271 
fees and other materials necessary for the comple-
tion of coursework as determined by the Secretary; 
and 
(2) not less than 85 percent of any funds pro-
vided to an eligible institution under subsection (a) 
shall be advanced to the eligible institution prior to 
the start of each payment period and shall be based 
upon an amount requested by the institution as 
needed to cover the total cost of grants awarded to 
eligible recipients until such time as the Secretary 
determines and publishes in the Federal Register 
with an opportunity for comment, an alternative 
payment system that provides payments to institu-
tions in an accurate and timely manner, except that 
this sentence shall not be construed to limit the au-
thority of the Secretary to place an institution on a 
reimbursement system of payment. 
(f) DIRECT PAYMENT.—Nothing in this section shall 
be construed to prohibit the Secretary from making a 
grant directly to an eligible individual in a case in which 
an institution of higher education with a qualified early 
childhood educator program does not participate in the 
program under subsection (a). 
(g) DEFINITIONS.—In this section: 
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(1) ELIGIBLE INDIVIDUAL.—The term ‘‘eligible 
individual’’ means an individual who is enrolled on 
a full-time or part-time basis in a qualified early 
childhood educator program. 
(2) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
meaning given that term in section 102 of the High-
er Education Act of 1965 (20 U.S.C. 1002). 
(3) QUALIFIED EARLY CHILDHOOD EDUCATOR 
PROGRAM.—The term ‘‘qualified early childhood ed-
ucator program’’ means a course of study leading to 
an associate’s degree or a certificate in early child-
hood education or a related field from an institution 
of higher education. 
(4) LICENSED EARLY LEARNING PROGRAM.— 
The term ‘‘licensed early learning program’’ means 
any State-licensed or State-regulated program or 
provider, regardless of setting or funding source, 
that provides early care and education for children 
from birth to kindergarten entry, including, but not 
limited to, programs operated by child care centers 
and in family child care homes. 
(h) AUTHORIZATION OF APPROPRIATIONS.— 
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(1) IN GENERAL.—There are authorized to be 
appropriated to carry out this section $10,000,000 
for each of fiscal years 2023 through 2027. 
(2) LIMITATION.—Of the amount made avail-
able under paragraph (1) in any fiscal year, not 
more than 3 percent may be used for evaluation, 
monitoring, salaries, and administrative expenses. 
SEC. 5004. CCAMPIS REAUTHORIZATION. 
Section 419N of the Higher Education Act of 1965 
(20 U.S.C. 1070e) is amended— 
(1) in subsection (b)— 
(A) in paragraph (2)— 
(i) in subparagraph (A)— 
(I) by striking ‘‘The amount’’ 
and inserting ‘‘Except as provided in 
subparagraph (C), the amount’’; and 
(II) by striking ‘‘1 percent’’ and 
inserting ‘‘2 percent’’; 
(ii) in subparagraph (B)(ii), by strik-
ing ‘‘subsection (g)’’ and inserting ‘‘sub-
section (h)’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(C) PERFORMANCE BONUS.— 
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‘‘(i) IN
GENERAL.—Notwithstanding 
subparagraph (A), for any fiscal year for 
which the amount appropriated under sub-
section (h) is not less than $140,000,000, 
the Secretary may pay a performance 
bonus to an eligible institution of higher 
education. 
‘‘(ii) MAXIMUM
AMOUNT.—A bonus 
paid to an eligible institution of higher 
education under clause (i) for a fiscal year 
shall not exceed an amount equal to 20 
percent of the amount of the annual grant 
payment received by the institution under 
paragraph (3)(B) for the fiscal year pre-
ceding the fiscal year for which the bonus 
is paid. 
‘‘(iii) USE OF BONUS.—A bonus re-
ceived by an institution under clause (i) 
shall be used by the institution in the same 
manner as a grant under this section and 
shall be treated as grant funds for pur-
poses of the application of paragraph (5), 
except that the Secretary may extend the 
grant period as necessary for the institu-
tion to use such bonus. 
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‘‘(iv) 
ELIGIBLE
INSTITUTION
OF 
HIGHER
EDUCATION.—In this subpara-
graph, the term ‘eligible institution of 
higher education’ means an institution of 
higher education that— 
‘‘(I) has received a grant under 
this section for not less than the pe-
riod of three consecutive fiscal years 
preceding the fiscal year in which the 
bonus is paid under clause (i); 
‘‘(II) for each such preceding fis-
cal year, has met or exceeded the per-
formance levels established by the in-
stitution for such year under sub-
section (e)(1)(B)(v); and 
‘‘(III) has demonstrated the need 
for such bonus.’’; and 
(B) in paragraph (3)— 
(i) in subparagraph (A), by striking 
‘‘4 years’’ and inserting ‘‘5 years’’; and 
(ii) in subparagraph (B), by striking 
‘‘subsection (e)(2)’’ and inserting ‘‘sub-
section (e)(3)’’; 
(2) by amending subsection (c) to read as fol-
lows: 
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‘‘(c) APPLICATIONS.— 
‘‘(1) IN
GENERAL.—An institution of higher 
education desiring a grant under this section shall 
submit an application to the Secretary at such time, 
in such manner, and accompanied by such informa-
tion as the Secretary may require. Such application 
shall— 
‘‘(A) demonstrate that the institution is an 
eligible institution described in subsection 
(b)(4); 
‘‘(B) specify the amount of funds re-
quested; 
‘‘(C) demonstrate the need of low-income 
students at the institution for campus-based 
child care services by including in the applica-
tion— 
‘‘(i) information regarding student de-
mographics, including whether the student 
is a full-time or part-time student; 
‘‘(ii) an assessment of child care ca-
pacity on or near campus; 
‘‘(iii) information regarding the wait-
ing lists for child care services on or near 
campus; 
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‘‘(iv) information regarding additional 
needs created by concentrations of poverty 
or by geographic isolation; 
‘‘(v) information about the number of 
low-income student parents being served 
through campus-based child care services; 
and 
‘‘(vi) other relevant data; 
‘‘(D) specify the estimated percentage of 
the institution’s grant that will be used directly 
to subsidize the fee charged for on-campus and 
off-campus childcare, respectively, for low-in-
come students; 
‘‘(E) contain a description of the activities 
to be assisted, including whether the grant 
funds will support an existing child care pro-
gram or a new child care program; 
‘‘(F) identify the resources, including tech-
nical expertise and financial support, that the 
institution will draw upon to support the child 
care program and the participation of low-in-
come students in the program (such as access-
ing social services funding, using student activ-
ity fees to help pay the costs of child care, 
using resources obtained by meeting the needs 
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of parents who are not low-income students, 
and accessing foundation, corporate, or other 
institutional support) and demonstrate that the 
use of the resources will not result in increases 
in student tuition; 
‘‘(G) contain an assurance that the institu-
tion will meet the child care needs of low-in-
come students through the provision of services, 
or through a contract for the provision of serv-
ices; 
‘‘(H) describe the extent to which the child 
care program will coordinate with the institu-
tion’s early childhood education curriculum, to 
the extent the curriculum is available, to meet 
the needs of the students in the early childhood 
education program at the institution, and the 
needs of the parents and children participating 
in the child care program assisted under this 
section; 
‘‘(I) in the case of an institution seeking 
assistance for a new child care program— 
‘‘(i) provide a timeline, covering the 
period from receipt of the grant through 
the provision of the child care services, de-
lineating the specific steps the institution 
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will take to achieve the goal of providing 
low-income students with child care serv-
ices; 
‘‘(ii) specify any measures the institu-
tion will take to assist low-income students 
with child care during the period before 
the institution provides child care services; 
and 
‘‘(iii) include a plan for identifying re-
sources needed for the child care services, 
including space in which to provide child 
care services, and technical assistance if 
necessary; 
‘‘(J) contain an assurance that any child 
care facility assisted under this section will 
meet the applicable State and local government 
licensing, certification, approval, or registration 
requirements; 
‘‘(K) in the case of an institution that is 
awarded a grant under this section after the 
date of the enactment of the PRO–LIFE Act of 
2022, provide an assurance that, not later than 
three years after the date on which such grant 
is awarded, any child care facility assisted with 
such grant will— 
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‘‘(i) meet Head Start performance 
standards under subchapter B of chapter 
13 of title 45, Code of Federal Regulations 
(as in effect on the date of enactment of 
the PRO–LIFE Act of 2022) and any suc-
cessor regulations; 
‘‘(ii) be in the top tier of the quality 
rating improvement system for such facili-
ties used by the State in which the facility 
is located; 
‘‘(iii) meet the licensing requirements 
of the State in which the facility is located 
and the quality requirements under the 
Child Care and Development Block Grant 
Act of 1990 (42 U.S.C. 9858 et seq.); or 
‘‘(iv) be accredited by a national early 
childhood accrediting body with dem-
onstrated valid and reliable program qual-
ity standards; 
‘‘(L) contain an assurance that the institu-
tion, when applicable, will make information 
available to students receiving child care serv-
ices provided under this section about the eligi-
bility of such students and their dependents for 
assistance under the supplemental nutrition as-
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sistance program under the Food and Nutrition 
Act of 2008 (7 U.S.C. 2011 et seq.), the special 
supplemental nutrition program for women, in-
fants, and children under the Child Nutrition 
Act of 1966 (42 U.S.C. 1786), and the pro-
gram of block grants for States for temporary 
assistance for needy families established under 
part A of title IV of the Social Security Act (42 
U.S.C. 601 et seq.); and 
‘‘(M) contain an abstract summarizing the 
contents of such application and how the insti-
tution intends to achieve the purpose under 
subsection (a). 
‘‘(2) TECHNICAL ASSISTANCE.—The Secretary 
may provide technical assistance to eligible institu-
tions to help such institutions qualify, apply for, and 
maintain a grant under this section.’’; 
(3) in subsection (d)— 
(A) in the matter preceding paragraph (1), 
by striking ‘‘to institutions of higher education 
that submit applications describing programs 
that’’; 
(B) by amending paragraph (1) to read as 
follows: 
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‘‘(1) based on the extent to which institutions 
of higher education that submit applications for such 
a grant leverage local or institutional resources, in-
cluding in-kind contributions, to support the activi-
ties assisted under this section;’’; 
(C) by redesignating paragraph (2) as 
paragraph (3); 
(D) by inserting after paragraph (1), the 
following: 
‘‘(2) to institutions of higher education that, 
compared to other institutions of higher education 
that submit applications for such a grant, dem-
onstrate a high likelihood of need for campus-based 
child care based on student demographics (such as 
a high proportion of low-income students or inde-
pendent students); and’’; and 
(E) in paragraph (3) (as redesignated by 
subparagraph (C)), by inserting ‘‘to institutions 
of higher education that submit applications de-
scribing programs that’’ before ‘‘utilize’’; and 
(4) in subsection (e)— 
(A) in paragraph (1)(B)— 
(i) by redesignating clauses (ii), (iii), 
and (iv) as clauses (vi), (vii), and (viii), re-
spectively; and 
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(ii) by striking the semicolon at the 
end of clause (i) and inserting the fol-
lowing: ‘‘, which shall include— 
‘‘(I) the number of full- and part- 
time students, respectively, receiving 
child care services under this section 
at least once per week during the aca-
demic year; 
‘‘(II) the number of credits accu-
mulated by students receiving such 
child care services; and 
‘‘(III) the number of students re-
ceiving child care services under this 
section at least once per week during 
the academic year who— 
‘‘(aa) remain enrolled at the 
institution during the academic 
year for which they received such 
services; 
‘‘(bb) enroll at the institu-
tion for the following academic 
year; and 
‘‘(cc) graduate or transfer 
within— 
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‘‘(AA) 150 percent of 
the normal time for comple-
tion of a student’s four-year 
degree granting program; or 
‘‘(BB) 200 percent of 
the normal time for comple-
tion of a student’s two-year 
degree-granting program; 
‘‘(ii) with respect to the total student 
enrollment at the institution and the total 
enrollment of low-income students at the 
institution, respectively— 
‘‘(I) the rate at which students 
who complete an academic year at the 
institution re-enroll in the institution 
for the following academic year; and 
‘‘(II) the percentage of students 
graduating or transferring within— 
‘‘(aa) 150 percent of the 
normal time for completion of a 
student’s four-year degree grant-
ing program; or 
‘‘(bb) 200 percent of the 
normal time for completion of a 
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285 
student’s two-year degree grant-
ing program; 
‘‘(iii) the percentage of the institu-
tion’s grant that was used directly to sub-
sidize the fee charged for on-campus and 
off-campus childcare, respectively, for low- 
income students; 
‘‘(iv) whether the institution restricts 
eligibility for child care services to only 
full-time students; 
‘‘(v) the sufficiently ambitious levels 
of performance established for such year 
by the institution that demonstrate mean-
ingful progress and allow for meaningful 
evaluation of program quality based on the 
information in clauses (i)(III) and (iii);’’; 
(B) by redesignating paragraph (2) as 
paragraph (3); 
(C) by inserting after paragraph (1) the 
following: 
‘‘(2) REPORT.— 
‘‘(A) REPORT REQUIRED.—On an annual 
basis, the Secretary shall submit to the author-
izing committees a report that includes— 
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‘‘(i) a summary of the information de-
scribed in paragraph (1); and 
‘‘(ii) each abstract submitted under 
subsection (c)(1)(M) by an institution of 
higher education that receives a grant 
under this section. 
‘‘(B) PUBLIC
AVAILABILITY.—The Sec-
retary shall make each report submitted under 
subparagraph (A) publicly available.’’; 
(D) in paragraph (3), as so redesignated, 
by inserting ‘‘(other than the information pro-
vided under subparagraph (B)(v) of such para-
graph)’’ after ‘‘paragraph (1)’’; and 
(E) by adding at the end the following: 
‘‘(4) TECHNICAL ASSISTANCE.—The Secretary 
shall provide technical assistance to institutions of 
higher education receiving grants under this section 
to help such institutions meet the reporting require-
ments under this subsection.’’; 
(5) by redesignating subsection (g) as sub-
section (h); 
(6) by inserting after subsection (f) the fol-
lowing: 
‘‘(g) NONDISCRIMINATION.—No person in the United 
States shall, on the basis of actual or perceived race, color, 
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religion, national origin, sex (including sexual orientation, 
gender identity, pregnancy, childbirth, a medical condition 
related to pregnancy or childbirth, and sex stereotype), or 
disability, be excluded from participation in, be denied the 
benefits of, or be subjected to discrimination by any pro-
gram funded, in whole or in part, with funds made avail-
able under this section or with amounts appropriated for 
grants, contracts, or certificates administered with such 
funds.’’; and 
(7) in subsection (h), as so redesignated, by 
striking ‘‘such sums as may be necessary for fiscal 
year 2009’’ and inserting ‘‘$200,000,000 for fiscal 
year 2023’’. 
SEC. 5005. EVALUATION OF APPLICATIONS FOR ASSIST-
ANCE UNDER CHOICE NEIGHBORHOODS INI-
TIATIVE. 
In providing assistance for fiscal year 2023 and any 
fiscal year thereafter under the Choice Neighborhoods Ini-
tiative of the Secretary of Housing and Urban Develop-
ment (pursuant to section 24 of the United States Hous-
ing Act of 1937 (42 U.S.C. 1437v)), the Secretary shall 
consider early care and learning facilities for children as 
a neighborhood asset for purposes of evaluating applica-
tions for planning and implementation grants, shall ensure 
that any metric for evaluating such applications gives 
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credit for the provision of early care and learning facilities 
under a neighborhood plan, and shall include early care 
and learning facilities as such an asset in any Notice of 
Funding Availability for any such fiscal year. 
TITLE VI—HONORING FAMILY- 
FRIENDLY WORKPLACES 
SEC. 6001. DEFINITIONS. 
In this title: 
(1) EMPLOYEE; EMPLOYER.—The terms ‘‘em-
ployee’’ and ‘‘employer’’ have the meanings given 
such terms in section 3 of the Fair Labor Standards 
Act of 1938 (29 U.S.C. 203). 
(2) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Labor. 
(3) SERIOUS HEALTH CONDITION.—The term 
‘‘serious health condition’’ has the meaning given 
such term in section 101 of the Family and Medical 
Leave Act of 1993 (29 U.S.C. 2611). 
SEC. 6002. CERTIFICATION PROGRAM ESTABLISHED. 
(a) IN GENERAL.—The Secretary shall establish a 
national certification program to award certifications to 
recognize employers that have a commitment to helping 
employees balance employment responsibilities and family 
obligations (referred to in this section as ‘‘family-friendly 
certifications’’). 
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(b) CRITERIA FOR CERTIFICATION.—In order to be 
eligible to receive a family-friendly certification, an em-
ployer shall carry out each of the following family-friendly 
employment policies and benefits: 
(1) Assistance paying for, or referring employ-
ees to, fertility or adoption services. 
(2) Paid family leave of not less than 12 weeks 
per year, including the option to use leave for any 
of the following reasons: 
(A) The birth of a child of the employee 
and in order to care for such child. 
(B) The placement of a child with the em-
ployee for adoption or foster care. 
(C) To address the serious health condi-
tion, including pregnancy, childbirth, or preg-
nancy loss, of the employee. 
(D) To address the serious health condi-
tion of a family member. 
(E) For specific military caregiving and 
leave. 
(3) Paid sick days for employees that are sepa-
rate from time accrued as part of a paid time off 
policy. 
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(4) A subsidy for child care or policies that 
allow parents to work alongside their infants in safe 
settings. 
(5) Policies that allow for flexible hours once a 
parent returns to work after a birth, adoption, or 
foster care placement. 
(6) If feasible, policies that allow employees to 
work remotely as needed for reasons related to the 
care of a child. 
(7) Lactation support, such as reimbursement 
of expressed breastmilk delivery while on travel, ac-
cess to pumps, kits, and other lactation supplies and 
amenities, and access to lactation consultants and 
support. 
(c) APPLICATION.—An employer who desires to re-
ceive a family-friendly certification from the Secretary 
under this section shall submit an application to the Sec-
retary at such time, containing such information, and in 
such manner as the Secretary may require. 
(d) AWARD OF CERTIFICATION.—The Secretary shall 
review applications submitted under subsection (c) and 
award a family-friendly certification to an employer whose 
application demonstrates that the employer has met the 
requirements established under subsection (b) regarding 
family-friendly policies and benefits. 
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TITLE VII—MOTHERS AND OFF-
SPRING 
MORTALITY 
AND 
MORBIDITY AWARENESS 
SEC. 7001. IMPROVING FEDERAL EFFORTS WITH RESPECT 
TO PREVENTION OF MATERNAL MORTALITY. 
(a) TECHNICAL ASSISTANCE FOR STATES WITH RE-
SPECT
TO REPORTING MATERNAL MORTALITY.—Not 
later than one year after the date of enactment of this 
Act, the Director of the Centers for Disease Control and 
Prevention (referred to in this section as the ‘‘Director’’), 
in consultation with the Administrator of the Health Re-
sources and Services Administration, shall provide tech-
nical assistance to States that elect to report comprehen-
sive data on maternal mortality and factors relating to 
such mortality (including oral and mental health), inti-
mate partner violence, and breastfeeding health informa-
tion, for the purpose of encouraging uniformity in the re-
porting of such data and to encourage the sharing of such 
data among the respective States. 
(b) BEST PRACTICES RELATING TO PREVENTION OF 
MATERNAL MORTALITY.— 
(1) IN
GENERAL.—Not later than one year 
after the date of enactment of this Act— 
(A) the Director, in consultation with rel-
evant patient and provider groups, shall issue 
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best practices to State maternal mortality re-
view committees on how best to identify and re-
view maternal mortality cases, taking into ac-
count any data made available by States relat-
ing to maternal mortality, including data on 
oral, mental, and breastfeeding health, and uti-
lization of any emergency services; and 
(B) the Director, working in collaboration 
with the Health Resources and Services Admin-
istration, shall issue best practices to hospitals, 
State professional society groups, and perinatal 
quality collaboratives on how best to prevent 
maternal mortality. 
(2) AUTHORIZATION OF APPROPRIATIONS.—For 
purposes of carrying out this subsection, there is au-
thorized to be appropriated $5,000,000 for each of 
fiscal years 2023 through 2027. 
(c) ALLIANCE
FOR
INNOVATION
ON
MATERNAL 
HEALTH GRANT PROGRAM.— 
(1) IN
GENERAL.—Not later than one year 
after the date of enactment of this Act, the Sec-
retary of Health and Human Services (referred to in 
this subsection as the ‘‘Secretary’’), acting through 
the Associate Administrator of the Maternal and 
Child Health Bureau of the Health Resources and 
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Services Administration, shall establish a grant pro-
gram to be known as the Alliance for Innovation on 
Maternal Health Grant Program (referred to in this 
subsection as ‘‘AIM’’) under which the Secretary 
shall award grants to eligible entities for the purpose 
of— 
(A) directing widespread adoption and im-
plementation 
of 
maternal 
safety 
bundles 
through collaborative State-based teams; and 
(B) collecting and analyzing process, struc-
ture, and outcome data to drive continuous im-
provement in the implementation of such safety 
bundles by such State-based teams with the ul-
timate goal of eliminating preventable maternal 
mortality and severe maternal morbidity in the 
United States. 
(2) ELIGIBLE ENTITIES.—In order to be eligi-
ble for a grant under paragraph (1), an entity 
shall— 
(A) submit to the Secretary an application 
at such time, in such manner, and containing 
such information as the Secretary may require; 
and 
(B) demonstrate in such application that 
the entity is an interdisciplinary, multi-stake-
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