I 
118TH CONGRESS 
1ST SESSION H. R. 3304 
To authorize appropriations for data collection, surveillance, and research 
on maternal health outcomes during public health emergencies, and for 
other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 15, 2023 
Ms. UNDERWOOD (for herself, Mr. AGUILAR, Mr. ALLRED, Ms. BARRAGA´N, 
Mrs. BEATTY, Mr. BISHOP of Georgia, Mr. BLUMENAUER, Ms. BLUNT 
ROCHESTER, Ms. BROWNLEY, Ms. BUDZINSKI, Ms. BUSH, Ms. CARAVEO, 
Mr. CARBAJAL, Mr. CARSON, Mr. CARTER
of Louisiana, Mrs. 
CHERFILUS-MCCORMICK, Ms. CLARKE of New York, Mr. CLEAVER, Mr. 
COHEN, Ms. CRAIG, Ms. CROCKETT, Mr. DAVIS of Illinois, Ms. DEAN of 
Pennsylvania, Ms. ESCOBAR, Mr. ESPAILLAT, Mr. EVANS, Mrs. 
FOUSHEE, Mr. GARAMENDI, Ms. GARCIA of Texas, Mr. GARCI´A of Illi-
nois, Mr. GREEN of Texas, Mrs. HAYES, Mr. HORSFORD, Mr. HUFFMAN, 
Mr. IVEY, Mr. JACKSON of Illinois, Ms. JACKSON LEE, Ms. JACOBS, Ms. 
JAYAPAL, Mr. JOHNSON
of Georgia, Ms. KAMLAGER-DOVE, Mr. 
KRISHNAMOORTHI, Ms. KUSTER, Ms. LEE of California, Mr. LIEU, Ms. 
LOFGREN, Mrs. MCBATH, Mrs. MCCLELLAN, Ms. MCCOLLUM, Mr. 
MCGOVERN, Mr. MEEKS, Ms. MENG, Mr. MFUME, Mr. MORELLE, Mr. 
MOULTON, Ms. MOORE of Wisconsin, Mr. MRVAN, Mr. MULLIN, Mrs. 
NAPOLITANO, Mr. NEGUSE, Ms. OCASIO-CORTEZ, Mr. PAPPAS, Mr. 
PAYNE, Mr. PHILLIPS, Ms. PORTER, Ms. PRESSLEY, Mr. RUPPERS-
BERGER, Ms. SALINAS, Ms. SCANLON, Mr. SCHIFF, Mr. SCHNEIDER, Ms. 
SCHOLTEN, Mr. DAVID SCOTT of Georgia, Ms. SEWELL, Mr. SMITH of 
Washington, Mr. SOTO, Ms. SPANBERGER, Ms. STANSBURY, Ms. STRICK-
LAND, Mrs. SYKES, Mr. TAKANO, Ms. TLAIB, Ms. TOKUDA, Mr. TONKO, 
Mrs. TORRES of California, Mrs. TRAHAN, Mr. TRONE, Mr. VARGAS, Mr. 
VEASEY, Ms. VELA´ZQUEZ, Ms. WASSERMAN SCHULTZ, Mrs. WATSON 
COLEMAN, Ms. WEXTON, Ms. WILLIAMS of Georgia, Mr. PASCRELL, Ms. 
DELBENE, and Mr. LYNCH) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce 
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A BILL 
To authorize appropriations for data collection, surveillance, 
and research on maternal health outcomes during public 
health emergencies, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Maternal Health Pan-
demic Response Act’’. 
SEC. 2. FUNDING FOR DATA COLLECTION, SURVEILLANCE, 
AND RESEARCH ON MATERNAL HEALTH OUT-
COMES 
DURING 
PUBLIC 
HEALTH 
EMER-
GENCIES. 
To conduct or support data collection, surveillance, 
and research on maternal health as a result of public 
health emergencies and infectious diseases that pose a risk 
to maternal and infant health, including support to assist 
in the capacity building for State, Tribal, territorial, and 
local public health departments to collect and transmit ra-
cial, ethnic, and other demographic data related to mater-
nal health, there are authorized to be appropriated— 
(1) $100,000,000 for the Surveillance for 
Emerging Threats to Mothers and Babies program 
of the Centers for Disease Control and Prevention, 
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to support the Centers for Disease Control and Pre-
vention in its efforts to— 
(A) work with public health, clinical, and 
community-based organizations to provide time-
ly, continually updated guidance to families and 
health care providers on ways to reduce risk to 
pregnant and postpartum individuals and their 
newborns and tailor interventions to improve 
their long-term health; 
(B) partner with more State, Tribal, terri-
torial, and local public health programs in the 
collection and analysis of clinical data on the 
impact of public health emergencies and infec-
tious diseases that pose a risk to maternal and 
infant health on pregnant and postpartum pa-
tients and their newborns, particularly among 
patients from racial and ethnic minority groups; 
and 
(C) establish regionally based centers of 
excellence to offer medical, public health, and 
other knowledge to ensure communities can 
help pregnant and postpartum individuals and 
newborns get the care and support they need, 
particularly in areas with large populations of 
individuals from demographic groups with ele-
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vated rates of maternal mortality, severe mater-
nal morbidity, maternal health disparities, or 
other adverse perinatal or childbirth outcomes; 
(2) $30,000,000 for the Enhancing Reviews 
and Surveillance to Eliminate Maternal Mortality 
program (commonly known as the ‘‘ERASE MM 
program’’) of the Centers for Disease Control and 
Prevention, to support the Centers for Disease Con-
trol and Prevention in expanding its partnerships 
with States and Indian Tribes and provide technical 
assistance to existing Maternal Mortality Review 
Committees; 
(3) $45,000,000 for the Pregnancy Risk As-
sessment Monitoring System (commonly known as 
the ‘‘PRAMS’’) of the Centers for Disease Control 
and Prevention, to support the Centers for Disease 
Control and Prevention in its efforts to— 
(A) create a supplement to its PRAMS 
survey related to public health emergencies and 
infectious diseases that pose a risk to maternal 
and infant health; 
(B) add questions around experiences of 
respectful 
maternity 
care 
in 
prenatal, 
intrapartum, and postpartum care; and 
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(C) work to transition such PRAMS survey 
to an electronic platform and expand such 
PRAMS survey to a larger population, with a 
special focus on reaching underrepresented 
communities, and other program improvements; 
and 
(4) $15,000,000 for the National Institute of 
Child Health and Human Development, to conduct 
or support research for interventions to mitigate the 
effects of public health emergencies and infectious 
diseases that pose a risk to maternal and infant 
health, with a particular focus on individuals from 
demographic groups with elevated rates of maternal 
mortality, severe maternal morbidity, maternal 
health disparities, or other adverse perinatal or 
childbirth outcomes. 
SEC. 3. PUBLIC HEALTH EMERGENCY MATERNAL HEALTH 
DATA COLLECTION AND DISCLOSURE. 
(a) AVAILABILITY OF COLLECTED DATA.—The Sec-
retary, acting through the Director of the Centers for Dis-
ease Control and Prevention and the Administrator of the 
Centers for Medicare & Medicaid Services, shall make pub-
licly available on the website of the Centers for Disease 
Control and Prevention data described in subsection (b). 
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(b) DATA DESCRIBED.—The data described in this 
subsection are data collected through Federal surveillance 
systems under the Centers for Disease Control and Pre-
vention with respect to public health emergencies and indi-
viduals who are pregnant or in a postpartum period. Such 
data shall include the following: 
(1) Diagnostic testing, confirmed cases, hos-
pitalizations, deaths, and other health outcomes re-
lated to an infectious disease outbreak among preg-
nant and postpartum individuals. 
(2) Maternal and infant health outcomes among 
individuals who test positive for an infectious disease 
during or after pregnancy. 
(c) AMERICAN INDIAN AND ALASKA NATIVE HEALTH 
OUTCOMES.—In carrying out subsection (a), the Secretary 
shall consult with Indian Tribes and confer with Urban 
Indian organizations. 
(d) DISAGGREGATED INFORMATION.—In carrying 
out subsection (a), the Secretary shall disaggregate data 
by race, ethnicity, gender, primary language, geography, 
socioeconomic status, and other relevant factors. 
(e) UPDATE.—During public health emergencies, the 
Secretary shall update the data made available under this 
section— 
(1) at least on a monthly basis; and 
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(2) not less than one month after the end of 
such public health emergency. 
(f) PRIVACY.—In carrying out subsection (a), the 
Secretary shall take steps to protect the privacy of individ-
uals pursuant to regulations promulgated under section 
264(c) of the Health Insurance Portability and Account-
ability Act of 1996 (42 U.S.C. 1320d–2 note). 
(g) GUIDANCE.— 
(1) IN GENERAL.—Not later than 30 days after 
the declaration of a public health emergency under 
section 319 of the Public Health Service Act (42 
U.S.C. 247d), the Secretary shall issue guidance to 
States and local public health departments to ensure 
that— 
(A) laboratories that test specimens for an 
infectious disease receive all relevant demo-
graphic data on race, ethnicity, pregnancy sta-
tus, and other demographic data as determined 
by the Secretary; and 
(B) data described in subsection (b) are 
disaggregated by race, ethnicity, gender, pri-
mary language, geography, socioeconomic sta-
tus, and other relevant factors. 
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(2) CONSULTATION.—In carrying out para-
graph (1), the Secretary shall consult with Indian 
Tribes— 
(A) to ensure that such guidance includes 
tribally developed best practices; and 
(B) to reduce misclassification of American 
Indians and Alaska Natives. 
SEC. 4. PUBLIC HEALTH COMMUNICATION REGARDING MA-
TERNAL 
CARE 
DURING 
PUBLIC 
HEALTH 
EMERGENCIES. 
The Director of the Centers for Disease Control and 
Prevention shall conduct public health education cam-
paigns during public health emergencies to ensure that 
pregnant and postpartum individuals, their employers, 
and their health care providers have accurate, evidence- 
based information on maternal and infant health risks 
during the public health emergency, with a particular 
focus on reaching pregnant and postpartum individuals in 
underserved communities. 
SEC. 5. TASK FORCE ON BIRTHING EXPERIENCE AND SAFE, 
RESPECTFUL, 
RESPONSIVE, 
AND 
EMPOW-
ERING MATERNITY CARE DURING PUBLIC 
HEALTH EMERGENCIES. 
(a) ESTABLISHMENT.—The Secretary, in consulta-
tion with the Director of the Centers for Disease Control 
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and Prevention and the Administrator of the Health Re-
sources and Services Administration, shall convene a task 
force (in this subsection referred to as the ‘‘Task Force’’) 
to develop Federal recommendations regarding respectful, 
responsive, and empowering maternity care, including safe 
birth care and postpartum care, during public health 
emergencies. 
(b) DUTIES.—The Task Force shall develop, publicly 
post, and update Federal recommendations in multiple 
languages to ensure high-quality, nondiscriminatory ma-
ternity care, promote positive birthing experiences, and 
improve maternal health outcomes during public health 
emergencies, with a particular focus on outcomes for indi-
viduals from demographic groups with elevated rates of 
maternal mortality, severe maternal morbidity, maternal 
health disparities, or other adverse perinatal or childbirth 
outcomes. Such recommendations shall— 
(1) address, with particular attention to ensur-
ing equitable treatment on the basis of race and eth-
nicity— 
(A) measures to facilitate respectful, re-
sponsive, and empowering maternity care; 
(B) measures to facilitate telehealth mater-
nity care for pregnant people who cannot regu-
larly access in-person care; 
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(C) strategies to increase access to special-
ized care for those with high-risk pregnancies 
or pregnant individuals with elevated risk fac-
tors; 
(D) diagnostic testing for pregnant and la-
boring patients; 
(E) birthing without one’s chosen compan-
ions, with one’s chosen companions, and with 
smartphone or other telehealth connection to 
one’s chosen companions; 
(F) newborn separation after birth in rela-
tion to maternal infection status; 
(G) breast milk feeding in relation to ma-
ternal infection status; 
(H) licensure, training, scope of practice, 
and Medicaid and other insurance reimburse-
ment for certified midwives, certified nurse-mid-
wives, and certified professional midwives, in a 
manner that facilitates inclusion of midwives of 
color and midwives from underserved commu-
nities; 
(I) financial support and training for 
perinatal health workers who provide nonclinical 
support to people from pregnancy through the 
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