I 
117TH CONGRESS 
1ST SESSION H. R. 3352 
To address maternity care shortages and promote optimal maternity outcomes 
by expanding educational opportunities for midwives, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 19, 2021 
Ms. ROYBAL-ALLARD (for herself, Ms. HERRERA BEUTLER, Ms. CLARK of 
Massachusetts, and Mrs. HINSON) introduced the following bill; which 
was referred to the Committee on Energy and Commerce 
A BILL 
To address maternity care shortages and promote optimal 
maternity outcomes by expanding educational opportuni-
ties for midwives, and for other purposes. 
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 ‘‘Midwives for Maxi-
mizing Optimal Maternity Services Act of 2021’’ or the 
‘‘Midwives for MOMS Act of 2021’’. 
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SEC. 2. MIDWIFERY SCHOOLS AND PROGRAMS. 
(a) IN GENERAL.—Title VII of the Public Health 
Service Act is amended by inserting after section 760 of 
such Act (42 U.S.C. 294k) the following: 
‘‘SEC. 760A. MIDWIFERY SCHOOLS AND PROGRAMS. 
‘‘(a) IN GENERAL.—The Secretary may award grants 
to institutions of higher education (as defined in sub-
sections (a) and (b) of section 101 of the Higher Edu-
cation Act of 1965) for the following: 
‘‘(1) Direct support of students in an accredited 
midwifery school or program. 
‘‘(2) Establishment or expansion of an accred-
ited midwifery school or program. 
‘‘(3) Securing, preparing, or providing support 
for increasing the number of, qualified preceptors 
for training the students of an accredited midwifery 
school or program. 
‘‘(b) 
SPECIAL
CONSIDERATIONS.—In 
awarding 
grants under subsection (a), the Secretary give special 
consideration to any institution of higher education that— 
‘‘(1) agrees to prioritize students who plan to 
practice in a health professional shortage area des-
ignated under section 332; and 
‘‘(2) demonstrates a focus on increasing racial 
and ethnic minority representation in midwifery edu-
cation. 
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‘‘(c) RESTRICTION.—The Secretary shall not provide 
any assistance under this section to be used with respect 
to a midwifery school or program within a school of nurs-
ing (as defined in section 801). 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—There is authorized to be 
appropriated to carry out this section $15,000,000 
for the period of fiscal years 2022 through 2026. 
‘‘(2) ALLOCATION.—Of the amounts made 
available to carry out this section for any fiscal year, 
the Secretary shall use— 
‘‘(A) 50 percent for subsection (a)(1); 
‘‘(B) 25 percent for subsection (a)(2); and 
‘‘(C) 25 percent for subsection (a)(3).’’. 
(b) DEFINITIONS.— 
(1) MIDWIFERY
SCHOOL
OR
PROGRAM.—Sec-
tion 799B(1)(A) of the Public Health Service Act 
(42 U.S.C. 295p(1)(A)) is amended— 
(A) by inserting ‘‘ ‘midwifery school or pro-
gram’,’’ before ‘‘and ‘school of chiropractic’ ’’; 
(B) by inserting ‘‘a degree or certificate in 
midwifery or an equivalent degree or certifi-
cate,’’ before ‘‘and a degree of doctor of chiro-
practic or an equivalent degree’’; and 
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(C) by striking ‘‘any such school’’ and in-
serting ‘‘any such school or program’’. 
(2) ACCREDITED.—Section 799B(1)(E) of the 
Public Health Service Act (42 U.S.C. 295p(1)(E)) is 
amended by inserting ‘‘or a midwifery school or pro-
gram,’’ before ‘‘or a graduate program in health ad-
ministration’’. 
SEC. 3. NURSE-MIDWIVES. 
Title VIII of the Public Health Service Act is amend-
ed by inserting after section 811 of that Act (42 U.S.C. 
296j) the following: 
‘‘SEC. 812. MIDWIFERY EXPANSION PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary may award grants 
to schools of nursing for the following: 
‘‘(1) Direct support of students in an accredited 
nurse-midwifery school or program. 
‘‘(2) Establishment or expansion of an accred-
ited nurse-midwifery school or program. 
‘‘(3) Securing, preparing, or providing support 
for increasing the numbers of, preceptors at clinical 
training sites to precept students training to become 
certified nurse-midwives. 
‘‘(b) 
SPECIAL
CONSIDERATIONS.—In 
awarding 
grants under subsection (a), the Secretary give special 
consideration to any school of nursing that— 
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‘‘(1) agrees to prioritize students who choose to 
pursue an advanced education degree in nurse-mid-
wifery to practice in a health professional shortage 
area designated under section 332; and 
‘‘(2) demonstrates a focus on increasing racial 
and ethnic minority representation in nurse-mid-
wifery education. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—To carry out this section, 
there is authorized to be appropriated $20,000,000 
for the period of fiscal years 2022 through 2026. 
‘‘(2) ALLOCATION.—Of the amounts made 
available to carry out this section for any fiscal year, 
the Secretary shall use— 
‘‘(A) 50 percent for subsection (a)(1); 
‘‘(B) 25 percent for subsection (a)(2); and 
‘‘(C) 25 percent for subsection (a)(3).’’. 
Æ 
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