762 
(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; 
(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)). 
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763 
(B) 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. 
(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)). 
(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. 
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764 
(7) AUTHORIZATION OF APPROPRIATIONS.—To 
carry out this subsection, there is authorized to be 
appropriated $25,000,000 for each of fiscal years 
2023 through 2026. 
(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 757 of such Act (42 
U.S.C. 294f) the following new section: 
‘‘SEC. 758. 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 
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765 
‘‘(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— 
‘‘(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 
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766 
‘‘(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 
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. 
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767 
‘‘(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-
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 
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768 
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 
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-
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priated $15,000,000 for each of fiscal years 2023 through 
2027.’’. 
SEC. 5211. TASKFORCE RECOMMENDING IMPROVEMENTS 
FOR UNADDRESSED MENTAL PERINATAL & 
POSTPARTUM HEALTH (TRIUMPH) FOR NEW 
MOMS. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by inserting after sec-
tion 317L–1 (42 U.S.C. 247b–13a) the following: 
‘‘SEC. 
317L–2. 
TASK 
FORCE 
ON 
MATERNAL 
MENTAL 
HEALTH. 
‘‘(a) ESTABLISHMENT.—Not later than 90 days after 
the date of enactment of this section, the Secretary shall 
establish a task force, to be known as the Task Force on 
Maternal Mental Health (in this section referred to as the 
‘Task Force’) to identify, evaluate, and make rec-
ommendations to coordinate and improve, Federal re-
sponses to maternal mental health conditions. 
‘‘(b) MEMBERSHIP.— 
‘‘(1) COMPOSITION.—The Task Force shall be 
composed of— 
‘‘(A) the Assistant Secretary for Health of 
the Department of Health and Human Services 
(or the Assistant Secretary’s designee) who 
shall serve as the Chair of the Task Force; 
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‘‘(B) the Federal members under para-
graph (2); and 
‘‘(C) the non-Federal members under para-
graph (3). 
‘‘(2) FEDERAL MEMBERS.—In addition to the 
Assistant Secretary for Health, the Federal mem-
bers of the Task Force shall consist of the heads of 
the following Federal departments and agencies (or 
their designees): 
‘‘(A) The Administration for Children and 
Families. 
‘‘(B) The Agency for Healthcare Research 
and Quality. 
‘‘(C) The Centers for Disease Control and 
Prevention. 
‘‘(D) The Centers for Medicare & Medicaid 
Services. 
‘‘(E) The Health Resources and Services 
Administration. 
‘‘(F) The Food and Drug Administration. 
‘‘(G) The Indian Health Service. 
‘‘(H) The Office of the Assistant Secretary 
for Planning and Evaluation of the Department 
of Health and Human Services. 
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‘‘(I) The Office of Minority Health of the 
Department of Health and Human Services. 
‘‘(J) The Office of the Surgeon General of 
the Department of Health and Human Services. 
‘‘(K) The Office of Women’s Health of the 
Department of Health and Human Services. 
‘‘(L) The National Institutes of Health. 
‘‘(M) The Substance Abuse and Mental 
Health Services Administration. 
‘‘(N) Such other Federal departments and 
agencies as the Secretary determines that serve 
individuals with maternal mental health condi-
tions, such as the Department of Veterans Af-
fairs, the Department of Justice, the Depart-
ment of Labor, the Department of Housing and 
Urban Development, and the Department of 
Defense. 
‘‘(3) NON-FEDERAL MEMBERS.—The non-Fed-
eral members of the Task Force shall— 
‘‘(A) compose not more than one-half, and 
not less than one-third, of the total membership 
of the Task Force; 
‘‘(B) be appointed by the Secretary; and 
‘‘(C) include— 
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‘‘(i) representatives of medical soci-
eties with expertise in maternal or mental 
health; 
‘‘(ii) representatives of nonprofit orga-
nizations with expertise in maternal or 
mental health; 
‘‘(iii) relevant industry representa-
tives; and 
‘‘(iv) other representatives, as appro-
priate. 
‘‘(4) 
DEADLINE
FOR
DESIGNATING
DES-
IGNEES.—If the Assistant Secretary for Health, or 
the head of a Federal department or agency serving 
as a member of the Task Force under paragraph 
(2), chooses to be represented on the Task Force by 
a designee, the Assistant Secretary or head shall 
designate such designee not later than 90 days after 
the date of the enactment of this section. 
‘‘(c) DUTIES.—The Task Force shall— 
‘‘(1) create and regularly update a report that 
identifies, analyzes, and evaluates the state of na-
tional maternal mental health policy and programs 
at the Federal, State, and local levels, and identifies 
best practices including— 
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773 
‘‘(A) a set of evidence-based, evidence-in-
formed, and promising practices with respect 
to— 
‘‘(i) prevention strategies for individ-
uals at risk of experiencing a maternal 
mental health condition, including strate-
gies and recommendations to address so-
cial determinants of health; 
‘‘(ii) the identification, screening, di-
agnosis, intervention, and treatment of in-
dividuals and families affected by a mater-
nal mental health condition; 
‘‘(iii) the expeditious referral to, and 
implementation of, practices and supports 
that prevent and mitigate the effects of a 
maternal mental health condition, includ-
ing strategies and recommendations to 
eliminate the racial and ethnic inequities 
that exist in maternal mental health; and 
‘‘(iv) 
community-based 
or 
multigenerational practices that support 
individuals and families affected by a ma-
ternal mental health condition; and 
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774 
‘‘(B) Federal and State programs and ac-
tivities to prevent, screen, diagnose, intervene, 
and treat maternal mental health conditions; 
‘‘(2) develop and regularly update a national 
strategy for maternal mental health, taking into con-
sideration the findings of the reports under para-
graph (1), on how the Task Force and Federal de-
partments and agencies represented on the Task 
Force will prioritize options for, and implement a co-
ordinated approach to, addressing maternal mental 
health conditions, including by— 
‘‘(A) increasing prevention, screening, di-
agnosis, intervention, treatment, and access to 
care, including clinical and nonclinical care such 
as peer-support and community health workers, 
through the public and private sectors; 
‘‘(B) providing support for pregnant or 
postpartum individuals who are at risk for or 
experiencing a maternal mental health condi-
tion, and their families as appropriate; 
‘‘(C) reducing racial, ethnic, geographic, 
and other health inequities for prevention, diag-
nosis, intervention, treatment, and access to 
care; 
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775 
‘‘(D) identifying opportunities for local- 
and State-level partnerships; 
‘‘(E) identifying options for modifying, 
strengthening, and coordinating Federal pro-
grams and activities, including existing infant 
and maternity programs, such as the Medicaid 
program under title XIX of the Social Security 
Act and the State Children’s Health Insurance 
Program under title XXI of such Act, in order 
to increase research, prevention, identification, 
intervention, and treatment with respect to ma-
ternal mental health; 
‘‘(F) providing recommendations to ensure 
research, services, supports, and prevention ac-
tivities are not unnecessarily duplicative; and 
‘‘(G) planning, data sharing, and commu-
nication within and across Federal depart-
ments, agencies, offices, and programs; 
‘‘(3) solicit public comments from stakeholders 
for the report under paragraph (1) and the national 
strategy under paragraph (2), including comments 
from frontline service providers, mental health pro-
fessionals, researchers, experts in maternal mental 
health, institutions of higher education, public health 
agencies (including maternal and child health pro-
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776 
grams), and industry representatives, in order to in-
form the activities and reports of the Task Force; 
and 
‘‘(4) disaggregate any data collected under this 
section by race, ethnicity, geographical location, age, 
marital status, socioeconomic level, and other factors 
as determined appropriate by the Secretary. 
‘‘(d) MEETINGS.—The Task Force shall— 
‘‘(1) meet not less than two times each year; 
and 
‘‘(2) convene public meetings, as appropriate, to 
fulfill its duties under this section. 
‘‘(e) REPORTS
TO PUBLIC
AND FEDERAL LEAD-
ERS.—The Task Force shall make publicly available and 
submit to the heads of relevant Federal departments and 
agencies, the Committee on Energy and Commerce of the 
House of Representatives, the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate, and other rel-
evant congressional committees, the following: 
‘‘(1) Not later than 1 year after the first meet-
ing of the Task Force, an initial report under sub-
section (c)(1). 
‘‘(2) Not later than 2 years after the first meet-
ing of the Task Force, an initial national strategy 
under subsection (c)(2). 
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‘‘(3) Each year thereafter— 
‘‘(A) an updated report under subsection 
(c)(1); 
‘‘(B) an updated national strategy under 
subsection (c)(2); or 
‘‘(C) if no such update is made, a report 
summarizing the activities of the Task Force. 
‘‘(f) REPORTS TO GOVERNORS.—Upon finalizing the 
initial national strategy under subsection (c)(2), and upon 
making relevant updates to such strategy, the Task Force 
shall submit a report to the Governors of all States de-
scribing opportunities for local- and State-level partner-
ships identified under subsection (c)(2)(D). 
‘‘(g) SUNSET.—The Task Force shall terminate on 
the date that is 6 years after the date on which the Task 
Force is established under subsection (a).’’. 
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 
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778 
of the Indian Health Service, and stakeholders (in-
cluding community-based organizations, culturally 
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 
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substance use disorder treatment and recovery 
support; 
(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 
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780 
stemming from suicide, substance use disorders, 
or drug overdose due to domestic violence, dat-
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 
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781 
(I) any other information on maternal 
mortality or severe maternal morbidity the Sec-
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-
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782 
chiatric disorders, increase the risk of sui-
cide, substance use, and drug overdose 
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, 
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783 
stalking, human trafficking, sex trafficking, child 
sexual abuse, or forced marriage. 
(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. 
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(3) PRIORITY.—In awarding grants under this 
subsection, the Secretary of Health and Human 
Services shall give priority to applicants proposing to 
address— 
(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(1)). 
(5) AUTHORIZATION OF APPROPRIATIONS.—To 
carry out this subsection, there is authorized to be 
appropriated $25,000,000 for the period of fiscal 
years 2023 through 2025. 
(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— 
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785 
(A) routine assessment of intimate partner 
violence; and 
(B) health promotion and strategies for 
trauma-informed care plans; and 
(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— 
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(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-
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— 
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787 
(A) is attributed to or aggravated by preg-
nancy or childbirth; and 
(B) results in significant short-term or 
long-term consequences to the health of the in-
dividual who was pregnant. 
SEC. 5213. PERINATAL WORKFORCE. 
(a) HHS AGENCY DIRECTIVES.— 
(1) GUIDANCE TO STATES.— 
(A) IN GENERAL.—Not later than 2 years 
after the date of enactment of this Act, the Sec-
retary of Health and Human Services shall 
issue and disseminate guidance to States to 
educate providers, managed care entities, and 
other insurers about the value and process of 
delivering respectful maternal health care 
through diverse and multidisciplinary care pro-
vider models. 
(B) CONTENTS.—The guidance required 
by subparagraph (A) shall address how States 
can encourage and incentivize hospitals, health 
systems, midwifery practices, freestanding birth 
centers, other maternity care provider groups, 
managed care entities, and other insurers— 
(i) to recruit and retain maternity 
care providers, mental and behavioral 
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health care providers acting in accordance 
with State law, registered dietitians or nu-
trition professionals (as such term is de-
fined in section 1861(vv)(2) of the Social 
Security Act (42 U.S.C. 1395x(vv)(2))), 
and lactation consultants certified by the 
International Board of Lactation Consult-
ants Examiners— 
(I) from racially, ethnically, and 
linguistically diverse backgrounds; 
(II) with experience practicing in 
racially and ethnically diverse commu-
nities; and 
(III) who have undergone train-
ing on implicit bias and racism; 
(ii) to incorporate into maternity care 
teams— 
(I) midwives who meet, at a min-
imum, the international definition of 
the midwife and global standards for 
midwifery education, as established by 
the International Confederation of 
Midwives; and 
(II) perinatal health workers; 
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(iii) to provide collaborative, culturally 
congruent care; and 
(iv) to provide opportunities for indi-
viduals enrolled in accredited midwifery 
education programs to participate in job 
shadowing with maternity care teams in 
hospitals, health systems, midwifery prac-
tices, and freestanding birth centers. 
(2) STUDY ON RESPECTFUL AND CULTURALLY 
CONGRUENT MATERNITY CARE.— 
(A) STUDY.—The Secretary of Health and 
Human Services, acting through the Director of 
the National Institutes of Health (in this para-
graph referred to as the ‘‘Secretary’’), shall 
conduct a study on best practices in respectful 
and culturally congruent maternity care. 
(B) REPORT.—Not later than 2 years after 
the date of enactment of this Act, the Secretary 
shall— 
(i) complete the study required by 
subparagraph (A); 
(ii) submit to the Congress, and make 
publicly available, a report on the results 
of such study; and 
(iii) include in such report— 
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790 
(I) a compendium of examples of 
hospitals, health systems, midwifery 
practices, freestanding birth centers, 
other maternity care provider groups, 
managed care entities, and other in-
surers that are delivering respectful 
and culturally congruent maternal 
health care; 
(II) a compendium of examples 
of hospitals, health systems, midwifery 
practices, freestanding birth centers, 
other maternity care provider groups, 
managed care entities, and other in-
surers that have made progress in re-
ducing inequities in maternal health 
outcomes and improving birthing ex-
periences 
for 
pregnant 
and 
postpartum individuals from racial 
and ethnic minority groups; and 
(III) recommendations to hos-
pitals, health systems, midwifery prac-
tices, freestanding birth centers, other 
maternity care provider groups, man-
aged care entities, and other insurers, 
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for best practices in respectful and 
culturally congruent maternity care. 
(b) GRANTS
TO
GROW
AND
DIVERSIFY
THE 
PERINATAL WORKFORCE.—Title VII of the Public Health 
Service Act is amended by inserting after section 758, as 
added by section 5210(b), the following new section: 
‘‘SEC. 758A. PERINATAL WORKFORCE GRANTS. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants to entities to establish or expand programs de-
scribed in subsection (b) to grow and diversify the 
perinatal workforce. 
‘‘(b) USE OF FUNDS.—Recipients of grants under 
this section shall use the grants to grow and diversify the 
perinatal workforce by— 
‘‘(1) establishing schools or programs that pro-
vide education and training to individuals seeking 
appropriate licensing or certification as— 
‘‘(A) physician assistants who will complete 
clinical training in the field of maternal and 
perinatal health; or 
‘‘(B) perinatal health workers; and 
‘‘(2) expanding the capacity of existing schools 
or programs described in paragraph (1), for the pur-
poses of increasing the number of students enrolled 
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792 
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— 
‘‘(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 perinatal 
workforce program or school supported by funds re-
ceived 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 perinatal workforce program or 
school a bias, racism, or discrimination training pro-
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