cant number of these units in during the 10-year pe-
riod beginning with 2000; or 
‘‘(C) a population group which the Secretary 
determines has such a shortage of providers or fa-
cilities.’’. 
SEC. 202. EXPANSION OF CDC PREVENTION RESEARCH 
CENTERS PROGRAM TO INCLUDE CENTERS 
ON OPTIMAL MATERNITY OUTCOMES. 
(a) IN GENERAL.—Not later than one year after the 
date of the enactment of this Act, the Secretary of Health 
and Human Services, shall support the establishment of 
2 additional Prevention Research Centers under the Pre-
vention Research Center Program administered by the 
Centers for Disease Control and Prevention. Such addi-
tional centers shall each be known as a Center for Excel-
lence on Optimal Maternity Outcomes. 
(b) RESEARCH.—Each Center for Excellence on Opti-
mal Maternity Outcomes shall— 
(1) conduct at least one focused program of re-
search to improve maternity outcomes, including the 
reduction of cesarean birth rates, elective inductions, 
prematurity rates, and low birth weight rates within 
an underserved population that has a disproportion-
ately large burden of suboptimal maternity out-
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comes, including maternal mortality and morbidity, 
infant mortality, prematurity, or low birth weight; 
(2) work with partners on special interest 
projects, as specified by the Centers for Disease 
Control and Prevention and other relevant agencies 
within the Department of Health and Human Serv-
ices, and on projects funded by other sources; and 
(3) involve a minimum of two distinct birth set-
ting models, such as a hospital labor and delivery 
model and birth center model; or a hospital labor 
and delivery model and planned home birth model. 
(c) INTERDISCIPLINARY PROVIDERS.—Each Center 
for Excellence on Optimal Maternity Outcomes shall in-
clude the following interdisciplinary providers of maternity 
care: 
(1) Obstetrician-gynecologists. 
(2) Certified nurse midwives or certified mid-
wives. 
(3) At least two of the following providers: 
(A) Family practice physicians. 
(B) Women’s health nurse practitioners. 
(C) 
Obstetrician-gynecologists 
physician 
assistants. 
(D) Certified professional midwives. 
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(d) SERVICES.—Research conducted by each Center 
for Excellence on Optimal Maternity Outcomes shall in-
clude at least 2 (and preferably more) of the following sup-
portive provider services: 
(1) Mental health. 
(2) Doula labor support. 
(3) Nutrition education. 
(4) Childbirth education. 
(5) Social work. 
(6) Physical therapy or occupation therapy. 
(7) Substance abuse services. 
(8) Home visiting. 
(e) COORDINATION.—The programs of research at 
each of the two Centers of Excellence on Optimal Mater-
nity Outcomes shall compliment and not replicate the 
work of the other. 
(f) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$2,000,000 for each of the fiscal years 2012 through 
2016. 
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SEC. 203. EXPANDING MODELS TO BE TESTED BY CENTER 
FOR MEDICARE AND MEDICAID INNOVATION 
TO INCLUDE MATERNITY CARE MODELS. 
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 new clause: 
‘‘(xxi) 
Promoting 
evidence-based 
group prenatal care models, doula support, 
and out-of-hospital births, including births 
at home or a birthing center.’’. 
TITLE III—ENHANCEMENT OF A 
GEOGRAPHICALLY, 
RA-
CIALLY, AND ETHNICALLY DI-
VERSE 
INTERDISCIPLINARY 
MATERNITY WORKFORCE 
SEC. 301. DEVELOPMENT OF INTERDISCIPLINARY MATER-
NITY CARE PROVIDER CORE CURRICULA. 
(a) IN GENERAL.—Not later than 6 months after the 
date of the enactment of this Act, the Secretary of Health 
and Human Services, acting in conjunction with the Ad-
ministrator of Health Resources and Services Administra-
tion, shall convene, for a 1-year period, a Maternity Cur-
riculum Commission to discuss and make recommenda-
tions for— 
(1) a shared core maternity care curriculum 
that takes into account the core competencies for 
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basic midwifery practice as developed by the Amer-
ican College of Nurse Midwives, and the educational 
objectives in obstetrics and gynecology as determined 
by the Council on Resident Education in Obstetrics 
and Gynecology; 
(2) strategies to integrate and coordinate edu-
cation across maternity care disciplines, including 
suggestions for multi-disciplinary use of the shared 
core curriculum; and 
(3) pilot demonstrations of interdisciplinary 
educational models. 
(b) PARTICIPANTS.—The Commission shall include 
maternity care educators, curriculum developers, service 
leaders, certification leaders, and accreditation leaders 
from the various professions that provide maternity care 
in this country. Such professions shall include obstetri-
cian-gynecologists, certified nurse midwives, certified mid-
wives, family practice physicians, women’s health nurse 
practitioners, obstetrician-gynecologists physician assist-
ants, certified professional midwives, and perinatal nurses. 
(c) CURRICULUM.—The shared core maternity care 
curriculum described in subsection (A) shall— 
(1) have a public health focus with a foundation 
in health promotion and disease prevention; 
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(2) foster physiologic childbearing and patient 
and family centered care; 
(3) incorporate strategies to reduce maternal 
mortality and infant mortality; and 
(4) include cultural sensitivity and strategies to 
decrease disparities in maternity outcomes. 
(d) REPORT.—Not later than 6 months after the final 
day of the summit, the Secretary of Health and Human 
Services shall— 
(1) submit to Congress a report containing the 
recommendations made by the summit under this 
section; and 
(2) make such report publicly available. 
(e) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$1,000,000 for each of the fiscal years 2012 and 2013, 
and such sums as are necessary for each of the fiscal years 
2014 through 2016. 
SEC. 302. INTERDISCIPLINARY TRAINING OF MEDICAL STU-
DENTS, RESIDENTS, AND STUDENT MIDWIVES 
IN ACADEMIC HEALTH CENTERS. 
(a) INCLUDING WITHIN INPATIENT HOSPITAL SERV-
ICES UNDER MEDICARE SERVICES FURNISHED BY CER-
TAIN STUDENTS, INTERNS, AND RESIDENTS SUPERVISED 
BY CERTIFIED NURSE MIDWIVES.—Section 1861(b) of 
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the Social Security Act (42 U.S.C. 1395x(b)) is amend-
ed— 
(1) in paragraph (6), by striking ‘‘; or’’ and in-
serting ‘‘, or in the case of services in a hospital or 
osteopathic hospital by a student midwife or an in-
tern or resident-in-training under a teaching pro-
gram previously described in this paragraph who is 
in the field of obstetrics and gynecology, if such stu-
dent midwife, intern, or resident-in-training is super-
vised by a certified nurse-midwife to the extent per-
mitted under applicable State law and as may be au-
thorized by the hospital;’’; 
(2) in paragraph (7), by striking the period at 
the end and inserting ‘‘; or’’; and 
(3) by adding at the end the following new 
paragraph: 
‘‘(8) a certified nurse-midwife where the hos-
pital has a teaching program approved as specified 
in paragraph (6), if (A) the hospital elects to receive 
any payment due under this title for reasonable 
costs of such services, and (B) all certified nurse- 
midwives in such hospital agree not to bill charges 
for professional services rendered in such hospital to 
individuals covered under the insurance program es-
tablished by this title.’’. 
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(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply to services furnished on or after 
the date of the enactment of this Act. 
SEC. 303. LOAN REPAYMENTS FOR MATERNAL CARE PRO-
FESSIONALS. 
(a) PURPOSE.—It is the purpose of this section to 
alleviate critical shortages of maternal care professionals. 
(b) LOAN REPAYMENTS.—The Secretary of Health 
and Human Services, acting through the Administrator of 
the Health Resources and Services Administration, shall 
establish a program of entering into contracts with eligible 
individuals under which— 
(1) the individual agrees to serve full-time— 
(A) as a physician in the field of obstetrics 
and gynecology; as a certified nurse midwife, 
certified midwife or certified professional mid-
wife; or as a family practice physician who 
agrees to practice full-scope maternity care; and 
(B) in an area that is either a health pro-
fessional shortage area (as designated under 
section 332 of the Public Health Service Act) or 
a maternity care health professional shortage 
area (as designated under subsection (k) of 
such section, as added by section 201 of this 
Act); and 
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(2) the Secretary agrees to pay, for each year 
of such full-time service, not more than $50,000 of 
the principal and interest of the undergraduate or 
graduate educational loans of the individual. 
(c) SERVICE REQUIREMENT.—A contract entered 
into under this section shall allow the individual receiving 
the loan repayment to satisfy the service requirement de-
scribed in subsection (a)(1) through employment in a solo 
or group practice, a clinic, a public or private nonprofit 
hospital, a freestanding birth center, or any other appro-
priate health care entity. 
(d) APPLICATION
OF CERTAIN PROVISIONS.—The 
provisions of subpart III of part D of title III of the Public 
Health Service Act shall, except as inconsistent with this 
section, apply to the program established in subsection (a) 
in the same manner and to the same extent as such provi-
sions apply to the National Health Service Corps Scholar-
ship Program established in such subpart. 
(e) DEFINITION.—In this section, the term ‘‘eligible 
individual’’ means— 
(1) a physician in the field of obstetrics and 
gynecology; or 
(2) a certified nurse-midwife or certified mid-
wife; 
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(3) a family practice physician who practices 
full scope maternity care; or 
(4) a certified professional midwife who has 
graduated from an accredited midwifery education 
program. 
SEC. 304. GRANTS TO PROFESSIONAL ORGANIZATIONS TO 
INCREASE DIVERSITY IN MATERNITY CARE 
PROFESSIONALS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, through the Administrator of the Health 
Resources and Services Administration, shall carry out a 
grant program under which the Secretary may make to 
eligible health professional organizations— 
(1) for fiscal year 2012, planning grants de-
scribed in subsection (b); and 
(2) for the subsequent 4-year period, implemen-
tation grants described in subsection (c). 
(b) PLANNING GRANTS.— 
(1) IN GENERAL.—Planning grants described in 
this subsection are grants for the following purposes: 
(A) To collect data and identify any work-
force disparities, with respect to a health pro-
fession, at each of the following areas along the 
health professional continuum: 
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(4) REPORT.—Each recipient of a grant under 
this subsection shall submit to the Secretary of 
Health and Human Services a report containing— 
(A) information on the extent and distribu-
tion of workforce disparities identified through 
the grant; and 
(B) reasonable objectives and strategies 
developed to address such disparities within a 
5-, 10-, and 25-year period. 
(c) IMPLEMENTATION GRANTS.— 
(1) IN GENERAL.—Implementation grants de-
scribed in this subsection are grants to implement 
one or more of the strategies developed pursuant to 
a planning grant awarded under subsection (b). 
(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 as specified by the Secretary. 
Each such application shall contain information on 
the capability of the organization to carry out a 
strategy described in paragraph (1), involvement of 
partners or coalitions, plans for developing sustain-
ability of the efforts after the culmination of the 
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grant cycle, and any other information specified by 
the Secretary. 
(3) AMOUNT.—Each grant awarded under this 
subsection shall be for an amount not to exceed 
$500,000 each year during the 4-year period of the 
grant. 
(4) REPORTS.—For each of the first 3 years for 
which an eligible health professional organization is 
awarded a grant under this subsection, the organiza-
tion shall submit to the Secretary of Health and 
Human Services a report on the activities carried 
out by such organization through the grant during 
such year and objectives for the subsequent year. 
For the fourth year for which an eligible health pro-
fessional organization is awarded a grant under this 
subsection, the organization shall submit to the Sec-
retary a report that includes an analysis of all the 
activities carried out by the organization through the 
grant and a detailed plan for continuation of out-
reach efforts. 
(d) ELIGIBLE HEALTH PROFESSIONAL ORGANIZA-
TION DEFINED.—For purposes of this section, the term 
‘‘eligible health professional organization’’ means a profes-
sional 
organization 
representing 
obstetrician-gyne-
cologists, certified nurse midwives, certified midwives, 
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family practice physicians, women’s health nurse practi-
tioners, obstetrician-gynecologist physician assistants, or 
certified professional midwives. 
(e) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$2,000,000 for fiscal year 2012 and $3,000,000 for each 
of the fiscal years 2013 through 2016. 
Æ 
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