IB 
Union Calendar No. 196 
118TH CONGRESS 
1ST SESSION H. R. 3838 
[Report No. 118–246] 
To amend title III of the Public Health Service Act to reauthorize Federal 
support of States in their work to save and sustain the health of mothers 
during pregnancy, childbirth, and the postpartum period, to eliminate 
disparities in maternal health outcomes for pregnancy-related and preg-
nancy-associated deaths, to identify solutions to improve health care 
quality and health outcomes for mothers, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 6, 2023 
Mr. BURGESS (for himself, Ms. DEGETTE, Mr. CARTER of Georgia, Ms. 
KELLY of Illinois, Mrs. CAMMACK, and Ms. CASTOR of Florida) intro-
duced the following bill; which was referred to the Committee on Energy 
and Commerce 
OCTOBER 25, 2023 
Additional sponsors: Ms. WILD, Ms. GRANGER, Ms. ROSS, Ms. PETTERSEN, 
Mr. GOTTHEIMER, Mr. COHEN, Mr. LAWLER, Mr. NADLER, Mrs. 
HOUCHIN, Mr. JACKSON of Illinois, Mr. PETERS, Mr. TRONE, Mr. CROW, 
Ms. KUSTER, Mr. SOTO, Mr. ALLRED, Ms. CARAVEO, Ms. CROCKETT, 
and Ms. CLARKE of New York 
OCTOBER 25, 2023 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on June 6, 2023] 
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A BILL 
To amend title III of the Public Health Service Act to 
reauthorize Federal support of States in their work to 
save and sustain the health of mothers during pregnancy, 
childbirth, and the postpartum period, to eliminate dis-
parities in maternal health outcomes for pregnancy-re-
lated and pregnancy-associated deaths, to identify solu-
tions to improve health care quality and health outcomes 
for mothers, and for other purposes. 
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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 ‘‘Preventing Maternal 
Deaths Reauthorization Act of 2023’’. 
SEC. 2. SAFE MOTHERHOOD. 
(a) MATERNAL MORTALITY REVIEW COMMITTEES.— 
Section 317K(d) of the Public Health Service Act (42 
U.S.C. 247b–12(d)) is amended— 
(1) in paragraph (1)(A), by inserting ‘‘(includ-
ing obstetricians and gynecologists)’’ after ‘‘clinical 
specialties’’; and 
(2) in paragraph (3)(A)(i)— 
(A) in subclause (I), by striking ‘‘as appli-
cable’’ and inserting ‘‘if available’’; and 
(B) in subclause (III), by striking ‘‘, as ap-
propriate’’ and inserting ‘‘and coordinating with 
death certifiers to improve the collection of death 
record reports and the quality of death records, 
including by amending cause-of-death informa-
tion on a death certificate, as appropriate’’. 
(b) BEST PRACTICES RELATING TO THE PREVENTION 
OF MATERNAL MORTALITY.—Section 317K of the Public 
Health Service Act (42 U.S.C. 247b–12) is amended— 
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(1) by redesignating subsections (e) and (f) as 
subsections (f) and (g), respectively; and 
(2) by inserting after subsection (d) the fol-
lowing: 
‘‘(e) BEST PRACTICES RELATING TO THE PREVENTION 
OF MATERNAL MORTALITY.— 
‘‘(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Director of the Centers for Disease Con-
trol and Prevention, shall, in consultation with the 
Administrator of the Health Resources and Services 
Administration, disseminate to hospitals, State pro-
fessional society groups, and perinatal quality 
collaboratives, best practices on how to prevent mater-
nal mortality and morbidity that consider and reflect 
best practices identified through other relevant Fed-
eral maternal health programs. 
‘‘(2) 
FREQUENCY.—The 
Secretary, 
acting 
through the Director of the Centers for Disease Con-
trol and Prevention, shall disseminate the best prac-
tices referred to in paragraph (1) not less than once 
per fiscal year.’’. 
(c) EXTENSION.—Subsection (g) of section 317K of the 
Public Health Service Act (42 U.S.C. 247b–12), as redesig-
nated by subsection (b), is amended by striking 
‘‘$58,000,000 for each of fiscal years 2019 through 2023’’ 
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and inserting ‘‘$108,000,000 for each of fiscal years 2024 
through 2028’’. 
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