311 
order to obtain input on resources needed for effec-
tive implementation strategies; and 
‘‘(4) provide to the Secretary such information, 
at such time and in such manner, as the Secretary 
may require. 
‘‘(c) DIVERSITY.—In awarding a cooperative agree-
ment under subsection (a), the Secretary shall take into 
account any regional differences among eligible entities 
and make an effort to ensure geographic diversity among 
award recipients. 
‘‘(d) DISSEMINATION OF INFORMATION.— 
‘‘(1) PUBLIC
AVAILABILITY.—The Secretary 
shall make publicly available on the internet website 
of the Department of Health and Human Services 
information submitted to the Secretary under sub-
section (b)(3). 
‘‘(2) EVALUATION.—The Secretary shall evalu-
ate each regional center of excellence established or 
supported pursuant to subsection (a) and dissemi-
nate the findings resulting from each such evalua-
tion to the appropriate public and private entities. 
‘‘(3) DISTRIBUTION.—The Secretary shall share 
evaluations and overall findings with State depart-
ments of health and other relevant State level offices 
to inform State and local best practices. 
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312 
‘‘(e) MATERNAL MORTALITY DEFINED.—In this sec-
tion, the term ‘maternal mortality’ means death of a 
woman that occurs during pregnancy or within the one- 
year period following the end of such pregnancy. 
‘‘(f) AUTHORIZATION
OF
APPROPRIATIONS.—For 
purposes of carrying out this section, there is authorized 
to be appropriated $5,000,000 for each of fiscal years 
2023 through 2027.’’. 
(g) SPECIAL SUPPLEMENTAL NUTRITION PROGRAM 
FOR
WOMEN, 
INFANTS, 
AND
CHILDREN.—Section 
17(d)(3)(A)(ii) of the Child Nutrition Act of 1966 (42 
U.S.C. 1786(d)(3)(A)(ii)) is amended— 
(1) by striking the clause designation and head-
ing and all that follows through ‘‘A State’’ and in-
serting the following: 
‘‘(ii) WOMEN.— 
‘‘(I) BREASTFEEDING WOMEN.— 
A State’’; 
(2) in subclause (I) (as so designated), by strik-
ing ‘‘1 year’’ and all that follows through ‘‘earlier’’ 
and inserting ‘‘2 years postpartum’’; and 
(3) by adding at the end the following: 
‘‘(II) POSTPARTUM
WOMEN.—A 
State may elect to certify a postpar-
tum woman for a period of 2 years.’’. 
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313 
(h) DEFINITIONS.—In this section: 
(1) MATERNAL MORTALITY.—The term ‘‘mater-
nal mortality’’ means death of a woman that occurs 
during pregnancy or within the one-year period fol-
lowing the end of such pregnancy. 
(2) PREGNANCY RELATED DEATH.—The term 
‘‘pregnancy related death’’ includes the death of a 
woman during pregnancy or within one year of the 
end of pregnancy from a pregnancy complication, a 
chain of events initiated by pregnancy, or the aggra-
vation of an unrelated condition by the physiologic 
effects of pregnancy. 
(3) SEVERE MATERNAL MORBIDITY.—The term 
‘‘severe maternal morbidity’’ includes unexpected 
outcomes of labor and delivery that result in signifi-
cant short-term or long-term consequences to a 
woman’s health. 
SEC. 7002. INCREASING EXCISE TAXES ON CIGARETTES 
AND 
ESTABLISHING 
EXCISE 
TAX 
EQUITY 
AMONG ALL TOBACCO PRODUCT TAX RATES. 
(a) TAX PARITY FOR ROLL-YOUR-OWN TOBACCO.— 
Section 5701(g) of the Internal Revenue Code of 1986 is 
amended by striking ‘‘$24.78’’ and inserting ‘‘$49.56’’. 
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(b) TAX
PARITY
FOR
PIPE
TOBACCO.—Section 
5701(f) of the Internal Revenue Code of 1986 is amended 
by striking ‘‘$2.8311 cents’’ and inserting ‘‘$49.56’’. 
(c) TAX PARITY FOR SMOKELESS TOBACCO.— 
(1) Section 5701(e) of the Internal Revenue 
Code of 1986 is amended— 
(A) in paragraph (1), by striking ‘‘$1.51’’ 
and inserting ‘‘$26.84’’; 
(B) in paragraph (2), by striking ‘‘50.33 
cents’’ and inserting ‘‘$10.74’’; and 
(C) by adding at the end the following: 
‘‘(3) SMOKELESS TOBACCO SOLD IN DISCRETE 
SINGLE-USE
UNITS.—On discrete single-use units, 
$100.66 per thousand.’’. 
(2) Section 5702(m) of such Code is amend-
ed— 
(A) in paragraph (1), by striking ‘‘or chew-
ing tobacco’’ and inserting ‘‘, chewing tobacco, 
or discrete single-use unit’’; 
(B) in paragraphs (2) and (3), by inserting 
‘‘that is not a discrete single-use unit’’ before 
the period in each such paragraph; and 
(C) by adding at the end the following: 
‘‘(4) DISCRETE SINGLE-USE UNIT.—The term 
‘discrete single-use unit’ means any product con-
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taining, made from, or derived from tobacco or nico-
tine that— 
‘‘(A) is not intended to be smoked; and 
‘‘(B) is in the form of a lozenge, tablet, 
pill, pouch, dissolvable strip, or other discrete 
single-use or single-dose unit.’’. 
(d) TAX PARITY FOR SMALL CIGARS.—Paragraph 
(1) of section 5701(a) of the Internal Revenue Code of 
1986 is amended by striking ‘‘$50.33’’ and inserting 
‘‘$100.66’’. 
(e) TAX PARITY FOR LARGE CIGARS.— 
(1) IN
GENERAL.—Paragraph (2) of section 
5701(a) of the Internal Revenue Code of 1986 is 
amended by striking ‘‘52.75 percent’’ and all that 
follows through the period and inserting the fol-
lowing: ‘‘$49.56 per pound and a proportionate tax 
at the like rate on all fractional parts of a pound but 
not less than 10.066 cents per cigar.’’. 
(2) GUIDANCE.—The Secretary of the Treas-
ury, or the Secretary’s delegate, may issue guidance 
regarding the appropriate method for determining 
the weight of large cigars for purposes of calculating 
the applicable tax under section 5701(a)(2) of the 
Internal Revenue Code of 1986. 
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