grams, pre-natal care, and other evidence-based 
maternal mortality or severe morbidity reduc-
tion programs; 
(E) examples of educational materials used 
by providers of obstetrics services; 
(F) methods for improving community cen-
tralized care, including providing telehealth 
services or home visits to increase and facilitate 
access to and engagement in prenatal and 
postpartum care and collaboration with home 
health agencies, community health centers, local 
public health departments, or clinics; 
(G) guidance on medical record diagnosis 
codes linked to maternal mortality and severe 
morbidity, including, if applicable, codes related 
to social risk factors, and methods for edu-
cating clinicians on the proper use of such 
codes; 
(H) risk appropriate transfer protocols 
during 
pregnancy, 
childbirth, 
and 
the 
postpartum period; and 
(I) any other information related to pre-
vention and treatment of at-risk individuals de-
termined appropriate by the Secretary. 
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(2) Guidance on monitoring programs for indi-
viduals who have been identified as at risk of com-
plications related to pregnancy. 
(3) Best practices for such hospitals, free-
standing birth centers, and providers to make preg-
nant women aware of the complications related to 
pregnancy. 
(4) A fact sheet for providing pregnant women 
who are receiving care on an outpatient basis with 
a notice during the prenatal stage of pregnancy 
that— 
(A) explains the risks associated with preg-
nancy, birth, and the postpartum period (in-
cluding the risks of hemorrhage, preterm birth, 
sepsis, eclampsia, obstructed labor), chronic 
conditions (including high blood pressure, dia-
betes, heart disease, depression, and obesity) 
correlated with adverse pregnancy outcomes, 
risks associated with advanced maternal age, 
and the importance of adhering to a personal-
ized plan of care; 
(B) highlights multimodal and evidence- 
based prevention and treatment techniques; 
(C) provides for a method (through signa-
ture or otherwise) for such an individual, or a 
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person acting on such individual’s behalf, to ac-
knowledge receipt of such fact sheet; 
(D) is worded in an easily understandable 
manner and made available in multiple lan-
guages and accessible formats determined ap-
propriate by the Secretary; and 
(E) includes any other information deter-
mined appropriate by the Secretary. 
(5) A template for a voluntary clinician check-
list that outlines the minimum responsibilities that 
clinicians, such as physicians, certified nurse-mid-
wives, emergency room and urgent care providers, 
nurses and others, are expected to meet in order to 
promote quality and safety in the provision of ob-
stetric services. 
(6) A template for a voluntary checklist that 
outlines the minimum responsibilities that hospital 
leadership responsible for direct patient care, such 
as the institution’s president, chief medical officer, 
chief nursing officer, or other hospital leadership 
that directly report to the president or chief execu-
tive officer of the institution, should meet to pro-
mote hospital-wide initiatives that improve quality 
and safety in the provision of obstetric services. 
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(7) Information on multi-stakeholder quality 
improvement initiatives, such as the Alliance for In-
novation on Maternal Health, State perinatal quality 
improvement initiatives, and other similar initiatives 
determined appropriate by the Secretary, includ-
ing— 
(A) information about such improvement 
initiatives and how to join; 
(B) information about public maternal 
data collection centers; 
(C) information about quality metrics used 
and outcomes achieved by such improvement 
initiatives; 
(D) information about data sharing tech-
niques used by such improvement initiatives; 
(E) information about data sources used 
by such improvement initiatives to identify ma-
ternal mortality and severe morbidity risks; 
(F) information about interventions used 
by such improvement initiatives to mitigate 
risks of maternal mortality and severe mor-
bidity; 
(G) information about data collection tech-
niques on race, ethnicity, geography, age, in-
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come, and other demographic information used 
by such improvement initiatives; and 
(H) any other information determined ap-
propriate by the Secretary. 
(e) INCLUSION OF BEST PRACTICES.—Not later than 
18 months after the date of the publication of the guid-
ance required under subsection (a), the Secretary shall up-
date such guidance to include best practices identified by 
the Secretary for such hospitals, freestanding birth cen-
ters, and providers to track maternal mortality and severe 
morbidity trends by clinicians at such hospitals, free-
standing birth centers, and providers including— 
(1) ways to establish scoring systems, which 
may include quality triggers and safety and quality 
metrics to score case and patient outcome metrics, 
for such clinicians; 
(2) methods to identify, educate, and improve 
such clinicians who may have higher rates of mater-
nal mortality or severe morbidity compared to their 
regional or State peers (taking into account dif-
ferences in patient risk for adverse outcomes, which 
may include social risk factors); 
(3) methods for using such data and tracking 
to enhance research efforts focused on maternal 
health, while also improving patient outcomes, clini-
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cian education and training, and coordination of 
care; and 
(4) any other information determined appro-
priate by the Secretary. 
(f) CULTURAL APPROPRIATENESS.—To the extent 
practicable, the Secretary should develop the guidance, 
best practices, fact sheets, templates, and other materials 
that are required under this section in a trauma-informed, 
culturally and linguistically appropriate manner. 
SEC. 3. REPORT ON PAYMENT METHODOLOGIES FOR 
TRANSFERRING 
PREGNANT 
WOMEN 
BE-
TWEEN FACILITIES BEFORE, DURING, AND 
AFTER CHILDBIRTH. 
(a) IN GENERAL.—Subject to the availability of ap-
propriations, not later than 36 months after the date of 
enactment of this Act, the Secretary of Health and 
Human Services (referred to in this section as the ‘‘Sec-
retary’’) shall submit to Congress a report on the payment 
methodologies under the Medicaid program under title 
XIX of the Social Security Act (42 U.S.C. 1396 et seq.) 
for the antepartum, intrapartum, and postpartum transfer 
of pregnant women from one health care facility to an-
other, including any potential disincentives or regulatory 
barriers to such transfers. 
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