infant health outcomes, including racial and 
ethnic disparities with respect to such out-
comes; and 
(B) recommendations with respect to en-
suring the activities described in paragraph (4) 
continue after the grant period funding such ac-
tivities expires. 
(6) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated such sums 
as may be necessary to carry out this subsection for 
fiscal years 2021 through 2023. 
(c) DEFINITIONS.—In this section: 
(1) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ includes public entities, private community enti-
ties, community-based organizations, Indian tribes 
and tribal organizations (as such terms are defined 
in section 4 of the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 5304)), and 
urban Indian organizations (as such term is defined 
in section 4 of the Indian Health Care Improvement 
Act (25 U.S.C. 1603)). 
(2) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Agriculture. 
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SEC. 7. ENVIRONMENTAL STUDY THROUGH NATIONAL 
ACADEMIES. 
(a) IN GENERAL.—The Administrator of the Envi-
ronmental Protection Agency shall seek to enter an agree-
ment, not later than 60 days after the date of enactment 
of this Act, with the National Academies of Sciences, En-
gineering, and Medicine (referred to in this section as the 
‘‘National Academies’’) under which the National Acad-
emies agree to conduct a study on the impacts of water 
and air quality, exposure to extreme temperatures, and 
pollution levels on maternal and infant health outcomes. 
(b) STUDY REQUIREMENTS.—The agreement under 
subsection (a) shall direct the National Academies to make 
recommendations for— 
(1) improving environmental conditions to im-
prove maternal and infant health outcomes; and 
(2) reducing or eliminating racial and ethnic 
disparities in such outcomes. 
(c) REPORT.—The agreement under subsection (a) 
shall direct the National Academies to complete the study 
under this section and transmit to the Congress a report 
on the results of the study not later than 24 months after 
the date of enactment of this Act. 
SEC. 8. CHILD CARE ACCESS. 
(a) GRANT PROGRAM.—The Secretary of Health and 
Human Services (in this section referred to as the ‘‘Sec-
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retary’’) shall award grants to eligible organizations to 
provide pregnant and postpartum women with free drop- 
in child care services during prenatal and postpartum ap-
pointments. 
(b) ELIGIBLE ORGANIZATIONS.—To be eligible to re-
ceive a grant under this section, an organization shall— 
(1) be an organization that carries out pro-
grams providing pregnant and postpartum women 
with free and accessible drop-in child care services 
during prenatal and postpartum appointments in 
areas which the Secretary determines have a high 
maternal mortality and severe morbidity rate and 
significant racial and ethnic disparities in maternal 
health outcomes; and 
(2) not have previously received a grant under 
this section. 
(c) DURATION.—The Secretary shall commence the 
grant program under subsection (a) not later than 1 year 
after the date of the enactment of this Act. 
(d) EVALUATION.—The Secretary shall evaluate each 
grant awarded under this section to determine the effects 
of the grant on— 
(1) prenatal and postpartum appointment at-
tendance rates; 
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(2) maternal health outcomes with a specific 
focus on racial and ethnic disparities in such out-
comes; 
(3) pregnant and postpartum women partici-
pating in the funded programs, and the families of 
such women; and 
(4) cost effectiveness. 
(e) REPORT.—Not later than September 30, 2023, 
the Secretary shall submit to the Congress a report con-
taining the following: 
(1) A summary of the evaluations under sub-
section (d). 
(2) A description of actions the Secretary can 
take to ensure that pregnant and postpartum women 
eligible for medical assistance under a State plan 
under title XIX of the Social Security Act (42 
U.S.C. 1936 et seq.) have access to free drop-in 
child care services during prenatal and postpartum 
appointments, including identification of the funding 
necessary to carry out such actions. 
(f) DROP-IN CHILD CARE SERVICES DEFINED.—In 
this section, the term ‘‘drop-in child care services’’ means 
child care and early childhood education services that 
are— 
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(1) delivered at a facility that meets the re-
quirements of all applicable laws and regulations of 
the State or local government in which it is located, 
including the licensing of the facility as a child care 
facility; and 
(2) provided in single encounters without re-
quiring full-time enrollment of a person in a child 
care program. 
(g) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$1,000,000 for each of fiscal years 2021 through 2023. 
SEC. 9. GRANTS TO STATE, LOCAL, AND TRIBAL PUBLIC 
HEALTH DEPARTMENTS ADDRESSING SOCIAL 
DETERMINANTS OF HEALTH FOR PREGNANT 
AND POSTPARTUM WOMEN. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (in this section referred to as the ‘‘Sec-
retary’’) shall award grants to State, local, and Tribal 
public health departments to address social determinants 
of maternal health in order to reduce or eliminate racial 
and ethnic disparities in maternal health outcomes. 
(b) USE OF FUNDS.—A public health department re-
ceiving a grant under this section may use funds received 
through the grant to— 
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(1) build capacity and hire staff to coordinate 
efforts of the public health department to address 
social determinants of maternal health; 
(2) develop, and provide for distribution of, re-
source lists of available social services for women in 
the prenatal and postpartum periods, which social 
services may include— 
(A) transportation vouchers; 
(B) housing supports; 
(C) child care access; 
(D) healthy food access; 
(E) nutrition counseling; 
(F) lactation supports; 
(G) lead testing and abatement; 
(H) clean water; 
(I) infant formula; 
(J) maternal mental and behavioral health 
care services; 
(K) wellness and stress management pro-
grams; and 
(L) other social services as determined by 
the public health department; 
(3) in consultation with local stakeholders, es-
tablish or designate a ‘‘one-stop’’ resource center 
that provides coordinated social services in a single 
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tivities, including mothers and their fami-
lies; and 
(iii) cost effectiveness and return on 
investment; and 
(B) not later than 180 days after the end 
of the period of the grant, submit a report on 
the results of such evaluation to the Secretary. 
(2) BY SECRETARY.—Not later than the end of 
fiscal year 2026, the Secretary shall submit a report 
to the Congress— 
(A) summarizing the evaluations submitted 
under paragraph (1); and 
(B) making recommendations for improv-
ing maternal health and reducing or eliminating 
racial and ethnic disparities in maternal health 
outcomes, based on the results of grants under 
this section. 
(f) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$15,000,000 for each of fiscal years 2021 through 2025. 
SEC. 10. DEFINITION. 
In this Act, the term ‘‘postpartum’’ means the one- 
year period beginning on the last day of a woman’s preg-
nancy. 
Æ 
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