I 
116TH CONGRESS 
1ST SESSION H. R. 4768 
To amend section 511 of the Social Security Act to reduce maternal mortality 
by continuing to invest in evidence-based home visiting models that 
are addressing the social determinants of maternal health and morbidity. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 21, 2019 
Mr. DANNY K. DAVIS of Illinois (for himself, Mr. NEAL, Mr. DOGGETT, Mr. 
BLUMENAUER, Ms. CASTOR of Florida, Ms. JUDY CHU of California, Ms. 
DEGETTE, Mr. EVANS, Mr. HIGGINS of New York, Mr. HORSFORD, Mr. 
KILDEE, Mr. LARSON of Connecticut, Mr. LEWIS, Ms. MOORE, Mr. PAS-
CRELL, Ms. SA´NCHEZ, Ms. SEWELL of Alabama, and Mr. SUOZZI) intro-
duced the following bill; which was referred to the Committee on Ways 
and Means, and in addition to the Committee on Energy and Commerce, 
for a period to be subsequently determined by the Speaker, in each case 
for consideration of such provisions as fall within the jurisdiction of the 
committee concerned 
A BILL 
To amend section 511 of the Social Security Act to reduce 
maternal mortality by continuing to invest in evidence- 
based home visiting models that are addressing the social 
determinants of maternal health and morbidity. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Home Visiting to Re-
duce Maternal Mortality and Morbidity Act’’. 
SEC. 2. INCREASE IN TRIBAL SET-ASIDE PERCENTAGE. 
(a) IN GENERAL.—Section 511(j)(2)(A) of the Social 
Security Act (42 U.S.C. 711(j)(2)(A)) is amended by 
striking ‘‘3’’ and inserting ‘‘6’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall take effect on October 1, 2020. 
SEC. 3. INCREASE IN FUNDING. 
Section 511(j)(1) of the Social Security Act (42 
U.S.C. 711(j)(1)) is amended— 
(1) by striking ‘‘and’’ at the end of subpara-
graph (G); and 
(2) by striking subparagraph (H) and inserting 
the following: 
‘‘(H) $400,000,000 for each of fiscal years 
2017 through 2020; 
‘‘(I) $600,000,000 for fiscal year 2021; 
and 
‘‘(J) $800,000,000 for fiscal year 2022.’’. 
SEC. 4. USE OF ADDITIONAL FUNDS. 
Section 511(c) of the Social Security Act (42 U.S.C. 
711(c)) is amended by adding at the end the following: 
‘‘(6) USE OF CERTAIN FUNDS TO PROVIDE AD-
DITIONAL RESOURCES TO ADDRESS HIGH RATES OF 
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MATERNAL
MORTALITY
AND
MORBIDITY, SUPPORT 
UNMET NEEDS IDENTIFIED BY THE NEEDS ASSESS-
MENT, OR INCREASE ALLOCATIONS TO STATES AND 
TERRITORIES BASED ON RELATIVE POPULATION OR 
POVERTY.—The Secretary shall ensure that any 
amounts exceeding $400,000,000 that are used for 
grants under this subsection for a fiscal year are 
used to— 
‘‘(A) provide additional funding priority to 
States, tribes, and territories to address high 
rates of maternal mortality and morbidity docu-
mented in needs assessments conducted under 
subsection (b) or performed under other Fed-
eral programs; 
‘‘(B) address unmet needs identified by a 
needs assessment conducted under subsection 
(b); or 
‘‘(C) increase the amounts allocated under 
this section to States and to Puerto Rico, 
Guam, the Virgin Islands, the Northern Mar-
iana Islands, and American Samoa, based on 
the proportion of children who have not at-
tained 5 years of age and are living in pov-
erty.’’. 
Æ 
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