tent of progress in reducing racial and ethnic dis-
parities and disparities related to indigenous status. 
‘‘(2) CERTAIN
INFORMATION.—Each report 
under paragraph (1) shall include information 
(disaggregated by race, ethnicity, and indigenous 
status, as applicable) on the following rates and 
costs by State: 
‘‘(A) The rate of primary cesarean deliv-
eries and repeat cesarean deliveries. 
‘‘(B) The rate of vaginal births after cesar-
ean. 
‘‘(C) The rate of vaginal breech births. 
‘‘(D) The rate of induction of labor. 
‘‘(E) The rate of birthing center births. 
‘‘(F) The rate of planned and unplanned 
home birth. 
‘‘(G) The rate of attended births by pro-
vider, including by an obstetrician-gynecologist, 
family practice physician, obstetrician-gyne-
cologist physician assistant, certified nurse-mid-
wife, certified midwife, and certified profes-
sional midwife. 
‘‘(H) 
The 
cost 
of 
maternity 
care 
disaggregated by place of birth and provider of 
care, including— 
VerDate Mar 15 2010 
00:01 Jun 10, 2011
Jkt 099200
PO 00000
Frm 00014
Fmt 6652
Sfmt 6201
E:\BILLS\H2141.IH
H2141
smartinez on DSK6TPTVN1PROD with BILLS
‘‘(i) uncomplicated vaginal birth; 
‘‘(ii) complicated vaginal birth; 
‘‘(iii) uncomplicated cesarean birth; 
and 
‘‘(iv) complicated cesarean birth. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated, in addition to such 
amounts authorized to be appropriated under section 
229(e), to carry out this section $1,000,000 for each of 
the fiscal years 2012 through 2016.’’. 
(b) CONFORMING AMENDMENTS.— 
(1) INCLUSION AS DUTY OF HHS OFFICE ON 
WOMEN’S HEALTH.—Section 229(b) of such Act (42 
U.S.C. 237a(b)), as amended by section 101, is 
amended— 
(A) in paragraph (7), at the end, by strik-
ing ‘‘and’’; 
(B) in paragraph (8), at the end, by strik-
ing the period and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
paragraph: 
‘‘(9) establish the Interagency Coordinating 
Committee on the Promotion of Optimal Maternity 
Outcomes in accordance with section 229A.’’. 
VerDate Mar 15 2010 
00:01 Jun 10, 2011
Jkt 099200
PO 00000
Frm 00015
Fmt 6652
Sfmt 6201
E:\BILLS\H2141.IH
H2141
smartinez on DSK6TPTVN1PROD with BILLS
(2) TREATMENT OF BIENNIAL REPORTS.—Sec-
tion 229(d) of such Act (42 U.S.C. 237a(d)) is 
amended by inserting ‘‘(other than under subsection 
(b)(9))’’ after ‘‘under this section’’. 
SEC. 103. CONSUMER EDUCATION CAMPAIGN. 
Section 229 of the Public Health Service Act (42 
U.S.C. 237a), as amended by sections 101 and 102, is 
further amended— 
(1) in subsection (b)— 
(A) in paragraph (8), at the end, by strik-
ing ‘‘and’’; 
(B) in paragraph (9), at the end, by strik-
ing the period and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
paragraph: 
‘‘(10) not later than one year after the date of 
the enactment of the MOMS for the 21st Century 
Act, develop and implement a 4-year culturally and 
linguistically appropriate multi-media consumer edu-
cation campaign to promote understanding and ac-
ceptance of evidence based maternity practices and 
models of care for optimal maternity outcomes 
among women of childbearing ages and families of 
such women and that— 
VerDate Mar 15 2010 
00:01 Jun 10, 2011
Jkt 099200
PO 00000
Frm 00016
Fmt 6652
Sfmt 6201
E:\BILLS\H2141.IH
H2141
smartinez on DSK6TPTVN1PROD with BILLS
‘‘(A) highlights the importance of pro-
tecting, promoting, and supporting the innate 
capacities of childbearing women and their 
newborns for childbirth, breast-feeding, and at-
tachment; 
‘‘(B) promotes understanding of the impor-
tance of using obstetric interventions when 
medically necessary and when supported by 
strong, high-quality evidence; 
‘‘(C) highlights the widespread overuse of 
maternity practices that have been shown to 
have benefit when used appropriately in situa-
tions of medical necessity, but which can expose 
women, infants, or both to risk of harm if used 
routinely and indiscriminately, including contin-
uous fetal monitoring, labor induction, epidural 
anesthesia, elective primary cesarean section, 
and repeat cesarean delivery; 
‘‘(D) emphasizes the non-invasive mater-
nity practices that have strong proven correla-
tion or may be associated with considerable im-
provement in outcomes with no detrimental side 
effects, and are significantly underused in the 
United States, including smoking cessation pro-
grams in pregnancy, group model prenatal care, 
VerDate Mar 15 2010 
00:01 Jun 10, 2011
Jkt 099200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6201
E:\BILLS\H2141.IH
H2141
smartinez on DSK6TPTVN1PROD with BILLS
continuous labor support, non-supine positions 
for birth, and external version to turn breech 
babies at term; 
‘‘(E) educates consumers about the quali-
fications of licensed providers of maternity care 
and the best evidence about their safety, satis-
faction, outcomes, and costs; 
‘‘(F) informs consumers about the best 
available research comparing birth center 
births, planned home births, and hospital 
births, including information about each set-
ting’s safety, satisfaction, outcomes, and costs; 
‘‘(G) fosters involvement in informed deci-
sionmaking among childbirth consumers; and 
‘‘(H) is pilot tested for consumer com-
prehension, cultural sensitivity, and acceptance 
of the messages across geographically, racially, 
ethnically, and linguistically diverse popu-
lations.’’. 
SEC. 104. BIBLIOGRAPHIC DATABASE OF SYSTEMATIC RE-
VIEWS FOR CARE OF CHILDBEARING WOMEN 
AND NEWBORNS. 
(a) IN GENERAL.—Not later than January 1, 2014, 
the Secretary of Health and Human Services, through the 
Agency for Healthcare Research and Quality, shall— 
VerDate Mar 15 2010 
00:01 Jun 10, 2011
Jkt 099200
PO 00000
Frm 00018
Fmt 6652
Sfmt 6201
E:\BILLS\H2141.IH
H2141
smartinez on DSK6TPTVN1PROD with BILLS
(1) make publicly available an online biblio-
graphic database identifying systematic reviews, in-
cluding an explanation of the level and quality of 
evidence, for care of childbearing women and 
newborns; and 
(2) initiate regular updates that incorporate 
newly issued and updated systematic reviews. 
(b) SOURCES.—To aim for a comprehensive inventory 
of systematic reviews relevant to maternal and newborn 
care, the database shall identify reviews from diverse 
sources, including— 
(1) scientific peer-reviewed journals; 
(2) databases, including Cochrane Database of 
Systematic Reviews, Clinical Evidence, and Data-
base of Abstracts of Reviews of Effects; and 
(3) Internet Web sites of agencies and organi-
zations throughout the world that produce such sys-
tematic reviews. 
(c) FEATURES.—The database shall— 
(1) provide bibliographic citations for each 
record within the database; 
(2) include abstracts, as available; 
(3) provide reference to companion documents 
as may exist for each review, such as evidence tables 
VerDate Mar 15 2010 
00:01 Jun 10, 2011
Jkt 099200
PO 00000
Frm 00019
Fmt 6652
Sfmt 6201
E:\BILLS\H2141.IH
H2141
smartinez on DSK6TPTVN1PROD with BILLS
and guidelines or consumer educational materials de-
veloped from the review; 
(4) provide links to the source of the full review 
and to any companion documents; 
(5) provide links to the source of a previous 
version or update of the review; 
(6) be searchable by intervention or other topic 
of the review, reported outcomes, author, title, and 
source; and 
(7) offer to users periodic electronic notification 
of database updates relating to users’ topics of inter-
est. 
(d) OUTREACH.—Not later than the first date the 
database is made publicly available and periodically there-
after, the Secretary of Health and Human Services shall 
publicize the availability, features, and uses of the data-
base under this section to the stakeholders described in 
subsection (e). 
(e) CONSULTATION.—For purposes of developing the 
database under this section and maintaining and updating 
such database, the Secretary of Health and Human Serv-
ices shall convene and consult with an advisory committee 
composed of relevant stakeholders, including— 
(1) Federal Medicaid administrators and State 
agencies administrating State plans under title XIX 
VerDate Mar 15 2010 
00:01 Jun 10, 2011
Jkt 099200
PO 00000
Frm 00020
Fmt 6652
Sfmt 6201
E:\BILLS\H2141.IH
H2141
smartinez on DSK6TPTVN1PROD with BILLS
of the Social Security Act pursuant to section 
1902(a)(5) of such Act (42 U.S.C. 1396a(a)(5)); 
(2) providers of maternity and newborn care 
from both academic and community-based settings, 
including obstetrician-gynecologists, family physi-
cians, midwives, physician assistants, perinatal 
nurses, pediatricians, and nurse practitioners; 
(3) maternal-fetal medicine specialists; 
(4) neonatologists; 
(5) childbearing women and their advocates 
representing communities that are diverse in terms 
of race, ethnicity, indigenous status, and geographic 
area; 
(6) employers and purchasers; 
(7) health facility and system leaders, including 
both hospital and birth center facilities; 
(8) journalists; and 
(9) bibliographic informatics specialists. 
(f) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated $2,500,000 for each of the 
fiscal years 2012 through 2014 for the purpose of devel-
oping the database and such sums as may be necessary 
for each subsequent fiscal year for updating the database 
and providing outreach and notification to users, as de-
scribed in this section. 
VerDate Mar 15 2010 
00:01 Jun 10, 2011
Jkt 099200
PO 00000
Frm 00021
Fmt 6652
Sfmt 6201
E:\BILLS\H2141.IH
H2141
smartinez on DSK6TPTVN1PROD with BILLS
TITLE II—RESEARCH AND DATA 
COLLECTION ON MATERNITY 
CARE 
SEC. 
201. 
MATERNITY 
CARE 
HEALTH 
PROFESSIONAL 
SHORTAGE AREAS. 
Section 332 of the Public Health Service Act (42 
U.S.C. 254e) is amended by adding at the end the fol-
lowing new subsection: 
‘‘(k)(1) The Secretary, acting through the Adminis-
trator of the Health Resources and Services Administra-
tion, shall designate maternity care health professional 
shortage areas in the States, publish a descriptive list of 
the area’s population groups, medical facilities, and other 
public facilities so designated, and at least annually review 
and, as necessary, revise such designations. 
‘‘(2) For purposes of paragraph (1), a complete de-
scriptive list shall be published in the Federal Register not 
later than July 1 of 2012 and each subsequent year. 
‘‘(3) The provisions of subsections (b), (c), (e), (f), 
(g), (h), (i), and (j) (other than (j)(1)(B)) of this section 
shall apply to the designation of a maternity care health 
professional shortage area in a similar manner and extent 
as such provisions apply to the designation of health pro-
fessional shortage areas, except in applying subsection 
(b)(3), the reference in such subsection to ‘physicians’ 
VerDate Mar 15 2010 
00:01 Jun 10, 2011
Jkt 099200
PO 00000
Frm 00022
Fmt 6652
Sfmt 6201
E:\BILLS\H2141.IH
H2141
smartinez on DSK6TPTVN1PROD with BILLS
shall be deemed to be a reference to ‘physicians, obstetri-
cians, family practice physicians who practice full-scope 
maternity care, certified nurse-midwives, certified mid-
wives, and certified professional midwives’. 
‘‘(4) For purposes of this subsection, the term ‘ma-
ternity care health professional shortage area’ means— 
‘‘(A) an area in an urban or rural area (which 
need not conform to the geographic boundaries of a 
political subdivision and which is a rational area for 
the delivery of health services) which the Secretary 
determines has a shortage of providers of maternity 
care health services, including obstetricians, family 
practice physicians who practice full-scope maternity 
care, certified nurse-midwives, certified midwives, 
and certified professional midwives, and shall also 
include urban or rural areas that have lost a signifi-
cant number of local hospital labor and delivery 
units; 
‘‘(B) an area in an urban or rural area (which 
need not conform to the geographic boundaries of a 
political subdivision and which is a rational area for 
the delivery of health services) which the Secretary 
determines has a shortage of hospital or birth center 
labor and delivery units, or areas that lost a signifi-
VerDate Mar 15 2010 
00:01 Jun 10, 2011
Jkt 099200
PO 00000
Frm 00023
Fmt 6652
Sfmt 6201
E:\BILLS\H2141.IH
H2141
smartinez on DSK6TPTVN1PROD with BILLS
(i) Pipeline availability with respect to 
students at the high school and college or 
university levels considering and working 
toward entrance in the profession. 
(ii) Entrance into the training pro-
gram for the profession. 
(iii) Graduation from such training 
program. 
(iv) Entrance into practice. 
(v) Retention in practice for more 
than a 5-year period. 
(B) To develop one or more strategies to 
address the workforce disparities within the 
health profession, as identified under (and in 
response to the findings pursuant to) subpara-
graph (A). 
(2) APPLICATION.—To be eligible to receive a 
grant under this subsection, an eligible health pro-
fessional organization shall submit to the Secretary 
of Health and Human Services an application in 
such form and manner and containing such informa-
tion as specified by the Secretary. 
(3) AMOUNT.—Each grant awarded under this 
subsection shall be for an amount not to exceed 
$300,000. 
VerDate Mar 15 2010 
00:01 Jun 10, 2011
Jkt 099200
PO 00000
Frm 00034
Fmt 6652
Sfmt 6201
E:\BILLS\H2141.IH
H2141
smartinez on DSK6TPTVN1PROD with BILLS