120 
(1) the number of pregnant and postpartum in-
dividuals incarcerated in the State and, among such 
individuals, the number of pregnant and postpartum 
individuals from racial and ethnic minority groups; 
and 
(2) the extent to which the State has dem-
onstrated a commitment to developing exemplary 
programs for pregnant and postpartum individuals 
incarcerated in the prisons and jails in the State. 
(e) GRANT DURATION.—A grant awarded under this 
section shall be for a 5-year period. 
(f) IMPLEMENTING AND REPORTING.—A State that 
receives a grant under this section shall be responsible 
for— 
(1) implementing the program funded by the 
grant; and 
(2) not later than 3 years after the date of en-
actment of this Act, and 6 years after the date of 
enactment of this Act, reporting results of such pro-
gram to the Attorney General, including information 
describing— 
(A) relevant quantitative indicators of the 
program’s success in improving the standard of 
care and health outcomes for pregnant and 
postpartum incarcerated individuals in the facil-
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ity, including data stratified by race, ethnicity, 
sex, gender, age, geography, disability status, 
category of the criminal charge against such in-
dividual, incidence rates of pregnancy-related 
deaths, pregnancy-associated deaths, cases of 
infant mortality and morbidity, rates of preterm 
births and low-birthweight births, cases of se-
vere maternal morbidity, cases of violence 
against pregnant or postpartum individuals, di-
agnoses of maternal mental or behavioral health 
conditions, and other such information as ap-
propriate; 
(B) relevant qualitative and quantitative 
evaluations from pregnant and postpartum in-
carcerated individuals who participated in such 
programs, including measures of patient-re-
ported experience of care; and 
(C) strategies to sustain such programs be-
yond the duration of the grant and expand such 
programs to other facilities. 
(g) REPORT.—Not later than 6 years after the date 
of enactment of this Act, the Attorney General shall sub-
mit to the Congress a report describing the results of such 
grant programs. 
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(h) OVERSIGHT.—Not later than 1 year after the 
date of enactment of this Act, the Attorney General shall 
award a contract to an independent organization or inde-
pendent organizations to conduct oversight of the pro-
grams described in subsection (c). 
(i) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$10,000,000 for each of fiscal years 2022 through 2026. 
SEC. 704. GAO REPORT. 
(a) IN GENERAL.—Not later than 2 years after the 
date of enactment of this Act, the Comptroller General 
of the United States shall submit to Congress a report 
on adverse maternal and infant health outcomes among 
incarcerated individuals and infants born to such individ-
uals, with a particular focus on racial and ethnic dispari-
ties in maternal and infant health outcomes for incarcer-
ated individuals. 
(b) CONTENTS OF REPORT.—The report described in 
this section shall include— 
(1) to the extent practicable— 
(A) the number of pregnant individuals 
who are incarcerated in Bureau of Prisons fa-
cilities; 
(B) the number of incarcerated individuals, 
including those incarcerated in Federal, State, 
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and local correctional facilities, who have expe-
rienced a pregnancy-related death, pregnancy- 
associated death, or the death of an infant in 
the most recent 10 years of available data; 
(C) the number of cases of severe maternal 
morbidity among incarcerated individuals, in-
cluding those incarcerated in Federal, State, 
and local detention facilities, in the most recent 
10 years of available data; 
(D) the number of preterm and low-birth-
weight births of infants born to incarcerated in-
dividuals, including those incarcerated in Fed-
eral, State, and local correctional facilities, in 
the most recent 10 years of available data; and 
(E) statistics on the racial and ethnic dis-
parities in maternal and infant health outcomes 
and severe maternal morbidity rates among in-
carcerated individuals, including those incarcer-
ated in Federal, State, and local detention fa-
cilities; 
(2) in the case that the Comptroller General of 
the United States is unable determine the informa-
tion required in subparagraphs (A) through (C) of 
paragraph (1), an assessment of the barriers to de-
termining such information and recommendations 
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for improvements in tracking maternal health out-
comes among incarcerated individuals, including 
those incarcerated in Federal, State, and local deten-
tion facilities; 
(3) causes of adverse maternal health outcomes 
that are unique to incarcerated individuals, including 
those incarcerated in Federal, State, and local deten-
tion facilities; 
(4) causes of adverse maternal health outcomes 
and severe maternal morbidity that are unique to in-
carcerated individuals from racial and ethnic minor-
ity groups; 
(5) recommendations to reduce maternal mor-
tality and severe maternal morbidity among incar-
cerated individuals and to address racial and ethnic 
disparities in maternal health outcomes for incarcer-
ated individuals in Bureau of Prisons facilities and 
State and local prisons and jails; and 
(6) such other information as may be appro-
priate to reduce the occurrence of adverse maternal 
health outcomes among incarcerated individuals and 
to address racial and ethnic disparities in maternal 
health outcomes for such individuals. 
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SEC. 705. MACPAC REPORT. 
(a) IN GENERAL.—Not later than 2 years after the 
date of enactment of this Act, the Medicaid and CHIP 
Payment and Access Commission (referred to in this sec-
tion as ‘‘MACPAC’’) shall publish a report on the implica-
tions of pregnant and postpartum incarcerated individuals 
being ineligible for medical assistance under a State plan 
under title XIX of the Social Security Act (42 U.S.C. 
1396 et seq.) that contains the information described in 
subsection. 
(b) INFORMATION DESCRIBED.—For purposes of 
subsection (a), the information described in this sub-
section includes— 
(1) information on the effect of ineligibility for 
medical assistance under a State plan under title 
XIX of the Social Security Act (42 U.S.C. 1396 et 
seq.) on maternal health outcomes for pregnant and 
postpartum incarcerated individuals, concentrating 
on the effects of such ineligibility for pregnant and 
postpartum individuals from racial and ethnic mi-
nority groups; and 
(2) the potential implications on maternal 
health outcomes resulting from suspending eligibility 
for medical assistance under a State plan under 
such title of such Act when a pregnant or 
postpartum individual is incarcerated. 
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SEC. 802. GRANTS TO EXPAND THE USE OF TECHNOLOGY- 
ENABLED COLLABORATIVE LEARNING AND 
CAPACITY 
MODELS 
FOR 
PREGNANT 
AND 
POSTPARTUM INDIVIDUALS. 
Title III of the Public Health Service Act is amended 
by inserting after section 330M (42 U.S.C. 254c–19) the 
following: 
‘‘SEC. 
330N. 
EXPANDING 
CAPACITY 
FOR 
MATERNAL 
HEALTH OUTCOMES. 
‘‘(a) ESTABLISHMENT.—Beginning not later than 1 
year after the date of enactment of this Act, the Secretary 
shall award grants to eligible entities to evaluate, develop, 
and expand the use of technology-enabled collaborative 
learning and capacity building models and improve mater-
nal health outcomes— 
‘‘(1) in health professional shortage areas; 
‘‘(2) in areas with high rates of maternal mor-
tality and severe maternal morbidity; 
‘‘(3) in areas with significant racial and ethnic 
disparities in maternal health outcomes; and 
‘‘(4) for medically underserved populations and 
American Indians and Alaska Natives, including In-
dian Tribes, Tribal organizations, and Urban Indian 
organizations. 
‘‘(b) USE OF FUNDS.— 
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‘‘(1) REQUIRED
USES.—Recipients of grants 
under this section shall use the grants to— 
‘‘(A) train maternal health care providers, 
students, 
and 
other 
similar 
professionals 
through models that include— 
‘‘(i) methods to increase safety and 
health care quality; 
‘‘(ii) implicit bias, racism, and dis-
crimination; 
‘‘(iii) best practices in screening for 
and, as needed, evaluating and treating 
maternal mental health conditions and 
substance use disorders; 
‘‘(iv) training on best practices in ma-
ternity care for pregnant and postpartum 
individuals during the COVID–19 public 
health emergency or future public health 
emergencies; 
‘‘(v) methods to screen for social de-
terminants of maternal health risks in the 
prenatal and postpartum; and 
‘‘(vi) the use of remote patient moni-
toring tools for pregnancy-related com-
plications 
described 
in 
section 
1115A(b)(2)(B)(xxviii); 
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‘‘(B) evaluate and collect information on 
the effect of such models on— 
‘‘(i) access to and quality of care; 
‘‘(ii) outcomes with respect to the 
health of an individual; and 
‘‘(iii) the experience of individuals who 
receive pregnancy-related health care; 
‘‘(C) develop qualitative and quantitative 
measures to identify best practices for the ex-
pansion and use of such models; 
‘‘(D) study the effect of such models on 
patient outcomes and maternity care providers; 
and 
‘‘(E) conduct any other activity determined 
by the Secretary. 
‘‘(2) PERMISSIBLE USES.—Recipients of grants 
under this section may use grants to support— 
‘‘(A) the use and expansion of technology- 
enabled collaborative learning and capacity 
building models, including hardware and soft-
ware that— 
‘‘(i) enables distance learning and 
technical support; and 
‘‘(ii) supports the secure exchange of 
electronic health information; and 
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‘‘(B) maternity care providers, students, 
and other similar professionals in the provision 
of maternity care through such models. 
‘‘(c) APPLICATION.— 
‘‘(1) IN GENERAL.—An eligible entity seeking a 
grant under subsection (a) shall submit to the Sec-
retary an application, at such time, in such manner, 
and containing such information as the Secretary 
may require. 
‘‘(2) ASSURANCE.—An application under para-
graph (1) shall include an assurance that such entity 
shall collect information on and assess the effect of 
the use of technology-enabled collaborative learning 
and capacity building models, including with respect 
to— 
‘‘(A) maternal health outcomes; 
‘‘(B) access to maternal health care serv-
ices; 
‘‘(C) quality of maternal health care; and 
‘‘(D) retention of maternity care providers 
serving areas and populations described in sub-
section (a). 
‘‘(d) LIMITATIONS.— 
‘‘(1) NUMBER.—The Secretary may not award 
more than 1 grant under this section. 
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‘‘(2) DURATION.—A grant awarded under this 
section shall be for a 5-year period. 
‘‘(e) ACCESS
TO BROADBAND.—In administering 
grants under this section, the Secretary may coordinate 
with other agencies to ensure that funding opportunities 
are available to support access to reliable, high-speed 
internet for grantees. 
‘‘(f) TECHNICAL ASSISTANCE.—The Secretary shall 
provide (either directly or by contract) technical assistance 
to eligible entities, including recipients of grants under 
subsection (a), on the development, use, and sustainability 
of technology-enabled collaborative learning and capacity 
building models to expand access to maternal health care 
services provided by such entities, including— 
‘‘(1) in health professional shortage areas; 
‘‘(2) in areas with high rates of maternal mor-
tality and severe maternal morbidity or significant 
racial and ethnic disparities in maternal health out-
comes; and 
‘‘(3) for medically underserved populations or 
American Indians and Alaska Natives. 
‘‘(g) RESEARCH AND EVALUATION.—The Secretary, 
in consultation with experts, shall develop a strategic plan 
to research and evaluate the evidence for such models. 
‘‘(h) REPORTING.— 
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‘‘(1) ELIGIBLE
ENTITIES.—An eligible entity 
that receives a grant under subsection (a) shall sub-
mit to the Secretary a report, at such time, in such 
manner, and containing such information as the Sec-
retary may require. 
‘‘(2) SECRETARY.—Not later than 4 years after 
the date of enactment of this section, the Secretary 
shall submit to the Congress, and make available on 
the website of the Department of Health and 
Human Services, a report that includes— 
‘‘(A) a description of grants awarded 
under subsection (a) and the purpose and 
amounts of such grants; 
‘‘(B) a summary of— 
‘‘(i) the evaluations conducted under 
subsection (b)(B); 
‘‘(ii) any technical assistance provided 
under subsection (g); and 
‘‘(iii) the activities conducted under 
subsection (a); and 
‘‘(C) a description of any significant find-
ings with respect to— 
‘‘(i) patient outcomes; and 
‘‘(ii) best practices for expanding, 
using, or evaluating technology-enabled col-
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laborative learning and capacity building 
models. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section, 
$6,000,000 for each of fiscal years 2022 through 2026. 
‘‘(j) DEFINITIONS.—In this section: 
‘‘(1) ELIGIBLE ENTITY.— 
‘‘(A) IN GENERAL.—The term ‘eligible en-
tity’ means an entity that provides, or supports 
the provision of, maternal health care services 
or other evidence-based services for pregnant 
and postpartum individuals— 
‘‘(i) in health professional shortage 
areas; 
‘‘(ii) in areas with high rates of ad-
verse maternal health outcomes or signifi-
cant racial and ethnic disparities in mater-
nal health outcomes; and 
‘‘(iii) who are— 
‘‘(I) members of medically under-
served populations; or 
‘‘(II) American Indians and Alas-
ka Natives, including Indian Tribes, 
Tribal organizations, and urban In-
dian organizations. 
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‘‘(B) INCLUSIONS.—An eligible entity may 
include entities that lead, or are capable of 
leading a technology-enabled collaborative learn-
ing and capacity building model. 
‘‘(2) 
HEALTH
PROFESSIONAL
SHORTAGE 
AREA.—The term ‘health professional shortage area’ 
means a health professional shortage area des-
ignated under section 332. 
‘‘(3) INDIAN TRIBE.—The term ‘Indian Tribe’ 
has the meaning given such term in section 4 of the 
Indian Self-Determination and Education Assistance 
Act. 
‘‘(4) MATERNAL MORTALITY.—The term ‘ma-
ternal mortality’ means a death occurring during or 
within 1-year period after pregnancy caused by preg-
nancy-related or childbirth complications, including a 
suicide, overdose, or other death resulting from a 
mental health or substance use disorder attributed 
to or aggravated by pregnancy or childbirth com-
plications. 
‘‘(5) 
MEDICALLY
UNDERSERVED
POPU-
LATION.—The term ‘medically underserved popu-
lation’ has the meaning given such term in section 
330(b)(3). 
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‘‘(6) POSTPARTUM.—The term ‘postpartum’ 
means the 1-year period beginning on the last date 
of an individual’s pregnancy. 
‘‘(7) SEVERE
MATERNAL
MORBIDITY.—The 
term ‘severe maternal morbidity’ means a health 
condition, including a mental health or substance 
use disorder, attributed to or aggravated by preg-
nancy or childbirth that results in significant short- 
term or long-term consequences to the health of the 
individual who was pregnant. 
‘‘(8) TECHNOLOGY-ENABLED
COLLABORATIVE 
LEARNING AND CAPACITY BUILDING MODEL.—The 
term ‘technology-enabled collaborative learning and 
capacity building model’ means a distance health 
education model that connects health care profes-
sionals, and other specialists, through simultaneous 
interactive videoconferencing for the purpose of fa-
cilitating case-based learning, disseminating best 
practices, and evaluating outcomes in the context of 
maternal health care. 
‘‘(9) TRIBAL ORGANIZATION.—The term ‘Tribal 
organization’ has the meaning given such term in 
section 4 of the Indian Self-Determination and Edu-
cation Assistance Act. 
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‘‘(10) URBAN
INDIAN
ORGANIZATION.—The 
term ‘urban Indian organization’ has the meaning 
given such term in section 4 of the Indian Health 
Care Improvement Act.’’. 
SEC. 803. GRANTS TO PROMOTE EQUITY IN MATERNAL 
HEALTH 
OUTCOMES 
THROUGH 
DIGITAL 
TOOLS. 
(a) IN GENERAL.—Beginning not later than 1 year 
after the date of the enactment of this Act, the Secretary 
of Health and Human Services shall make grants to eligi-
ble entities to reduce racial and ethnic disparities in ma-
ternal health outcomes by increasing access to digital tools 
related to maternal health care. 
(b) APPLICATIONS.—To be eligible to receive a grant 
under this section, an eligible entity shall submit to the 
Secretary an application at such time, in such manner, 
and containing such information as the Secretary may re-
quire. 
(c) PRIORITIZATION.—In awarding grants under this 
section, the Secretary shall prioritize an eligible entity— 
(1) in an area with high rates of adverse mater-
nal health outcomes or significant racial and ethnic 
disparities in maternal health outcomes; 
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(2) in a health professional shortage area des-
ignated under section 332 of the Public Health Serv-
ice Act (42 U.S.C. 254e); and 
(3) that promotes technology that addresses ra-
cial and ethnic disparities in maternal health out-
comes. 
(d) LIMITATIONS.— 
(1) NUMBER.—The Secretary may award not 
more than 1 grant under this section. 
(2) DURATION.—A grant awarded under this 
section shall be for a 5-year period. 
(e) TECHNICAL ASSISTANCE.—The Secretary shall 
provide technical assistance to an eligible entity on the de-
velopment, use, evaluation, and post-grant sustainability 
of digital tools for purposes of promoting equity in mater-
nal health outcomes. 
(f) REPORTING.— 
(1) ELIGIBLE
ENTITIES.—An eligible entity 
that receives a grant under subsection (a) shall sub-
mit to the Secretary a report, at such time, in such 
manner, and containing such information as the Sec-
retary may require. 
(2) SECRETARY.—Not later than 4 years after 
the date of the enactment of this Act, the Secretary 
shall submit to Congress a report that includes— 
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(A) an evaluation on the effectiveness of 
grants awarded under this section to improve 
health outcomes for pregnant and postpartum 
individuals from racial and ethnic minority 
groups; 
(B) recommendations on new grant pro-
grams that promote the use of technology to 
improve such maternal health outcomes; and 
(C) recommendations with respect to— 
(i) technology-based privacy and secu-
rity safeguards in maternal health care; 
(ii) reimbursement rates for maternal 
telehealth services; 
(iii) the use of digital tools to analyze 
large data sets to identify potential preg-
nancy-related complications; 
(iv) barriers that prevent maternity 
care providers from providing telehealth 
services across States; 
(v) the use of consumer digital tools 
such as mobile phone applications, patient 
portals, and wearable technologies to im-
prove maternal health outcomes; 
(vi) barriers that prevent access to 
telehealth services, including a lack of ac-
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cess to reliable, high-speed internet or elec-
tronic devices; 
(vii) barriers to data sharing between 
the Special Supplemental Nutrition Pro-
gram for Women, Infants, and Children 
program and maternity care providers, and 
recommendations for addressing such bar-
riers; and 
(viii) lessons learned from expanded 
access to telehealth related to maternity 
care during the COVID–19 public health 
emergency. 
(g) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$6,000,000 for each of fiscal years 2022 through 2026. 
SEC. 804. REPORT ON THE USE OF TECHNOLOGY IN MATER-
NITY CARE. 
(a) IN GENERAL.—Not later than 60 days after the 
date of enactment of this Act, the Secretary of Health and 
Human Services shall seek to enter an agreement with the 
National Academies of Sciences, Engineering, and Medi-
cine (referred to in this Act as the ‘‘National Academies’’) 
under which the National Academies shall conduct a study 
on the use of technology and patient monitoring devices 
in maternity care. 
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(b) CONTENT.—The agreement entered into pursu-
ant to subsection (a) shall provide for the study of the 
following: 
(1) The use of innovative technology (including 
artificial intelligence) in maternal health care, in-
cluding the extent to which such technology has af-
fected racial or ethnic biases in maternal health 
care. 
(2) The use of patient monitoring devices (in-
cluding pulse oximeter devices) in maternal health 
care, including the extent to which such devices have 
affected racial or ethnic biases in maternal health 
care. 
(3) Best practices for reducing and preventing 
racial or ethnic biases in the use of innovative tech-
nology and patient monitoring devices in maternity 
care. 
(4) Best practices in the use of innovative tech-
nology and patient monitoring devices for pregnant 
and postpartum individuals from racial and ethnic 
minority groups. 
(5) Best practices with respect to privacy and 
security safeguards in such use. 
(c) REPORT.—The agreement under subsection (a) 
shall direct the National Academies to complete the study 
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under this section, and transmit to Congress a report on 
the results of the study, not later than 24 months after 
the date of enactment of this Act. 
TITLE IX—IMPACT TO SAVE 
MOMS 
SEC. 
901. 
PERINATAL 
CARE 
ALTERNATIVE 
PAYMENT 
MODEL DEMONSTRATION PROJECT. 
(a) IN GENERAL.—For the period of fiscal years 
2022 through 2026, the Secretary of Health and Human 
Services (referred to in this section as the ‘‘Secretary’’), 
acting through the Administrator of the Centers for Medi-
care & Medicaid Services, shall establish and implement, 
in accordance with the requirements of this section, a 
demonstration project, to be known as the Perinatal Care 
Alternative Payment Model Demonstration Project (re-
ferred to in this section as the ‘‘Demonstration Project’’), 
for purposes of allowing States to test payment models 
under their State plans under title XIX of the Social Secu-
rity Act (42 U.S.C. 1396 et seq.) and State child health 
plans under title XXI of such Act (42 U.S.C. 1397aa et 
seq.) with respect to maternity care provided to pregnant 
and postpartum individuals enrolled in such State plans 
and State child health plans. 
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(b) COORDINATION.—In establishing the Demonstra-
tion Project, the Secretary shall coordinate with stake-
holders such as— 
(1) State Medicaid programs; 
(2) maternity care providers and organizations 
representing maternity care providers; 
(3) relevant organizations representing patients, 
with a particular focus on patients from racial and 
ethnic minority groups; 
(4) relevant community-based organizations, 
particularly organizations that seek to improve ma-
ternal health outcomes for pregnant and postpartum 
individuals from racial and ethnic minority groups; 
(5) perinatal health workers; 
(6) relevant health insurance issuers; 
(7) hospitals, health systems, midwifery prac-
tices, freestanding birth centers (as such term is de-
fined in paragraph (3)(B) of section 1905(l) of the 
Social Security Act (42 U.S.C. 1396d(l))), Feder-
ally-qualified health centers (as such term is defined 
in paragraph (2)(B) of such section), and rural 
health clinics (as such term is defined in section 
1861(aa) of such Act (42 U.S.C. 1395x(aa))); 
(8) researchers and policy experts in fields re-
lated to maternity care payment models; and 
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(9) any other stakeholders as the Secretary de-
termines appropriate, with a particular focus on 
stakeholders from racial and ethnic minority groups. 
(c) CONSIDERATIONS.—In establishing the Dem-
onstration Project, the Secretary shall consider any alter-
native payment model that— 
(1) is designed to improve maternal health out-
comes for racial and ethnic groups with dispropor-
tionate rates of adverse maternal health outcomes; 
(2) includes methods for stratifying patients by 
pregnancy risk level and, as appropriate, adjusting 
payments under such model to take into account 
pregnancy risk level; 
(3) establishes evidence-based quality metrics 
for such payments; 
(4) includes consideration of non-hospital birth 
settings such as freestanding birth centers (as so de-
fined); 
(5) includes consideration of social deter-
minants of maternal health; or 
(6) includes diverse maternity care teams that 
include— 
(A) maternity care providers, mental and 
behavioral health care providers acting in ac-
cordance with State law, registered dietitians or 
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nutrition professionals (as such term is defined 
in 42 U.S.C. 1395x(vv)(2)), and International 
Board Certified Lactation Consultants— 
(i) from racially, ethnically, and pro-
fessionally diverse backgrounds; 
(ii) with experience practicing in ra-
cially and ethnically diverse communities; 
or 
(iii) who have undergone training on 
implicit bias and racism; and 
(B) perinatal health workers. 
(d) ELIGIBILITY.—To be eligible to participate in the 
Demonstration Project, a State shall submit an applica-
tion to the Secretary at such time, in such manner, and 
containing such information as the Secretary may require. 
(e) EVALUATION.—The Secretary shall conduct an 
evaluation of the Demonstration Project to determine the 
impact of the Demonstration Project on— 
(1) maternal health outcomes, with data strati-
fied by race, ethnicity, socioeconomic indicators, and 
any other factors as the Secretary determines appro-
priate; 
(2) spending on maternity care by States par-
ticipating in the Demonstration Project; 
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(3) to the extent practicable, qualitative and 
quantitative measures of patient experience; and 
(4) any other areas of assessment that the Sec-
retary determines relevant. 
(f) REPORT.—Not later than one year after the com-
pletion or termination date of the Demonstration Project, 
the Secretary shall submit to the Congress, and make pub-
licly available, a report containing— 
(1) the results of any evaluation conducted 
under subsection (e); and 
(2) a recommendation regarding whether the 
Demonstration Project should be continued after fis-
cal year 2026 and expanded on a national basis. 
(g) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated such sums as are nec-
essary to carry out this section. 
(h) DEFINITIONS.—In this section: 
(1) 
ALTERNATIVE
PAYMENT
MODEL.—The 
term ‘‘alternative payment model’’ has the meaning 
given such term in section 1833(z)(3)(C) of the So-
cial Security Act (42 U.S.C. 1395l(z)(3)(C)). 
(2) PERINATAL.—The term ‘‘perinatal’’ means 
the period beginning on the day an individual be-
comes pregnant and ending on the last day of the 
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1-year period beginning on the last day of such indi-
vidual’s pregnancy. 
(3) RACIAL AND ETHNIC MINORITY GROUP.— 
The term ‘‘racial and ethnic minority group’’ has the 
meaning given such term in section 1707(g)(1) of 
the Public Health Service Act (42 U.S.C. 300u– 
6(g)(1)). 
SEC. 902. MACPAC REPORT. 
Not later than two years after the date of the enact-
ment of this Act, the Medicaid and CHIP Payment and 
Access Commission shall publish a report on issues relat-
ing to the continuity of coverage under State plans under 
title XIX of the Social Security Act (42 U.S.C. 1396 et 
seq.) and State child health plans under title XXI of such 
Act (42 U.S.C. 1397aa et seq.) for pregnant and 
postpartum individuals. Such report shall, at a minimum, 
include the following: 
(1) An assessment of any existing policies 
under such State plans and such State child health 
plans regarding presumptive eligibility for pregnant 
individuals while their application for enrollment in 
such a State plan or such a State child health plan 
is being processed. 
(2) An assessment of any existing policies 
under such State plans and such State child health 
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plans regarding measures to ensure continuity of 
coverage under such a State plan or such a State 
child health plan for pregnant and postpartum indi-
viduals, including such individuals who need to 
change their health insurance coverage during their 
pregnancy or the postpartum period following their 
pregnancy. 
(3) An assessment of any existing policies 
under such State plans and such State child health 
plans regarding measures to automatically reenroll 
individuals who are eligible to enroll under such a 
State plan or such a State child health plan as a 
parent. 
(4) If determined appropriate by the Commis-
sion, any recommendations for the Department of 
Health and Human Services, or such State plans 
and such State child health plans, to ensure con-
tinuity of coverage under such a State plan or such 
a State child health plan for pregnant and 
postpartum individuals. 
TITLE X—MATERNAL HEALTH 
PANDEMIC RESPONSE 
SEC. 1001. DEFINITIONS. 
In this title: 
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(1) COVID–19 PUBLIC HEALTH EMERGENCY.— 
The term ‘‘COVID–19 public health emergency’’ 
means the period— 
(A) beginning on the date that the Sec-
retary of Health and Human Services declared 
a public health emergency under section 319 of 
the Public Health Service Act (42 U.S.C. 
247d), with respect to COVID–19; and 
(B) ending on the later of the end of such 
public health emergency, or January 1, 2023. 
(2) RESPECTFUL MATERNITY CARE.—The term 
‘‘respectful maternity care’’ refers to care organized 
for, and provided to, pregnant and postpartum indi-
viduals in a manner that— 
(A) is culturally congruent; 
(B) maintains their dignity, privacy, and 
confidentiality; 
(C) ensures freedom from harm and mis-
treatment; and 
(D) enables informed choice and contin-
uous support. 
(3) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
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SEC. 1002. FUNDING FOR DATA COLLECTION, SURVEIL-
LANCE, 
AND 
RESEARCH 
ON 
MATERNAL 
HEALTH OUTCOMES DURING THE COVID–19 
PUBLIC HEALTH EMERGENCY. 
To conduct or support data collection, surveillance, 
and research on maternal health as a result of the 
COVID–19 public health emergency, including support to 
assist in the capacity building for State, Tribal, territorial, 
and local public health departments to collect and trans-
mit racial, ethnic, and other demographic data related to 
maternal health, there are authorized to be appro-
priated— 
(1) $100,000,000 for the Surveillance for 
Emerging Threats to Mothers and Babies program 
of the Centers for Disease Control and Prevention, 
to support the Centers for Disease Control and Pre-
vention in its efforts to— 
(A) work with public health, clinical, and 
community-based organizations to provide time-
ly, continually updated guidance to families and 
health care providers on ways to reduce risk to 
pregnant and postpartum individuals and their 
newborns and tailor interventions to improve 
their long-term health; 
(B) partner with more State, Tribal, terri-
torial, and local public health programs in the 
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collection and analysis of clinical data on the 
impact 
of 
COVID–19 
on 
pregnant 
and 
postpartum patients and their newborns, par-
ticularly among patients from racial and ethnic 
minority groups; and 
(C) establish regionally based centers of 
excellence to offer medical, public health, and 
other knowledge to ensure communities, espe-
cially communities with large populations of in-
dividuals from racial and ethnic minority 
groups, can help pregnant and postpartum indi-
viduals and newborns get the care and support 
they need; 
(2) $30,000,000 for the Enhancing Reviews 
and Surveillance to Eliminate Maternal Mortality 
program (commonly known as the ‘‘ERASE MM 
program’’) of the Centers for Disease Control and 
Prevention, to support the Centers for Disease Con-
trol and Prevention in expanding its partnerships 
with States and Indian Tribes and provide technical 
assistance to existing Maternal Mortality Review 
Committees; 
(3) $45,000,000 for the Pregnancy Risk As-
sessment Monitoring System (commonly known as 
the ‘‘PRAMS’’) of the Centers for Disease Control 
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and Prevention, to support the Centers for Disease 
Control and Prevention in its efforts to— 
(A) create a COVID–19 supplement to its 
PRAMS questionnaire; 
(B) add questions around experiences of 
respectful 
maternity 
care 
in 
prenatal, 
intrapartum, and postpartum care; 
(C) 
conduct 
a 
rapid 
assessment 
of 
COVID–19 awareness, impact on care and ex-
periences, and use of preventive measures 
among pregnant, laboring and birthing, and 
postpartum individuals during the COVID–19 
public health emergency; and 
(D) work to transition the survey to an 
electronic platform and expand the survey to a 
larger population, with a special focus on reach-
ing underrepresented communities; and 
(4) $15,000,000 for the National Institute of 
Child Health and Human Development, to conduct 
or support research for interventions to mitigate the 
effects of the COVID–19 public health emergency on 
pregnant and postpartum individuals, with a par-
ticular focus on individuals from racial and ethnic 
minority groups. 
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SEC. 1003. COVID–19 MATERNAL HEALTH DATA COLLEC-
TION AND DISCLOSURE. 
(a) AVAILABILITY OF COLLECTED DATA.—The Sec-
retary, acting through the Director of the Centers for Dis-
ease Control and Prevention and the Administrator of the 
Centers for Medicare & Medicaid Services, shall make pub-
licly available on the website of the Centers for Disease 
Control and Prevention data described in subsection (b). 
(b) DATA DESCRIBED.—The data under subsection 
(a) means data collected through Federal surveillance sys-
tems under the Centers for Disease Control and Preven-
tion with respect to COVID–19 and individuals who are 
pregnant or in a postpartum period. Such data shall in-
clude the following: 
(1) Diagnostic testing, including the number of 
pregnant and postpartum individuals who are tested 
for COVID–19 and the number of positive cases. 
(2) Suspected cases of COVID–19 in pregnant 
and birthing individuals and individuals in a 
postpartum period. 
(3) Serologic testing, including the number of 
pregnant and postpartum individuals tested and the 
number of such serologic tests that were positive. 
(4) Health care treatment for individuals who 
were infected with the virus, including hospitaliza-
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tions, emergency room visits, and intensive care unit 
admissions. 
(5) Health outcomes for pregnant individuals 
and infants confirmed or suspected of being infected 
with the virus, including— 
(A) the number of fatalities and case fa-
talities (expressed as the proportion of individ-
uals who were infected with the virus to individ-
uals who died from the virus); and 
(B) the number of stillbirths, infant mor-
tality, pre-term births, infants born with a low- 
birth weight, and cesarean section births. 
(c) INDIAN HEALTH SERVICE.—In carrying out sub-
section (a), the Secretary shall consult with Indian Tribes 
and confer with urban Indian organizations. 
(d) DISAGGREGATED INFORMATION.—In carrying 
out subsection (a), the Secretary shall disaggregate data 
by race, ethnicity, and location. 
(e) UPDATE.—During the COVID–19 public health 
emergency, the Secretary shall update the data made 
available under this section— 
(1) at least on a monthly basis; and 
(2) not less than one month after the end of 
such public health emergency. 
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(f) PRIVACY.—In carrying out subsection (a), the 
Secretary shall take steps to protect the privacy of individ-
uals pursuant to regulations promulgated under section 
264(c) of the Health Insurance Portability and Account-
ability Act of 1996 (42 U.S.C. 1320d–2 note). 
(g) GUIDANCE.— 
(1) IN GENERAL.—Not later than 30 days after 
the date of enactment of this Act, the Secretary 
shall issue guidance to States and local public health 
departments to ensure that— 
(A) laboratories that test specimens for 
COVID–19 receive all relevant demographic 
data on race, ethnicity, pregnancy status, and 
other demographic data as determined by the 
Secretary; and 
(B) data described in subsection (b) is 
disaggregated by race, ethnicity, and location. 
(2) CONSULTATION.—In carrying out para-
graph (1), the Secretary shall consult with Indian 
Tribes— 
(A) to ensure that such guidance includes 
Tribally developed best practices; and 
(B) to reduce misclassification of American 
Indians and Alaska Natives. 
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SEC. 1004. INCLUSION OF PREGNANT INDIVIDUALS AND 
LACTATING INDIVIDUALS IN VACCINE AND 
THERAPEUTIC DEVELOPMENT FOR COVID–19. 
The Director of the National Institutes of Health 
shall when safe and appropriate, support and advance the 
inclusion of pregnant and lactating individuals in thera-
peutic and vaccine clinical trials with respect to the treat-
ment or prevention of COVID–19, including prioritizing 
recommendations made by the Task Force on Research 
Specific to Pregnant Women and Lactating Women estab-
lished under section 2041 of the 21st Century Cures Act 
(42 U.S.C. 289a–2 note) with respect to including such 
individuals in such clinical trials. 
SEC. 1005. PUBLIC HEALTH COMMUNICATION REGARDING 
MATERNAL CARE DURING COVID–19. 
The Director of the Centers for Disease Control and 
Prevention shall conduct a public health education cam-
paign to increase access by pregnant individuals, their em-
ployers, and their health care providers to accurate, evi-
dence-based information on COVID–19 and pregnancy 
risks, with a particular focus pregnant individuals in un-
derserved communities. 
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SEC. 1006. TASK FORCE ON BIRTHING EXPERIENCE AND 
SAFE MATERNITY CARE DURING A PUBLIC 
HEALTH EMERGENCY. 
(a) ESTABLISHMENT.—The Secretary, in consulta-
tion with the Director of the Centers for Disease Control 
and Prevention and the Administrator of the Health Re-
sources and Services Administration, shall convene a task 
force (in this subsection referred to as the ‘‘Task Force’’) 
to develop recommendations, and make such recommenda-
tions publicly available in multiple languages, on respect-
ful maternity care during the COVID–19 public health 
emergency and other public health emergencies, with a 
particular focus on outcomes for individuals from racial 
and ethnic minority groups and other underserved commu-
nities. 
(b) 
CONTENT.—In 
developing 
recommendations 
under paragraph (1), the Task Force shall address the 
following: 
(1) Measures to facilitate respectful maternity 
care. 
(2) Strategies to increase access to specialized 
care for individuals with high-risk pregnancies. 
(3) COVID–19 diagnostic testing for pregnant 
individuals and individuals in labor. 
(4) The designation of a companion during 
birthing. 
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(5) The ability to communicate using an elec-
tronic mobile device during birthing. 
(6) With respect to an individual who has the 
virus that causes COVID–19— 
(A) separation from a newborn after birth; 
and 
(B) ensuring safety while breastfeeding. 
(7) Licensing, training, and reimbursement for 
midwives from racial and ethnic minority groups and 
underserved communities. 
(8) Financial support for perinatal health work-
ers who provide nonclinical support to pregnant indi-
viduals and postpartum individuals from under-
served communities. 
(9) The identification and treatment of prenatal 
and postpartum mental and behavioral health condi-
tions may have developed during or worsened be-
cause of the COVID–19 public health emergency or 
future public health emergencies, including anxiety, 
substance use disorder, and depression. 
(10) Strategies to address hospital capacity 
issues in communities with an increase in COVID– 
19 cases, or cases of other infectious diseases. 
(11) Options for maternal care that reduce 
cross-contamination and maintain safety and quality 
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of care, including auxiliary maternity units and free-
standing birth centers. 
(12) Methods to identify and address racism, 
bias, and discrimination in treatment and support to 
pregnant and postpartum individuals, including— 
(A) evaluating the training of hospital staff 
on implicit bias and racism and respectful ma-
ternity care; and 
(B) the collection of demographic data. 
(13) Other matters the Task Force determines 
appropriate. 
(c) MEMBERSHIP.— 
(1) CHAIR.—The Secretary shall select the 
chair of the Task Force from among the members 
of the Task Force. 
(2) COMPOSITION.—The Task Force shall be 
composed of— 
(A) representatives of Federal agencies, in-
cluding the agencies listed in paragraph (3); 
(B) three or more representatives of State, 
local, or territorial public health departments 
from different areas in the United States that 
have a large historically marginalized popu-
lation; 
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(C) one or more representatives of Tribal 
public health departments; 
(D) one or more obstetrician-gynecologists 
or other physicians who provide obstetric care, 
with consideration for physicians who are from, 
or work in, communities experiencing a high 
rate of mortality and morbidity from COVID– 
19; 
(E) one or more nurses who provide ob-
stetric care, with consideration for physicians 
who are from, or work in, communities experi-
encing a high rate of mortality and morbidity 
from COVID–19; 
(F) one or more perinatal health workers; 
(G) one or more individuals who were 
pregnant or gave birth during the COVID–19 
public health emergency; 
(H) one or more individuals who had the 
virus that causes COVID–19 and later gave 
birth; 
(I) one or more individuals who have re-
ceived support from a perinatal health; and 
(J) three or more independent experts who 
are racially and ethnically diverse with knowl-
edge on racial and ethnic disparities in— 
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(i) public health; 
(ii) maternal health; or 
(iii) maternal mortality and severe 
maternal morbidity. 
(3) FEDERAL
AGENCIES.—The agencies rep-
resented under paragraph (2)(A) shall include the 
following: 
(A) The Department of Health and 
Human Services. 
(B) The Centers for Disease Control and 
Prevention. 
(C) The Centers for Medicare & Medicaid 
Services. 
(D) The Health Resources and Services 
Administration. 
(E) The Indian Health Service. 
(F) The National Institutes of Health. 
SEC. 1007. GAO REPORT ON MATERNAL HEALTH AND PUB-
LIC HEALTH EMERGENCY PREPAREDNESS. 
(a) IN GENERAL.—Not later than one year after date 
of the enactment of this Act, the Comptroller General of 
the United States shall submit to Congress a report on 
maternal health and public health emergency prepared-
ness. Such report shall include the information and rec-
ommendations described in subsection (b). 
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(b) CONTENT OF REPORT.—The report under sub-
section (b) shall include the following: 
(1) A review of prenatal, labor and delivery, 
and postpartum experiences of individuals during 
such public health emergency, including— 
(A) barriers to accessing pregnancy, birth, 
and postpartum care during a pandemic; 
(B) public and private insurance coverage 
with respect to maternal health care, including 
telehealth services; 
(C) to the extent practicable, maternal and 
infant health outcomes by race and ethnicity 
(including quality of care, mortality, morbidity, 
cesarean section rates, preterm birth, preva-
lence of prenatal and postpartum mental health 
conditions and substance use disorders); 
(D) with respect to such health outcomes, 
the impact of Federal and State policy changes 
during such public health emergency; 
(E) contributing factors to population- 
based disparities in health outcomes, including 
bias and discrimination toward individuals from 
racial and ethnic minority groups; and 
(F) the effect of increased unemployment, 
paid family leave, changes in health care cov-
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erage, and other social determinants of health 
for pregnant and postpartum individuals during 
the public health emergency. 
(2) Recommendations on improving the public 
health emergency response and preparedness efforts 
of the Federal Government with respect to maternal 
health, with a focus on outcomes for pregnant and 
postpartum individuals from racial and ethnic mi-
nority groups, including— 
(A) improving research, surveillance, and 
data collection with respect to maternal health; 
(B) factoring maternal health outcomes 
and disparities into decisions regarding dis-
tribution of resources; 
(C) improving the distribution of public 
health funds, data, and information to Indian 
Tribes and Tribal organizations with regard to 
maternal health during a public health emer-
gency; and 
(D) improving communications during a 
public health emergency with— 
(i) maternity care providers; 
(ii) maternal mental and behavioral 
health care providers; 
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(iii) researchers who specialize in ma-
ternal health, maternal mortality, or severe 
maternal morbidity; 
(iv) individuals who experienced preg-
nancy or childbirth during the COVID–19 
public health emergency; 
(v) representatives from community- 
based organizations that address maternal 
health; and 
(vi) perinatal health workers. 
TITLE XI—PROTECTING MOMS 
AND BABIES AGAINST CLI-
MATE CHANGE 
SEC. 1101. DEFINITIONS. 
In this title, the following definitions apply: 
(1) ADVERSE MATERNAL AND INFANT HEALTH 
OUTCOMES.—The term ‘‘adverse maternal and in-
fant health outcomes’’ includes the outcomes of 
preterm birth, low birth weight, stillbirth, infant or 
maternal mortality, and severe maternal morbidity. 
(2) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
meaning given such term in section 101 of the High-
er Education Act of 1965 (20 U.S.C. 1001). 
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(3) 
MINORITY-SERVING
INSTITUTION.—The 
term ‘‘minority-serving institution’’ means an entity 
specified in any of paragraphs (1) through (7) of 
section 371(a) of the Higher Education Act of 1965 
(20 U.S.C. 1067q(a)). 
(4) RACIAL AND ETHNIC MINORITY GROUP.— 
The term ‘‘racial and ethnic minority group’’ has the 
meaning given such term in section 1707(g) of the 
Public Health Service Act (42 U.S.C. 300u–6(g)). 
(5) 
RISKS
ASSOCIATED
WITH
CLIMATE 
CHANGE.—The term ‘‘risks associated with climate 
change’’ includes risks associated with extreme heat, 
air pollution, extreme weather events, and other en-
vironmental issues associated with climate change 
that can result in adverse maternal and infant 
health outcomes. 
(6) STAKEHOLDER ORGANIZATION.—The term 
‘‘stakeholder organization’’ means— 
(A) a community-based organization with 
expertise in providing assistance to vulnerable 
individuals; 
(B) a nonprofit organization with expertise 
in maternal or infant health or environmental 
justice; and 
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(C) a patient advocacy organization rep-
resenting vulnerable individuals. 
(7) VULNERABLE INDIVIDUAL.—The term ‘‘vul-
nerable individual’’ means— 
(A) an individual who is pregnant; 
(B) an individual who was pregnant during 
any portion of the preceding 1-year period; and 
(C) an individual under 3 years of age. 
SEC. 1102. GRANT PROGRAM TO PROTECT VULNERABLE 
MOTHERS 
AND 
BABIES 
FROM 
CLIMATE 
CHANGE RISKS. 
(a) IN GENERAL.—Not later than 180 days after the 
date of the enactment of this Act, the Secretary of Health 
and Human Services shall establish a grant program (in 
this section referred to as the ‘‘Program’’) to protect vul-
nerable individuals from risks associated with climate 
change. 
(b) GRANT AUTHORITY.—In carrying out the Pro-
gram, the Secretary may award, on a competitive basis, 
grants to 10 covered entities. 
(c) APPLICATIONS.—To be eligible for a grant under 
the Program, a covered entity shall submit to the Sec-
retary an application at such time, in such form, and con-
taining such information as the Secretary may require, 
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which shall include, at a minimum, a description of the 
following: 
(1) Plans for the use of grant funds awarded 
under the Program and how patients and stake-
holder organizations were involved in the develop-
ment of such plans. 
(2) How such grant funds will be targeted to 
geographic areas that have disproportionately high 
levels of risks associated with climate change for vul-
nerable individuals. 
(3) How such grant funds will be used to ad-
dress racial and ethnic disparities in— 
(A) adverse maternal and infant health 
outcomes; and 
(B) exposure to risks associated with cli-
mate change for vulnerable individuals. 
(4) Strategies to prevent an initiative assisted 
with such grant funds from causing— 
(A) adverse environmental impacts; 
(B) displacement of residents and busi-
nesses; 
(C) rent and housing price increases; or 
(D) disproportionate adverse impacts on 
racial and ethnic minority groups and other un-
derserved populations. 
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(d) SELECTION OF GRANT RECIPIENTS.— 
(1) TIMING.—Not later than 270 days after the 
date of the enactment of this Act, the Secretary 
shall select the recipients of grants under the Pro-
gram. 
(2) CONSULTATION.—In selecting covered enti-
ties for grants under the Program, the Secretary 
shall consult with— 
(A) representatives of stakeholder organi-
zations; 
(B) the Administrator of the Environ-
mental Protection Agency; 
(C) the Administrator of the National Oce-
anic and Atmospheric Administration; and 
(D) from the Department of Health and 
Human Services— 
(i) the Deputy Assistant Secretary for 
Minority Health; 
(ii) the Administrator of the Centers 
for Medicare & Medicaid Services; 
(iii) the Administrator of the Health 
Resources and Services Administration; 
(iv) the Director of the National Insti-
tutes of Health; and 
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(v) the Director of the Centers for 
Disease Control and Prevention. 
(3) PRIORITY.—In selecting a covered entity to 
be awarded a grant under the Program, the Sec-
retary shall give priority to covered entities that 
serve a county— 
(A) designated, or located in an area des-
ignated, as a nonattainment area pursuant to 
section 107 of the Clean Air Act (42 U.S.C. 
7407) for any air pollutant for which air quality 
criteria have been issued under section 108(a) 
of such Act (42 U.S.C. 7408(a)); 
(B) with a level of vulnerability of mod-
erate-to-high or higher, according to the Social 
Vulnerability Index of the Centers for Disease 
Control and Prevention; or 
(C) with temperatures that pose a risk to 
human health, as determined by the Secretary, 
in consultation with the Administrator of the 
National Oceanic and Atmospheric Administra-
tion and the Chair of the United States Global 
Change Research Program, based on the best 
available science. 
(4) LIMITATION.—A recipient of grant funds 
under the Program may not use such grant funds to 
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serve a county that is served by any other recipient 
of a grant under the Program. 
(e) USE OF FUNDS.—A covered entity awarded grant 
funds under the Program may only use such grant funds 
for the following: 
(1) Initiatives to identify risks associated with 
climate change for vulnerable individuals and to pro-
vide services and support to such individuals that 
address such risks, which may include— 
(A) training for health care providers, 
doulas, and other employees in hospitals, birth 
centers, midwifery practices, and other health 
care practices that provide prenatal or labor 
and delivery services to vulnerable individuals 
on the identification of, and patient counseling 
relating to, risks associated with climate change 
for vulnerable individuals; 
(B) hiring, training, or providing resources 
to community health workers and perinatal 
health workers who can help identify risks asso-
ciated with climate change for vulnerable indi-
viduals, provide patient counseling about such 
risks, and carry out the distribution of relevant 
services and support; 
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(C) enhancing the monitoring of risks as-
sociated with climate change for vulnerable in-
dividuals, including by— 
(i) collecting data on such risks in 
specific census tracts, neighborhoods, or 
other geographic areas; and 
(ii) sharing such data with local 
health care providers, doulas, and other 
employees in hospitals, birth centers, mid-
wifery practices, and other health care 
practices that provide prenatal or labor 
and delivery services to local vulnerable in-
dividuals; and 
(D) providing vulnerable individuals— 
(i) air conditioning units, residential 
weatherization support, filtration systems, 
household appliances, or related items; 
(ii) direct financial assistance; and 
(iii) services and support, including 
housing and transportation assistance, to 
prepare for or recover from extreme weath-
er events, which may include floods, hurri-
canes, wildfires, droughts, and related 
events. 
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(2) Initiatives to mitigate levels of and exposure 
to risks associated with climate change for vulner-
able individuals, which shall be based on the best 
available science and which may include initiatives 
to— 
(A) develop, maintain, or expand urban or 
community forestry initiatives and tree canopy 
coverage initiatives; 
(B) 
improve 
infrastructure, 
including 
buildings and paved surfaces; 
(C) develop or improve community out-
reach networks to provide culturally and lin-
guistically appropriate information and notifica-
tions about risks associated with climate change 
for vulnerable individuals; and 
(D) provide enhanced services to racial and 
ethnic minority groups and other underserved 
populations. 
(f) LENGTH OF AWARD.—A grant under this section 
shall be disbursed over 4 fiscal years. 
(g) TECHNICAL ASSISTANCE.—The Secretary shall 
provide technical assistance to a covered entity awarded 
a grant under the Program to support the development, 
implementation, and evaluation of activities funded with 
such grant. 
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(h) REPORTS TO SECRETARY.— 
(1) ANNUAL
REPORT.—For each fiscal year 
during which a covered entity is disbursed grant 
funds under the Program, such covered entity shall 
submit to the Secretary a report that summarizes 
the activities carried out by such covered entity with 
such grant funds during such fiscal year, which shall 
include a description of the following: 
(A) The involvement of stakeholder organi-
zations in the implementation of initiatives as-
sisted with such grant funds. 
(B) Relevant health and environmental 
data, disaggregated, to the extent practicable, 
by race, ethnicity, gender, and pregnancy sta-
tus. 
(C) Qualitative feedback received from vul-
nerable individuals with respect to initiatives 
assisted with such grant funds. 
(D) Criteria used in selecting the geo-
graphic areas assisted with such grant funds. 
(E) Efforts to address racial and ethnic 
disparities in adverse maternal and infant 
health outcomes and in exposure to risks associ-
ated with climate change for vulnerable individ-
uals. 
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(F) Any negative and unintended impacts 
of initiatives assisted with such grant funds, in-
cluding— 
(i) adverse environmental impacts; 
(ii) displacement of residents and 
businesses; 
(iii) rent and housing price increases; 
and 
(iv) disproportionate adverse impacts 
on racial and ethnic minority groups and 
other underserved populations. 
(G) How the covered entity will address 
and prevent any impacts described in subpara-
graph (F). 
(2) PUBLICATION.—Not later than 30 days 
after the date on which a report is submitted under 
paragraph (1), the Secretary shall publish such re-
port on a public website of the Department of 
Health and Human Services. 
(i) REPORT TO CONGRESS.—Not later than the date 
that is 5 years after the date on which the Program is 
established, the Secretary shall submit to Congress and 
publish on a public website of the Department of Health 
and Human Services a report on the results of the Pro-
gram, including the following: 
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(1) Summaries of the annual reports submitted 
under subsection (h). 
(2) Evaluations of the initiatives assisted with 
grant funds under the Program. 
(3) An assessment of the effectiveness of the 
Program in— 
(A) identifying risks associated with cli-
mate change for vulnerable individuals; 
(B) providing services and support to such 
individuals; 
(C) mitigating levels of and exposure to 
such risks; and 
(D) addressing racial and ethnic disparities 
in adverse maternal and infant health outcomes 
and in exposure to such risks. 
(4) A description of how the Program could be 
expanded, including— 
(A) monitoring efforts or data collection 
that would be required to identify areas with 
high levels of risks associated with climate 
change for vulnerable individuals; 
(B) how such areas could be identified 
using the strategy developed under section 5; 
and 
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(C) recommendations for additional fund-
ing. 
(j) COVERED ENTITY DEFINED.—In this section, the 
term ‘‘covered entity’’ means a consortium of organiza-
tions serving a county that— 
(1) shall include a community-based organiza-
tion; and 
(2) may include— 
(A) another stakeholder organization; 
(B) the government of such county; 
(C) the governments of one or more mu-
nicipalities within such county; 
(D) a State or local public health depart-
ment or emergency management agency; 
(E) a local health care practice, which may 
include a licensed and accredited hospital, birth 
center, midwifery practice, or other health care 
practice that provides prenatal or labor and de-
livery services to vulnerable individuals; 
(F) an Indian tribe or tribal organization 
(as such terms are defined in section 4 of the 
Indian Self-Determination and Education As-
sistance Act (25 U.S.C. 5304)); 
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(G) an Urban Indian organization (as de-
fined in section 4 of the Indian Health Care 
Improvement Act (25 U.S.C. 1603)); and 
(H) an institution of higher education. 
(k) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$100,000,000 for the period of fiscal years 2022 through 
2025. 
SEC. 1103. GRANT PROGRAM FOR EDUCATION AND TRAIN-
ING AT HEALTH PROFESSION SCHOOLS. 
(a) IN GENERAL.—Not later than 1 year after the 
date of the enactment of this Act, the Secretary of Health 
and Human Services shall establish a grant program (in 
this section referred to as the ‘‘Program’’) to provide 
funds to health profession schools to support the develop-
ment and integration of education and training programs 
for identifying and addressing risks associated with cli-
mate change for vulnerable individuals. 
(b) GRANT AUTHORITY.—In carrying out the Pro-
gram, the Secretary may award, on a competitive basis, 
grants to health profession schools. 
(c) APPLICATION.—To be eligible for a grant under 
the Program, a health profession school shall submit to 
the Secretary an application at such time, in such form, 
and containing such information as the Secretary may re-
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quire, which shall include, at a minimum, a description 
of the following: 
(1) How such health profession school will en-
gage with vulnerable individuals, and stakeholder or-
ganizations representing such individuals, in devel-
oping and implementing the education and training 
programs supported by grant funds awarded under 
the Program. 
(2) How such health profession school will en-
sure that such education and training programs will 
address racial and ethnic disparities in exposure to, 
and the effects of, risks associated with climate 
change for vulnerable individuals. 
(d) USE
OF FUNDS.—A health profession school 
awarded a grant under the Program shall use the grant 
funds to develop, and integrate into the curriculum and 
continuing education of such health profession school, edu-
cation and training on each of the following: 
(1) Identifying risks associated with climate 
change for vulnerable individuals and individuals 
with the intent to become pregnant. 
(2) How risks associated with climate change 
affect vulnerable individuals and individuals with the 
intent to become pregnant. 
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(3) Racial and ethnic disparities in exposure to, 
and the effects of, risks associated with climate 
change for vulnerable individuals and individuals 
with the intent to become pregnant. 
(4) Patient counseling and mitigation strategies 
relating to risks associated with climate change for 
vulnerable individuals. 
(5) Relevant services and support for vulnerable 
individuals relating to risks associated with climate 
change and strategies for ensuring vulnerable indi-
viduals have access to such services and support. 
(6) Implicit and explicit bias, racism, and dis-
crimination. 
(7) Related topics identified by such health pro-
fession school based on the engagement of such 
health profession school with vulnerable individuals 
and stakeholder organizations representing such in-
dividuals. 
(e) PARTNERSHIPS.—In carrying out activities with 
grant funds, a health profession school awarded a grant 
under the Program may partner with one or more of the 
following: 
(1) A State or local public health department. 
(2) A health care professional membership or-
ganization. 
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(3) A stakeholder organization. 
(4) A health profession school. 
(5) An institution of higher education. 
(f) REPORTS TO SECRETARY.— 
(1) ANNUAL
REPORT.—For each fiscal year 
during which a health profession school is disbursed 
grant funds under the Program, such health profes-
sion school shall submit to the Secretary a report 
that describes the activities carried out with such 
grant funds during such fiscal year. 
(2) FINAL REPORT.—Not later than the date 
that is 1 year after the end of the last fiscal year 
during which a health profession school is disbursed 
grant funds under the Program, the health profes-
sion school shall submit to the Secretary a final re-
port that summarizes the activities carried out with 
such grant funds. 
(g) REPORT TO CONGRESS.—Not later than the date 
that is 6 years after the date on which the Program is 
established, the Secretary shall submit to Congress and 
publish on a public website of the Department of Health 
and Human Services a report that includes the following: 
(1) A summary of the reports submitted under 
subsection (f). 
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(2) Recommendations to improve education and 
training programs at health profession schools with 
respect to identifying and addressing risks associ-
ated with climate change for vulnerable individuals. 
(h) HEALTH PROFESSION SCHOOL DEFINED.—In 
this section, the term ‘‘health profession school’’ means 
an accredited— 
(1) medical school; 
(2) school of nursing; 
(3) midwifery program; 
(4) physician assistant education program; 
(5) teaching hospital; 
(6) residency or fellowship program; or 
(7) other school or program determined appro-
priate by the Secretary. 
(i) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$5,000,000 for the period of fiscal years 2022 through 
2025. 
SEC. 1104. NIH CONSORTIUM ON BIRTH AND CLIMATE 
CHANGE RESEARCH. 
(a) ESTABLISHMENT.—Not later than one year after 
the date of the enactment of this Act, the Director of the 
National Institutes of Health shall establish the Consor-
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tium on Birth and Climate Change Research (in this sec-
tion referred to as the ‘‘Consortium’’). 
(b) DUTIES.— 
(1) IN
GENERAL.—The Consortium shall co-
ordinate, across the institutes, centers, and offices of 
the National Institutes of Health, research on the 
risks associated with climate change for vulnerable 
individuals. 
(2) REQUIRED
ACTIVITIES.—In carrying out 
paragraph (1), the Consortium shall— 
(A) establish research priorities, including 
by prioritizing research that— 
(i) identifies the risks associated with 
climate change for vulnerable individuals 
with a particular focus on disparities in 
such risks among racial and ethnic minor-
ity groups and other underserved popu-
lations; and 
(ii) identifies strategies to reduce lev-
els of, and exposure to, such risks, with a 
particular focus on risks among racial and 
ethnic minority groups and other under-
served populations; 
(B) identify gaps in available data related 
to such risks; 
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(C) identify gaps in, and opportunities for, 
research collaborations; 
(D) identify funding opportunities for com-
munity-based organizations and researchers 
from racially, ethnically, and geographically di-
verse backgrounds; and 
(E) publish annual reports on the work 
and findings of the Consortium on a public 
website of the National Institutes of Health. 
(c) MEMBERSHIP.—The Director shall appoint to the 
Consortium representatives of such institutes, centers, and 
offices of the National Institutes of Health as the Director 
considers appropriate, including, at a minimum, rep-
resentatives of— 
(1) the National Institute of Environmental 
Health Sciences; 
(2) the National Institute on Minority Health 
and Health Disparities; 
(3) the Eunice Kennedy Shriver National Insti-
tute of Child Health and Human Development; 
(4) the National Institute of Nursing Research; 
and 
(5) the Office of Research on Women’s Health. 
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(d) CHAIRPERSON.—The Chairperson of the Consor-
tium shall be designated by the Director and selected from 
among the representatives appointed under subsection (c). 
(e) CONSULTATION.—In carrying out the duties de-
scribed in subsection (b), the Consortium shall consult 
with— 
(1) the heads of relevant Federal agencies, in-
cluding— 
(A) the Environmental Protection Agency; 
(B) the National Oceanic and Atmospheric 
Administration; 
(C) the Occupational Safety and Health 
Administration; and 
(D) from the Department of Health and 
Human Services— 
(i) the Office of Minority Health in 
the Office of the Secretary; 
(ii) the Centers for Medicare & Med-
icaid Services; 
(iii) the Health Resources and Serv-
ices Administration; 
(iv) the Centers for Disease Control 
and Prevention; 
(v) the Indian Health Service; and 
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(vi) the Administration for Children 
and Families; and 
(2) representatives of— 
(A) stakeholder organizations; 
(B) health care providers and professional 
membership organizations with expertise in ma-
ternal health or environmental justice; 
(C) State and local public health depart-
ments; 
(D) licensed and accredited hospitals, birth 
centers, midwifery practices, or other health 
care practices that provide prenatal or labor 
and delivery services to vulnerable individuals; 
and 
(E) institutions of higher education, in-
cluding such institutions that are minority-serv-
ing institutions or have expertise in maternal 
health or environmental justice. 
SEC. 1105. STRATEGY FOR IDENTIFYING CLIMATE CHANGE 
RISK ZONES FOR VULNERABLE MOTHERS 
AND BABIES. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Director of the Cen-
ters for Disease Control and Prevention, shall develop a 
strategy (in this section referred to as the ‘‘Strategy’’) for 
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designating areas that the Secretary determines to have 
a high risk of adverse maternal and infant health out-
comes among vulnerable individuals as a result of risks 
associated with climate change. 
(b) STRATEGY REQUIREMENTS.— 
(1) IN GENERAL.—In developing the Strategy, 
the Secretary shall establish a process to identify 
areas where vulnerable individuals are exposed to a 
high risk of adverse maternal and infant health out-
comes as a result of risks associated with climate 
change in conjunction with other factors that can 
impact such health outcomes, including— 
(A) the incidence of diseases associated 
with air pollution, extreme heat, and other envi-
ronmental factors; 
(B) the availability and accessibility of ma-
ternal and infant health care providers; 
(C) English-language proficiency among 
women of reproductive age; 
(D) the health insurance status of women 
of reproductive age; 
(E) the number of women of reproductive 
age who are members of racial or ethnic groups 
with disproportionately high rates of adverse 
maternal and infant health outcomes; 
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(F) the socioeconomic status of women of 
reproductive age, including with respect to— 
(i) poverty; 
(ii) unemployment; 
(iii) household income; and 
(iv) educational attainment; and 
(G) access to quality housing, transpor-
tation, and nutrition. 
(2) RESOURCES.—In developing the Strategy, 
the Secretary shall identify, and incorporate a de-
scription of, the following: 
(A) Existing mapping tools or Federal pro-
grams that identify— 
(i) risks associated with climate 
change for vulnerable individuals; and 
(ii) other factors that can influence 
maternal and infant health outcomes, in-
cluding the factors described in paragraph 
(1). 
(B) Environmental, health, socioeconomic, 
and demographic data relevant to identifying 
risks associated with climate change for vulner-
able individuals. 
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(H) Other information the Secretary con-
siders relevant for the development of the Strat-
egy. 
(c) COORDINATION AND CONSULTATION.—In devel-
oping the Strategy, the Secretary shall— 
(1) coordinate with the Administrator of the 
Environmental Protection Agency and the Adminis-
trator of the National Oceanic and Atmospheric Ad-
ministration; and 
(2) consult with— 
(A) stakeholder organizations; 
(B) health care providers and professional 
membership organizations with expertise in ma-
ternal health or environmental justice; 
(C) State and local public health depart-
ments; 
(D) licensed and accredited hospitals, birth 
centers, midwifery practices, or other health 
care providers that provide prenatal or labor 
and delivery services to vulnerable individuals; 
and 
(E) institutions of higher education, in-
cluding such institutions that are minority-serv-
ing institutions or have expertise in maternal 
health or environmental justice. 
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(d) NOTICE AND COMMENT.—At least 240 days be-
fore the date on which the Strategy is published in accord-
ance with subsection (e), the Secretary shall provide— 
(1) notice of the Strategy on a public website 
of the Department of Health and Human Services; 
and 
(2) an opportunity for public comment of at 
least 90 days. 
(e) PUBLICATION.—Not later than 18 months after 
the date of the enactment of this Act, the Secretary shall 
publish on a public website of the Department of Health 
and Human Services— 
(1) the Strategy; 
(2) the public comments received under sub-
section (d); and 
(3) the responses of the Secretary to such pub-
lic comments. 
TITLE XII—MATERNAL 
VACCINATIONS 
SEC. 1201. MATERNAL VACCINATION AWARENESS AND EQ-
UITY CAMPAIGN. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (in this section referred to as the ‘‘Sec-
retary’’), acting through the Director of the Centers for 
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Disease Control and Prevention, shall carry out a national 
campaign to— 
(1) increase awareness of the importance of ma-
ternal vaccinations for the health of pregnant and 
postpartum individuals and their children; and 
(2) increase maternal vaccination rates, with a 
focus on communities with historically high rates of 
unvaccinated individuals. 
(b) CONSULTATION.—In carrying out the campaign 
under this title, the Secretary shall consult with relevant 
community-based organizations, health care professional 
associations and public health associations, State public 
health departments and local public health departments, 
Tribal-serving organizations, nonprofit organizations, and 
nationally recognized private entities. 
(c) ACTIVITIES.—The campaign under this section 
shall— 
(1) focus on increasing maternal vaccination 
rates in communities with historically high rates of 
unvaccinated individuals, including for pregnant and 
postpartum individuals from racial and ethnic mi-
nority groups; 
(2) include efforts to engage with pregnant and 
postpartum individuals in communities with histori-
cally high rates of unvaccinated individuals to seek 
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input on the development and effectiveness of the 
campaign; 
(3) provide evidence-based, culturally congruent 
resources and communications efforts; and 
(4) be carried out in partnership with trusted 
individuals and entities in communities with histori-
cally high rates of unvaccinated individuals, includ-
ing 
community-based 
organizations, 
community 
health centers, perinatal health workers, and mater-
nity care providers. 
(d) COLLABORATION.—The Secretary shall ensure 
that the information and resources developed for the cam-
paign under this section are made publicly available and 
shared with relevant Federal, State, and local entities. 
(e) EVALUATION.—Not later than the end of fiscal 
year 2025, the Secretary shall— 
(1) 
establish 
quantitative 
and 
qualitative 
metrics to evaluate the campaign under this section; 
and 
(2) submit a report detailing the campaign’s 
impact to the Congress. 
(f) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$2,000,000 for each of fiscal years 2022 through 2026. 
Æ 
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