I 
118TH CONGRESS 
2D SESSION 
H. R. 9335 
To direct the Secretary of Defense to carry out a pilot program to provide 
services from midwives to covered beneficiaries under the TRICARE program. 
IN THE HOUSE OF REPRESENTATIVES 
AUGUST 9, 2024 
Mr. KILMER (for himself, Mr. CISCOMANI, Ms. MOORE of Wisconsin, and Ms. 
STRICKLAND) introduced the following bill; which was referred to the 
Committee on Armed Services 
A BILL 
To direct the Secretary of Defense to carry out a pilot 
program to provide services from midwives to covered 
beneficiaries under the TRICARE program. 
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 and Infant 
Delivery Wellness and Integration with Vital Expertise 
Support for Service Members Act of 2024’’ or the ‘‘MID-
WIVES for Service Members Act of 2024’’. 
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SEC. 2. PILOT PROGRAM TO MAKE MIDWIFE SERVICES 
AVAILABLE THROUGH TRICARE. 
(a) PILOT PROGRAM.—Not later than one year after 
the date of the enactment of this Act, the Secretary of 
Defense shall begin a five-year pilot program to provide 
services from covered midwives to covered beneficiaries 
under the TRICARE program. 
(b) AUTHORITY TO MAKE PERMANENT.—If the Sec-
retary determines, after the termination of the pilot pro-
gram that such pilot program was successful, the Sec-
retary may prescribe such regulations to establish a per-
manent program to make services from covered midwives 
available to covered beneficiaries as the Secretary deter-
mines appropriate. 
(c) REPORTS.— 
(1) IMPLEMENTATION REPORT.—Not later than 
180 days after the date of the enactment of this Act, 
the Secretary shall submit to the Committees on 
Armed Services of the House of Representatives and 
the Senate a plan to implement the pilot program 
under subsection (a). 
(2) ANNUAL REPORT.—Not later than one year 
after the date on which the pilot program begins and 
annually thereafter until the date that is 1 year 
after the termination of the pilot program, the Sec-
retary shall submit to the Committees on Armed 
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Services of the House of Representatives and the 
Senate a report including: 
(A) The total cost of the pilot program and 
the cost per covered beneficiary who received 
care under the pilot program. 
(B) The total number of covered bene-
ficiaries who received care under the pilot pro-
gram. 
(C) The race, ethnicity, age, sex, relation-
ship status, Armed Force, military occupation, 
and rank, as applicable, of covered beneficiaries 
who received care under the pilot program. 
(D) An assessment of the effects of the 
pilot program on quality of care, including— 
(i) on maternal and fetal outcomes; 
and 
(ii) on the number of pre-term births, 
low-weight births, and rates of caesarean 
section, and such other data points as the 
Secretary determines appropriate. 
(E) An assessment of patient satisfaction 
of covered beneficiaries who received care 
through the pilot program. 
(F) An assessment of access to maternity 
and labor and delivery care for covered bene-
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ficiaries, including average wait time for an ini-
tial appointment and average travel time to the 
provider. 
(G) An assessment of the effectiveness of 
the pilot program. 
(H) Recommendations for adjustments to 
the pilot program. 
(I) The estimated cost savings as a result 
of improved maternal and fetal health outcomes 
due to the pilot program. 
(J) The Secretary of Defense’s rec-
ommendations relating to changes to the pilot 
program, an extension of the pilot program, and 
whether the pilot program should be expanded 
made permanent. 
(d) DEFINITIONS.—In this section: 
(1) The terms ‘‘covered beneficiary’’ and 
‘‘TRICARE program’’ have the meanings given such 
terms in section 1072 of title 10, United States 
Code. 
(2) The term ‘‘covered midwife’’ means a cer-
tified professional midwife or certified midwife who 
meets— 
(A) the international definition of a mid-
wife, and global standards for midwifery edu-
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cation, established by the International Confed-
eration of Midwives, and 
(B) any professional credentialing require-
ment required to practice midwifery under ap-
plicable State law. 
Æ 
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