, language, 
and practices of the health care consumer and other 
stakeholders. 
(2) MATERNITY
CARE
PROVIDER.—The term 
‘‘maternity care provider’’ means a health care pro-
vider who— 
(A) is a physician, physician assistant, 
midwife who meets at a minimum the inter-
national definition of the midwife and global 
standards for midwifery education as estab-
lished by the International Confederation of 
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753 
Midwives, nurse practitioner, or clinical nurse 
specialist; and 
(B) has a focus on maternal or perinatal 
health. 
(3) MATERNAL MORTALITY.—The term ‘‘mater-
nal mortality’’ means a death occurring during or 
within a one-year period after pregnancy, caused by 
pregnancy-related or childbirth complications, in-
cluding a suicide, overdose, or other death resulting 
from a mental health or substance use disorder at-
tributed to or aggravated by pregnancy-related or 
childbirth complications. 
(4) PERINATAL HEALTH WORKER.—The term 
‘‘perinatal health worker’’ means a doula, commu-
nity health worker, peer supporter, breastfeeding 
and lactation educator or counselor, nutritionist or 
dietitian, childbirth educator, social worker, home 
visitor, language interpreter, or navigator. 
(5) POSTPARTUM AND POSTPARTUM PERIOD.— 
The terms ‘‘postpartum’’ and ‘‘postpartum period’’ 
refer to the 1-year period beginning on the last day 
of the pregnancy of an individual. 
(6) 
PREGNANCY-ASSOCIATED
DEATH.—The 
term ‘‘pregnancy-associated death’’ means a death of 
a pregnant or postpartum individual, by any cause, 
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754 
that occurs during, or within 1 year following, the 
individual’s pregnancy, regardless of the outcome, 
duration, or site of the pregnancy. 
(7) PREGNANCY-RELATED
DEATH.—The term 
‘‘pregnancy-related death’’ means a death of a preg-
nant or postpartum individual that occurs during, or 
within 1 year following, the individual’s pregnancy, 
from a pregnancy complication, a chain of events 
initiated by pregnancy, or the aggravation of an un-
related condition by the physiologic effects of preg-
nancy. 
(8) RACIAL AND ETHNIC MINORITY GROUP.— 
The term ‘‘racial and ethnic minority group’’ has the 
meaning given such term in section 1707(g)(1) of 
the Public Health Service Act (42 U.S.C. 300u– 
6(g)(1)). 
(9) SEVERE MATERNAL MORBIDITY.—The term 
‘‘severe maternal morbidity’’ means a health condi-
tion, including mental health conditions and sub-
stance use disorders, attributed to or aggravated by 
pregnancy or childbirth that results in significant 
short-term or long-term consequences to the health 
of the individual who was pregnant. 
(10) SOCIAL
DETERMINANTS
OF
MATERNAL 
HEALTH DEFINED.—The term ‘‘social determinants 
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of maternal health’’ means non-clinical factors that 
impact maternal health outcomes, including— 
(A) economic factors, which may include 
poverty, employment, food security, support for 
and access to lactation and other infant feeding 
options, housing stability, and related factors; 
(B) neighborhood factors, which may in-
clude quality of housing, access to transpor-
tation, access to child care, availability of 
healthy foods and nutrition counseling, avail-
ability of clean water, air and water quality, 
ambient temperatures, neighborhood crime and 
violence, access to broadband, and related fac-
tors; 
(C) social and community factors, which 
may include systemic racism, gender discrimi-
nation or discrimination based on other pro-
tected classes, workplace conditions, incarcer-
ation, and related factors; 
(D) household factors, which may include 
ability to conduct lead testing and abatement, 
car seat installation, indoor air temperatures, 
and related factors; 
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756 
(E) education access and quality factors, 
which may include educational attainment, lan-
guage and literacy, and related factors; and 
(F) health care access factors, including 
health insurance coverage, access to culturally 
congruent health care services, providers, and 
non-clinical support, access to home visiting 
services, access to wellness and stress manage-
ment programs, health literacy, access to tele-
health and items required to receive telehealth 
services, and related factors. 
SEC. 5210. MOMS MATTER. 
(a) MATERNAL MENTAL HEALTH EQUITY GRANT 
PROGRAM.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Assistant Sec-
retary for Mental Health and Substance Use, shall 
establish a program to award grants to eligible enti-
ties to address maternal mental health conditions 
and substance use disorders with respect to preg-
nant and postpartum individuals, with a focus on ra-
cial and ethnic minority groups. 
(2) APPLICATION.—To be eligible to receive a 
grant under this subsection, an eligible entity shall 
submit to the Secretary an application at such time, 
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757 
in such manner, and containing such information as 
the Secretary may provide, including how such entity 
will use funds for activities described in paragraph 
(4) that are culturally congruent. 
(3) PRIORITY.—In awarding grants under this 
subsection, the Secretary shall give priority to an eli-
gible entity that— 
(A) is, or will partner with, a community- 
based organization to address maternal mental 
health conditions and substance use disorders 
described in paragraph (1); 
(B) is operating in an area with high rates 
of— 
(i) adverse maternal health outcomes; 
or 
(ii) significant racial or ethnic inequi-
ties in maternal health outcomes; and 
(C) is operating in a health professional 
shortage area designated under section 332 of 
the Public Health Service Act (42 U.S.C. 
254e). 
(4) USE OF FUNDS.—An eligible entity that re-
ceives a grant under this subsection shall use funds 
for the following: 
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(A) Establishing or expanding maternity 
care programs to improve the integration of 
maternal health and behavioral health care 
services into primary care settings where preg-
nant individuals regularly receive health care 
services. 
(B) Establishing or expanding group pre-
natal care programs or postpartum care pro-
grams. 
(C) Expanding existing programs that im-
prove maternal mental and behavioral health 
during the prenatal and postpartum periods, 
with a focus on individuals from racial and eth-
nic minority groups. 
(D) Providing services and support for 
pregnant and postpartum individuals with ma-
ternal mental health conditions and substance 
use disorders, including referrals to addiction 
treatment centers that offer evidence-based 
treatment options. 
(E) Addressing stigma associated with ma-
ternal mental health conditions and substance 
use disorders, with a focus on racial and ethnic 
minority groups. 
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(F) Raising awareness of warning signs of 
maternal mental health conditions and sub-
stance use disorders, with a focus on pregnant 
and postpartum individuals from racial and eth-
nic minority groups. 
(G) Establishing or expanding programs to 
prevent suicide or self-harm among pregnant 
and postpartum individuals. 
(H) Offering evidence-aligned programs at 
freestanding birth centers that provide maternal 
mental and behavioral health care education, 
treatments, and services, and other services for 
individuals 
throughout 
the 
prenatal 
and 
postpartum period. 
(I) Establishing or expanding programs to 
provide education and training to maternity 
care providers with respect to— 
(i) identifying potential warning signs 
for maternal mental health conditions or 
substance use disorders in pregnant and 
postpartum individuals, with a focus on in-
dividuals from racial and ethnic minority 
groups; and 
(ii) in the case where such providers 
identify such warning signs, offering refer-
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rals to mental and behavioral health care 
professionals. 
(J) Developing a website, or other source, 
that includes information on health care pro-
viders who treat maternal mental health condi-
tions and substance use disorders. 
(K) Establishing or expanding programs in 
communities to improve coordination between 
maternity care providers and mental and behav-
ioral health care providers who treat maternal 
mental health conditions and substance use dis-
orders, including through the use of toll-free 
hotlines. 
(L) Carrying out other programs aligned 
with evidence-based practices for addressing 
maternal mental health conditions and sub-
stance 
use 
disorders 
for 
pregnant 
and 
postpartum individuals from racial and ethnic 
minority groups. 
(5) REPORTING.— 
(A) ELIGIBLE ENTITIES.—An eligible enti-
ty that receives a grant under paragraph (1) 
shall submit annually to the Secretary, and 
make publicly available, a report on the activi-
ties conducted using funds received through a 
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761 
grant under this subsection. Such reports shall 
include quantitative and qualitative evaluations 
of such activities, including the experience of in-
dividuals who received health care through such 
grant. 
(B) SECRETARY.—Not later than the end 
of fiscal year 2024, the Secretary shall submit 
to Congress a report that includes— 
(i) a summary of the reports received 
under subparagraph (A); 
(ii) an evaluation of the effectiveness 
of grants awarded under this subsection; 
(iii) recommendations with respect to 
expanding 
coverage 
of 
evidence-based 
screenings and treatments for maternal 
mental health conditions and substance use 
disorders; and 
(iv) recommendations with respect to 
ensuring activities described under para-
graph (4) continue after the end of a grant 
period. 
(6) DEFINITIONS.—In this subsection: 
(A) ELIGIBLE ENTITY.—The term ‘‘eligible 
entity’’ means— 
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status, as applicable) on the following rates, trends, 
and costs by State: 
‘‘(A) The rate and trend of primary cesar-
ean deliveries and repeat cesarean deliveries. 
‘‘(B) The rate and trend of vaginal births 
after cesarean. 
‘‘(C) The rate and trend of vaginal breech 
births. 
‘‘(D) The rate and trend of induction of 
labor. 
‘‘(E) The rate and trend of freestanding 
birth center births. 
‘‘(F) The rate and trend of planned and 
unplanned home birth. 
‘‘(G) The rate and trends of attended 
births by different types of maternity care pro-
viders, 
including 
by 
an 
obstetrician-gyne-
cologist, family practice physician, obstetrician- 
gynecologist physician assistant, certified nurse- 
midwife, certified midwife, and certified profes-
sional midwife. 
‘‘(H) The rate and trend of severe mater-
nal morbidity. 
‘‘(I) The rates and trends of prenatal and 
postpartum anxiety and depression. 
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1711 
(D) To collaborate with the Council to sup-
port the development of social determinants ac-
celerator plans. 
(E) To prepare and submit a final social 
determinants accelerator plan to the Council. 
(6) CONTENTS
OF
PLANS.—A social deter-
minant accelerator plan developed under this sub-
section shall include the following: 
(A) A description of the target population 
(or populations) that would benefit from imple-
mentation of the social determinants accelerator 
plan, including an analysis describing the pro-
jected impact on the well-being of individuals 
described in paragraph (5)(B). 
(B) A description of the interventions or 
approaches designed under the social deter-
minants accelerator plan and the evidence for 
selecting such interventions or approaches. 
(C) The objectives and outcome goals of 
such interventions or approaches, including at 
least one health outcome and at least one other 
important social outcome. 
(D) A plan for accessing and linking rel-
evant data to enable coordinated benefits and 
services for the jurisdictions described in this 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
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pbinns on DSKJLVW7X2PROD with $$_JOB