‘‘(A) eligible entities that, in addition to 
the activities proposed to be funded through the 
grant, will provide families with assistance in 
attaining a long-term child care option; 
‘‘(B) eligible entities proposing to serve an 
area with high rates of maternal mortality and 
poverty; and 
‘‘(C) eligible entities proposing to serve a 
maternity care health professional target area 
identified under section 332(k) of the Public 
Health Service Act; and 
‘‘(2) award at least 1 grant to an Indian Tribe, 
a Tribal organization, or an Urban Indian organiza-
tion. 
‘‘(d) NUMBER.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
the Secretary shall award at least 10 grants under 
this section. 
‘‘(2) EXCEPTION
FOR
INSUFFICIENT
APPRO-
PRIATIONS.—The Secretary may award fewer than 
10 grants if the Secretary determines that the 
amounts made available to carry out this section are 
less than the total amounts authorized to be appro-
priated by subsection (i). 
‘‘(e) DEMONSTRATION PROJECT REQUIREMENTS.— 
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‘‘(1) USE OF FUNDS.—A grant awarded under 
this section may be used— 
‘‘(A) to conduct a demonstration project 
described in subsection (a); 
‘‘(B) to assess community needs in prepa-
ration for such demonstration project; and 
‘‘(C) to fund outreach related to such dem-
onstration project. 
‘‘(2) 
DURATION.—A 
demonstration 
project 
under this section shall be for a period of not less 
than 3 years. 
‘‘(3) REPORTS BY GRANTEES.— 
‘‘(A) INTERIM
AND
FINAL
REPORTS.—A 
grantee under this section shall agree to submit 
to the Secretary— 
‘‘(i) interim reports on the demonstra-
tion project funded through the grant; and 
‘‘(ii) a final report on such dem-
onstration project. 
‘‘(B) CONTENTS.—The interim and final 
reports of a grantee under subparagraph (A) 
shall include assessments of the effectiveness of 
the grantee’s demonstration project with re-
spect to— 
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‘‘(i) maternal and child health out-
comes; 
‘‘(ii) child care quality; and 
‘‘(iii) such other metrics as may be 
determined by the Secretary. 
‘‘(4) PRIORITY FOR PROVIDING SERVICES.—In 
providing services through a demonstration project 
under this section, a grantee shall give priority to 
vulnerable populations, such as— 
‘‘(A) low-income families; 
‘‘(B) families experiencing homelessness; 
‘‘(C) single-parent households; 
‘‘(D) families who have children with dis-
abilities or special health care needs; and 
‘‘(E) other vulnerable populations as may 
be determined by the Secretary. 
‘‘(5) SUBGRANTS AND CONTRACTS.— 
‘‘(A) IN GENERAL.—A grantee under this 
section may coordinate with entities described 
in subparagraph (B) in carrying out a dem-
onstration project under this section, including 
by awarding subgrants to, or entering into con-
tracts with, such entities. 
‘‘(B) ENTITIES.—The entities described in 
this subparagraph are the following: 
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‘‘(i) State or local child care resource 
and referral agencies. 
‘‘(ii) Prenatal, perinatal, pediatric, 
family medicine, and other relevant health 
care providers. 
‘‘(iii) Doula support services. 
‘‘(6) STATE AND LOCAL REQUIREMENTS.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), services provided through a dem-
onstration project under this section shall meet 
the applicable requirements of State and local 
law in the jurisdiction in which such services 
are provided, including any applicable licensure 
and quality of care requirements. 
‘‘(B) EXCEPTION.—Child care may be pro-
vided through a demonstration project under 
this section to children younger than the min-
imum age allowed under applicable State or 
local licensing requirements, so long as the 
grantee providing such child care (either di-
rectly or through a subgrant or contract under 
paragraph (5)) coordinates with the applicable 
jurisdiction to ensure appropriate quality of 
care standards. 
‘‘(f) EVALUATION.—The Secretary shall— 
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‘‘(1) evaluate the demonstration projects funded 
under this section; and 
‘‘(2) as part of such evaluation— 
‘‘(A) identify successful activities for im-
proving maternal health outcomes and health 
outcomes for the birthed child and any other 
children in the family; and 
‘‘(B) formulate recommendations for reau-
thorizing the program under this section. 
‘‘(g) REPORTS TO CONGRESS.—The Secretary shall 
submit reports to the Congress on the program under this 
section, including— 
‘‘(1) interim reports; and 
‘‘(2) based on the evaluation under subsection 
(f), a final report. 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) IHCIA TERMS.—The terms ‘Indian Tribe’, 
‘Tribal organization’, and ‘Urban Indian organiza-
tion’ have the meanings given the terms ‘Indian 
tribe’, ‘tribal organization’, and ‘Urban Indian orga-
nization’, respectively, in section 4 of the Indian 
Health Care Improvement Act. 
‘‘(2) 
POSTPARTUM
PERIOD.—The 
term 
‘postpartum period’ means the first year after an in-
dividual has given birth. 
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‘‘(3) SHORT-TERM
CHILD
CARE.—The term 
‘short-term child care’— 
‘‘(A) means child care provided during 
pregnancy, childbirth, or the postpartum pe-
riod— 
‘‘(i) for a limited duration; and 
‘‘(ii) for the birthed child or any other 
child in the family; and 
‘‘(B) includes respite child care. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
there is authorized to be appropriated to carry out 
this section $5,000,000 for each of fiscal years 2024 
through 2026. 
‘‘(2) EVALUATION.—Of the funds appropriated 
to carry out this section under paragraph (1), not 
more than 5 percent may be used to fund the eval-
uation under subsection (f).’’. 
Æ 
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