care health services, including obstetricians, family 
practice physicians who practice full-scope maternity 
care, certified nurse-midwives, certified midwives, 
and certified professional midwives, and shall also 
include urban or rural areas that have lost a signifi-
cant number of local hospital labor and delivery 
units; 
‘‘(B) an area in an urban or rural area (which 
need not conform to the geographic boundaries of a 
political subdivision and which is a rational area for 
the delivery of health services) which the Secretary 
determines has a shortage of hospital or birth center 
labor and delivery units, or areas that lost a signifi-
cant number of these units in during the 10-year pe-
riod beginning with 2000; or 
‘‘(C) a population group which the Secretary 
determines has such a shortage of providers or fa-
cilities.’’. 
SEC. 202. EXPANSION OF CDC PREVENTION RESEARCH 
CENTERS PROGRAM TO INCLUDE CENTERS 
ON OPTIMAL MATERNITY OUTCOMES. 
(a) IN GENERAL.—Not later than one year after the 
date of the enactment of this Act, the Secretary of Health 
and Human Services, shall support the establishment of 
2 additional Prevention Research Centers under the Pre-
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vention Research Center Program administered by the 
Centers for Disease Control and Prevention. Such addi-
tional centers shall each be known as a Center for Excel-
lence on Optimal Maternity Outcomes. 
(b) RESEARCH.—Each Center for Excellence on Opti-
mal Maternity Outcomes shall— 
(1) conduct at least one focused program of re-
search to improve maternity outcomes, including the 
reduction of cesarean birth rates, prematurity rates, 
and low birth weight rates within an underserved 
population that has a disproportionately large bur-
den of suboptimal maternity outcomes, including 
maternal mortality and morbidity, cesarean section 
rates, infant mortality, prematurity, or low birth 
weight; 
(2) work with partners on special interest 
projects, as specified by the Centers for Disease 
Control and Prevention and other relevant agencies 
within the Department of Health and Human Serv-
ices, and on projects funded by other sources; and 
(3) involve a minimum of two distinct birth set-
ting models, such as a hospital labor and delivery 
model and birth center model; or a hospital labor 
and delivery model and planned home birth model. 
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(c) INTERDISCIPLINARY PROVIDERS.—Each Center 
for Excellence on Optimal Maternity Outcomes shall in-
clude the following interdisciplinary providers of maternity 
care: 
(1) Obstetrician-gynecologists. 
(2) Certified nurse midwives or certified mid-
wives. 
(3) At least two of the following providers: 
(A) Family practice physicians. 
(B) Women’s health nurse practitioners. 
(C) 
Obstetrician-gynecologists 
physician 
assistants. 
(D) Certified professional midwives. 
(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. 
(e) COORDINATION.—The programs of research at 
each of the two Centers of Excellence on Optimal Mater-
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nity Outcomes shall compliment and not replicate the 
work of the other. 
(f) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$2,000,000 for each of the fiscal years 2011 through 
2015. 
SEC. 203. EXPANDING MODELS TO BE TESTED BY CENTER 
FOR MEDICARE AND MEDICAID INNOVATION 
TO INCLUDE MATERNITY CARE MODELS. 
Section 1115A(b)(2)(B) of the Social Security Act 
(42 U.S.C. 1315a(b)(2)(B)) is amended by adding at the 
end the following new clause: 
‘‘(xxi) 
Promoting 
evidence-based 
group prenatal care models, doula support, 
and out-of-hospital births, including births 
at home or a birthing center.’’. 
TITLE III—ENHANCEMENT OF A 
GEOGRAPHICALLY, 
RA-
CIALLY, AND ETHNICALLY DI-
VERSE 
INTERDISCIPLINARY 
MATERNITY WORKFORCE 
SEC. 301. DEVELOPMENT OF INTERDISCIPLINARY MATER-
NITY CARE PROVIDER CORE CURRICULA. 
(a) IN GENERAL.—Not later than 6 months after the 
date of the enactment of this Act, the Secretary of Health 
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and Human Services, acting in conjunction with the Ad-
ministrator of Health Resources and Services Administra-
tion, shall convene, for a 1-year period, a Maternity Cur-
riculum Commission to discuss and make recommenda-
tions for— 
(1) a shared core maternity care curriculum; 
(2) strategies to integrate and coordinate edu-
cation across maternity care disciplines, including 
suggestions for multi-disciplinary use of the shared 
core curriculum; and 
(3) pilot demonstrations of interdisciplinary 
educational models. 
(b) PARTICIPANTS.—The Commission shall include 
maternity care educators, curriculum developers, service 
leaders, certification leaders, and accreditation leaders 
from the various professions that provide maternity care 
in this country. Such professions shall include obstetri-
cian-gynecologists, certified nurse midwives, certified mid-
wives, family practice physicians, women’s health nurse 
practitioners, obstetrician-gynecologists physician assist-
ants, certified professional midwives, and perinatal nurses. 
(c) CURRICULUM.—The shared core maternity care 
curriculum described in subsection (A) shall— 
(1) have a public health focus with a foundation 
in health promotion and disease prevention; 
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