I 
114TH CONGRESS 
1ST SESSION H. R. 3652 
To expand programs with respect to women’s health. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 30, 2015 
Ms. BONAMICI (for herself, Ms. LEE, and Ms. DEGETTE) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To expand programs with respect to women’s health. 
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 ‘‘21st Century Women’s 
Health Act of 2015’’. 
SEC. 2. PURPOSE. 
It is the purpose of this Act to provide women with 
affordable access to comprehensive health care, including 
preventive services (such as contraception and breast can-
cer screenings), to improve maternal health, and to ensure 
that a woman has the same benefits and services no mat-
ter what part of the United States she lives in, all which 
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is critical to improving the health and well-being of 
women, children, their families, society as a whole, and 
is an essential part of a woman’s economic security and 
opportunity. 
SEC. 3. STRENGTHENING FAMILY PLANNING. 
(a) IN GENERAL.—Title X of the Public Health Serv-
ice Act (42 U.S.C. 300 et seq.) is amended by inserting 
after section 1003 the following: 
‘‘SEC. 1003A. GRANTS FOR FACILITIES IMPROVEMENTS. 
‘‘(a) IN GENERAL.—The Secretary is authorized to 
make grants to and enter into contracts with public or 
nonprofit private entities to plan, develop, or make im-
provements to facilities carrying out family planning serv-
ice projects, and expand preventive health services, under 
section 1001. 
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
$50,000,000 for each of fiscal years 2016 through 2019.’’. 
(b) FUNDING.—There is authorized to be appro-
priated to carry out programs under title X of the Public 
Health Service Act (42 U.S.C. 300 et seq.), $327,000,000 
for each of fiscal years 2016 through 2019. 
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SEC. 4. ENSURING PARITY IN WOMEN’S HEALTH COVERAGE 
UNDER MEDICAID. 
(a) STATE PLAN REQUIREMENT.—Section 1902(a) 
of the Social Security Act (42 U.S.C. 1396a(a)) is amend-
ed by inserting after paragraph (77) the following: 
‘‘(78) provide that the State shall, at a min-
imum and in addition to any other preventive care 
and screenings required under this title, provide 
medical assistance for preventive care and screenings 
required under section 2713(a) of the Public Health 
Service Act, including evidence-based items or serv-
ices required under section 2713(a)(1) of such Act, 
evidence-informed preventive care and screenings re-
quired under section 2713(a)(3) of such Act, and 
additional preventive care and screenings required 
for women under section 2713(a)(4) of such Act and 
as provided for in comprehensive guidelines sup-
ported by the Health Resources and Services Admin-
istration, and shall not impose any copayment, coin-
surance, deductible, cost-sharing, or similar charge 
for such preventive care and screenings;’’. 
(b) APPLICATION
TO
MANAGED
CARE.—Section 
1932(b) of such Act (42 U.S.C. 1396u–2(b)) is amended 
by adding at the end the following: 
‘‘(9) PARITY
IN
WOMEN’S
HEALTH
COV-
ERAGE.—Each medicaid managed care organization 
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shall at a minimum and in addition to any other 
preventive care and screenings required under a con-
tract with the State under section 1903(m), provide 
medical assistance for preventive care and screenings 
required under section 2713(a) of the Public Health 
Service Act, including evidence-based items or serv-
ices required under section 2713(a)(1) of such Act, 
evidence-informed preventive care and screenings re-
quired under section 2713(a)(3) of such Act, and 
additional preventive care and screenings required 
for women under section 2713(a)(4) of such Act and 
as provided for in comprehensive guidelines sup-
ported by the Health Resources and Services Admin-
istration, and shall not impose any copayment, coin-
surance, deductible, cost-sharing, or similar charge 
for such preventive care and screenings.’’. 
(c) 
APPLICATION
TO
BENCHMARK
BENEFIT 
PLANS.—Section 1937(b)(5) of such Act (42 U.S.C. 
1396u–7(b)(5)) is amended by inserting ‘‘and, effective 
January 1, 2016, must provide, at a minimum and in ad-
dition to any other preventive care and screenings required 
under this section, preventive care and screenings, re-
quired under section 2713(a) of the Public Health Service 
Act, including evidence-based items or services required 
under section 2713(a)(1) of such Act, evidence-informed 
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preventive care and screenings required under section 
2713(a)(3) of such Act, and additional preventive care and 
screenings required for women under section 2713(a)(4) 
of such Act and as provided for in comprehensive guide-
lines supported by the Health Resources and Services Ad-
ministration, and shall not impose any copayment, coin-
surance, deductible, cost-sharing or similar charge for 
such preventive care and screenings’’ before the period. 
(d) PARITY IN COVERAGE OF ALL FDA-APPROVED 
FORMS OF CONTRACEPTION.—Section 1905(a)(4)(C) of 
such Act (42 U.S.C. 1396d(a)(4)(C)) is amended by in-
serting ‘‘, including family planning services and supplies 
that are required under section 2713(a) of the Public 
Health Service Act and as provided for in comprehensive 
guidelines supported by the Health Resources and Serv-
ices Administration for purposes of section 2713(a)(4) of 
such Act,’’ before ‘‘furnished’’. 
(e) CONFORMING AMENDMENTS PROHIBITING COST- 
SHARING.— 
(1) IN GENERAL.—Subsections (a)(2)(D) and 
(b)(2)(D) of section 1916 of such Act (42 U.S.C. 
1396o) are each amended by inserting ‘‘and items 
and services required under section 1902(a)(78),’’ 
before ‘‘or’’. 
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(2) 
ALTERNATIVE
AUTHORITY.—Section 
1916A(b)(3)(B) of such Act (42 U.S.C. 1396o– 
1(b)(3)(B)) is amended by adding at the end the fol-
lowing: 
‘‘(xi) Items and services required 
under section 1902(a)(78).’’. 
(f) APPLICATION TO WAIVERS.— 
(1) LIMITATION OF WAIVER AUTHORITY.—Not-
withstanding section 1115(a) of the Social Security 
Act (42 U.S.C. 1315(a)), subject to paragraph (2), 
the Secretary of Health and Human Services may 
not grant a waiver under section 1115 of the Social 
Security Act (42 U.S.C. 1315) or otherwise of the 
requirements imposed under the amendments made 
by this section. 
(2) EXCEPTION FOR CURRENT WAIVERS.—The 
amendments made by this section shall not apply to 
any waiver granted to a State under section 1115 of 
the Social Security Act (42 U.S.C. 1315) or other-
wise which relates to the provision of medical assist-
ance under a State plan under title XIX of such Act 
(42 U.S.C. 1396 et seq.) that is in effect as of the 
date of enactment of this Act before the expiration 
(determined without regard to any extensions) of the 
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waiver to the extent such amendments are incon-
sistent with the waiver. 
(g) EFFECTIVE DATE.— 
(1) IN GENERAL.—Except as provided in para-
graphs (2) and (3), the amendments made by this 
section shall be effective with respect to items or 
services furnished on or after the date of enactment 
of this Act. 
(2) BENCHMARK AND MANAGED CARE PLANS.— 
The amendments made by subsections (b) and (c) 
shall apply to plan years beginning on or after Janu-
ary 1, 2016. 
(3) TRANSITION RULE.—In the case of a State 
plan under title XIX or XXI of the Social Security 
Act, which the Secretary of Health and Human 
Services determines requires State legislation in 
order for the respective plan to meet any require-
ment imposed by amendments made by this section, 
the respective plan shall not be regarded as failing 
to comply with the requirements of such title solely 
on the basis of its failure to meet such an additional 
requirement before the first day of the first calendar 
quarter beginning after the close of the first regular 
session of the State legislature that begins after the 
date of enactment of this section. For purposes of 
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the previous sentence, in the case of a State that has 
a 2-year legislative session, each year of the session 
shall be considered to be a separate regular session 
of the State legislature. 
SEC. 5. ACCESS TO WOMEN’S HEALTH CARE PROVIDERS. 
Part B of title VIII of the Public Health Service Act 
(42 U.S.C. 296j et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 812. DEMONSTRATION GRANTS FOR NURSE PRACTI-
TIONER TRAINING PROGRAM. 
‘‘(a) ESTABLISHMENT OF PROGRAM.—The Secretary 
shall establish a demonstration program (referred to in 
this section as the ‘program’) to award grants to eligible 
entities for the training of nurse practitioners specializing 
in women’s health care for careers as providers in health 
centers that receive assistance under title X (referred to 
in this section as ‘health centers’). 
‘‘(b) PURPOSE.—The purpose of the program is to 
enable each grant recipient to— 
‘‘(1) provide new nurse practitioners with clin-
ical training to enable such practitioners to serve as 
providers in health centers; 
‘‘(2) train new nurse practitioners to work 
under a model of care that is consistent with the 
principles set forth by the Report Providing Quality 
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Family Planning Services of the Centers for Disease 
Control and Prevention; and 
‘‘(3) establish a model of training for nurse 
practitioners that specialize in women’s health care 
that may be replicated nationwide. 
‘‘(c) GRANTS.—Under the program, the Secretary 
shall award 3-year grants to eligible entities that meet the 
requirements established by the Secretary, for the purpose 
of operating the nurse practitioner programs described in 
subsection (a) at such entities. 
‘‘(d) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under this section, an entity shall— 
‘‘(1) be a health center that receives funding 
under section 1001; and 
‘‘(2) submit to the Secretary an application at 
such time, in such manner, and containing such in-
formation as the Secretary may require. 
‘‘(e) ELIGIBILITY OF NURSE PRACTITIONERS.— 
‘‘(1) IN GENERAL.—To be eligible for accept-
ance into a training program carried out by an eligi-
ble entity under a grant under this section, an indi-
vidual shall— 
‘‘(A) be licensed, or eligible for licensure, 
in the State in which the program is being car-
ried out as an advanced practice registered 
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nurse or advanced practice nurse and be eligible 
or board-certified as a nurse practitioner; and 
‘‘(B) demonstrate commitment to a career 
as a provider in a health center. 
‘‘(2) PREFERENCE.—In accepting individuals 
into a training program under this section, a grant 
recipient shall give preference to bilingual applicants 
that meet the requirements described in paragraph 
(1). 
‘‘(f) GRANT AMOUNT.—Each grant awarded under 
this section shall be in an amount not to exceed $600,000 
per year. A grant recipient may carry over funds from 1 
fiscal year to another without obtaining approval from the 
Secretary. 
‘‘(g) TECHNICAL ASSISTANCE GRANTS.—The Sec-
retary may award technical assistance grants to 1 or more 
health centers that have demonstrated expertise in estab-
lishing a nurse practitioner residency training program. 
Such technical assistance grants shall be for the purpose 
of providing technical assistance to other recipients of 
grants under subsection (c). 
‘‘(h) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $10,000,000 for each of fiscal years 2016 through 
2019.’’. 
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SEC. 6. COMPASSIONATE ASSISTANCE AND AWARENESS 
FOR SURVIVORS OF RAPE. 
(a) DEFINITIONS.—In this section: 
(1) EMERGENCY
CONTRACEPTION.—The term 
‘‘emergency contraception’’ means a drug or device 
(as such terms are defined in section 201 of the 
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 
321)), or drug regimen that— 
(A) is used postcoitally; 
(B) prevents pregnancy primarily by pre-
venting or delaying ovulation, and does not ter-
minate an established pregnancy; and 
(C) is approved by the Food and Drug Ad-
ministration. 
(2) HEALTH
CARE
PROVIDER.—The term 
‘‘health care provider’’ means an individual who is li-
censed or certified under State law to provide health 
care services and who is operating within the scope 
of such license. Such term shall include a phar-
macist. 
(3) HOSPITAL.—The term ‘‘hospital’’ means— 
(A) a hospital as defined in section 
1861(e) of the Social Security Act (42 U.S.C. 
1395x(e)); 
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(B) a critical access hospital as defined in 
section 1861(mm)(1) of such Act (42 U.S.C. 
1395x(mm)(1)); and 
(C) a health clinic located on the campus 
of an institution of higher education. 
(4) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
meaning given such term in section 101(a) of the 
Higher Education Act of 1965 (20 U.S.C. 1001(a)). 
(5) NONPROFITS.—The term ‘‘nonprofits (other 
than institutions of higher education)’’ means a 
community-based organization, other than an insti-
tution of higher education, with experience in pro-
viding evidence-based effective programs, strategies, 
and policies to prevent sexual violence, intimate 
partner violence, and other forms of violence on the 
campus of institutions of higher education. 
(6) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(7) SEXUAL ASSAULT.— 
(A) IN GENERAL.—The term ‘‘sexual as-
sault’’ means a sexual act (as defined in sub-
paragraphs (A) through (C) of section 2246(2) 
of title 18, United States Code) where the vic-
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tim involved does not consent or lacks the ca-
pacity to consent. 
(B) APPLICATION
OF
PROVISIONS.—The 
definition in subparagraph (A) shall apply to all 
individuals. 
(b) SURVIVORS OF SEXUAL ASSAULT; PROVISION BY 
HOSPITALS OF EMERGENCY CONTRACEPTION WITHOUT 
CHARGE.— 
(1) IN GENERAL.—Federal funds may not be 
provided to a hospital unless such hospital complies 
with the conditions specified in paragraph (2) in the 
case of— 
(A) any woman who arrives at the hospital 
and states that she is a victim of sexual assault, 
or is accompanied by someone who states she is 
a victim of sexual assault; and 
(B) any woman who arrives at the hospital 
whom hospital personnel have reason to believe 
is a victim of sexual assault. 
(2) ASSISTANCE FOR VICTIMS.—The conditions 
specified in this subsection regarding a hospital and 
a woman described in paragraph (1) are as follows: 
(A) The hospital promptly provides the 
woman with medically and factually accurate 
and unbiased written and oral information 
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about emergency contraception, including infor-
mation explaining that— 
(i) some forms of emergency contra-
ception have been approved by the Food 
and Drug Administration as over-the- 
counter medications for all women without 
age restrictions and such contraception is 
a safe and effective way to prevent preg-
nancy after unprotected intercourse or con-
traceptive failure if taken in a timely man-
ner; 
(ii) emergency contraception is more 
effective the sooner it is taken; and 
(iii) emergency contraception does not 
cause an abortion and cannot interrupt an 
established pregnancy. 
(B) The hospital promptly offers emer-
gency contraception to the woman, and prompt-
ly provides such contraception to her at the 
hospital on her request. 
(C) The information provided pursuant to 
subparagraph (A) is in clear and concise lan-
guage, is readily comprehensible, and meets 
such conditions regarding the provision of the 
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information in languages other than English as 
the Secretary may establish. 
(D) The services described in subpara-
graphs (A) through (C) are not denied because 
of the inability of the woman or her family to 
pay for the services. 
(3) EFFECTIVE DATE; AGENCY CRITERIA.—This 
subsection shall take effect upon the expiration of 
the 180-day period beginning on the date of the en-
actment of this Act. Not later than 30 days prior to 
the expiration of such period, the Secretary shall 
publish in the Federal Register criteria for carrying 
out this section. 
(c) SURVIVORS OF CAMPUS SEXUAL ASSAULT; PRO-
VISION
BY
COMMUNITY-BASED
ORGANIZATIONS
AND 
NONPROFITS (OTHER THAN INSTITUTIONS OF HIGHER 
EDUCATION) OF EMERGENCY CONTRACEPTION AND SEX-
UAL
ASSAULT
PREVENTION
PROGRAMS.—Nonprofits 
(other than institutions of higher education) shall provide 
for campus programs focused on effective prevention strat-
egies that include— 
(1) the implementation of a comprehensive pre-
vention strategy based on evidence-based research 
that identifies strategies to prevent sexually violent 
behavior; 
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(2) the use of risk and protective factors 
through the provision of training to students on sex-
ual violence and prevention and the provision of 
campus outreach on preventing sexual violence and 
information about emergency contraception; and 
(3) the coordination of activities with campus- 
based health facilities to ensure prompt access to 
medically and factually accurate and unbiased writ-
ten and oral information about emergency contra-
ception and assistance as determined under sub-
section (b)(2). 
(d) EMERGENCY CONTRACEPTION EDUCATION AND 
INFORMATION PROGRAMS.— 
(1) EMERGENCY CONTRACEPTION PUBLIC EDU-
CATION PROGRAM.— 
(A) IN GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall develop and dis-
seminate to the public information on emer-
gency contraception. 
(B) DISSEMINATION.—The Secretary may 
disseminate information on emergency contra-
ception under subparagraph (A) directly or 
through arrangements with health agencies, 
professional and nonprofit organizations, con-
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sumer groups, institutions of higher education, 
clinics, the media, and Federal, State, and local 
agencies. 
(C) INFORMATION.—The information on 
emergency contraception disseminated under 
subparagraph (A) shall include, at a minimum, 
the most current evidence-based and evidence- 
informed standards of care with respect to 
emergency contraception and an explanation of 
the proper, use, safety, efficacy, and availability 
of such contraception, and the availability of 
counseling with respect to such contraception. 
(2) EMERGENCY
CONTRACEPTION
INFORMA-
TION PROGRAM FOR HEALTH CARE PROVIDERS.— 
(A) IN GENERAL.—The Secretary, acting 
through the Administrator of the Health Re-
sources and Services Administration and in con-
sultation with major medical and public health 
organizations, shall develop and disseminate to 
health care providers information on emergency 
contraception. 
(B) INFORMATION.—The information dis-
seminated under subparagraph (A) shall in-
clude, at a minimum— 
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(i) information describing the most 
current evidence-based and evidence-in-
formed standards of care, proper use, safe-
ty, efficacy, and availability of emergency 
contraception, and the availability of coun-
seling with respect to such contraception; 
(ii) recommendations regarding the 
use of such contraception in appropriate 
cases; 
(iii) recommendations for health care 
providers working in emergency rooms to 
consult with survivors of sexual assault, 
once such survivors are clinically stable, re-
garding options for emergency contracep-
tion and to provide any necessary follow-up 
care and referral services; and 
(iv) information explaining how to ob-
tain copies of the information developed 
under paragraph (1) for distribution to the 
patients of the providers. 
(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to carry out 
this section, such sums as may be necessary for each 
of the fiscal years 2016 through 2020. 
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(4) STUDY.—The Agency for Healthcare Re-
search and Quality shall conduct a study of access 
of survivors of sexual assault to emergency contra-
ception in each State and nationally, to make access 
and care safer, of higher quality, and more acces-
sible, equitable, and affordable. 
SEC. 7. IMPROVED CUSTOMER SERVICE AND PROTECTIONS 
FOR WOMEN. 
Title III of the Public Health Service Act (42 U.S.C. 
241 et seq.) is amended by adding at the end the fol-
lowing: 
‘‘PART W—WOMEN’S HEALTH 
‘‘SEC. 399OO. OFFICE OF THE OMBUDSPERSON ON WOM-
EN’S HEALTH. 
‘‘(a) ESTABLISHMENT.—There is established within 
the Office of Secretary of the Department of Health and 
Human Services an Office of the Ombudsperson on Wom-
en’s Health (in this section referred to as the ‘Office’). 
The Office shall be headed by an Ombudsperson who is 
appointed by the Secretary and reports directly to the Sec-
retary. 
‘‘(b) 
DEADLINE
FOR
DESIGNATION
OF 
OMBUDSPERSON.—Not later than 180 days after the date 
of the enactment of this Act, the Secretary shall designate 
an individual to serve as the Ombudsperson of the Office 
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on Women’s Health (referred to in this part as the 
‘Ombudsperson’). 
‘‘(c) DUTIES OF OFFICE.— 
‘‘(1) IN GENERAL.—The Ombudsperson, in co-
ordination (as defined in paragraph (4)) with major 
medical, public health, and legal organizations, agen-
cies within the Department of Health and Human 
Services, the Department of Labor, and consumer 
organizations shall develop recommendations to iden-
tify and better assist women in accessing health and 
human services. 
‘‘(2) ADDITIONAL DUTIES.—The Office shall— 
‘‘(A) serve as the coordinator for the De-
partment of Health and Human Services for 
complaints and issues with respect to the provi-
sion of health services to women that involve 
any administrative body within the Department 
of Health and Human Services, including the 
Office on Women’s Health, the Office of Popu-
lation Affairs, the Centers for Disease Control 
and Prevention, the National Institutes of 
Health, the Food and Drug Administration, the 
Office of Adolescent Health, the Health Re-
sources and Services Administration, the Office 
of Civil Rights, and the Center for Consumer 
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Information and Insurance Oversight, and shall 
consult with the Department of Labor regard-
ing such complaints and issues, in order to 
refer women to the appropriate agency for her 
complaint and issue; 
‘‘(B) collect data and information about 
the complaints concerning health services for 
women that are received across the Department 
by the Ombudsperson and other agencies; 
‘‘(C) help to coordinate assistance for 
women among the various administrative bodies 
of the Department of Health and Human Serv-
ices; 
‘‘(D) maintain and publicize a toll-free 
telephone number for women seeking assistance 
regarding issues related to a health service, and 
to report complaints; 
‘‘(E) provide assistance within the Depart-
ment of Health and Human Services, and in 
consultation with the Secretary of Labor, when 
there are barriers to getting information about 
a complaint, or accessing services or benefits; 
‘‘(F) issue reports on how women’s health 
care issues are addressed and handled within 
the Department of Health and Human Services 
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and track what agencies are being responsive to 
complaints in order to improve customer service 
and improve women’s access to health services; 
‘‘(G) work with other administrative bodies 
of the Department of Health and Human Serv-
ices to address issues identified through fact- 
finding and inquiries; 
‘‘(H) work with external stakeholders, such 
as pharmacies, providers, community-based or-
ganizations, clinics, and hospitals, to ensure 
that there is information regarding the cost- 
sharing and preventive services, including ac-
cess to all Food and Drug Administration ap-
proved forms of contraception made available 
under the Patient Protection and Affordable 
Care Act (Public Law 111–148); and 
‘‘(I) submit an annual report to Congress 
in accordance with subsection (e). 
‘‘(3) 
RESPONSIBILITIES
OF
THE 
OMBUDSPERSON.—In carrying out the duties of the 
Office, the Ombudsperson shall— 
‘‘(A) evaluate each complaint received by 
the Office objectively; 
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‘‘(B) maintain confidentiality of any mat-
ter related to complaints, including the identi-
ties of the complainants and witnesses; and 
‘‘(C) ensure that any action taken by the 
Ombudsperson, and other offices of the Depart-
ment of Health and Human Services, with re-
spect to such a matter does not negatively af-
fect the ability of any woman to receive health 
care or benefits under a law administered by 
the Secretary. 
‘‘(4) COORDINATION.—To better identify and 
address issues related to health care for women, the 
Ombudsperson shall coordinate efforts with respect 
to such issues among— 
‘‘(A) all entities within the Department of 
Health and Human Services; 
‘‘(B) the Department of Labor; and 
‘‘(C) any other Federal agency with juris-
diction over matters related to access to health 
care services for women. 
‘‘(5) PUBLIC
MEETINGS.—The Ombudsperson 
shall convene a public meeting quarterly to ensure 
communication and coordination of services for 
women. 
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‘‘(d) CONSULTATION.—In carrying out the duties of 
the Office, the Ombudsperson, as appropriate, shall con-
sult with State offices of health insurance consumer assist-
ance and health insurance ombudsman programs for 
which a State has received a grant under section 2793. 
‘‘(e) ANNUAL REPORTS.— 
‘‘(1) IN GENERAL.—Not later than September 
30 of each year, the Office shall submit a report to 
Congress on the actions taken by the Office over the 
preceding year and the objectives of those actions. 
Such report shall be provided by the Ombudsperson 
directly to Congress without any prior comment or 
amendment by the Secretary. 
‘‘(2) CONTENTS.—Each report submitted under 
paragraph (1) shall include, with respect to the pre-
ceding year— 
‘‘(A) statistical information, by region, on 
the volume of complaints received by the Office, 
the general nature of complaints, general infor-
mation on complainants, and the percentage of 
complaints that resulted in a fact-finding in-
quiry; 
‘‘(B) a summary of problems encountered 
by complainants, including information on the 
most pervasive or serious types of problems en-
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countered by complainants, including an enu-
meration of actions that the Office has taken in 
response to such problems; 
‘‘(C) policy recommendations that the Of-
fice made to the Department of Health and 
Human Services and the Department of Labor 
to remedy continual problems or address areas 
of concerns that are reported to the Office to 
better inform policymaking, including an enu-
meration of actions that the Office has taken in 
response to such problems or concerns; and 
‘‘(D) such other information as the Office 
considers relevant. 
‘‘(3) REPORT
FROM
THE
SECRETARY.—The 
Ombudsperson shall seek comment from the Sec-
retary on the report prepared for submission under 
paragraph (1), and the Ombudsperson shall submit 
to Congress the comments of the Secretary together 
with the annual report under paragraph (1). 
‘‘(4) OTHER REPORTS.—Nothing in this sub-
section shall be construed to preclude the Office 
from issuing additional reports on the activities of 
the Office. 
‘‘(f) NETWORK ADEQUACY STUDY.— 
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‘‘(1) STUDY.—The Ombudsperson shall conduct 
a study on the network adequacy for women’s health 
services. Such study shall include— 
‘‘(A) an analysis of the number of in-net-
work providers for women’s health services 
across the United States, including State-by- 
State information on waiting times and distance 
traveled; 
‘‘(B) an analysis of the availability of wom-
en’s health services, including contraception 
counseling and reproductive health services; 
‘‘(C) the identification of geographic areas 
in which there may be a shortage of providers, 
clinics, and hospitals that are able to provide 
women with the full reproductive services; 
‘‘(D) a comparison of information provided 
to women concerning in-network and out-of-net-
work providers; 
‘‘(E) an analysis of factors related to wom-
en’s health care access that identifies geo-
graphic gaps, health center availability, and 
barriers to providing such care in training, ex-
pertise, and stocking of drugs; 
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‘‘(F) information on a State’s balance bill-
ing policies as related to consumers and pro-
viders; and 
‘‘(G) a State-by-State comparison of acces-
sibility, essential community providers, and 
transparency of information. 
‘‘(2) REPORT.—Not later than January 1, 
2017, the Ombudsperson shall submit a report to 
Congress on the study conducted under paragraph 
(1). The report shall include the recommendations of 
the Ombudsperson with respect to network adequacy 
for women.’’. 
SEC. 8. NATIONAL WOMEN’S HEALTH AWARENESS CAM-
PAIGN. 
Title III of the Public Health Service Act (42 U.S.C. 
241g et seq.), as amended by section 7, is further amended 
by adding at the end the following: 
‘‘SEC. 399OO–1. WOMEN’S PREVENTIVE HEALTH AWARE-
NESS CAMPAIGN. 
‘‘(a) IN GENERAL.—The Secretary, in cooperation 
with the Director of the Centers for Disease Control and 
Prevention, the Administrator of the Health Resources 
and Services Administration, the Director of the Center 
for Consumer Information and Insurance Oversight, the 
Director of the Office of Women’s Health, the Director 
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of the National Institutes of Health, the Commissioner of 
Food and Drugs, and the Ombudsperson of the Office of 
Women’s Health, shall coordinate and provide for a na-
tional public outreach and education campaign to raise 
public awareness, including among providers, of preventive 
health services for women and families, including contra-
ception coverage made available under the Patient Protec-
tion and Affordable Care Act (Public Law 111–148). 
‘‘(b) DISSEMINATION OF INFORMATION.—The out-
reach and awareness campaign shall include the media 
campaign under subsection (c) and the Internet website 
under subsection (d), and shall provide for the dissemina-
tion of information that— 
‘‘(1) describes the guidelines for preventive 
services for women, including the most up-to-date 
recommendations on domestic violence screenings 
and counseling, breast cancer, cervical cancer, and 
other 
diseases 
that 
disproportionately 
impact 
women, available from the United States Preventive 
Services Task Force and major medical and public 
health organizations; 
‘‘(2) promotes well-woman visits for health as-
sessments which include screenings, evaluations, 
counseling, immunizations, breastfeeding services 
and supplies, and prenatal visits, as appropriate; 
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‘‘(3) increases awareness of domestic violence 
screenings and counseling made available, and en-
sure that women are able to access and utilize such 
screenings and counseling; 
‘‘(4) explains the preventive services for women 
that are required under section 2713 to be covered 
without cost-sharing by a group health plan or a 
health insurance issuer offering group or individual 
health insurance coverage that is not a grand-
fathered plan (as defined in section 1251(e) of the 
Patient Protection and Affordable Care Act); 
‘‘(5) provides broad information for women, 
pharmacists, pharmacies, and providers to ensure 
full access to all Food and Drug Administration-ap-
proved forms of contraception and preventive serv-
ices that are covered in accordance with section 
2713 without cost-sharing; 
‘‘(6) addresses health disparities in preventive 
care for women; 
‘‘(7) informs women about what to do if they 
are denied entitled benefits and services by making 
them aware of the Office of the Ombudsperson of 
the Office on Women’s Health under section 399OO; 
and 
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‘‘(8) provides robust information about access 
to health care providers through both private and 
public health insurance programs, including informa-
tion regarding an employer’s contraceptive coverage 
policy. 
‘‘(c) MEDIA CAMPAIGN.— 
‘‘(1) IN GENERAL.—Not later than 180 days 
after the date of enactment of the 21st Century 
Women’s Health Act of 2015, the Secretary shall es-
tablish and implement a national media campaign to 
disseminate the information described in subsection 
(b). 
‘‘(2) REQUIREMENTS.—The campaign described 
in paragraph (1)— 
‘‘(A) shall provide information about the 
updated guidelines for women’s preventive serv-
ices described in subsection (b)(1), promote 
well-woman 
visits 
described 
in 
subsection 
(b)(2), and provide information on the preven-
tive services for women described in subsection 
(b)(3); and 
‘‘(B) may include the use of television, 
radio, Internet, and other commercial mar-
keting venues. 
‘‘(d) INTERNET WEBSITE.— 
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‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with private sector experts, or through a con-
tract with a private entity such as a medical associa-
tion or non-profit organization, shall establish an 
Internet website to— 
‘‘(A) disseminate information on preventive 
health services for women and families directly 
or through health agencies, professional and 
nonprofit organizations, consumer groups, insti-
tutions of higher education, clinics, the media, 
or Federal, State, and local agencies; and 
‘‘(B) provide information and resources 
about the updated guidelines for women’s pre-
ventive services, promote well-woman visits, and 
provide information on women’s preventive serv-
ices. 
‘‘(2) REPORTING TOOL.—The Secretary, acting 
through the Ombudsperson on Women’s Health ap-
pointed under section 399OO, shall develop and op-
erate a consumer-focused reporting tool on the 
Internet website established under paragraph (1) 
that enables women and families to report instances 
of being inappropriately charged for, or not being 
provided, benefits under section 2713. 
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‘‘(3) 
GUIDANCE
AND
POLICY.—The 
Ombudsperson 
shall 
use 
information 
obtained 
through the website to develop recommendations on 
policy and implementation with respect to the bene-
fits and services under section 2713, to ensure that 
women and families receive such benefits and serv-
ices as afforded by the law. 
‘‘(e) FUNDING.—From any funds otherwise made 
available to the Department of Health and Human Serv-
ices, the Secretary may allocate such sums as may be nec-
essary to carry out this section.’’. 
SEC. 9. REPRODUCTIVE HEALTH SERVICES ACCESS. 
Title III of the Public Health Service Act (42 U.S.C. 
241g et seq.), as amended by section 8, is further amended 
by adding at the end the following: 
‘‘SEC. 399OO–2. STUDY AND REPORT ON WOMEN’S HEALTH 
CARE ACCESS TO THE FULL RANGE OF RE-
PRODUCTIVE HEALTH CARE SERVICES. 
‘‘(a) IN GENERAL.—The Secretary shall conduct a 
study on women’s access to the full range of reproductive 
health care services across the United States, and, not 
later than January 1, 2017, and every 5 years thereafter, 
the Secretary shall submit a report to Congress on such 
study. 
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‘‘(b) CONTENTS.—The study and report under sub-
section (a) shall include— 
‘‘(1) identification and analysis of how State 
laws regarding abortion access, including facility re-
quirements including admitting privileges, insurance 
coverage limitations, mandatory delays, gestational 
limits, medication restrictions, and parental notifica-
tion and consent impact a women’s access to repro-
ductive family planning services; 
‘‘(2) identification of geographic areas in which 
such State laws and practices have a strong impact 
on access to family planning services for women and 
their families; 
‘‘(3) analysis of factors related to reproductive 
health services that impact women, children, and 
families, such as the ability to work, children’s ac-
cess to health insurance, access to health coverage, 
and the State’s role in making these services avail-
able to women and families; 
‘‘(4) analysis of how women’s access to family 
planning services in such geographic areas correlate 
with maternity-related health outcomes, including 
the rates of infant mortality, premature births, birth 
weight, burden of sexually transmitted infections, 
and other measures deemed appropriate; and 
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‘‘(5) the recommendations of the Secretary with 
respect to the necessary coverage of services to en-
sure full access to reproductive services and best 
practices for States.’’. 
SEC. 10. MATERNAL HEALTH ACCOUNTABILITY. 
(a) PURPOSES.—The purposes of this section are the 
following: 
(1) To establish governmental accountability 
and a shared responsibility between States and the 
Federal Government to identify opportunities for im-
provement in quality of care and system changes, 
and to educate and inform health institutions and 
professionals, women, and families about preventing 
pregnancy-related deaths and complications and re-
ducing disparities. 
(2) To develop a model for States to operate 
maternal mortality reviews and assess the various 
factors that may have contributed to maternal mor-
tality, including quality of care, racial disparities, 
and systemic problems in the delivery of health care, 
and to develop appropriate interventions to reduce 
and prevent such deaths. 
(b) UNIFORM STATE MATERNAL MORTALITY RE-
VIEW COMMITTEES ON PREGNANCY-RELATED DEATHS.— 
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(1) CONDITION
OF
RECEIPT
OF
PAYMENTS 
FROM ALLOTMENT UNDER MATERNAL AND CHILD 
HEALTH SERVICE BLOCK GRANT.—Title III of the 
Public Health Service Act (42 U.S.C. 241g et seq.), 
as amended by section 9, is further amended by add-
ing at the end the following: 
‘‘SEC. 399OO–3. UNIFORM STATE MATERNAL MORTALITY 
REVIEW COMMITTEES ON PREGNANCY-RE-
LATED DEATHS. 
‘‘(a) GRANTS.— 
‘‘(1) IN
GENERAL.—For each of fiscal years 
2016 through 2022, the Secretary shall, subject to 
paragraph (3) and in accordance with the criteria 
established under paragraph (2), award grants to 
States to— 
‘‘(A) carry out the activities described in 
subsection (b)(1); 
‘‘(B) establish a State maternal mortality 
review committee, in accordance with subsection 
(b)(2), to carry out the activities described in 
subsection (b)(2)(A), and to establish the proc-
esses described in subsection (b)(1); 
‘‘(C) ensure the State department of 
health carries out the applicable activities de-
scribed in subsection (b)(3), with respect to 
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pregnancy-related deaths occurring within the 
State during such fiscal year; 
‘‘(D) provide for public disclosure of infor-
mation, in accordance with subsection (c); and 
‘‘(E) collect, analyze, and report to the 
Secretary cases of maternal morbidity, includ-
ing reports of maternal morbidity data on ad-
missions to an intensive care unit or the trans-
fusion of more than three units of blood prod-
ucts. 
‘‘(2) CRITERIA.—The Secretary shall establish 
criteria for determining eligibility for and the 
amount of a grant awarded to a State under para-
graph (1). Such criteria shall provide that in the 
case of a State that receives such a grant for a fiscal 
year and is determined by the Secretary to have not 
used such grant in accordance with this section, 
such State shall not be eligible for such a grant for 
any subsequent fiscal year. 
‘‘(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
For purposes of carrying out the grant program 
under this section, including for administrative pur-
poses, there is authorized to be appropriated 
$10,000,000 for each of fiscal years 2016 through 
2022. 
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‘‘(b) PREGNANCY-RELATED DEATH REVIEW.— 
‘‘(1) REVIEW OF PREGNANCY-RELATED DEATH 
AND PREGNANCY-ASSOCIATED DEATH CASES.—For 
purposes of subsection (a), with respect to a State 
that receives a grant under subsection (a), the fol-
lowing shall apply: 
‘‘(A) MANDATORY
REPORTING
OF
PREG-
NANCY-RELATED DEATHS.— 
‘‘(i) IN GENERAL.—The State shall, 
through the State maternal mortality re-
view committee, develop a process, sepa-
rate from any reporting process established 
by the State department of health prior to 
the date of the enactment of this section, 
that provides for mandatory and confiden-
tial case reporting by individuals and enti-
ties described in clause (ii) of pregnancy- 
related deaths to the State department of 
health. 
‘‘(ii) INDIVIDUALS AND ENTITIES DE-
SCRIBED.—Individuals and entities de-
scribed in this clause include each of the 
following: 
‘‘(I) Health care providers. 
‘‘(II) Medical examiners. 
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‘‘(III) Medical coroners. 
‘‘(IV) Hospitals. 
‘‘(V) Free-standing birth centers. 
‘‘(VI) Other health care facilities. 
‘‘(VII) Any other individuals re-
sponsible for completing death certifi-
cates. 
‘‘(VIII) Any other appropriate in-
dividuals or entities specified by the 
Secretary. 
‘‘(B) VOLUNTARY
REPORTING
OF
PREG-
NANCY-RELATED AND PREGNANCY-ASSOCIATED 
DEATHS.— 
‘‘(i) The State shall, through the 
State maternal mortality review committee, 
develop a process for and encourage, sepa-
rate from any reporting process established 
by the State department of health prior to 
the date of the enactment of this section, 
voluntary and confidential case reporting 
by individuals described in clause (ii) of 
pregnancy-associated deaths to the State 
department of health. 
‘‘(ii) The State shall, through the 
State maternal mortality review committee, 
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develop a process for voluntary and con-
fidential reporting by family members of 
the deceased and by other individuals on 
possible pregnancy-related and pregnancy- 
associated deaths to the State department 
of health. Such process shall include— 
‘‘(I) making publicly available on 
the Internet website of the State de-
partment of health a telephone num-
ber, Internet Web link, and email ad-
dress for such reporting; and 
‘‘(II) publicizing to local profes-
sional organizations, community orga-
nizations, and social services agencies 
the availability of the telephone num-
ber, Internet Web link, and email ad-
dress made available under subclause 
(I). 
‘‘(C) DEVELOPMENT OF CASE-FINDING.— 
The State, through the vital statistics unit of 
the State, shall annually identify pregnancy-re-
lated and pregnancy-associated deaths occur-
ring in such State during the year involved 
by— 
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‘‘(i) matching all death records, with 
respect to such year, for women of child-
bearing age to live birth certificates and in-
fant death certificates to identify deaths of 
women that occurred during pregnancy 
and within one year after the end of a 
pregnancy; 
‘‘(ii) identifying deaths reported dur-
ing such year as having an underlying or 
contributing cause of death related to 
pregnancy, regardless of the time that has 
passed between the end of the pregnancy 
and the death; 
‘‘(iii) collecting data from medical ex-
aminer and coroner reports; and 
‘‘(iv) any other methods the States 
may devise to identify maternal deaths, 
such as through review of a random sam-
ple of reported deaths of women of child-
bearing age to ascertain cases of preg-
nancy-related 
and 
pregnancy-associated 
deaths that are not discernable from a re-
view of death certificates alone. 
When feasible and for purposes of effectively 
collecting and obtaining data on pregnancy-re-
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lated and pregnancy-associated deaths, the 
State shall adopt the most recent standardized 
birth and death certificates, as issued by the 
National Center for Vital Health Statistics, in-
cluding the recommended checkbox section for 
pregnancy on the death certificates. 
‘‘(D) CASE INVESTIGATION AND DEVELOP-
MENT OF CASE SUMMARIES.—Following receipt 
of reports by the State department of health 
pursuant to subparagraph (A) or (B) and col-
lection by the vital statistics unit of the State 
of possible cases of pregnancy-related and preg-
nancy-associated deaths pursuant to subpara-
graph (C), the State, through the State mater-
nal mortality review committee established 
under subsection (a), shall investigate each 
case, utilizing the case abstraction form de-
scribed in subsection (c), and prepare de-identi-
fied case summaries, which shall be reviewed by 
the committee and included in applicable re-
ports. For purposes of subsection (a), under the 
processes established under subparagraphs (A), 
(B), and (C), a State department of health or 
vital statistics unit of a State shall provide to 
the State maternal mortality review committee 
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access to information collected pursuant to such 
subparagraphs as necessary to carry out this 
subparagraph. Data and information collected 
for the case summary and review are for pur-
poses of public health activities, in accordance 
with HIPAA privacy and security law (as de-
fined in section 3009(a)(2)). Such case inves-
tigations shall include data and information ob-
tained through— 
‘‘(i) medical examiner and autopsy re-
ports of the woman involved; 
‘‘(ii) medical records of the woman, 
including such records related to health 
care prior to pregnancy, prenatal and post-
natal care, labor and delivery care, emer-
gency 
room 
care, 
hospital 
discharge 
records, and any care delivered up until 
the time of death of the woman for pur-
poses of public health activities, in accord-
ance with HIPAA privacy and security law 
(as defined in section 3009(a)(2)); 
‘‘(iii) oral and written interviews of in-
dividuals directly involved in the maternal 
care of the woman during and immediately 
following the pregnancy of the woman, in-
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cluding health care, mental health, and so-
cial service providers, as applicable; 
‘‘(iv) optional oral or written inter-
views of the family of the woman; 
‘‘(v) socioeconomic and other relevant 
background information about the woman; 
‘‘(vi) information collected in subpara-
graph (C)(i); and 
‘‘(vii) other information on the cause 
of death of the woman, such as social serv-
ices and child welfare reports. 
‘‘(2) STATE
MATERNAL
MORTALITY
REVIEW 
COMMITTEES.— 
‘‘(A) DUTIES.— 
‘‘(i) REQUIRED
COMMITTEE
ACTIVI-
TIES.—For purposes of subsection (a), a 
maternal mortality review committee estab-
lished by a State pursuant to a grant 
under such subsection shall carry out the 
following 
pregnancy-related 
death 
and 
pregnancy-associated death review activi-
ties: 
‘‘(I) With respect to a case of 
pregnancy-related or pregnancy-asso-
ciated death of a woman, review the 
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case summaries prepared under sub-
paragraphs (A), (B), (C), and (D) of 
paragraph (1). 
‘‘(II) Review aggregate statistical 
reports developed by the vital statis-
tics unit of the State under paragraph 
(1)(C) 
regarding 
pregnancy-related 
and pregnancy-associated deaths to 
identify trends, patterns, and dispari-
ties in adverse outcomes and address 
medical, non-medical, and system-re-
lated factors that may have contrib-
uted to such pregnancy-related and 
pregnancy-associated deaths and dis-
parities. 
‘‘(III) Develop recommendations, 
based on the review of the case sum-
maries under paragraph (1)(D) and 
aggregate statistical reports under 
subclause (II), to improve maternal 
care, social and health services, and 
public health policy and institutions, 
including with respect to improving 
access to maternal care, improving the 
availability of social services, and 
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eliminating disparities in maternal 
care and outcomes. 
‘‘(ii) OPTIONAL
COMMITTEE
ACTIVI-
TIES.—For purposes of subsection (a), a 
maternal mortality review committee estab-
lished by a State under such subsection 
may present findings and recommendations 
regarding a specific case or set of cir-
cumstances directly to a health care facil-
ity or its local or State professional organi-
zation for the purpose of instituting policy 
changes, educational activities, or other-
wise improving the quality of care provided 
by the facilities. 
‘‘(B) COMPOSITION
OF
MATERNAL
MOR-
TALITY REVIEW COMMITTEES.— 
‘‘(i) IN GENERAL.—Each State mater-
nal mortality review committee established 
pursuant to a grant under subsection (a) 
shall be multi-disciplinary, consisting of 
health care and social service providers, 
public health officials, other persons with 
professional expertise on maternal health 
and mortality, and patient and community 
advocates who represent those communities 
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within such State that are the most af-
fected by maternal mortality. Membership 
on such a committee of a State shall be re-
viewed annually by the State department 
of health to ensure that membership rep-
resentation requirements are being fulfilled 
in accordance with this paragraph. 
‘‘(ii) REQUIRED MEMBERSHIP.—Each 
such review committee shall include— 
‘‘(I) representatives from medical 
specialties providing care to pregnant 
and postpartum patients, including 
obstetricians 
(including 
generalists 
and maternal fetal medicine special-
ists), and family practice physicians; 
‘‘(II) certified nurse midwives, 
certified midwives, and advanced prac-
tice nurses; 
‘‘(III) hospital-based registered 
nurses; 
‘‘(IV) representatives of the State 
department of health maternal and 
child health department; 
‘‘(V) social service providers or 
social workers; 
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‘‘(VI) the chief medical exam-
iners or designees; 
‘‘(VII) 
facility 
representatives, 
such as from hospitals or free-stand-
ing birth centers; and 
‘‘(VIII) community or patient ad-
vocates who represent those commu-
nities within the State that are the 
most affected by maternal mortality. 
‘‘(iii) ADDITIONAL
MEMBERS.—Each 
such review committee may also include 
representatives from other relevant aca-
demic, health, social service, or policy pro-
fessions, or community organizations, on 
an ongoing basis, or as needed, as deter-
mined beneficial by the review committee, 
including— 
‘‘(I) anesthesiologists; 
‘‘(II) emergency physicians; 
‘‘(III) pathologists; 
‘‘(IV) epidemiologists or biostat-
isticians; 
‘‘(V) intensivists; 
‘‘(VI) vital statistics officers; 
‘‘(VII) nutritionists; 
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‘‘(VIII) mental health profes-
sionals; 
‘‘(IX) substance abuse treatment 
specialists; 
‘‘(X) representatives of relevant 
advocacy groups; 
‘‘(XI) academics; 
‘‘(XII) representatives of bene-
ficiaries of the State plan under the 
Medicaid program under title XIX; 
‘‘(XIII) paramedics; 
‘‘(XIV) lawyers; 
‘‘(XV) risk management special-
ists; 
‘‘(XVI) representatives of the de-
partments of health or public health 
of major cities in the State involved; 
and 
‘‘(XVII) policymakers. 
‘‘(iv) DIVERSE COMMUNITY MEMBER-
SHIP.—The composition of such a com-
mittee, with respect to a State, shall in-
clude— 
‘‘(I) representatives from diverse 
communities, particularly those com-
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munities within such State most se-
verely affected by pregnancy-related 
deaths or pregnancy-associated deaths 
and by a lack of access to relevant 
maternal care services, from commu-
nity maternal child health organiza-
tions, and from minority advocacy 
groups; 
‘‘(II) members, including health 
care providers, from different geo-
graphic regions in the State, including 
any rural, urban, and tribal areas; 
and 
‘‘(III) health care and social serv-
ice providers who work in commu-
nities that are diverse with regard to 
race, ethnicity, immigration status, 
Indigenous status, and English pro-
ficiency. 
‘‘(v) MATERNAL MORTALITY REVIEW 
STAFF.—Staff of each such review com-
mittee shall include— 
‘‘(I) vital health statisticians, ma-
ternal child health statisticians, or 
epidemiologists; 
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‘‘(II) a coordinator of the State 
maternal mortality review committee, 
to be designated by the State; and 
‘‘(III) administrative staff. 
‘‘(C) OPTION FOR STATES TO FORM RE-
GIONAL
MATERNAL
MORTALITY
REVIEWS.— 
States with a low rate of occurrence of preg-
nancy-associated or pregnancy-related deaths 
may choose to partner with one or more neigh-
boring States to fulfill the activities described in 
paragraph (1)(C). In such a case, with respect 
to States in such a partnership, any require-
ment under this section relating to the report-
ing of information related to such activities 
shall be deemed to be fulfilled by each such 
State if a single such report is submitted for 
the partnership. 
‘‘(3) STATE DEPARTMENT OF HEALTH ACTIVI-
TIES.—For purposes of subsection (a), a State de-
partment of health of a State receiving a grant 
under such subsection shall— 
‘‘(A) in consultation with the maternal 
mortality review committee of the State and in 
conjunction with relevant professional organiza-
tions, develop a plan for ongoing health care 
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provider education, based on the findings and 
recommendations of the committee, in order to 
improve the quality of maternal care; and 
‘‘(B) take steps to widely disseminate the 
findings and recommendations of the State ma-
ternal mortality review committees of the State 
and to implement the recommendations of such 
committee. 
‘‘(c) PUBLIC DISCLOSURE OF INFORMATION.— 
‘‘(1) IN GENERAL.—For fiscal year 2016 or a 
subsequent fiscal year, each State receiving a grant 
under this section for such year shall, subject to 
paragraph (3), provide for the public disclosure, and 
submission to the information clearinghouse estab-
lished under paragraph (2), of the information relat-
ing to the findings for such year of the State mater-
nal mortality review committee established by the 
State under this section. 
‘‘(2) 
INFORMATION
CLEARINGHOUSE.—The 
Secretary shall establish an information clearing-
house, that shall be administered by the Director of 
the Centers for Disease Control and Prevention, that 
will maintain findings and recommendations sub-
mitted pursuant to paragraph (1) and provide such 
findings and recommendations for public review and 
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