660 
‘‘(B) areas with significant racial and eth-
nic inequities in maternal health outcomes, to 
the extent such data are available; and 
‘‘(3) whether the standard curriculum for all 
students seeking to enter careers focused on mater-
nal and perinatal health includes a bias, racism, or 
discrimination training program that includes edu-
cation on implicit bias and racism. 
‘‘(e) PERIOD OF GRANTS.—The period of a grant 
under this section shall be up to 5 years. 
‘‘(f) APPLICATION.—To seek a grant under this sec-
tion, an entity shall submit to the Secretary an applica-
tion, at such time, in such manner, and containing such 
information as the Secretary may require, including any 
information necessary for prioritization under subsection 
(c). 
‘‘(g) TECHNICAL ASSISTANCE.—The Secretary shall 
provide, directly or by contract, technical assistance to 
schools of nursing seeking or receiving a grant under this 
section on the processes of awarding and evaluating schol-
arships through the grant. 
‘‘(h) REPORT BY THE SECRETARY.—Not later than 
4 years after the date of enactment of this section, the 
Secretary shall prepare and submit to the Congress, and 
post on the internet website of the Department of Health 
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661 
and Human Services, a report on the effectiveness of the 
grant program under this section at— 
‘‘(1) recruiting students from racial and ethnic 
minority groups and other underserved populations; 
‘‘(2) increasing the number of nurse practi-
tioners and clinical nurse specialists entering careers 
focused on maternal and perinatal health from racial 
and ethnic minority groups and other underserved 
populations; 
‘‘(3) increasing the number of nurse practi-
tioners and clinical nurse specialists entering careers 
focused on maternal and perinatal health working in 
health professional shortage areas designated under 
section 332; and 
‘‘(4) increasing the number of nurse practi-
tioners and clinical nurse specialists entering careers 
focused on maternal and perinatal health working in 
areas with significant racial and ethnic inequities in 
maternal health outcomes, to the extent such data 
are available. 
‘‘(i) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $15,000,000 for each of fiscal years 2025 through 
2029.’’. 
(d) GAO REPORT.— 
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(1) IN GENERAL.—Not later than 2 years after 
the date of enactment of this Act, and every 5 years 
thereafter, the Comptroller General of the United 
States shall submit to Congress a report on barriers 
to maternal health education and access to care in 
the United States. Such report shall include the in-
formation and recommendations described in para-
graph (2). 
(2) CONTENT OF REPORT.—The report under 
paragraph (1) shall include— 
(A) an assessment of current barriers to 
entering accredited midwifery education pro-
grams, and recommendations for addressing 
such barriers, particularly for low-income people 
and people from racial and ethnic minority 
groups; 
(B) an assessment of current barriers to 
entering and successfully completing accredited 
education programs for other health profes-
sional careers related to maternity care, includ-
ing maternity care providers, mental and behav-
ioral health care providers acting in accordance 
with State law, registered dietitians or nutrition 
professionals (as such term is defined in section 
1861(vv)(2) of the Social Security Act (42 
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663 
U.S.C. 1395x(vv)(2))), and lactation consult-
ants certified by the International Board of 
Lactation Consultants Examiners, particularly 
for low-income people and people from racial 
and ethnic minority groups; 
(C) an assessment of current barriers that 
prevent midwives from meeting the inter-
national definition of the midwife and global 
standards for midwifery education as estab-
lished by the International Confederation of 
Midwives, and recommendations for addressing 
such barriers, particularly for low-income people 
and people from racial and ethnic minority 
groups; 
(D) an assessment of inequities in access 
to maternity care providers, mental or behav-
ioral health care providers acting in accordance 
with State law, registered dietitians or nutrition 
professionals (as such term is defined in section 
1861(vv)(2) of the Social Security Act (42 
U.S.C. 1395x(vv)(2))), lactation consultants 
certified by the International Board of Lacta-
tion Consultants Examiners, and perinatal 
health workers, stratified by race, ethnicity, 
gender identity, geographic location, and insur-
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ance type and recommendations to promote 
greater access equity; and 
(E) recommendations to promote greater 
equity in compensation for perinatal health 
workers under public and private insurers, par-
ticularly for such individuals from racially and 
ethnically diverse backgrounds. 
(e) 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 
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(B) has a focus on maternal or perinatal 
health. 
(3) 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. 
(4) POSTPARTUM.—The terms ‘‘postpartum’’ 
refers to the 1-year period beginning on the last day 
of the pregnancy of an individual. 
(5) 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)). 
SEC. 5206. DATA TO SAVE MOMS ACT. 
(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: 
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‘‘(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-
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 terms are 
defined in section 4 of the Indian Health Care 
Improvement Act)— 
‘‘(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 
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(f), to address barriers to maternal 
mortality review committee participa-
tion for community members, includ-
ing through providing required train-
ing, reducing transportation barriers, 
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 Indian tribe to seek input from 
community members on the work of such 
maternal mortality review committee, with 
a particular 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 
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668 
and ethnic minority groups (as such 
term is defined in section 1707(g)(1)) 
who have suffered pregnancy-related 
deaths; and 
‘‘(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 Indian 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 Indian 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 
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669 
$10,000,000 for each of fiscal years 2025 
through 2029.’’. 
(2) RESERVATION OF FUNDS.—Section 317K(f) 
of the Public Health Service Act (42 U.S.C. 247b– 
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 such 
terms are defined in section 4 of the Indian Health 
Care Improvement Act).’’. 
(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 
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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 
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 the Centers for Medicare & Medicaid Services 
and the Director of the Agency for Healthcare Re-
search and Quality (referred to in this subsection as 
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671 
the ‘‘Secretary’’), shall consult with relevant stake-
holders— 
(A) to review existing maternal health data 
collection processes and quality measures; and 
(B) to make recommendations to improve 
such processes and measures, including topics 
described in paragraph (3). 
(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; 
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(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; 
(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 
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673 
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; 
(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 
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674 
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 
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 and their 
family members, to fully understand the 
causes of, and inform potential solutions 
to, the maternal mortality and severe ma-
ternal morbidity crisis within their respec-
tive 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; 
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675 
(x) the extent to which maternal mor-
tality review committees are making ac-
tionable recommendations based on their 
reviews of adverse maternal health out-
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. 
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(C) Current quality measures for mater-
nity care, including prenatal measures, labor 
and delivery measures, and postpartum meas-
ures, including topics such as— 
(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; 
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(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 
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. 1397aa et seq.), including the ex-
tent to which States voluntarily report rel-
evant 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 
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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; 
(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; 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 
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679 
pregnancy-associated 
and 
pregnancy-re-
lated deaths that are unique to pregnant 
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 enactment of this Act, the Secretary shall 
submit to Congress, and make publicly available, a 
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report on the results of the review of maternal 
health data collection processes and quality meas-
ures and recommendations to improve such proc-
esses and measures required under paragraph (1). 
(5) DEFINITION OF MATERNAL MORTALITY RE-
VIEW
COMMITTEE.—In this subsection, the term 
‘‘maternal mortality review committee’’ means a ma-
ternal mortality review committee duly authorized by 
a State and receiving funding under section 
317K(a)(2)(D) of the Public Health Service Act (42 
U.S.C. 247b–12(a)(2)(D)). 
(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 2025 through 2029. 
(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 date 
of enactment of this Act, enter into a contract 
with an independent research organization or 
Tribal Epidemiology Center to conduct a com-
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681 
prehensive study on maternal mortality and se-
vere maternal morbidity in the populations of 
American Indian and Alaska Native individuals; 
and 
(B) not later than 3 years after the date 
of enactment of this Act, submit to Congress a 
report on that study that contains recommenda-
tions for policies and practices that can be 
adopted to improve maternal health outcomes 
for pregnant and postpartum American Indian 
and Alaska Native individuals. 
(2) PARTICIPATING ENTITIES.— 
(A) IN GENERAL.—The entities referred to 
in paragraph (1) shall consist of 12 members, 
selected by the Director from among individuals 
nominated by Indian Tribes and Tribal organi-
zations (as those terms are defined in section 4 
of the Indian Self-Determination and Education 
Assistance Act (25 U.S.C. 5304)) and Urban 
Indian organizations (as defined in section 4 of 
the Indian Health Care Improvement Act (25 
U.S.C. 1603)). 
(B) REQUIREMENT.—In selecting members 
under subparagraph (A), the Director shall en-
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682 
sure that each of the 12 service areas of the In-
dian Health Service are represented. 
(3) CONTENTS
OF
STUDY.—The study con-
ducted pursuant to paragraph (1)(A) 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 
and severe maternal morbidity crisis within the 
communities of those individuals; 
(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, including— 
(i) facilities operated by the Indian 
Health Service; 
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(ii) an Indian health program oper-
ated by an Indian Tribe or a Tribal orga-
nization (as those terms are defined in sec-
tion 4 of the Indian Self-Determination 
and Education Assistance Act (25 U.S.C. 
5304)) pursuant to a contract, grant, coop-
erative agreement, or compact with the In-
dian Health Service pursuant to the Indian 
Self-Determination and Education Assist-
ance Act (25 U.S.C. 5301 et seq.); and 
(iii) an Urban Indian health program 
operated by an Urban Indian organization 
(as defined in section 4 of the Indian 
Health Care Improvement Act (25 U.S.C. 
1603)) pursuant to a grant or contract 
with the Indian Health Service pursuant to 
title V of the Indian Health Care Improve-
ment Act (25 U.S.C. 1651 et seq.); 
(D) review processes for coordinating pro-
grams of the Indian Health Service with social 
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-
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684 
gram under title XIX of that Act (42 U.S.C. 
1396 et seq.), and the State Children’s Health 
Insurance Program under title XXI of that 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; 
(I) consider how current funding of the In-
dian Health Service affects the ability of the In-
dian Health Service to deliver quality maternity 
care; 
(J) consider the extent to which the deliv-
ery of maternity care services is culturally ap-
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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 those indi-
viduals. 
(4) REPORT.—The agreement entered into 
under paragraph (1)(A) with an independent re-
search organization or Tribal Epidemiology Center 
shall require that the independent research organiza-
tion or Tribal Epidemiology Center, as applicable, 
submit to Congress a report on the results of the 
study conducted pursuant to that agreement not 
later than 36 months after the date of enactment of 
this Act. 
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(5) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $2,000,000 for each of fiscal years 
2025 through 2027. 
(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 (referred to in this subsection as 
the ‘‘Secretary’’) 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 
individuals, to fully understand the causes of, 
and inform potential solutions to, the maternal 
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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)— 
(A) to conduct outreach to minority-serv-
ing institutions to raise awareness of the avail-
ability of grants under paragraph (1); 
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(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’’ means an eligible institution de-
scribed 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 
this subsection $10,000,000 for each of fiscal years 
2025 through 2029. 
(g) DEFINITIONS.—In this section: 
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(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-
cluding a suicide, overdose, or other death resulting 
from a mental health or substance use disorder at-
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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.—The 
term 
‘‘pregnancy-associated’’, with respect to a death, 
means a death of a pregnant or postpartum indi-
vidual, by any cause, that occurs during, or within 
1 year following, the individual’s pregnancy, regard-
less of the outcome, duration, or site of the preg-
nancy. 
(7) PREGNANCY-RELATED.—The term ‘‘preg-
nancy-related’’, with respect to a death, means a 
death of a pregnant or postpartum individual that 
occurs during, or within 1 year following, the indi-
vidual’s pregnancy, from a pregnancy complication, 
a chain of events initiated by pregnancy, or the ag-
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gravation of an unrelated condition by the physio-
logic effects of pregnancy. 
(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.—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 
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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-
health and items required to receive telehealth 
services, and related factors. 
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693 
SEC. 5207. MOMS MATTER. 
(a) MATERNAL MENTAL HEALTH EQUITY GRANT 
PROGRAM.— 
(1) IN GENERAL.—The Secretary shall establish 
a program to award grants to eligible entities to ad-
dress maternal mental health conditions and sub-
stance use disorders with respect to pregnant and 
postpartum individuals, with a focus on racial 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, 
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— 
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(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: 
(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. 
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(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. 
(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. 
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(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-
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. 
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(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 
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 2026, 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; 
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(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) CULTURALLY CONGRUENT.—The term 
‘‘culturally congruent’’, with respect to care or 
maternity care, means care that is in agreement 
with the preferred cultural values, beliefs, 
worldview, language, and practices of the health 
care consumer and other stakeholders. 
(B) ELIGIBLE ENTITY.—The term ‘‘eligible 
entity’’ means— 
(i) a community-based organization 
serving pregnant and postpartum individ-
uals, including such organizations serving 
individuals from racial and ethnic minority 
groups and other underserved populations; 
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(ii) a nonprofit or patient advocacy 
organization with expertise in maternal 
mental and behavioral health; 
(iii) a maternity care provider; 
(iv) a mental or behavioral health care 
provider who treats maternal mental health 
conditions or substance use disorders; 
(v) a State or local governmental enti-
ty, including a State or local public health 
department; 
(vi) 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)); and 
(vii) 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)). 
(C) FREESTANDING BIRTH CENTER.—The 
term ‘‘freestanding birth center’’ has the mean-
ing given that term under section 1905(l) of the 
Social Security Act (42 U.S.C. 1396d(1)). 
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(D) MATERNITY
CARE
PROVIDER.—The 
term ‘‘maternity care provider’’ means a health 
care provider who— 
(i) is a physician, physician assistant, 
midwife who meets at a minimum the 
international definition of the midwife and 
global standards for midwifery education 
as established by the International Confed-
eration of Midwives, nurse practitioner, or 
clinical nurse specialist; and 
(ii) has a focus on maternal or 
perinatal health. 
(E) SECRETARY.—The term ‘‘Secretary’’ 
means the Secretary of Health and Human 
Services, acting through the Assistant Secretary 
for Mental Health and Substance Use. 
(7) AUTHORIZATION OF APPROPRIATIONS.—To 
carry out this subsection, there is authorized to be 
appropriated $25,000,000 for each of fiscal years 
2025 through 2028. 
(b) GRANTS TO GROW AND DIVERSIFY THE MATER-
NAL MENTAL AND BEHAVIORAL HEALTH CARE WORK-
FORCE.—Title VII of the Public Health Service Act is 
amended by inserting after section 758 (as added by sec-
tion 5205(b)) the following: 
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701 
‘‘SEC. 758A. MATERNAL MENTAL AND BEHAVIORAL HEALTH 
CARE WORKFORCE GRANTS. 
‘‘(a) IN GENERAL.—The Secretary may award grants 
to entities to establish or expand programs described in 
subsection (b) to grow and diversify the maternal mental 
and behavioral health care workforce. 
‘‘(b) USE OF FUNDS.—Recipients of grants under 
this section shall use the grants to grow and diversify the 
maternal mental and behavioral health care workforce 
by— 
‘‘(1) establishing schools or programs that pro-
vide education and training to individuals seeking 
appropriate licensing or certification as mental or 
behavioral health care providers who will specialize 
in maternal mental health conditions or substance 
use disorders; or 
‘‘(2) expanding the capacity of existing schools 
or programs described in paragraph (1), for the pur-
poses of increasing the number of students enrolled 
in such schools or programs, including by awarding 
scholarships for students. 
‘‘(c) PRIORITIZATION.—In awarding grants under 
this section, the Secretary shall give priority to any entity 
that— 
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‘‘(1) has demonstrated a commitment to re-
cruiting and retaining students and faculty from ra-
cial and ethnic minority groups; 
‘‘(2) has developed a strategy to recruit and re-
tain a diverse pool of students into the maternal 
mental or behavioral health care workforce program 
or school supported by funds received through the 
grant, particularly from racial and ethnic minority 
groups and other underserved populations; 
‘‘(3) has developed a strategy to recruit and re-
tain students who plan to practice in a health pro-
fessional shortage area designated under section 
332; 
‘‘(4) has developed a strategy to recruit and re-
tain students who plan to practice in an area with 
significant racial and ethnic inequities in maternal 
health outcomes, to the extent practicable; and 
‘‘(5) includes in the standard curriculum for all 
students within the maternal mental or behavioral 
health care workforce program or school a bias, rac-
ism, or discrimination training program that in-
cludes training on implicit bias and racism. 
‘‘(d) REPORTING.—As a condition on receipt of a 
grant under this section for a maternal mental or behav-
ioral health care workforce program or school, an entity 
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shall agree to submit to the Secretary an annual report 
on the activities conducted through the grant, including— 
‘‘(1) the number and demographics of students 
participating in the program or school; 
‘‘(2) the extent to which students in the pro-
gram or school are entering careers in— 
‘‘(A) health professional shortage areas 
designated under section 332; and 
‘‘(B) areas with significant racial and eth-
nic inequities in maternal health outcomes, to 
the extent such data are available; and 
‘‘(3) whether the program or school has in-
cluded in the standard curriculum for all students a 
bias, racism, or discrimination training program that 
includes training on implicit bias and racism, and if 
so the effectiveness of such training program. 
‘‘(e) PERIOD OF GRANTS.—The period of a grant 
under this section shall be up to 5 years. 
‘‘(f) APPLICATION.—To seek a grant under this sec-
tion, an entity shall submit to the Secretary an application 
at such time, in such manner, and containing such infor-
mation as the Secretary may require, including any infor-
mation necessary for prioritization under subsection (c). 
‘‘(g) TECHNICAL ASSISTANCE.—The Secretary shall 
provide, directly or by contract, technical assistance to en-
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tities seeking or receiving a grant under this section on 
the development, use, evaluation, and post-grant period 
sustainability of the maternal mental or behavioral health 
care workforce programs or schools proposed to be, or 
being, established or expanded through the grant. 
‘‘(h) REPORT BY THE SECRETARY.—Not later than 
4 years after the date of enactment of this section, the 
Secretary shall prepare and submit to the Congress, and 
post on the internet website of the Department of Health 
and Human Services, a report on the effectiveness of the 
grant program under this section at— 
‘‘(1) recruiting students from racial and ethnic 
minority groups and other underserved populations; 
‘‘(2) increasing the number of mental or behav-
ioral health care providers specializing in maternal 
mental health conditions or substance use disorders 
from racial and ethnic minority groups and other 
underserved populations; 
‘‘(3) increasing the number of mental or behav-
ioral health care providers specializing in maternal 
mental health conditions or substance use disorders 
working in health professional shortage areas des-
ignated under section 332; and 
‘‘(4) increasing the number of mental or behav-
ioral health care providers specializing in maternal 
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mental health conditions or substance use disorders 
working in areas with significant racial and ethnic 
inequities in maternal health outcomes, to the extent 
such data are available. 
‘‘(i) DEFINITIONS.—In this section: 
‘‘(1) RACIAL AND ETHNIC MINORITY GROUP.— 
The term ‘racial and ethnic minority group’ has the 
meaning given such term in section 1707(g)(1). 
‘‘(2) MENTAL OR BEHAVIORAL HEALTH CARE 
PROVIDER.—The term ‘mental or behavioral health 
care provider’ refers to a health care provider in the 
field of mental and behavioral health, including sub-
stance use disorders, acting in accordance with State 
law. 
‘‘(j) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $15,000,000 for each of fiscal years 2025 through 
2029.’’. 
SEC. 5208. JUSTICE FOR INCARCERATED MOMS. 
(a) ENDING THE SHACKLING OF PREGNANT INDI-
VIDUALS.— 
(1) IN GENERAL.—Beginning on the date that 
is 6 months after the date of enactment of this Act, 
and annually thereafter, in each State that receives 
a grant under subpart 1 of part E of title I of the 
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Omnibus Crime Control and Safe Streets Act of 
1968 (34 U.S.C. 10151 et seq.) (commonly referred 
to as the ‘‘Edward Byrne Memorial Justice Assist-
ance Grant Program’’) and that does not have in ef-
fect throughout the State for such fiscal year laws 
restricting the use of restraints on pregnant individ-
uals in prison that are substantially similar to the 
rights, procedures, requirements, effects, and pen-
alties set forth in section 4322 of title 18, United 
States Code, the amount of such grant that would 
otherwise be allocated to such State under such sub-
part for the fiscal year shall be decreased by 25 per-
cent. 
(2) REALLOCATION.—Amounts not allocated to 
a State for failure to comply with paragraph (1) 
shall be reallocated in accordance with subpart 1 of 
part E of title I of the Omnibus Crime Control and 
Safe Streets Act of 1968 (34 U.S.C. 10151 et seq.) 
to States that have complied with such paragraph. 
(b) CREATING MODEL PROGRAMS FOR THE CARE OF 
INCARCERATED INDIVIDUALS
IN
THE PRENATAL
AND 
POSTPARTUM PERIODS.— 
(1) IN GENERAL.—Not later than 1 year after 
the date of enactment of this Act, the Attorney Gen-
eral, acting through the Director of the Bureau of 
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Prisons, shall establish, in not fewer than 6 Bureau 
of Prisons facilities, programs to optimize maternal 
health outcomes for pregnant and postpartum indi-
viduals incarcerated in such facilities. The Attorney 
General shall establish such programs in consulta-
tion with stakeholders such as— 
(A) relevant community-based organiza-
tions, particularly organizations that represent 
incarcerated and formerly incarcerated individ-
uals and organizations that seek to improve ma-
ternal health outcomes for pregnant and 
postpartum 
individuals 
from 
demographic 
groups with elevated rates of maternal mor-
tality, severe maternal morbidity, maternal 
health disparities, or other adverse perinatal or 
childbirth outcomes; 
(B) relevant organizations representing pa-
tients, with a particular focus on patients from 
demographic groups with elevated rates of ma-
ternal mortality, severe maternal morbidity, ma-
ternal health disparities, or other adverse 
perinatal or childbirth outcomes; 
(C) organizations representing maternity 
care providers and maternal health care edu-
cation programs; 
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(D) perinatal health workers; and 
(E) researchers and policy experts in fields 
related to maternal health care for incarcerated 
individuals. 
(2) START DATE.—Each selected facility shall 
begin facility programs not later than 18 months 
after the date of enactment of this Act. 
(3) FACILITY PRIORITY.—In carrying out para-
graph (1), the Director shall give priority to a facil-
ity based on— 
(A) 
the 
number 
of 
pregnant 
and 
postpartum individuals incarcerated in such fa-
cility and, among such individuals, the number 
of pregnant and postpartum individuals from 
demographic groups with elevated rates of ma-
ternal mortality, severe maternal morbidity, ma-
ternal health disparities, or other adverse 
perinatal or childbirth outcomes; and 
(B) the extent to which the leaders of such 
facility have demonstrated a commitment to de-
veloping exemplary programs for pregnant and 
postpartum individuals incarcerated in such fa-
cility. 
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(4) PROGRAM
DURATION.—The programs es-
tablished under this subsection shall be for a 5-year 
period. 
(5) PROGRAMS.—Bureau of Prisons facilities 
selected by the Director shall establish programs for 
pregnant and postpartum incarcerated individuals, 
and such programs may— 
(A) provide access to perinatal health 
workers 
from 
pregnancy 
through 
the 
postpartum period; 
(B) provide access to healthy foods and 
counseling on nutrition, recommended activity 
levels, and safety measures throughout preg-
nancy; 
(C) train correctional officers to ensure 
that pregnant incarcerated individuals receive 
safe and respectful treatment; 
(D) train medical personnel to ensure that 
pregnant incarcerated individuals receive trau-
ma-informed, culturally and linguistically con-
gruent care that promotes the health and safety 
of the pregnant individuals; 
(E) provide counseling and treatment for 
individuals who have suffered from— 
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(i) diagnosed mental or behavioral 
health conditions, including trauma and 
substance use disorders; 
(ii) trauma or violence, including do-
mestic violence; 
(iii) human immunodeficiency virus; 
(iv) sexual abuse; 
(v) pregnancy or infant loss; or 
(vi) chronic conditions; 
(F) provide evidence-based pregnancy and 
childbirth education, parenting support, and 
other relevant forms of health literacy; 
(G) provide clinical education opportunities 
to maternity care providers in training to ex-
pand pathways into maternal health care ca-
reers serving incarcerated individuals; 
(H) offer opportunities for postpartum in-
dividuals to maintain contact with the individ-
ual’s newborn child to promote bonding, includ-
ing enhanced visitation policies, access to prison 
nursery programs, or breastfeeding support; 
(I) provide reentry assistance, particularly 
to— 
(i) ensure access to health insurance 
coverage and transfer of health records to 
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community providers if an incarcerated in-
dividual exits the criminal justice system 
during such individual’s pregnancy or in 
the postpartum period; and 
(ii) connect individuals exiting the 
criminal justice system during pregnancy 
or in the postpartum period to community- 
based resources, such as referrals to health 
care providers, substance use disorder 
treatments, and social services that ad-
dress social determinants of maternal 
health; or 
(J) establish partnerships with local public 
entities, private community entities, community- 
based organizations, Indian Tribes and Tribal 
organizations (as such terms are defined in sec-
tion 4 of the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 5304)), 
and Urban Indian organizations (as such term 
is defined in section 4 of the Indian Health 
Care Improvement Act (25 U.S.C. 1603)) to es-
tablish or expand pretrial diversion programs as 
an alternative to incarceration for pregnant and 
postpartum individuals. Such programs may in-
clude— 
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(i) evidence-based childbirth education 
or parenting classes; 
(ii) prenatal health coordination; 
(iii) family and individual counseling; 
(iv) evidence-based screenings, edu-
cation, and, as needed, treatment for men-
tal and behavioral health conditions, in-
cluding drug and alcohol treatments; 
(v) family case management services; 
(vi) domestic violence education and 
prevention; 
(vii) physical and sexual abuse coun-
seling; and 
(viii) programs to address social de-
terminants of health such as employment, 
housing, education, transportation, and nu-
trition. 
(6) IMPLEMENTATION AND REPORTING.—A se-
lected facility shall be responsible for— 
(A) implementing programs, which may in-
clude the programs described in paragraph (5); 
and 
(B) not later than 3 years after the date 
of enactment of this Act, and 6 years after the 
date of enactment of this Act, reporting results 
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of the programs to the Director, including in-
formation describing— 
(i) relevant quantitative indicators of 
success in improving the standard of care 
and health outcomes for pregnant and 
postpartum incarcerated individuals in the 
facility, including data stratified by race, 
ethnicity, sex, gender, primary language, 
age, geography, disability status, the cat-
egory of the criminal charge against such 
individual, 
rates 
of 
pregnancy-related 
deaths, pregnancy-associated deaths, cases 
of infant mortality and morbidity, rates of 
preterm births and low-birthweight births, 
cases of severe maternal morbidity, cases 
of violence against pregnant or postpartum 
individuals, diagnoses of maternal mental 
or behavioral health conditions, and other 
such information as appropriate; 
(ii) relevant qualitative and quan-
titative evaluations from pregnant and 
postpartum incarcerated individuals who 
participated in such programs, including 
measures of patient-reported experience of 
care; and 
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(iii) strategies to sustain such pro-
grams after fiscal year 2029 and expand 
such programs to other facilities. 
(7) REPORT.—Not later than 6 years after the 
date of enactment of this Act, the Director shall 
submit to the Attorney General and to Congress a 
report describing the results of the programs funded 
under this subsection. 
(8) OVERSIGHT.—Not later than 1 year after 
the date of enactment of this Act, the Attorney Gen-
eral shall award a contract to an independent orga-
nization or independent organizations to conduct 
oversight of the programs described in paragraph 
(5). 
(9) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $10,000,000 for each of fiscal years 
2025 through 2029. 
(c) GRANT
PROGRAM
TO
IMPROVE
MATERNAL 
HEALTH OUTCOMES FOR INDIVIDUALS IN STATE AND 
LOCAL PRISONS AND JAILS.— 
(1) ESTABLISHMENT.—Not later than 1 year 
after the date of enactment of this Act, the Attorney 
General, acting through the Director of the Bureau 
of Justice Assistance, shall award Justice for Incar-
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715 
cerated Moms grants to States to establish or ex-
pand programs in State and local prisons and jails 
for pregnant and postpartum incarcerated individ-
uals. The Attorney General shall award such grants 
in consultation with stakeholders such as— 
(A) relevant community-based organiza-
tions, particularly organizations that represent 
incarcerated and formerly incarcerated individ-
uals and organizations that seek to improve ma-
ternal health outcomes for pregnant and 
postpartum 
individuals 
from 
demographic 
groups with elevated rates of maternal mor-
tality, severe maternal morbidity, maternal 
health disparities, or other adverse perinatal or 
childbirth outcomes; 
(B) relevant organizations representing pa-
tients, with a particular focus on patients from 
demographic groups with elevated rates of ma-
ternal mortality, severe maternal morbidity, ma-
ternal health disparities, or other adverse 
perinatal or childbirth outcomes; 
(C) organizations representing maternity 
care providers and maternal health care edu-
cation programs; 
(D) perinatal health workers; and 
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716 
(E) researchers and policy experts in fields 
related to maternal health care for incarcerated 
individuals. 
(2) APPLICATIONS.—Each applicant for a grant 
under this subsection shall submit to the Director of 
the Bureau of Justice Assistance an application at 
such time, in such manner, and containing such in-
formation as the Director may require. 
(3) USE OF FUNDS.—A State that is awarded 
a grant under this subsection shall use such grant 
to establish or expand programs for pregnant and 
postpartum incarcerated individuals, and such pro-
grams may— 
(A) provide access to perinatal health 
workers 
from 
pregnancy 
through 
the 
postpartum period; 
(B) provide access to healthy foods and 
counseling on nutrition, recommended activity 
levels, and safety measures throughout preg-
nancy; 
(C) train correctional officers to ensure 
that pregnant incarcerated individuals receive 
safe and respectful treatment; 
(D) train medical personnel to ensure that 
pregnant incarcerated individuals receive trau-
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717 
ma-informed, culturally and linguistically con-
gruent care that promotes the health and safety 
of the pregnant individuals; 
(E) provide counseling and treatment for 
individuals who have suffered from— 
(i) diagnosed mental or behavioral 
health conditions, including trauma and 
substance use disorders; 
(ii) trauma or violence, including do-
mestic violence; 
(iii) human immunodeficiency virus; 
(iv) sexual abuse; 
(v) pregnancy or infant loss; or 
(vi) chronic conditions; 
(F) provide evidence-based pregnancy and 
childbirth education, parenting support, and 
other relevant forms of health literacy; 
(G) provide clinical education opportunities 
to maternity care providers in training to ex-
pand pathways into maternal health care ca-
reers serving incarcerated individuals; 
(H) offer opportunities for postpartum in-
dividuals to maintain contact with the individ-
ual’s newborn child to promote bonding, includ-
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718 
ing enhanced visitation policies, access to prison 
nursery programs, or breastfeeding support; 
(I) provide reentry assistance, particularly 
to— 
(i) ensure access to health insurance 
coverage and transfer of health records to 
community providers if an incarcerated in-
dividual exits the criminal justice system 
during such individual’s pregnancy or in 
the postpartum period; and 
(ii) connect individuals exiting the 
criminal justice system during pregnancy 
or in the postpartum period to community- 
based resources, such as referrals to health 
care providers, substance use disorder 
treatments, and social services that ad-
dress social determinants of maternal 
health; or 
(J) establish partnerships with local public 
entities, private community entities, community- 
based organizations, Indian Tribes and Tribal 
organizations (as such terms are defined in sec-
tion 4 of the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 5304)), 
and Urban Indian organizations (as such term 
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719 
is defined in section 4 of the Indian Health 
Care Improvement Act (25 U.S.C. 1603)) to es-
tablish or expand pretrial diversion programs as 
an alternative to incarceration for pregnant and 
postpartum individuals. Such programs may in-
clude— 
(i) evidence-based childbirth education 
or parenting classes; 
(ii) prenatal health coordination; 
(iii) family and individual counseling; 
(iv) evidence-based screenings, edu-
cation, and, as needed, treatment for men-
tal and behavioral health conditions, in-
cluding drug and alcohol treatments; 
(v) family case management services; 
(vi) domestic violence education and 
prevention; 
(vii) physical and sexual abuse coun-
seling; and 
(viii) programs to address social de-
terminants of health such as employment, 
housing, education, transportation, and nu-
trition. 
(4) PRIORITY.—In awarding grants under this 
subsection, the Director of the Bureau of Justice 
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720 
Assistance shall give priority to applicants based 
on— 
(A) 
the 
number 
of 
pregnant 
and 
postpartum individuals incarcerated in the 
State and, among such individuals, the number 
of pregnant and postpartum individuals from 
demographic groups with elevated rates of ma-
ternal mortality, severe maternal morbidity, ma-
ternal health disparities, or other adverse 
perinatal or childbirth outcomes; and 
(B) the extent to which the State has dem-
onstrated a commitment to developing exem-
plary programs for pregnant and postpartum 
individuals incarcerated in the prisons and jails 
in the State. 
(5) GRANT DURATION.—A grant awarded under 
this subsection shall be for a 5-year period. 
(6) IMPLEMENTING AND REPORTING.—A State 
that receives a grant under this subsection shall be 
responsible for— 
(A) implementing the program funded by 
the grant; and 
(B) not later than 3 years after the date 
of enactment of this Act, and 6 years after the 
date of enactment of this Act, reporting results 
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721 
of such program to the Attorney General, in-
cluding information describing— 
(i) relevant quantitative indicators of 
the program’s success in improving the 
standard of care and health outcomes for 
pregnant and postpartum incarcerated in-
dividuals in the facility, including data 
stratified by race, ethnicity, sex, gender, 
primary language, age, geography, dis-
ability status, category of the criminal 
charge against such individual, incidence 
rates of pregnancy-related deaths, preg-
nancy-associated deaths, cases of infant 
mortality and morbidity, rates of preterm 
births and low-birthweight births, cases of 
severe maternal morbidity, cases of vio-
lence against pregnant or postpartum indi-
viduals, diagnoses of maternal mental or 
behavioral health conditions, and other 
such information as appropriate; 
(ii) relevant qualitative and quan-
titative evaluations from pregnant and 
postpartum incarcerated individuals who 
participated in such programs, including 
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measures of patient-reported experience of 
care; and 
(iii) strategies to sustain such pro-
grams beyond the duration of the grant 
and expand such programs to other facili-
ties. 
(7) REPORT.—Not later than 6 years after the 
date of enactment of this Act, the Attorney General 
shall submit to Congress a report describing the re-
sults of such grant programs. 
(8) OVERSIGHT.—Not later than 1 year after 
the date of enactment of this Act, the Attorney Gen-
eral shall award a contract to an independent orga-
nization or independent organizations to conduct 
oversight of the programs described in paragraph 
(3). 
(9) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $10,000,000 for each of fiscal years 
2025 through 2029. 
(d) GAO REPORT.— 
(1) IN GENERAL.—Not later than 2 years after 
the date of enactment of this Act, the Comptroller 
General of the United States shall submit to Con-
gress a report on adverse maternal and infant health 
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723 
outcomes among incarcerated individuals and infants 
born to such individuals, with a particular focus on 
racial and ethnic disparities in maternal and infant 
health outcomes for incarcerated individuals. 
(2) CONTENTS
OF
REPORT.—The report de-
scribed in this subsection shall include— 
(A) to the extent practicable— 
(i) the number of pregnant individuals 
who are incarcerated in Bureau of Prisons 
facilities; 
(ii) the number of incarcerated indi-
viduals, including those incarcerated in 
Federal, State, and local correctional facili-
ties, who have experienced a pregnancy-re-
lated death, pregnancy-associated death, or 
the death of an infant in the most recent 
10 years of available data; 
(iii) the number of cases of severe ma-
ternal morbidity among incarcerated indi-
viduals, including those incarcerated in 
Federal, State, and local detention facili-
ties, in the most recent 10 years of avail-
able data; 
(iv) the number of preterm and low- 
birthweight births of infants born to incar-
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724 
cerated individuals, including those incar-
cerated in Federal, State, and local correc-
tional facilities, in the most recent 10 
years of available data; and 
(v) statistics on the racial and ethnic 
disparities in maternal and infant health 
outcomes and severe maternal morbidity 
rates among incarcerated individuals, in-
cluding those incarcerated in Federal, 
State, and local detention facilities; 
(B) in the case that the Comptroller Gen-
eral of the United States is unable determine 
the information required in clauses (i) through 
(iii) of subparagraph (A), an assessment of the 
barriers to determining such information and 
recommendations for improvements in tracking 
maternal health outcomes among incarcerated 
individuals, including those incarcerated in Fed-
eral, State, and local detention facilities; 
(C) the implications of pregnant and 
postpartum incarcerated individuals being ineli-
gible for medical assistance under a State plan 
under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.) including information 
about— 
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725 
(i) the effects of such ineligibility on 
maternal health outcomes for pregnant and 
postpartum incarcerated individuals, with 
emphasis given to such effects for preg-
nant and postpartum individuals from ra-
cial and ethnic minority groups; and 
(ii) potential implications on maternal 
health outcomes resulting from temporarily 
suspending, rather than permanently ter-
minating, such eligibility when a pregnant 
or postpartum individual is incarcerated; 
(D) the extent to which Federal, State, 
and local correctional facilities are holding preg-
nant and postpartum individuals who test posi-
tive for illicit drug use in detention with special 
conditions, such as additional bond require-
ments, due to the individual’s drug use, and the 
effect of such detention policies on maternal 
and infant health outcomes; 
(E) causes of adverse maternal health out-
comes that are unique to incarcerated individ-
uals, including those incarcerated in Federal, 
State, and local detention facilities; 
(F) causes of adverse maternal health out-
comes and severe maternal morbidity that are 
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unique to incarcerated individuals from racial 
and ethnic minority groups; 
(G) recommendations to reduce maternal 
mortality and severe maternal morbidity among 
incarcerated individuals and to address racial 
and ethnic disparities in maternal health out-
comes for incarcerated individuals in Bureau of 
Prisons facilities and State and local prisons 
and jails; and 
(H) such other information as may be ap-
propriate to reduce the occurrence of adverse 
maternal health outcomes among incarcerated 
individuals and to address racial and ethnic dis-
parities in maternal health outcomes for such 
individuals. 
(e) DEFINITIONS.—In this section: 
(1) CULTURALLY
AND
LINGUISTICALLY
CON-
GRUENT.—The term ‘‘culturally and linguistically 
congruent’’, with respect to care or maternity care, 
means care that is in agreement with the preferred 
cultural values, beliefs, worldview, language, and 
practices of the health care consumer and other 
stakeholders. 
(2) MATERNAL MORTALITY.—The term ‘‘mater-
nal mortality’’ means a death occurring during or 
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727 
within a 1-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. 
(3) MATERNITY
CARE
PROVIDER.—The term 
‘‘maternity care provider’’ means a health care pro-
vider who— 
(A) is a physician, a physician assistant, a 
midwife who meets, at a minimum, the inter-
national definition of a midwife and global 
standards for midwifery education as estab-
lished by the International Confederation of 
Midwives, an advanced practice registered 
nurse, or a lactation consultant certified by the 
International Board of Lactation Consultant 
Examiners; and 
(B) has a focus on maternal or perinatal 
health. 
(4) PERINATAL HEALTH WORKER.—The term 
‘‘perinatal health worker’’ means a nonclinical health 
worker focused on maternal or perinatal health, such 
as a doula, community health worker, peer sup-
porter, lactation educator or counselor, nutritionist 
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728 
or dietitian, childbirth educator, social worker, home 
visitor, patient navigator or coordinator, or language 
interpreter. 
(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 
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 
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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.—The term ‘‘social determinants of mater-
nal health’’ means nonclinical factors that impact 
maternal health outcomes. 
SEC. 5209. 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: 
‘‘SEC. 
330N–1. 
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) enable distance learning and tech-
nical support; and 
‘‘(ii) support 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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‘‘(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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‘‘(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 (f); 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 2025 through 2029. 
‘‘(j) DEFINITIONS.—In this section: 
‘‘(1) ELIGIBLE ENTITY.— 
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‘‘(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 
learning 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 the 1-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 or childbirth 
complications. 
‘‘(5) 
MEDICALLY
UNDERSERVED
POPU-
LATION.—The term ‘medically underserved popu-
lation’ has the meaning given such term in section 
330(b)(3). 
‘‘(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 enactment of this Act, the 
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Secretary of Health and Human Services (referred 
to in this subsection as the ‘‘Secretary’’) 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 enactment of this Act, the Sec-
retary 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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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 
2025 through 2029. 
(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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(3) REPORT.—Not later than 2 years after the 
date of enactment of this Act, the National Acad-
emies shall complete the study under this subsection, 
and transmit a report of the results of such study 
to Congress. 
SEC. 5210. IMPACT TO SAVE MOMS ACT. 
(a) PERINATAL
CARE
ALTERNATIVE
PAYMENT 
MODEL DEMONSTRATION PROJECT.— 
(1) IN
GENERAL.—For the period of fiscal 
years 2025 through 2028, the Secretary of Health 
and Human Services (referred to in this subsection 
as the ‘‘Secretary’’), acting through the Adminis-
trator of the Centers for Medicare & Medicaid Serv-
ices, shall establish and implement, in accordance 
with the requirements of this subsection, a dem-
onstration project, to be known as the Perinatal 
Care Alternative Payment Model Demonstration 
Project (referred to in this subsection as the ‘‘Dem-
onstration Project’’), for purposes of allowing States 
to test payment models under their State plans 
under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.) and State child health plans 
under title XXI of such Act (42 U.S.C. 1397aa et 
seq.) with respect to maternity care provided to 
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pregnant and postpartum individuals enrolled in 
such State plans and State child health plans. 
(2) COORDINATION.—In establishing the Dem-
onstration Project, the Secretary shall coordinate 
with stakeholders such as— 
(A) State Medicaid programs; 
(B) relevant organizations representing 
maternal health care providers; 
(C) relevant organizations representing pa-
tients, with a particular focus on individuals 
from demographic groups with disproportionate 
rates of adverse maternal health outcomes; 
(D) relevant community-based organiza-
tions, particularly organizations that seek to 
improve maternal health outcomes for individ-
uals from demographic groups with dispropor-
tionate rates of adverse maternal health out-
comes; 
(E) non-clinical perinatal health workers 
such as doulas, community health workers, peer 
supporters, certified lactation consultants, nu-
tritionists and dieticians, social workers, home 
visitors, and navigators; 
(F) relevant health insurance issuers; 
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(G) hospitals, health systems, freestanding 
birth centers (as such term is defined in para-
graph (3)(B) of section 1905(l) of the Social 
Security Act (42 U.S.C. 1396d(l))), Federally- 
qualified health centers (as such term is defined 
in paragraph (2)(B) of such section), and rural 
health clinics (as such term is defined in section 
1861(aa) of such Act (42 U.S.C. 1395x(aa))); 
(H) researchers and policy experts in fields 
related to maternity care payment models; and 
(I) any other stakeholders as the Secretary 
determines appropriate, with a particular focus 
on stakeholders from demographic groups with 
disproportionate rates of adverse maternal 
health outcomes. 
(3) 
CONSIDERATIONS.—In 
establishing 
the 
Demonstration Project, the Secretary shall consider 
each of the following: 
(A) Findings from any evaluations of the 
Strong Start for Mothers and Newborns initia-
tive carried out by the Centers for Medicare & 
Medicaid Services, the Health Resources and 
Services Administration, and the Administra-
tion on Children and Families. 
(B) Any alternative payment model that— 
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(i) is designed to improve maternal 
health outcomes for racial and ethnic 
groups with disproportionate rates of ad-
verse maternal health outcomes; 
(ii) includes methods for stratifying 
patients by pregnancy risk level and, as 
appropriate, adjusting payments under 
such model to take into account pregnancy 
risk level; 
(iii) establishes evidence-based quality 
metrics for such payments; 
(iv) includes consideration of non-hos-
pital birth settings such as freestanding 
birth centers (as so defined); 
(v) includes consideration of social de-
terminants of health that are relevant to 
maternal health outcomes such as housing, 
transportation, nutrition, and other non- 
clinical factors that influence maternal 
health outcomes; or 
(vi) includes diverse maternity care 
teams that include— 
(I) maternity care providers, in-
cluding 
obstetrician-gynecologists, 
family physicians, physician assist-
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ants, midwives who meet, at a min-
imum, the international definition of 
the term ‘‘midwife’’ and global stand-
ards for midwifery education (as es-
tablished by the International Confed-
eration of Midwives), and nurse prac-
titioners— 
(aa) 
from 
racially, 
eth-
nically, and professionally diverse 
backgrounds; 
(bb) with experience prac-
ticing in racially and ethnically 
diverse communities; or 
(cc) who have undergone 
trainings on racism, implicit bias, 
and explicit bias; and 
(II) non-clinical perinatal health 
workers such as doulas, community 
health workers, peer supporters, cer-
tified lactation consultants, nutrition-
ists and dieticians, social workers, 
home visitors, and navigators. 
(4) ELIGIBILITY.—To be eligible to participate 
in the Demonstration Project, a State shall submit 
an application to the Secretary at such time, in such 
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manner, and containing such information as the Sec-
retary may require. 
(5) EVALUATION.—The Secretary shall conduct 
an evaluation of the Demonstration Project to deter-
mine the impact of the Demonstration Project on— 
(A) maternal health outcomes, with data 
stratified by race, ethnicity, socioeconomic indi-
cators, and any other factors as the Secretary 
determines appropriate; 
(B) spending on maternity care by States 
participating in the Demonstration Project; 
(C) to the extent practicable, subjective 
measures of patient experience; and 
(D) any other areas of assessment that the 
Secretary determines relevant. 
(6) REPORT.—Not later than 1 year after the 
completion or termination date of the Demonstration 
Project, the Secretary shall submit to the Committee 
on Energy and Commerce, the Committee on Ways 
and Means, and the Committee on Education and 
the Workforce of the House of Representatives and 
the Committee on Finance and the Committee on 
Health, Education, Labor, and Pensions of the Sen-
ate, and make publicly available, a report con-
taining— 
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(A) the results of any evaluation conducted 
under paragraph (5); and 
(B) a recommendation regarding whether 
the Demonstration Project should be continued 
after fiscal year 2028 and expanded on a na-
tional basis. 
(7) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated such sums 
as are necessary to carry out this subsection. 
(8) DEFINITIONS.—In this subsection: 
(A) ALTERNATIVE PAYMENT MODEL.—The 
term ‘‘alternative payment model’’ has the 
meaning 
given 
such 
term 
in 
section 
1833(z)(3)(C) of the Social Security Act (42 
U.S.C. 1395l(z)(3)(C)). 
(B) PERINATAL.—The term ‘‘perinatal’’ 
means the period beginning on the day a person 
becomes pregnant and ending on the last day of 
the 1-year period beginning on the last day of 
such person’s pregnancy. 
(b) MACPAC REPORT.— 
(1) IN GENERAL.—Not later than 2 years after 
the date of the enactment of this section, the Med-
icaid and CHIP Payment and Access Commission 
shall publish a report on issues relating to the con-
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tinuity of coverage under State plans under title 
XIX of the Social Security Act (42 U.S.C. 1396 et 
seq.) and State child health plans under title XXI of 
such Act (42 U.S.C. 1397aa et seq.) for pregnant 
and postpartum individuals. Such report shall, at a 
minimum, include the following: 
(A) An assessment of any existing policies 
under such State plans and such State child 
health plans regarding presumptive eligibility 
for pregnant individuals while their application 
for enrollment in such a State plan or such a 
State child health plan is being processed. 
(B) An assessment of any existing policies 
under such State plans and such State child 
health plans regarding measures to ensure con-
tinuity of coverage under such a State plan or 
such a State child health plan for pregnant and 
postpartum individuals, including such individ-
uals who need to change their health insurance 
coverage 
during 
their 
pregnancy 
or 
the 
postpartum period following their pregnancy. 
(C) An assessment of any existing policies 
under such State plans and such State child 
health plans regarding measures to automati-
cally reenroll individuals who are eligible to en-
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roll under such a State plan or such a State 
child health plan as a parent. 
(D) If determined appropriate by the Com-
mission, any recommendations for the Depart-
ment of Health and Human Services, or such 
State plans and such State child health plans, 
to ensure continuity of coverage under such a 
State plan or such a State child health plan for 
pregnant and postpartum people. 
(2) POSTPARTUM
DEFINED.—In this sub-
section, the term ‘‘postpartum’’ means the 1-year 
period beginning on the last day of a person’s preg-
nancy. 
SEC. 5211. PROTECTING MOMS AND BABIES AGAINST CLI-
MATE CHANGE. 
(a) GRANT PROGRAM TO PROTECT VULNERABLE 
MOTHERS
AND
BABIES
FROM
CLIMATE
CHANGE 
RISKS.— 
(1) IN
GENERAL.—Not later than 180 days 
after the date of enactment of this section, the Sec-
retary of Health and Human Services (in this sec-
tion referred to as the ‘‘Secretary’’) shall establish 
a grant program (in this subsection referred to as 
the ‘‘Program’’) to protect vulnerable individuals 
from risks associated with climate change. 
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(2) GRANT AUTHORITY.—In carrying out the 
Program, the Secretary may award, on a competitive 
basis, grants to 10 covered entities. 
(3) APPLICATIONS.—To be eligible for a grant 
under the Program, a covered entity shall submit to 
the Secretary an application at such time, in such 
form, and containing such information as the Sec-
retary may require, which shall include, at a min-
imum, a description of the following: 
(A) Plans for the use of grant funds 
awarded under the Program and how patients 
and stakeholder organizations were involved in 
the development of such plans. 
(B) How such grant funds will be targeted 
to geographic areas that have disproportionately 
high levels of risks associated with climate 
change for vulnerable individuals. 
(C) How such grant funds will be used to 
address racial and ethnic inequities in— 
(i) adverse maternal and infant health 
outcomes; and 
(ii) exposure to risks associated with 
climate change for vulnerable individuals. 
(D) Strategies to prevent an initiative as-
sisted with such grant funds from causing— 
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(i) adverse environmental impacts; 
(ii) displacement of residents and 
businesses; 
(iii) rent and housing price increases; 
or 
(iv) disproportionate adverse impacts 
on racial and ethnic minority groups and 
other underserved populations. 
(4) SELECTION OF GRANT RECIPIENTS.— 
(A) TIMING.—Not later than 270 days 
after the date of enactment of this Act, the Sec-
retary shall select the recipients of grants under 
the Program. 
(B) CONSULTATION.—In selecting covered 
entities for grants under the Program, the Sec-
retary shall consult with— 
(i) representatives of stakeholder or-
ganizations; 
(ii) the Administrator of the Environ-
mental Protection Agency; 
(iii) the Administrator of the National 
Oceanic and Atmospheric Administration; 
and 
(iv) from the Department of Health 
and Human Services— 
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(I) the Deputy Assistant Sec-
retary for Minority Health; 
(II) the Administrator of the 
Centers for Medicare & Medicaid 
Services; 
(III) the Administrator of the 
Health Resources and Services Ad-
ministration; 
(IV) the Director of the National 
Institutes of Health; and 
(V) the Director of the Centers 
for Disease Control and Prevention. 
(C) PRIORITY.—In selecting a covered en-
tity to be awarded a grant under the Program, 
the Secretary shall give priority to covered enti-
ties that serve a county— 
(i) designated, or located in an area 
designated, as a nonattainment area pur-
suant to section 107 of the Clean Air Act 
(42 U.S.C. 7407) for any air pollutant for 
which air quality criteria have been issued 
under section 108(a) of such Act (42 
U.S.C. 7408(a)); 
(ii) with a level of vulnerability of 
moderate-to-high or higher, according to 
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the Social Vulnerability Index of the Cen-
ters for Disease Control and Prevention; or 
(iii) with temperatures that pose a 
risk to human health, as determined by the 
Secretary, in consultation with the Admin-
istrator of the National Oceanic and At-
mospheric Administration and the Chair of 
the United States Global Change Research 
Program, based on the best available 
science. 
(D) LIMITATION.—A recipient of grant 
funds under the Program may not use such 
grant funds to serve a county that is served by 
any other recipient of a grant under the Pro-
gram. 
(5) USE OF FUNDS.—A covered entity awarded 
grant funds under the Program may only use such 
grant funds for the following: 
(A) Initiatives to identify risks associated 
with climate change for vulnerable individuals 
and to provide services and support to such in-
dividuals that address such risks, which may in-
clude— 
(i) training for health care providers, 
doulas, and other employees in hospitals, 
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birth centers, midwifery practices, and 
other health care practices that provide 
prenatal or labor and delivery services to 
vulnerable individuals on the identification 
of, and patient counseling relating to, risks 
associated with climate change for vulner-
able individuals; 
(ii) hiring, training, or providing re-
sources to community health workers and 
perinatal health workers who can help 
identify risks associated with climate 
change for vulnerable individuals, provide 
patient counseling about such risks, and 
carry out the distribution of relevant serv-
ices and support; 
(iii) enhancing the monitoring of risks 
associated with climate change for vulner-
able individuals, including by— 
(I) collecting data on such risks 
in specific census tracts, neighbor-
hoods, or other geographic areas; and 
(II) sharing such data with local 
health care providers, doulas, and 
other employees in hospitals, birth 
centers, 
midwifery 
practices, 
and 
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other health care practices that pro-
vide prenatal or labor and delivery 
services to local vulnerable individuals; 
and 
(iv) providing vulnerable individuals— 
(I) air conditioning units, resi-
dential weatherization support, filtra-
tion systems, household appliances, or 
related items; 
(II) direct financial assistance; 
and 
(III) services and support, in-
cluding housing and transportation 
assistance, to prepare for or recover 
from extreme weather events, which 
may 
include 
floods, 
hurricanes, 
wildfires, 
droughts, 
and 
related 
events. 
(B) Initiatives to mitigate levels of and ex-
posure to risks associated with climate change 
for vulnerable individuals, which shall be based 
on the best available science and which may in-
clude initiatives to— 
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(i) develop, maintain, or expand urban 
or community forestry initiatives and tree 
canopy coverage initiatives; 
(ii) improve infrastructure, including 
buildings and paved surfaces; 
(iii) develop or improve community 
outreach networks to provide culturally 
and linguistically appropriate information 
and notifications about risks associated 
with climate change for vulnerable individ-
uals; and 
(iv) provide enhanced services to ra-
cial and ethnic minority groups and other 
underserved populations. 
(6) LENGTH OF AWARD.—A grant under this 
subsection shall be disbursed over 4 fiscal years. 
(7) TECHNICAL
ASSISTANCE.—The Secretary 
shall provide technical assistance to a covered entity 
awarded a grant under the Program to support the 
development, implementation, and evaluation of ac-
tivities funded with such grant. 
(8) REPORTS TO SECRETARY.— 
(A) ANNUAL
REPORT.—For each fiscal 
year during which a covered entity is disbursed 
grant funds under the Program, such covered 
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entity shall submit to the Secretary a report 
that summarizes the activities carried out by 
such covered entity with such grant funds dur-
ing such fiscal year, which shall include a de-
scription of the following: 
(i) The involvement of stakeholder or-
ganizations in the implementation of initia-
tives assisted with such grant funds. 
(ii) Relevant health and environmental 
data, disaggregated, to the extent prac-
ticable, by race, ethnicity, gender, and 
pregnancy status. 
(iii) 
Qualitative 
feedback 
received 
from vulnerable individuals with respect to 
initiatives assisted with such grant funds. 
(iv) Criteria used in selecting the geo-
graphic areas assisted with such grant 
funds. 
(v) Efforts to address racial and eth-
nic inequities in adverse maternal and in-
fant health outcomes and in exposure to 
risks associated with climate change for 
vulnerable individuals. 
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(vi) Any negative and unintended im-
pacts of initiatives assisted with such grant 
funds, including— 
(I) adverse environmental im-
pacts; 
(II) displacement of residents 
and businesses; 
(III) rent and housing price in-
creases; and 
(IV) disproportionate adverse im-
pacts on racial and ethnic minority 
groups and other underserved popu-
lations. 
(vii) How the covered entity will ad-
dress and prevent any impacts described in 
clause (vi). 
(B) PUBLICATION.—Not later than 30 
days after the date on which a report is sub-
mitted under subparagraph (A), the Secretary 
shall publish such report on a public website of 
the Department of Health and Human Services. 
(9) REPORT TO CONGRESS.—Not later than the 
date that is 5 years after the date on which the Pro-
gram is established, the Secretary shall submit to 
Congress and publish on a public website of the De-
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partment of Health and Human Services a report on 
the results of the Program, including the following: 
(A) Summaries of the annual reports sub-
mitted under paragraph (8). 
(B) Evaluations of the initiatives assisted 
with grant funds under the Program. 
(C) An assessment of the effectiveness of 
the Program in— 
(i) identifying risks associated with 
climate change for vulnerable individuals; 
(ii) providing services and support to 
such individuals; 
(iii) mitigating levels of and exposure 
to such risks; and 
(iv) addressing racial and ethnic in-
equities in adverse maternal and infant 
health outcomes and in exposure to such 
risks. 
(D) A description of how the Program 
could be expanded, including— 
(i) monitoring efforts or data collec-
tion that would be required to identify 
areas with high levels of risks associated 
with climate change for vulnerable individ-
uals; 
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(ii) how such areas could be identified 
using the strategy developed under sub-
section (d); and 
(iii) recommendations for additional 
funding. 
(10) COVERED ENTITY DEFINED.—In this sub-
section, the term ‘‘covered entity’’ means a consor-
tium of organizations serving a county that— 
(A) shall include a community-based orga-
nization; and 
(B) may include— 
(i) another stakeholder organization; 
(ii) the government of such county; 
(iii) the governments of one or more 
municipalities within such county; 
(iv) a State or local public health de-
partment or emergency management agen-
cy; 
(v) a local health care practice, which 
may include a licensed and accredited hos-
pital, birth center, midwifery practice, or 
other health care practice that provides 
prenatal or labor and delivery services to 
vulnerable individuals; 
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(vi) 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)); 
(vii) an Urban Indian organization (as 
defined in section 4 of the Indian Health 
Care Improvement Act (25 U.S.C. 1603)); 
and 
(viii) an institution of higher edu-
cation. 
(11) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $100,000,000 for fiscal years 2025 
through 2028. 
(b) GRANT PROGRAM FOR EDUCATION AND TRAIN-
ING AT HEALTH PROFESSION SCHOOLS.— 
(1) IN GENERAL.—Not later than 1 year after 
the date of enactment of this Act, the Secretary 
shall establish a grant program (in this subsection 
referred to as the ‘‘Program’’) to provide funds to 
health profession schools to support the development 
and integration of education and training programs 
for identifying and addressing risks associated with 
climate change for vulnerable individuals. 
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(2) GRANT AUTHORITY.—In carrying out the 
Program, the Secretary may award, on a competitive 
basis, grants to health profession schools. 
(3) APPLICATION.—To be eligible for a grant 
under the Program, a health profession school shall 
submit to the Secretary an application at such time, 
in such form, and containing such information as 
the Secretary may require, which shall include, at a 
minimum, a description of the following: 
(A) How such health profession school will 
engage with vulnerable individuals, and stake-
holder organizations representing such individ-
uals, in developing and implementing the edu-
cation and training programs supported by 
grant funds awarded under the Program. 
(B) How such health profession school will 
ensure that such education and training pro-
grams will address racial and ethnic inequities 
in exposure to, and the effects of, risks associ-
ated with climate change for vulnerable individ-
uals. 
(4) USE OF FUNDS.—A health profession school 
awarded a grant under the Program shall use the 
grant funds to develop, and integrate into the cur-
riculum and continuing education of such health 
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profession school, education and training on each of 
the following: 
(A) Identifying risks associated with cli-
mate change for vulnerable individuals and indi-
viduals with the intent to become pregnant. 
(B) How risks associated with climate 
change affect vulnerable individuals and individ-
uals with the intent to become pregnant. 
(C) Racial and ethnic inequities in expo-
sure to, and the effects of, risks associated with 
climate change for vulnerable individuals and 
individuals with the intent to become pregnant. 
(D) Patient counseling and mitigation 
strategies relating to risks associated with cli-
mate change for vulnerable individuals. 
(E) Relevant services and support for vul-
nerable individuals relating to risks associated 
with climate change and strategies for ensuring 
vulnerable individuals have access to such serv-
ices and support. 
(F) Implicit and explicit bias, racism, and 
discrimination. 
(G) Related topics identified by such 
health profession school based on the engage-
ment of such health profession school with vul-
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nerable individuals and stakeholder organiza-
tions representing such individuals. 
(5) PARTNERSHIPS.—In carrying out activities 
with grant funds, a health profession school awarded 
a grant under the Program may partner with one or 
more of the following: 
(A) A State or local public health depart-
ment. 
(B) A health care professional membership 
organization. 
(C) A stakeholder organization. 
(D) A health profession school. 
(E) An institution of higher education. 
(6) REPORTS TO SECRETARY.— 
(A) ANNUAL
REPORT.—For each fiscal 
year during which a health profession school is 
disbursed grant funds under the Program, such 
health profession school shall submit to the Sec-
retary a report that describes the activities car-
ried out with such grant funds during such fis-
cal year. 
(B) FINAL REPORT.—Not later than the 
date that is 1 year after the end of the last fis-
cal year during which a health profession school 
is disbursed grant funds under the Program, 
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the health profession school shall submit to the 
Secretary a final report that summarizes the 
activities carried out with such grant funds. 
(7) REPORT TO CONGRESS.—Not later than the 
date that is 6 years after the date on which the Pro-
gram is established, the Secretary shall submit to 
Congress and publish on a public website of the De-
partment of Health and Human Services a report 
that includes the following: 
(A) A summary of the reports submitted 
under paragraph (6). 
(B) Recommendations to improve edu-
cation and training programs at health profes-
sion schools with respect to identifying and ad-
dressing risks associated with climate change 
for vulnerable individuals. 
(8) HEALTH PROFESSION SCHOOL DEFINED.— 
In this subsection, the term ‘‘health profession 
school’’ means an accredited— 
(A) medical school; 
(B) school of nursing; 
(C) midwifery program; 
(D) physician assistant education program; 
(E) teaching hospital; 
(F) residency or fellowship program; or 
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(G) other school or program determined 
appropriate by the Secretary. 
(9) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $5,000,000 for fiscal years 2025 
through 2028. 
(c) NIH CONSORTIUM
ON BIRTH
AND CLIMATE 
CHANGE RESEARCH.— 
(1) ESTABLISHMENT.—Not later than 1 year 
after the date of enactment of this Act, the Director 
of the National Institutes of Health (in this sub-
section referred to as the ‘‘Director of NIH’’) shall 
establish the Consortium on Birth and Climate 
Change Research (in this subsection referred to as 
the ‘‘Consortium’’). 
(2) DUTIES.— 
(A) IN GENERAL.—The Consortium shall 
coordinate, across the institutes, centers, and 
offices of the National Institutes of Health, re-
search on the risks associated with climate 
change for vulnerable individuals. 
(B) REQUIRED
ACTIVITIES.—In carrying 
out subparagraph (A), the Consortium shall— 
(i) establish research priorities, in-
cluding by prioritizing research that— 
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(I) identifies the risks associated 
with climate change for vulnerable in-
dividuals with a particular focus on 
inequities in such risks among racial 
and ethnic minority groups and other 
underserved populations; and 
(II) identifies strategies to reduce 
levels of, and exposure to, such risks, 
with a particular focus on risks 
among racial and ethnic minority 
groups and other underserved popu-
lations; 
(ii) identify gaps in available data re-
lated to such risks; 
(iii) identify gaps in, and opportuni-
ties for, research collaborations; 
(iv) identify funding opportunities for 
community-based organizations and re-
searchers from racially, ethnically, and 
geographically diverse backgrounds; and 
(v) publish annual reports on the 
work and findings of the Consortium on a 
public website of the National Institutes of 
Health. 
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(3) MEMBERSHIP.—The Director of NIH shall 
appoint to the Consortium representatives of such 
institutes, centers, and offices of the National Insti-
tutes of Health as the Director of NIH considers ap-
propriate, including, at a minimum, representatives 
of— 
(A) the National Institute of Environ-
mental Health Sciences; 
(B) the National Institute on Minority 
Health and Health Disparities; 
(C) the Eunice Kennedy Shriver National 
Institute of Child Health and Human Develop-
ment; 
(D) the National Institute of Nursing Re-
search; and 
(E) the Office of Research on Women’s 
Health. 
(4) CHAIRPERSON.—The Chairperson of the 
Consortium shall be designated by the Director of 
NIH and selected from among the representatives 
appointed under paragraph (3). 
(5) CONSULTATION.—In carrying out the duties 
described in paragraph (2), the Consortium shall 
consult with— 
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(A) the heads of relevant Federal agencies, 
including— 
(i) 
the 
Environmental 
Protection 
Agency; 
(ii) the National Oceanic and Atmos-
pheric Administration; 
(iii) the Occupational Safety and 
Health Administration; and 
(iv) from the Department of Health 
and Human Services— 
(I) the Office of Minority Health 
in the Office of the Secretary; 
(II) the Centers for Medicare & 
Medicaid Services; 
(III) the Health Resources and 
Services Administration; 
(IV) the Centers for Disease 
Control and Prevention; 
(V) the Indian Health Service; 
and 
(VI) the Administration for Chil-
dren and Families; and 
(B) representatives of— 
(i) stakeholder organizations; 
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(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 practices that provide prenatal 
or labor and delivery services to vulnerable 
individuals; and 
(v) institutions of higher education, 
including such institutions that are minor-
ity-serving institutions or have expertise in 
maternal health or environmental justice. 
(d) STRATEGY FOR IDENTIFYING CLIMATE CHANGE 
RISK ZONES FOR VULNERABLE MOTHERS AND BABIES.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Director of the Centers for Disease 
Control and Prevention, shall develop a strategy (in 
this subsection referred to as the ‘‘Strategy’’) for 
designating areas that the Secretary determines to 
have a high risk of adverse maternal and infant 
health outcomes among vulnerable individuals as a 
result of risks associated with climate change. 
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(2) STRATEGY REQUIREMENTS.— 
(A) IN
GENERAL.—In developing the 
Strategy, the Secretary shall establish a process 
to identify areas where vulnerable individuals 
are exposed to a high risk of adverse maternal 
and infant health outcomes as a result of risks 
associated with climate change in conjunction 
with other factors that can impact such health 
outcomes, including— 
(i) the incidence of diseases associated 
with air pollution, extreme heat, and other 
environmental factors; 
(ii) the availability and accessibility of 
maternal and infant health care providers; 
(iii) 
English-language 
proficiency 
among people of reproductive age; 
(iv) the health insurance status of 
people of reproductive age; 
(v) the number of people of reproduc-
tive age who are members of racial or eth-
nic groups with disproportionately high 
rates of adverse maternal and infant 
health outcomes; 
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(vi) the socioeconomic status of people 
of reproductive age, including with respect 
to— 
(I) poverty; 
(II) unemployment; 
(III) household income; and 
(IV) educational attainment; and 
(vii) access to quality housing, trans-
portation, and nutrition. 
(B) RESOURCES.—In developing the Strat-
egy, the Secretary shall identify, and incor-
porate a description of, the following: 
(i) Existing mapping tools or Federal 
programs that identify— 
(I) risks associated with climate 
change for vulnerable individuals; and 
(II) other factors that can influ-
ence maternal and infant health out-
comes, including the factors described 
in subparagraph (A). 
(ii) 
Environmental, 
health, 
socio-
economic, and demographic data relevant 
to identifying risks associated with climate 
change for vulnerable individuals. 
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(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 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. 5212. PROTECT MOMS FROM DOMESTIC VIOLENCE. 
(a) STUDY
BY DEPARTMENT
OF HEALTH
AND 
HUMAN SERVICES.— 
(1) STUDY.—The Secretary, in collaboration 
with the Health Resources and Services Administra-
tion, the Substance Abuse and Mental Health Serv-
ices Administration, and the Administration for 
Children and Families, and in consultation with the 
Attorney General of the United States, the Director 
of the Indian Health Service, and stakeholders (in-
cluding community-based organizations, culturally 
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specific organizations, and Tribal public health au-
thorities), shall conduct a study on the extent to 
which individuals are more at risk of maternal mor-
tality or severe maternal morbidity as a result of 
being a victim of domestic violence, dating violence, 
sexual assault, stalking, human trafficking, sex traf-
ficking, child sexual abuse, or forced marriage. 
(2) REPORTS.—Not later than 2 years after the 
date of enactment of this Act, the Secretary shall 
complete the study under paragraph (1) and submit 
a report to the Congress on the results of such 
study. Such report shall include— 
(A) an analysis of the extent to which do-
mestic violence, dating violence, sexual assault, 
stalking, human trafficking, sex trafficking, 
child sexual abuse, and forced marriage con-
tribute to, or result in, maternal mortality; 
(B) an analysis of the impact of domestic 
violence, dating violence, sexual assault, stalk-
ing, human trafficking, sex trafficking, child 
sexual abuse, and forced marriage on access to 
health care (including mental health care) and 
substance use disorder treatment and recovery 
support; 
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(C) a breakdown (including by race and 
ethnicity) of categories of individuals who are 
disproportionately victims of domestic violence, 
dating violence, sexual assault, stalking, human 
trafficking, sex trafficking, child sexual abuse, 
or forced marriage that contributes to, or re-
sults in, pregnancy-related death; 
(D) an analysis of the impact on health, 
mental health, and substance use resulting from 
domestic violence, dating violence, sexual as-
sault, stalking, human trafficking, sex traf-
ficking, child sexual abuse, and forced marriage 
among Alaskan Natives, Native Hawaiians, and 
American Indians during the prenatal and 
postpartum period; 
(E) an assessment of the factors that in-
crease or decrease risks for maternal mortality 
or severe maternal morbidity among victims of 
domestic violence, dating violence, sexual as-
sault, stalking, human trafficking, sex traf-
ficking, child sexual abuse, or forced marriage; 
(F) an assessment of increased risk of ma-
ternal mortality or severe maternal morbidity 
stemming from suicide, substance use disorders, 
or drug overdose due to domestic violence, dat-
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ing violence, sexual assault, stalking, human 
trafficking, sex trafficking, child sexual abuse, 
or forced marriage; 
(G) recommendations for legislative or pol-
icy changes— 
(i) to reduce maternal mortality rates; 
and 
(ii) to address health inequities that 
contribute to inequities in such rates and 
deaths; 
(H) best practices to reduce maternal mor-
tality and severe maternal morbidity among vic-
tims of domestic violence, dating violence, sex-
ual assault, stalking, human trafficking, sex 
trafficking, child sexual abuse, and forced mar-
riage, including— 
(i) reducing reproductive coercion, 
mental health conditions, and substance 
use coercion; and 
(ii) routinely assessing pregnant peo-
ple for domestic violence and other forms 
of reproductive violence; and 
(I) any other information on maternal 
mortality or severe maternal morbidity the Sec-
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retary determines appropriate to include in the 
report. 
(b) STUDY BY NATIONAL ACADEMY OF MEDICINE.— 
(1) IN GENERAL.—The Secretary shall seek to 
enter into an arrangement with the National Acad-
emy of Medicine (or, if the Academy declines to 
enter into such arrangement, another appropriate 
entity) to study— 
(A) the impact of domestic violence, dating 
violence, sexual assault, stalking, human traf-
ficking, sex trafficking, child sexual abuse, and 
forced marriage on an individual’s health; rel-
ative to 
(B) maternal mortality and severe mater-
nal morbidity. 
(2) TOPICS.—The study under paragraph (1) 
shall— 
(A) examine— 
(i) whether domestic violence, dating 
violence, sexual assault, stalking, human 
trafficking, sex trafficking, child sexual 
abuse, or forced marriage, or generational 
intimate partner violence, trauma, and psy-
chiatric disorders, increase the risk of sui-
cide, substance use, and drug overdose 
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among pregnant and postpartum persons; 
and 
(ii) the intersection of domestic vio-
lence, dating violence, sexual assault, stalk-
ing, human trafficking, sex trafficking, 
child sexual abuse, and forced marriage as 
a social determinant of health; and 
(B) give particular focus to impacts among 
African American, American Indian, Native Ha-
waiian, Alaskan Native, and LGBTQ birthing 
persons. 
(c) GRANTS FOR INNOVATIVE APPROACHES.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Administrator of the Health Resources 
and Services Administration, and in collaboration 
with the Administration for Children and Families, 
the Indian Health Service, and the Substance Abuse 
and Mental Health Services Administration, shall 
award grants to eligible entities for developing and 
implementing innovative approaches to improve ma-
ternal and child health outcomes of victims of do-
mestic violence, dating violence, sexual assault, 
stalking, human trafficking, sex trafficking, child 
sexual abuse, or forced marriage. 
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(2) ELIGIBLE ENTITY.—To seek a grant under 
this subsection, an entity shall be— 
(A) a State, local, or federally recognized 
Tribal government; 
(B) a nonprofit organization or commu-
nity-based organization that provides prevention 
or intervention services related to domestic vio-
lence, dating violence, sexual assault, stalking, 
human trafficking, sex trafficking, child sexual 
abuse, or forced marriage; 
(C) a tribal organization or Urban Indian 
organization (as such terms are defined in sec-
tion 4 of the Indian Health Care Improvement 
Act (25 U.S.C. 1603)); 
(D) an entity, the principal purpose of 
which is to provide health care, such as a hos-
pital, clinic, health department, freestanding 
birthing center, perinatal health worker, or ma-
ternity care provider; 
(E) an institution of higher education; or 
(F) a comprehensive substance use dis-
order parenting program. 
(3) PRIORITY.—In awarding grants under this 
subsection, the Secretary shall give priority to appli-
cants proposing to address— 
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(A) mental health and substance use dis-
orders among pregnant persons; or 
(B) pregnant and postpartum persons ex-
periencing intimate partner violence. 
(4) FREESTANDING BIRTH CENTER DEFINED.— 
In this subsection, the term ‘‘freestanding birth cen-
ter’’ has the meaning given that term in section 
1905(l) of the Social Security Act (42 U.S.C. 
1396d(l)). 
(5) AUTHORIZATION OF APPROPRIATIONS.—To 
carry out this subsection, there is authorized to be 
appropriated $25,000,000 for the period of fiscal 
years 2025 through 2027. 
(d) GUIDANCE.—Not later than 2 years after the 
date of enactment of this Act, the Secretary shall issue 
and disseminate guidance to States, Tribes, territories, 
maternity care providers, and managed care entities on— 
(1) providing universal education on healthy re-
lationships and intimate partner violence; 
(2) developing protocols on— 
(A) routine assessment of intimate partner 
violence; and 
(B) health promotion and strategies for 
trauma-informed care plans; and 
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(3) creating sustainable partnerships with com-
munity-based organizations that address domestic vi-
olence, dating violence, sexual assault, stalking, 
human trafficking, sex trafficking, child sexual 
abuse, or forced marriage. 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘maternal mortality’’— 
(A) means death that— 
(i) occurs during, or within the 1-year 
period after, pregnancy; and 
(ii) is attributed to or aggravated by 
pregnancy-related or childbirth complica-
tions; and 
(B) includes a suicide, drug overdose 
death, homicide (including a domestic violence- 
related homicide), or other death resulting from 
a mental health or substance use disorder at-
tributed to or aggravated by pregnancy-related 
or childbirth complications. 
(2) The term ‘‘maternity care provider’’ means 
a health care provider who— 
(A) is a physician, physician assistant, 
nurse, midwife who meets at a minimum the 
international definition of the midwife and glob-
al standards for midwifery education as estab-
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lished by the International Confederation of 
Midwives, nurse practitioner, or clinical nurse 
specialist; and 
(B) has a focus on maternal or perinatal 
health. 
(3) The term ‘‘perinatal health worker’’ means 
a worker who— 
(A) is a doula, community health worker, 
peer supporter, breastfeeding and lactation edu-
cator or counselor, nutritionist or dietitian, 
childbirth educator, social worker, home visitor, 
language interpreter, or navigator; and 
(B) provides assistance with perinatal 
health. 
(4) The term ‘‘postpartum’’ refers to the 12- 
month period following childbirth. 
(5) The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services. 
(6) The term ‘‘severe maternal morbidity’’ 
means a health condition, including a mental health 
condition or substance use disorder, that— 
(A) is attributed to or aggravated by preg-
nancy or childbirth; and 
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(B) results in significant short-term or 
long-term consequences to the health of the in-
dividual who was pregnant. 
SEC. 5213. MIDWIVES SCHOOLS AND PROGRAMS EXPAN-
SION. 
(a) MIDWIFERY SCHOOLS AND PROGRAMS.— 
(1) IN
GENERAL.—Title VII of the Public 
Health Service Act is amended by inserting after 
section 760 (42 U.S.C. 294k) the following: 
‘‘SEC. 760A. MIDWIFERY SCHOOLS AND PROGRAMS. 
‘‘(a) IN GENERAL.—The Secretary may award grants 
to institutions of higher education (as defined in sub-
sections (a) and (b) of section 101 of the Higher Edu-
cation Act of 1965) for the following: 
‘‘(1) Direct support of students in an accredited 
midwifery school or program. 
‘‘(2) Establishment or expansion of an accred-
ited midwifery school or program. 
‘‘(3) Securing, preparing, or providing support 
for increasing the number of, qualified preceptors 
for training the students of an accredited midwifery 
school or program. 
‘‘(b) 
SPECIAL
CONSIDERATIONS.—In 
awarding 
grants under subsection (a), the Secretary shall give spe-
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cial consideration to any institution of higher education 
that— 
‘‘(1) agrees to prioritize students who plan to 
practice in a health professional shortage area des-
ignated under section 332; and 
‘‘(2) demonstrates a focus on increasing racial 
and ethnic minority representation in midwifery edu-
cation. 
‘‘(c) RESTRICTION.—The Secretary shall not provide 
any assistance under this section to be used with respect 
to a midwifery school or program within a school of nurs-
ing (as defined in section 801). 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—There is authorized to be 
appropriated to carry out this section $15,000,000 
for the period of fiscal years 2025 through 2029. 
‘‘(2) ALLOCATION.—Of the amounts made 
available to carry out this section for any fiscal year, 
the Secretary shall use— 
‘‘(A) 50 percent to award grants for pur-
poses specified in subsection (a)(1); 
‘‘(B) 25 percent to award grants for pur-
poses specified in subsection (a)(2); and 
‘‘(C) 25 percent to award grants for pur-
poses specified in subsection (a)(3).’’. 
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(2) DEFINITIONS.— 
(A) MIDWIFERY SCHOOL OR PROGRAM.— 
Section 799B(1)(A) of the Public Health Serv-
ice Act (42 U.S.C. 295p(1)(A)) is amended— 
(i) by inserting ‘‘ ‘midwifery school or 
program’,’’ before ‘‘and ‘school of chiro-
practic’ ’’; 
(ii) by inserting ‘‘a degree or certifi-
cate in midwifery or an equivalent degree 
or certificate,’’ before ‘‘and a degree of 
doctor of chiropractic or an equivalent de-
gree’’; and 
(iii) by striking ‘‘any such school’’ and 
inserting ‘‘any such school or program’’. 
(B) ACCREDITED.—Section 799B(1)(E) of 
the Public Health Service Act (42 U.S.C. 
295p(1)(E)) is amended by inserting ‘‘a mid-
wifery school or program,’’ before ‘‘or a grad-
uate program in health administration’’. 
(b) NURSE-MIDWIVES.—Title VIII of the Public 
Health Service Act is amended by inserting after section 
812 (as added by section 5205(c)), the following: 
‘‘SEC. 812A. MIDWIFERY EXPANSION PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary may award grants 
to schools of nursing for the following: 
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‘‘(1) Direct support of students in an accredited 
nurse-midwifery school or program. 
‘‘(2) Establishment or expansion of an accred-
ited nurse-midwifery school or program. 
‘‘(3) Securing, preparing, or providing support 
for increasing the numbers of, preceptors at clinical 
training sites to precept students training to become 
certified nurse-midwives. 
‘‘(b) 
SPECIAL
CONSIDERATIONS.—In 
awarding 
grants under subsection (a), the Secretary shall give spe-
cial consideration to any school of nursing that— 
‘‘(1) agrees to prioritize students who choose to 
pursue an advanced education degree in nurse-mid-
wifery to practice in a health professional shortage 
area designated under section 332; and 
‘‘(2) demonstrates a focus on increasing racial 
and ethnic minority representation in nurse-mid-
wifery education. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—To carry out this section, 
there is authorized to be appropriated $20,000,000 
for the period of fiscal years 2025 through 2029. 
‘‘(2) ALLOCATION.—Of the amounts made 
available to carry out this section for any fiscal year, 
the Secretary shall use— 
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‘‘(A) 50 percent to award grants for pur-
poses specified in subsection (a)(1); 
‘‘(B) 25 percent to award grants for pur-
poses specified in subsection (a)(2); and 
‘‘(C) 25 percent to award grants for pur-
poses specified in subsection (a)(3).’’. 
SEC. 5214. GESTATIONAL DIABETES. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by adding after section 
317H (42 U.S.C. 247b–9) the following: 
‘‘SEC. 317H–1. GESTATIONAL DIABETES. 
‘‘(a) UNDERSTANDING
AND MONITORING GESTA-
TIONAL DIABETES.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, in consultation with the Di-
abetes Mellitus Interagency Coordinating Committee 
established under section 429 and representatives of 
appropriate national health organizations, shall de-
velop a multisite gestational diabetes research 
project within the diabetes program of the Centers 
for Disease Control and Prevention to expand and 
enhance surveillance data and public health research 
on gestational diabetes. 
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‘‘(2) AREAS TO BE ADDRESSED.—The research 
project developed under paragraph (1) shall ad-
dress— 
‘‘(A) procedures to establish accurate and 
efficient systems for the collection of gestational 
diabetes data within each State and common-
wealth, territory, or possession of the United 
States; 
‘‘(B) the progress of collaborative activities 
with the National Vital Statistics System, the 
National Center for Health Statistics, and 
State health departments with respect to the 
standard birth certificate, in order to improve 
surveillance of gestational diabetes; 
‘‘(C) postpartum methods of tracking indi-
viduals with gestational diabetes after delivery 
as well as targeted interventions proven to 
lower the incidence of type 2 diabetes in that 
population; 
‘‘(D) variations in the distribution of diag-
nosed and undiagnosed gestational diabetes, 
and of impaired fasting glucose tolerance and 
impaired fasting glucose, within and among 
groups of pregnant individuals; and 
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‘‘(E) factors and culturally sensitive inter-
ventions that influence risks and reduce the in-
cidence of gestational diabetes and related com-
plications during childbirth, including cultural, 
behavioral, racial, ethnic, geographic, demo-
graphic, socioeconomic, and genetic factors. 
‘‘(3) REPORT.—Not later than 2 years after the 
date of enactment of this section, and annually 
thereafter, the Secretary shall generate a report on 
the findings and recommendations of the research 
project including prevalence of gestational diabetes 
in the multisite area and disseminate the report to 
the appropriate Federal and non-Federal agencies. 
‘‘(b) EXPANSION OF GESTATIONAL DIABETES RE-
SEARCH.— 
‘‘(1) IN GENERAL.—The Secretary shall expand 
and intensify public health research regarding gesta-
tional diabetes. Such research may include— 
‘‘(A) developing and testing novel ap-
proaches for improving postpartum diabetes 
testing or screening and for preventing type 2 
diabetes in individuals who can become preg-
nant with a history of gestational diabetes; and 
‘‘(B) conducting public health research to 
further understanding of the epidemiologic, 
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socioenvironmental, behavioral, translation, and 
biomedical factors and health systems that in-
fluence the risk of gestational diabetes and the 
development of type 2 diabetes in individuals 
who can become pregnant with a history of ges-
tational diabetes. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $5,000,000 for each of fiscal years 
2025 through 2029. 
‘‘(c) DEMONSTRATION GRANTS TO LOWER
THE 
RATE OF GESTATIONAL DIABETES.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall award grants, on a 
competitive basis, to eligible entities for demonstra-
tion projects that implement evidence-based inter-
ventions to reduce the incidence of gestational diabe-
tes, the recurrence of gestational diabetes in subse-
quent pregnancies, and the development of type 2 di-
abetes in individuals who can become pregnant with 
a history of gestational diabetes. 
‘‘(2) PRIORITY.—In making grants under this 
subsection, the Secretary shall give priority to 
projects focusing on— 
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‘‘(3) APPLICATION.—An eligible entity desiring 
to receive a grant under this subsection shall submit 
to the Secretary— 
‘‘(A) an application at such time, in such 
manner, and containing such information as the 
Secretary may require; and 
‘‘(B) a plan to— 
‘‘(i) lower the rate of gestational dia-
betes during pregnancy; or 
‘‘(ii) develop methods of tracking indi-
viduals who can become pregnant with a 
history of gestational diabetes and develop 
effective interventions to lower the inci-
dence of the recurrence of gestational dia-
betes in subsequent pregnancies and the 
development of type 2 diabetes. 
‘‘(4) USES OF FUNDS.—An eligible entity re-
ceiving a grant under this subsection shall use the 
grant funds to carry out demonstration projects de-
scribed in paragraph (1), including— 
‘‘(A) expanding community-based health 
promotion education, activities, and incentives 
focused on the prevention of gestational diabe-
tes and development of type 2 diabetes in indi-
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viduals who can become pregnant with a history 
of gestational diabetes; 
‘‘(B) aiding State- and Tribal-based diabe-
tes prevention and control programs to collect, 
analyze, disseminate, and report surveillance 
data on individuals who can become pregnant 
with, and at risk for, gestational diabetes, the 
recurrence of gestational diabetes in subsequent 
pregnancies, and, for individuals who can be-
come pregnant with a history of gestational dia-
betes, the development of type 2 diabetes; and 
‘‘(C) training and encouraging health care 
providers— 
‘‘(i) to promote risk assessment, high- 
quality care, and self-management for ges-
tational diabetes and the recurrence of ges-
tational diabetes in subsequent preg-
nancies; and 
‘‘(ii) to prevent the development of 
type 2 diabetes in individuals who can be-
come pregnant with a history of gesta-
tional diabetes, and its complications in the 
practice settings of the health care pro-
viders. 
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‘‘(5) REPORT.—Not later than 4 years after the 
date of enactment of this section, the Secretary shall 
prepare and submit to the Congress a report con-
cerning the results of the demonstration projects 
conducted through the grants awarded under this 
subsection. 
‘‘(6) DEFINITION
OF
ELIGIBLE
ENTITY.—In 
this subsection, the term ‘eligible entity’ means a 
nonprofit organization (such as a nonprofit academic 
center or community health center) or a State, Trib-
al, or local health agency. 
‘‘(7) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $5,000,000 for each of fiscal years 
2025 through 2029. 
‘‘(d) POSTPARTUM FOLLOWUP REGARDING GESTA-
TIONAL DIABETES.—The Secretary, acting through the 
Director of the Centers for Disease Control and Preven-
tion, shall work with the State- and Tribal-based diabetes 
prevention and control programs assisted by the Centers 
to encourage postpartum followup after gestational diabe-
tes, as medically appropriate, for the purpose of reducing 
the incidence of gestational diabetes, the recurrence of 
gestational diabetes in subsequent pregnancies, the devel-
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opment of type 2 diabetes in individuals with a history 
of gestational diabetes, and related complications.’’. 
SEC. 5215. CONSUMER EDUCATION CAMPAIGN. 
Section 229(b) of the Public Health Service Act (42 
U.S.C. 237a(b)) is amended— 
(1) in paragraph (6), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (7), by striking the period at 
the end and inserting a semicolon; and 
(3) by adding at the end the following: 
‘‘(8) not later than 1 year after the date of en-
actment of this paragraph, develop and implement a 
4-year culturally and linguistically appropriate 
multimedia consumer education campaign that is de-
signed to promote understanding and acceptance of 
evidence-based maternity practices and models of 
care for optimal maternity outcomes among individ-
uals of childbearing ages and families of such indi-
viduals and that— 
‘‘(A) highlights the importance of pro-
tecting, promoting, and supporting the innate 
capacities of childbearing individuals and their 
newborns for childbirth, breastfeeding, and at-
tachment; 
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‘‘(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 
pregnant individuals, infants, or both to risk of 
harm if used routinely and indiscriminately; 
‘‘(D) emphasizes the noninvasive maternity 
practices that have proven correlation or may 
be associated with improvement in outcomes 
with no detrimental side effects, and are signifi-
cantly underused in the United States, includ-
ing smoking cessation programs in pregnancy, 
group model prenatal care, continuous labor 
support, nonsupine positions for birth, and ex-
ternal version to turn breech babies at term; 
‘‘(E) educates consumers about— 
‘‘(i) the qualifications of licensed pro-
viders of maternity care, including obstetri-
cian-gynecologists, family physicians, cer-
tified nurse-midwives, certified midwives, 
and certified professional midwives; and 
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‘‘(ii) the best evidence about the safe-
ty, satisfaction, outcomes, and costs of 
such providers; 
‘‘(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 participation in high-quality, 
evidence-based childbirth education that pro-
motes a healthy and safe approach to preg-
nancy, childbirth, and early parenting; is taught 
by certified educators, peer counselors, and 
health professionals; and promotes informed de-
cision making by childbearing individuals; 
‘‘(H) informs consumers about— 
‘‘(i) the effects of systemic, institu-
tional, and interpersonal racism on the 
health, well-being, and outcomes of birth-
ing people; 
‘‘(ii) the importance of respectful, cul-
turally and linguistically appropriate, and 
culturally congruent care; and 
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‘‘(iii) the value of community-based 
and community-led maternal care and sup-
port; and 
‘‘(I) is pilot tested for consumer com-
prehension, cultural sensitivity, and acceptance 
of the messages across geographically, racially, 
ethnically, and linguistically diverse popu-
lations;’’. 
SEC. 5216. BIBLIOGRAPHIC DATABASE OF SYSTEMATIC RE-
VIEWS FOR CARE OF CHILDBEARING INDI-
VIDUALS AND NEWBORNS. 
(a) IN GENERAL.—Not later than 1 year after the 
date of enactment of this Act, the Secretary of Health and 
Human Services, acting through the Director of the Agen-
cy for Healthcare Research and Quality, shall— 
(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 individuals 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 
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care, the database shall identify reviews from diverse 
sources, including— 
(1) scientific peer-reviewed journals; 
(2) databases, including the Cochrane Database 
of Systematic Reviews; and 
(3) internet websites of agencies and organiza-
tions throughout the world that produce such sys-
tematic reviews. 
(c) FEATURES.—The database shall— 
(1) provide bibliographic citations for each 
record within the database, and for each such cita-
tion include an explanation of the level and quality 
of evidence; 
(2) include abstracts, as available; 
(3) provide reference to companion documents 
as may exist for each review, such as evidence tables 
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 
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(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 
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, certified nurse midwives, certified midwives, 
certified professional midwives, physician assistants, 
perinatal nurses, pediatricians, and nurse practi-
tioners; 
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(3) maternal-fetal medicine specialists; 
(4) neonatologists; 
(5) childbearing individuals and advocates for 
such individuals, including childbirth educators cer-
tified by a nationally accredited program, rep-
resenting 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 fis-
cal years 2025 through 2027 for the purpose of developing 
the database and such sums as may be necessary for each 
subsequent fiscal year for updating the database and pro-
viding outreach and notification to users, as described in 
this section. 
SEC. 5217. DEVELOPMENT OF INTERPROFESSIONAL MA-
TERNITY CARE EDUCATIONAL MODELS AND 
TOOLS. 
(a) IN GENERAL.—Not later than 180 days after the 
date of enactment of this Act, the Secretary of Health and 
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Human Services, acting in conjunction with the Adminis-
trator of Health Resources and Services Administration, 
shall convene, for a 1-year period, an Interprofessional 
Maternity Provider Education Commission (referred to in 
this section as the ‘‘Commission’’) to discuss and make 
recommendations for— 
(1) a consensus standard physiologic maternity 
care curriculum that takes into account the core 
competencies for basic midwifery practice such as 
those developed by the American College of Nurse- 
Midwives and the North American Registry of Mid-
wives, and the educational objectives for physicians 
practicing in obstetrics and gynecology as deter-
mined by the Council on Resident Education in Ob-
stetrics and Gynecology; 
(2) suggestions for multidisciplinary use of the 
consensus physiologic curriculum; 
(3) strategies to integrate and coordinate edu-
cation across maternity care disciplines, including 
recommendations to increase medical and midwifery 
student exposure to out-of-hospital birth; 
(4) curriculum and strategies for continuing 
education of practicing perinatal professionals who 
have completed their undergraduate and graduate 
education; and 
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(5) pilot demonstrations of interprofessional 
educational models. 
(b) PARTICIPANTS.— 
(1) PROFESSIONS.—The Commission shall in-
clude maternity care educators, curriculum devel-
opers, service leaders, certification leaders, and ac-
creditation leaders from the various professions that 
provide or support maternity care in the United 
States. Such professions shall include obstetrician 
gynecologists, certified nurse midwives or certified 
midwives, family practice physicians, nurse practi-
tioners, physician assistants, certified professional 
midwives, perinatal nurses, doulas, lactation per-
sonnel, and community health workers. 
(2) CONSUMER ADVOCATES.—The Commission 
shall also include representation from maternity care 
consumer advocates. 
(c) CURRICULUM.—The consensus standard physio-
logic maternity care curriculum described in subsection 
(a)(1) shall— 
(1) have a public health focus with a foundation 
in health promotion and disease prevention; 
(2) foster physiologic childbearing and person 
and family centered care; 
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(3) reflect the extensive, growing research evi-
dence about— 
(A) the innate abilities and processes of 
the birthing person and the fetus or newborn 
for 
labor, 
birth, 
postpartum 
transition, 
breastfeeding, and attachment, when promoted, 
supported, and protected; and 
(B) the effects of factors that disturb and 
disrupt these processes; 
(4) integrate strategies to reduce maternal and 
infant morbidity and mortality; 
(5) incorporate recommendations to ensure re-
spectful, safe, and seamless consultation, referral, 
transport, and transfer of care when necessary; 
(6) include cultural sensitivity and strategies to 
decrease inequities in maternity outcomes; and 
(7) include implicit bias training. 
(d) REPORT.—Not later than 180 days after the final 
meeting of the Commission, the Secretary of Health and 
Human Services shall— 
(1) submit to Congress a report containing the 
recommendations made by the Commission under 
this section; and 
(2) make such report publicly available. 
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(e) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this sec-
tion— 
(1) $1,000,000 for each of fiscal years 2025 
and 2026; and 
(2) such sums as are necessary for each of fis-
cal years 2027 through 2029. 
SEC. 5218. DISSEMINATION OF THE QUALITY FAMILY PLAN-
NING GUIDELINES. 
(a) IN GENERAL.—Not later than 180 days after the 
date of enactment of this Act, the Secretary of Health and 
Human Services and the Director of the Centers for Dis-
ease Control and Prevention shall— 
(1) develop a plan for outreach to publicly fund-
ed health care providers, including federally qualified 
health centers (as defined in section 1861(aa)(4) of 
the Social Security Act (42 U.S.C. 1395x(aa)(4))) 
and branches of the Indian Health Service, about 
the quality family planning guidelines referred to in 
section 5304; and 
(2) award grants to eligible entities to imple-
ment such guidelines for all patients seeking family 
planning services. 
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(b) DEFINITION.—In this section, the term ‘‘eligible 
entity’’ means a publicly funded health care provider that 
serves persons of reproductive age. 
Subtitle D—Federal Agency 
Coordination on Maternal Health 
SEC. 5301. INTERAGENCY COORDINATING COMMITTEE ON 
THE PROMOTION OF OPTIMAL MATERNITY 
OUTCOMES. 
(a) IN GENERAL.—Part A of title II of the Public 
Health Service Act (42 U.S.C. 202 et seq.) is amended 
by adding at the end the following: 
‘‘SEC. 229A. INTERAGENCY COORDINATING COMMITTEE ON 
THE PROMOTION OF OPTIMAL MATERNITY 
OUTCOMES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Deputy Assistant Secretary for Women’s Health under 
section 229 and in collaboration with the Federal officials 
specified in subsection (b), shall establish the Interagency 
Coordinating Committee on the Promotion of Optimal Ma-
ternity Outcomes (referred to in this section as the 
‘ICCPOM’). 
‘‘(b) OTHER AGENCIES.—The officials specified in 
this subsection are the Secretary of Labor, the Secretary 
of Defense, the Secretary of Veterans Affairs, the Surgeon 
General, the Director of the Centers for Disease Control 
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and Prevention, the Administrator of the Health Re-
sources and Services Administration, the Administrator of 
the Centers for Medicare & Medicaid Services, the Direc-
tor of the Indian Health Service, the Administrator of the 
Substance Abuse and Mental Health Services Administra-
tion, the Director of the National Institute of Child Health 
and Human Development, the Director of the Agency for 
Healthcare Research and Quality, the Assistant Secretary 
for Children and Families, the Deputy Assistant Secretary 
for Minority Health, the Director of the Office of Per-
sonnel Management, and such other Federal officials as 
the Secretary of Health and Human Services determines 
to be appropriate. 
‘‘(c) CHAIR.—The Deputy Assistant Secretary for 
Women’s Health shall serve as the chair of the ICCPOM. 
‘‘(d) DUTIES.—The ICCPOM shall guide policy and 
program development across the Federal Government with 
respect to promotion of optimal maternity care, provided, 
however, that nothing in this section shall be construed 
as transferring regulatory or program authority from an 
agency to the ICCPOM. 
‘‘(e) CONSULTATIONS.—The ICCPOM shall actively 
seek the input of, and shall consult with, all appropriate 
and interested stakeholders, including State health depart-
ments, public health research and interest groups, founda-
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tions, childbearing individuals and their advocates, and 
maternity care professional associations and organiza-
tions, reflecting racially, ethnically, demographically, and 
geographically diverse communities. 
‘‘(f) ANNUAL REPORT.— 
‘‘(1) IN GENERAL.—The Secretary, on behalf of 
the ICCPOM, shall annually submit to Congress a 
report that summarizes— 
‘‘(A) all programs and policies of Federal 
agencies (including the Medicare Program 
under title XVIII of the Social Security Act and 
the Medicaid program under title XIX of such 
Act) designed to promote optimal maternity 
care, focusing particularly on programs and 
policies that support the adoption of evidence- 
based maternity care, as defined by timely, sci-
entifically sound systematic reviews; 
‘‘(B) all programs and policies of Federal 
agencies (including the Medicare Program 
under title XVIII of the Social Security Act and 
the Medicaid program under title XIX of such 
Act) designed to address the problems of mater-
nal mortality and morbidity, infant mortality, 
prematurity, and low birth weight, including 
such programs and policies designed to address 
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racial and ethnic inequities with respect to each 
of such problems; 
‘‘(C) the extent of progress in reducing 
maternal mortality and infant mortality, low 
birth weight, and prematurity at State and na-
tional levels; and 
‘‘(D) such other information regarding op-
timal maternity care (such as quality and per-
formance measures) as the Secretary deter-
mines to be appropriate. 
‘‘(2) REDUCING INEQUITIES WITH RESPECT TO 
INDIGENOUS STATUS.—The information specified in 
paragraph (1)(C) shall be included in each such re-
port in a manner that disaggregates such informa-
tion by race, ethnicity, and indigenous status in 
order to determine the extent of progress in reduc-
ing racial and ethnic inequities and inequities related 
to indigenous status. 
‘‘(3) CERTAIN
INFORMATION.—Each report 
under paragraph (1) shall include information 
(disaggregated by race, ethnicity, and indigenous 
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. 
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‘‘(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 
professional midwife. 
‘‘(H) The rate and trend of severe mater-
nal morbidity. 
‘‘(I) The rates and trends of prenatal and 
postpartum anxiety and depression. 
‘‘(J) The rate and trend of preterm birth. 
‘‘(K) The rate and trend of low birth 
weight. 
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‘‘(L) 
The 
cost 
of 
maternity 
care 
disaggregated by place of birth and provider of 
care, including— 
‘‘(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 amounts 
authorized to be appropriated under section 229(e), to 
carry out this section $1,000,000 for each of the fiscal 
years 2025 through 2029.’’. 
(b) CONFORMING AMENDMENTS.— 
(1) INCLUSION AS DUTY OF HHS OFFICE ON 
WOMEN’S
HEALTH.—Section 229(b) of the Public 
Health Service Act (42 U.S.C. 237a(b)) (as amend-
ed by section 5215) is amended by adding at the end 
the following: 
‘‘(9) establish the Interagency Coordinating 
Committee on the Promotion of Optimal Maternity 
Outcomes in accordance with section 229A; and’’. 
(2) TREATMENT OF BIENNIAL REPORTS.—Sec-
tion 229(d) of such Act (42 U.S.C. 237a(d)) is 
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amended by inserting ‘‘(other than under subsection 
(b)(9))’’ after ‘‘under this section’’. 
SEC. 5302. EXPANSION OF CDC PREVENTION RESEARCH 
CENTERS PROGRAM TO INCLUDE CENTERS 
ON OPTIMAL MATERNITY OUTCOMES. 
(a) IN GENERAL.—Not later than 1 year after the 
date of enactment of this Act, the Secretary of Health and 
Human Services shall support the establishment of addi-
tional Prevention Research Centers under the Prevention 
Research Center Program administered by the Centers for 
Disease Control and Prevention. Such additional centers 
shall each be known as a Center for Excellence 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, early elective in-
ductions, prematurity rates, and low birth weight 
rates within an underserved population that has a 
disproportionately large burden of suboptimal mater-
nity outcomes, including maternal mortality and 
morbidity, infant mortality, prematurity, or low 
birth weight, which such program shall include de-
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veloping performance and quality measures for ac-
countability; 
(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) a hospital labor and delivery model 
and freestanding birth center model; or 
(B) 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) At least two of the following providers: 
(A) Family practice physicians. 
(B) Nurse practitioners. 
(C) Physician assistants. 
(D) Certified professional midwives, cer-
tified nurse-midwives, or certified 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 use disorder services. 
(8) Home visiting. 
(e) COORDINATION.—The programs of research at 
each of the Centers of Excellence on Optimal Maternity 
Outcomes shall complement 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 fiscal years 2025 through 2029. 
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SEC. 5303. EXPANDING MODELS TO BE TESTED BY CENTER 
FOR MEDICARE AND MEDICAID INNOVATION 
TO EXPLICITLY INCLUDE MATERNITY CARE 
AND CHILDREN’S HEALTH MODELS. 
Section 1115A(b)(2) of the Social Security Act (42 
U.S.C. 1315a(b)(2)), as amended by section 5209(b), is 
amended— 
(1) in subparagraph (B), by adding at the end 
the following: 
‘‘(xxix) 
Promoting 
evidence-based 
models of care that have been associated 
with reductions in pregnancy-related and 
infant health inequities, including incor-
porating the use of and payment for 
doulas, 
particularly 
community-based 
doulas, and promoting support for people 
during pregnancy and for the one-year pe-
riod after the last day of such person’s 
pregnancy, through evidence-based models 
of antepartum, birth, postpartum care, and 
two-generation birthing person and new-
born care models, and supporting the risk- 
appropriate use of out-of-hospital birth 
models, including births at home and in 
freestanding birth centers. Such models 
shall be selected and evaluated based on 
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their impact on quality, equity, and devel-
opmental outcomes, notwithstanding any 
other provision of this section.’’; 
(2) in subparagraph (C), by adding at the end 
the following: 
‘‘(ix) Whether the model includes a 
regular process for ensuring the provision 
of culturally and linguistically appropriate 
services. 
‘‘(x) Whether health care services and 
supportive services included in the model 
are tailored to community health and 
health-related social needs and provided by 
community-based and community-led pro-
viders. 
‘‘(xi) Whether the model is designed 
to mitigate harmful effects of discrimina-
tion on the basis of race, sex, disability, 
ethnicity, language, and age.’’; and 
(3) by adding at the end the following: 
‘‘(D) MANDATORY HEALTH EQUITY MOD-
ELS TO BE TESTED.—The Secretary shall se-
lect— 
‘‘(i) Medicaid payment models for cul-
turally 
and 
linguistically 
appropriate 
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antepartum, 
labor 
and 
delivery, 
and 
postpartum doula services, including com-
munity-based doula services, that are— 
‘‘(I) structured to provide pay-
ment to doulas as individuals, health 
care entity staff, or members of a 
doula group or collective, or through a 
third-party administrator; 
‘‘(II) designed to reduce racial 
and intersecting health inequities; 
‘‘(III) designed to provide doulas 
providing support with an equitable 
and sustainable reimbursement rate; 
‘‘(IV) designed to reduce barriers 
to workforce entry for culturally and 
linguistically competent and racially 
congruent doulas to provide services 
to Medicaid enrollees; and 
‘‘(V) designed with input from 
community-based 
doulas, 
maternal 
health advocates, reproductive justice 
advocates, and Medicaid beneficiaries; 
‘‘(ii) a Medicaid episode-based pay-
ment model for pregnancy-related services, 
including health care services and sup-
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portive services to address health-related 
social 
needs, 
during 
the 
prenatal, 
intrapartum, and postpartum periods, to 
improve health outcomes and reduce racial 
health inequities, and to be designed with 
input from maternity care providers, ma-
ternal health advocates, reproductive jus-
tice advocates, and Medicaid beneficiaries; 
‘‘(iii) a Medicaid alternative payment 
model for a pregnancy-related health home 
service to improve health outcomes during 
and for one year after pregnancy and dur-
ing the newborn period, and to reduce ra-
cial health inequities, designed with input 
from maternity care providers, maternal 
health advocates, reproductive justice advo-
cates, and Medicaid beneficiaries; 
‘‘(iv) a Medicaid perinatal health 
worker service delivery model for culturally 
and linguistically appropriate and respect-
ful health care and supportive services that 
are tailored to community health and 
health-related social needs, designed to im-
prove health outcomes and mitigate harm-
ful effects of racism and other forms of 
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discrimination, and provided by commu-
nity-based and community-led providers; 
and 
‘‘(v) one or more models exclusively 
focused on early intervention and preven-
tion for children enrolled in a State plan 
(or waiver of such plan) under title XIX or 
a State child health plan under title XXI 
using evidence-based interventions includ-
ing parenting support programs, home-vis-
iting services, and dyadic therapy treat-
ment for children and adolescents at risk. 
Such models shall be selected and evaluated 
based on their impact on quality, equity, and 
developmental outcomes, notwithstanding any 
other provision of this section.’’. 
SEC. 5304. INTERAGENCY UPDATE TO THE QUALITY FAMILY 
PLANNING GUIDELINES. 
(a) IN GENERAL.—Not later than 180 days after the 
date of enactment of this Act, the Director of the Centers 
for Disease Control and Prevention and the Office of Pop-
ulation Affairs shall review and expand the 2014 Quality 
Family Planning Guidelines to address— 
(1) health inequities; and 
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(2) the importance of patient-directed contra-
ceptive decision making. 
(b) CONSULTATION.—In carrying out subsection (a), 
the Director of the Centers for Disease Control and Pre-
vention and the Office of Population Affairs shall convene 
a meeting, and solicit the views of, stakeholders including 
experts on health inequities, experts on reproductive coer-
cion, representatives of provider organizations, patient ad-
vocates, reproductive justice organizations, organizations 
that represent racial and ethnic minority communities, or-
ganizations that represent people with disabilities, organi-
zations that represent LGBTQ persons, and organizations 
that represent people with limited English proficiency. 
Subtitle E—Reproductive and 
Sexual Health 
SEC. 5401. SENSE OF CONGRESS ON URGENT ISSUES CON-
CERNING BARRIERS TO ABORTION ACCESS 
AND VITAL SOLUTIONS. 
It is the sense of Congress that eliminating the Hyde 
amendment, enacting the Equal Access to Abortion Cov-
erage in Health Insurance Act of 2021, and enacting the 
Women’s Health Protection Act of 2021, are critical to— 
(1) promoting equitable abortion access, includ-
ing coverage, for all who seek care; 
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(2) creating enforceable rights to receive, and 
receive coverage for, such care; 
(3) advancing equitable access to comprehensive 
health coverage, which cannot be achieved without 
abortion coverage; and 
(4) alleviating urgent racial, gender, and other 
inequities in health and health care and cor-
responding reproductive injustices. 
SEC. 5402. EMERGENCY CONTRACEPTION EDUCATION AND 
INFORMATION PROGRAMS. 
(a) EMERGENCY
CONTRACEPTION
PUBLIC
EDU-
CATION PROGRAM.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Director of the Centers for Disease 
Control and Prevention, shall develop and dissemi-
nate to the public medically accurate and complete 
information on emergency contraceptives. 
(2) DISSEMINATION.—The Secretary may dis-
seminate medically accurate and complete informa-
tion under paragraph (1) directly or through ar-
rangements with nonprofit organizations, community 
health workers, including patient advocates, con-
sumer groups, institutions of higher education, clin-
ics, the media, and Federal, State, and local agen-
cies. 
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(3) INFORMATION.—The information dissemi-
nated under paragraph (1) shall— 
(A) include, at a minimum, a description 
of emergency contraceptives and an explanation 
of the use, safety, efficacy, affordability, and 
availability, including over-the-counter access, 
of such contraceptives and options for access to 
such 
contraceptives 
without 
cost-sharing 
through insurance and other programs; and 
(B) be pilot tested for consumer com-
prehension, cultural and linguistic appropriate-
ness, and acceptance of the messages across 
geographically, racially, ethnically, and linguis-
tically di-verse populations. 
(b) EMERGENCY
CONTRACEPTION
INFORMATION 
PROGRAM FOR HEALTH CARE PROVIDERS.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Administrator of the Health Resources 
and Services Administration and in consultation 
with major medical and public health organizations, 
shall develop and disseminate to health care pro-
viders, including pharmacists, information on emer-
gency contraceptives. 
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