(1) provide bibliographic citations for each 
record within the database, and for each such cita-
tion include an explanation of the level and quality 
of evidence; 
(2) include abstracts, as available; 
(3) provide reference to companion documents 
as may exist for each review, such as evidence tables 
and guidelines or consumer educational materials de-
veloped from the review; 
(4) provide links to the source of the full review 
and to any companion documents; 
(5) provide links to the source of a previous 
version or update of the review; 
(6) be searchable by intervention or other topic 
of the review, reported outcomes, author, title, and 
source; and 
(7) offer to users periodic electronic notification 
of database updates relating to users’ topics of inter-
est. 
(d) OUTREACH.—Not later than the first date the 
database is made publicly available and periodically there-
after, the Secretary of Health and Human Services shall 
publicize the availability, features, and uses of the data-
base under this section to the stakeholders described in 
subsection (e). 
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(e) CONSULTATION.—For purposes of developing the 
database under this section and maintaining and updating 
such database, the Secretary of Health and Human Serv-
ices shall convene and consult with an advisory committee 
composed of relevant stakeholders, including— 
(1) Federal Medicaid administrators and State 
agencies administrating State plans under title XIX 
of the Social Security Act pursuant to section 
1902(a)(5) of such Act (42 U.S.C. 1396a(a)(5)); 
(2) providers of maternity and newborn care 
from both academic and community-based settings, 
including obstetrician-gynecologists, family physi-
cians, certified nurse midwives, certified midwives, 
certified professional midwives, physician assistants, 
perinatal nurses, pediatricians, and nurse practi-
tioners; 
(3) maternal-fetal medicine specialists; 
(4) neonatologists; 
(5) childbearing women and advocates for such 
women, including childbirth educators certified by a 
nationally accredited program, representing commu-
nities that are diverse in terms of race, ethnicity, in-
digenous status, and geographic area; 
(6) employers and purchasers; 
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(7) health facility and system leaders, including 
both hospital and birth center facilities; 
(8) journalists; and 
(9) bibliographic informatics specialists. 
(f) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated $2,500,000 for each of the 
fiscal years 2014 through 2016 for the purpose of devel-
oping the database and such sums as may be necessary 
for each subsequent fiscal year for updating the database 
and providing outreach and notification to users, as de-
scribed in this section. 
TITLE II—RESEARCH AND DATA 
COLLECTION ON MATERNITY 
CARE 
SEC. 
201. 
MATERNITY 
CARE 
HEALTH 
PROFESSIONAL 
SHORTAGE AREAS. 
Section 332 of the Public Health Service Act (42 
U.S.C. 254e) is amended by adding at the end the fol-
lowing new subsection: 
‘‘(k)(1) The Secretary, acting through the Adminis-
trator of the Health Resources and Services Administra-
tion, shall designate maternity care health professional 
shortage areas in the States, publish a descriptive list of 
the area’s population groups, medical facilities, and other 
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public facilities so designated, and at least annually review 
and, as necessary, revise such designations. 
‘‘(2) For purposes of paragraph (1), a complete de-
scriptive list shall be published in the Federal Register not 
later than one year after the date of the enactment of the 
MOMS for the 21st Century Act and annually thereafter. 
‘‘(3) The provisions of subsections (b), (c), (e), (f), 
(g), (h), (i), and (j) (other than (j)(1)(B)) of this section 
shall apply to the designation of a maternity care health 
professional shortage area in a similar manner and extent 
as such provisions apply to the designation of health pro-
fessional shortage areas, except in applying subsection 
(b)(3), the reference in such subsection to ‘physicians’ 
shall be deemed to be a reference to nationally certified 
and State licensed obstetricians, family practice physicians 
who practice full-scope maternity care, certified nurse- 
midwives, certified midwives, certified professional mid-
wives, and physician’s assistants who practice full scope 
maternity care. 
‘‘(4) For purposes of this subsection, the term ‘ma-
ternity care health professional shortage area’ means— 
‘‘(A) an area in an urban or rural area (which 
need not conform to the geographic boundaries of a 
political subdivision and which is a rational area for 
the delivery of health services) which the Secretary 
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determines has a shortage of providers of maternity 
care health services including those referenced in 
paragraph (3) or an urban or rural area that the 
Secretary determines has lost a significant number 
of such providers during the 10-year period begin-
ning with 2004 or has no obstetrical providers li-
censed to provide operative obstetrical services; 
‘‘(B) an area in an urban or rural area (which 
need not conform to the geographic boundaries of a 
political subdivision and which is a rational area for 
the delivery of health services) which the Secretary 
determines has a shortage of hospital or labor and 
delivery units, hospital birth center units, or free-
standing birth centers or an area that lost a signifi-
cant number of these units during the 10-year pe-
riod beginning with 2003; or 
‘‘(C) a population group which the Secretary 
determines has such a shortage of providers or fa-
cilities.’’. 
SEC. 202. EXPANSION OF CDC PREVENTION RESEARCH 
CENTERS PROGRAM TO INCLUDE CENTERS 
ON OPTIMAL MATERNITY OUTCOMES. 
(a) IN GENERAL.—Not later than one year after the 
date of the enactment of this Act, the Secretary of Health 
and Human Services, shall support the establishment of 
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