and postpartum woman that is covered under Med-
icaid with a pregnancy care manager. 
SEC. 3. IMPLICIT BIAS TRAINING FOR HEALTH CARE PRO-
VIDERS. 
(a) GRANT PROGRAM.—The Secretary of Health and 
Human Services (referred to in this Act as the ‘‘Sec-
retary’’) shall establish a grant program under which such 
Secretary awards grants to accredited schools of allopathic 
medicine, schools of osteopathic medicine, nursing schools, 
and other health professional training programs for the 
purpose of supporting evidence-based implicit bias train-
ing, with priority given to such training with respect to 
obstetrics and gynecology. 
(b) IMPLICIT BIAS DEFINED.—In this section, the 
term ‘‘implicit bias’’ means— 
(1) bias in judgment or behavior that results 
from subtle cognitive processes, including implicit at-
titudes and implicit stereotypes, that often operate 
at a level below conscious awareness and without in-
tentional control; or 
(2) implicit attitudes and stereotypes that result 
in beliefs or simple associations that a person makes 
between an object and its evaluation that are auto-
matically activated by the mere presence (actual or 
symbolic) of the attitude object. 
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(c) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated for purposes of carrying 
out the grant program under subsection (a), $5,000,000 
for each of fiscal years 2019 through 2023. 
SEC. 4. PREGNANCY MEDICAL HOME DEMONSTRATION 
PROJECT. 
(a) IN GENERAL.—The Secretary, acting through the 
Administrator for the Centers for Medicare & Medicaid 
Services and the Administrator of the Health Resources 
and Services Administration, shall award grants to States 
for the purpose of establishing or operating State preg-
nancy medical home programs that meet the requirements 
of subsection (b) to deliver integrated health care services 
to pregnant women and new mothers and reduce adverse 
maternal health outcomes, maternal deaths, and racial 
health disparities in maternal mortality and morbidity. 
(b) STATE PREGNANCY MEDICAL HOME PROGRAM 
REQUIREMENTS.—A State pregnancy medical home pro-
gram meets the requirements of this subsection if— 
(1) the State works with relevant stakeholders 
to develop and carry out the program, including— 
(A) State and local agencies responsible for 
Medicaid, public health, social services, mental 
health, and substance abuse treatment and sup-
port; 
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(B) health care providers who serve preg-
nant women, including doctors, nurses, and 
midwives; 
(C) community-based health workers, in-
cluding perinatal health workers, doulas, and 
home visitors; and 
(D) community-based organizations and 
individuals 
representing 
the 
communities 
with— 
(i) the highest overall rates of mater-
nal mortality and morbidity; and 
(ii) the greatest racial disparities in 
rates of maternal mortality and morbidity; 
(2) the State selects obstetric providers to par-
ticipate in the program as pregnancy medical homes, 
and requires that any provider that wishes to par-
ticipate in the program as a pregnancy medical 
home— 
(A) commits to following evidence-based 
practices for maternity care, as developed by 
the State in consultation with relevant stake-
holders; and 
(B) completes training to provide culturally 
and linguistically competent care; 
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(3) under the program, each pregnancy medical 
home is required to conduct a standardized medical, 
obstetric, and psychosocial risk assessment for every 
patient of the medical home who is pregnant at the 
patient’s first prenatal appointment with the medical 
home; 
(4) under the program, a care manager— 
(A) is assigned to each pregnancy medical 
home; and 
(B) coordinates care (including coordi-
nating resources and referrals for health care 
and social services that are not available from 
the pregnancy medical home) for each patient 
of a pregnancy medical home who is eligible for 
services under the program; and 
(5) the program prioritizes pregnant and 
postpartum women who are enrolled in the State 
Medicaid plan under title XIX of the Social Security 
Act (42 U.S.C. 1396 et seq.), or a waiver of such 
plan. 
(c) GRANTS.— 
(1) LIMITATION.—The Secretary may award a 
grant under this section to up to 10 States. 
(2) TERM OF GRANTS.—Grants under this sec-
tion shall made for a term of 5 years. 
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(3) 
PRIORITIZATION.—In 
awarding 
grants 
under this section, the Secretary shall give priority 
to the States with the greatest racial disparities in 
maternal mortality and severe morbidity rates. 
(d) REPORT ON GRANT IMPACT AND DISSEMINATION 
OF BEST PRACTICES.— 
(1) REPORT.—Not later than January 1, 2024, 
the Administrator of the Health Resources and Serv-
ices Administration shall submit a report to Con-
gress that describes— 
(A) the impact of the grants awarded 
under this section on maternal and child health; 
(B) best practices and models of care used 
by recipients of grants under this section; and 
(C) obstacles faced by recipients of grants 
under this section in delivering care, improving 
maternal and child health, and reducing racial 
disparities in rates of maternal and infant mor-
tality and morbidity. 
(2) DISSEMINATION OF BEST PRACTICES.—Not 
later than January 1, 2024, the Administrator of 
the Health Resources and Services Administration 
shall disseminate information on best practices and 
models of care used by recipients of grants under 
this section (including best practices and models of 
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care relating to the reduction of racial disparities in 
rates of maternal and infant mortality and mor-
bidity) to interested parties, including health pro-
viders, medical schools, relevant State and local 
agencies, and the general public. 
(e) AUTHORIZATION.—There are authorized to be ap-
propriated to carry out this section, $25,000,000 for each 
of fiscal years 2019 through 2023, to remain available 
until expended. 
SEC. 5. NATIONAL ACADEMY OF MEDICINE STUDY. 
(a) IN GENERAL.—The Secretary shall enter into an 
arrangement with the National Academy of Medicine 
under which the National Academy agrees to study and 
make recommendations for incorporating bias recognition 
in clinical skills testing for accredited schools of allopathic 
medicine and accredited schools of osteopathic medicine. 
(b) REPORT.—The arrangement under subsection (a) 
shall provide for submission by the National Academy of 
Medicine to the Secretary and Congress, not later than 
3 years after the date of enactment of this Act, of a report 
on the results of the study that includes such rec-
ommendations. 
Æ 
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