[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4995 Reported in House (RH)]
<DOC>
Union Calendar No. 414
116th CONGRESS
2d Session
H. R. 4995
[Report No. 116-514]
To amend the Public Health Service Act to improve obstetric care and
maternal health outcomes, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
November 8, 2019
Mr. Engel (for himself, Mr. Bucshon, Ms. Torres Small of New Mexico,
Mr. Latta, Ms. Adams, and Mr. Stivers) introduced the following bill;
which was referred to the Committee on Energy and Commerce
September 17, 2020
Additional sponsors: Mr. Carson of Indiana, Ms. Kelly of Illinois, Ms.
Herrera Beutler, Mr. Marshall, Mr. Burgess, Mr. Walden, Mrs. Hayes, Mr.
O'Halleran, Ms. Kuster of New Hampshire, Mr. Guthrie, Mr. Trone, Ms.
Craig, Mr. Fitzpatrick, Ms. Schakowsky, Mr. Casten of Illinois, Mr.
Cunningham, Ms. Norton, Ms. Underwood, Mr. McGovern, Ms. Finkenauer,
Mr. Morelle, Ms. Houlahan, Ms. Gabbard, Mr. Ruiz, Mrs. Napolitano, and
Mr. Levin of Michigan
September 17, 2020
Reported with an amendment; committed to the Committee of the Whole
House on the State of the Union and ordered to be printed
[Strike out all after the enacting clause and insert the part printed
in italic]
[For text of introduced bill, see copy of bill as introduced on
November 8, 2019]
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to improve obstetric care and
maternal health outcomes, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Maternal Health Quality Improvement
Act of 2019''.
SEC. 2. TABLE OF CONTENTS.
The table of contents for this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
TITLE I--IMPROVING OBSTETRIC CARE IN RURAL AREAS
Sec. 101. Improving rural maternal and obstetric care data.
Sec. 102. Rural obstetric network grants.
Sec. 103. Telehealth network and telehealth resource centers grant
programs.
Sec. 104. Rural maternal and obstetric care training demonstration.
Sec. 105. GAO report.
TITLE II--OTHER IMPROVEMENTS TO MATERNAL CARE
Sec. 201. Innovation for maternal health.
Sec. 202. Training for health care providers.
Sec. 203. Study on training to reduce and prevent discrimination.
Sec. 204. Perinatal quality collaboratives.
Sec. 205. Integrated services for pregnant and postpartum women.
TITLE I--IMPROVING OBSTETRIC CARE IN RURAL AREAS
SEC. 101. IMPROVING RURAL MATERNAL AND OBSTETRIC CARE DATA.
(a) Maternal Mortality and Morbidity Activities.--Section 301 of
the Public Health Service Act (42 U.S.C. 241) is amended--
(1) by redesignating subsections (e) through (h) as
subsections (f) through (i), respectively; and
(2) by inserting after subsection (d), the following:
``(e) The Secretary, acting through the Director of the Centers for
Disease Control and Prevention, shall expand, intensify, and coordinate
the activities of the Centers for Disease Control and Prevention with
respect to maternal mortality and morbidity.''.
(b) Office of Women's Health.--Section 310A(b)(1) of the Public
Health Service Act (42 U.S.C. 242s(b)(1)) is amended by inserting
``sociocultural, including among American Indians and Alaska Natives,
as such terms are defined in section 4 of the Indian Health Care
Improvement Act, geographic,'' after ``biological,''.
(c) Safe Motherhood.--Section 317K of the Public Health Service Act
(42 U.S.C. 247b-12) is amended--
(1) in subsection (a)(2)(A), by inserting before the period
at the end the following: ``, including improving collection of
data on race, ethnicity, and other demographic information'';
and
(2) in subsection (b)(2)--
(A) in subparagraph (L), by striking ``and'' at the
end;
(B) by redesignating subparagraph (M) as
subparagraph (N); and
(C) by inserting after subparagraph (L), the
following:
``(M) an examination of the relationship between
maternal and obstetric services in rural areas and
outcomes in delivery and postpartum care; and''.
(d) Office of Research on Women's Health.--Section 486 of the
Public Health Service Act (42 U.S.C. 287d) is amended--
(1) in subsection (b), by amending paragraph (3) to read as
follows:
``(3) carry out paragraphs (1) and (2) with respect to--
``(A) the aging process in women, with priority
given to menopause; and
``(B) pregnancy, with priority given to deaths
related to pregnancy;''; and
(2) in subsection (d)(4)(A)(iv), by inserting ``, including
maternal mortality and other maternal morbidity outcomes''
before the semicolon.
SEC. 102. RURAL OBSTETRIC NETWORK GRANTS.
The Public Health Service Act is amended by inserting after section
330A-1 of such Act (42 U.S.C. 254c-1a) the following:
``SEC. 330A-2. RURAL OBSTETRIC NETWORK GRANTS.
``(a) Program Established.--The Secretary, acting through the
Administrator of the Health Resources and Services Administration,
shall award grants to eligible entities to establish collaborative
improvement and innovation networks (referred to in this section as
`rural obstetric networks') to improve birth outcomes and reduce
maternal morbidity and mortality by improving maternity care and access
to care in rural areas, frontier areas, maternity care health
professional target areas, and Indian country and with Indian Tribes
and tribal organizations.
``(b) Use of Funds.--Rural obstetric networks receiving funds
pursuant to this section may use such funds to--
``(1) assist pregnant women and individuals in areas and
within populations referenced in subsection (a) with accessing
and utilizing maternal and obstetric care, including
preconception, pregnancy, labor and delivery, postpartum, and
interconception services to improve outcomes in birth and
maternal mortality and morbidity;
``(2) identify successful delivery models for maternal and
obstetric care (including preconception, pregnancy, labor and
delivery, postpartum, and interconception services) for
individuals in areas and within populations referenced by
subsection (a), including evidence-based home visiting programs
and successful, culturally competent models with positive
maternal health outcomes that advance health equity;
``(3) develop a model for collaboration between health
facilities that have an obstetric care unit and health
facilities that do not have an obstetric care unit to improve
access to and the delivery of obstetric services in communities
lacking these services;
``(4) provide training and guidance on obstetric care for
health facilities that do not have obstetric care units;
``(5) collaborate with academic institutions that can
provide regional expertise and research on access, outcomes,
needs assessments, and other identified data and measurement
activities needed to inform rural obstetric network efforts to
improve obstetric care; and
``(6) measure and address inequities in birth outcomes
among rural residents, with an emphasis on racial and ethnic
minorities and underserved populations.
``(c) Definitions.--In this section:
``(1) Eligible entities.--The term `eligible entities'
means entities providing obstetric, gynecologic, and other
maternal health care services in rural areas, frontier areas,
or medically underserved areas, or to medically underserved
populations or Native Americans, including Indian tribes or
tribal organizations.
``(2) Frontier area.--The term `frontier area' means a
frontier county, as defined in section 1886(d)(3)(E)(iii)(III)
of the Social Security Act.
``(3) Indian country.--The term `Indian country' has the
meaning given such term in section 1151 of title 18, United
States Code.
``(4) Maternity care health professional target area.--The
term `maternity care health professional target area' has the
meaning of such term as used in section 332(k)(2).
``(5) Rural area.--The term `rural area' has the meaning
given that term in section 1886(d)(2) of the Social Security
Act.
``(6) Indian tribes; tribal organization.--The terms
`Indian Tribe' and `tribal organization' have the meaning given
such terms in section 4 of the Indian Self-Determination and
Education Assistance Act.
``(d) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $3,000,000 for each of fiscal
years 2020 through 2024.''.
SEC. 103. TELEHEALTH NETWORK AND TELEHEALTH RESOURCE CENTERS GRANT
PROGRAMS.
Section 330I of the Public Health Service Act (42 U.S.C. 254c-14)
is amended--
(1) in subsection (f)(1)(B)(iii), by adding at the end the
following:
``(XIII) Providers of maternal,
including prenatal, labor and birth,
and postpartum care services and
entities operating obstetric care
units.''; and
(2) in subsection (i)(1)(B), by inserting ``labor and
birth, postpartum,'' before ``or prenatal''.
SEC. 104. RURAL MATERNAL AND OBSTETRIC CARE TRAINING DEMONSTRATION.
Subpart 1 of part E of title VII of the Public Health Service Act
is amended by inserting after section 760 (42 U.S.C. 294n et seq.), as
amended by section 202, is amended by adding at the end the following:
``SEC. 764. RURAL MATERNAL AND OBSTETRIC CARE TRAINING DEMONSTRATION.
``(a) In General.--The Secretary shall establish a training
demonstration program to award grants to eligible entities to support--
``(1) training for physicians, medical residents, including
family medicine and obstetrics and gynecology residents, and
fellows to practice maternal and obstetric medicine in rural
community-based settings;
``(2) training for nurse practitioners, physician
assistants, nurses, certified nurse midwives, home visiting
nurses and non-clinical home visiting workforce professionals
and paraprofessionals, or non-clinical professionals, who meet
applicable State training and licensing requirements, to
provide maternal care services in rural community-based
settings; and
``(3) establishing, maintaining, or improving academic
units or programs that--
``(A) provide training for students or faculty,
including through clinical experiences and research, to
improve maternal care in rural areas; or
``(B) develop evidence-based practices or
recommendations for the design of the units or programs
described in subparagraph (A), including curriculum
content standards.
``(b) Activities.--
``(1) Training for medical residents and fellows.--A
recipient of a grant under subsection (a)(1)--
``(A) shall use the grant funds--
``(i) to plan, develop, and operate a
training program to provide obstetric care in
rural areas for family practice or obstetrics
and gynecology residents and fellows; or
``(ii) to train new family practice or
obstetrics and gynecology residents and fellows
in maternal and obstetric health care to
provide and expand access to maternal and
obstetric health care in rural areas; and
``(B) may use the grant funds to provide additional
support for the administration of the program or to
meet the costs of projects to establish, maintain, or
improve faculty development, or departments, divisions,
or other units necessary to implement such training.
``(2) Training for other providers.--A recipient of a grant
under subsection (a)(2)--
``(A) shall use the grant funds to plan, develop,
or operate a training program to provide maternal
health care services in rural, community-based
settings; and
``(B) may use the grant funds to provide additional
support for the administration of the program or to
meet the costs of projects to establish, maintain, or
improve faculty development, or departments, divisions,
or other units necessary to implement such program.
``(3) Training program requirements.--The recipient of a
grant under subsection (a)(1) or (a)(2) shall ensure that
training programs carried out under the grant are evidence-
based and include instruction on--
``(A) maternal mental health, including perinatal
depression and anxiety;
``(B) maternal substance use disorder;
``(C) social determinants of health that impact
individuals living in rural communities, including
poverty, social isolation, access to nutrition,
education, transportation, and housing; and
``(D) implicit bias.
``(c) Eligible Entities.--
``(1) Training for medical residents and fellows.--To be
eligible to receive a grant under subsection (a)(1), an entity
shall--
``(A) be a consortium consisting of--
``(i) at least one teaching health center;
or
``(ii) the sponsoring institution (or
parent institution of the sponsoring
institution) of--
``(I) an obstetrics and gynecology
or family medicine residency program
that is accredited by the Accreditation
Council of Graduate Medical Education
(or the parent institution of such a
program); or
``(II) a fellowship in maternal or
obstetric medicine, as determined
appropriate by the Secretary; or
``(B) be an entity described in subparagraph
(A)(ii) that provides opportunities for medical
residents or fellows to train in rural community-based
settings.
``(2) Training for other providers.--To be eligible to
receive a grant under subsection (a)(2), an entity shall be--
``(A) a teaching health center (as defined in
section 749A(f));
``(B) a federally qualified health center (as
defined in section 1905(l)(2)(B) of the Social Security
Act);
``(C) a community mental health center (as defined
in section 1861(ff)(3)(B) of the Social Security Act);
``(D) a rural health clinic (as defined in section
1861(aa) of the Social Security Act);
``(E) a freestanding birth center (as defined in
section 1905(l)(3) of the Social Security Act); or
``(F) an Indian Health Program or a Native Hawaiian
health care system (as such terms are defined in
section 4 of the Indian Health Care Improvement Act and
section 12 of the Native Hawaiian Health Care
Improvement Act, respectively).
``(3) Academic units or programs.--To be eligible to
receive a grant under subsection (a)(3), an entity shall be a
school of medicine, a school of osteopathic medicine, a school
of nursing (as defined in section 801), a physician assistant
education program, an accredited public or nonprofit private
hospital, an accredited medical residency training program, a
school accredited by the Midwifery Education and Accreditation
Council, by the Accreditation Commission for Midwifery
Education, or by the American Midwifery Certification Board, or
a public or private nonprofit educational entity which the
Secretary has determined is capable of carrying out such grant.
``(4) Application.--To be eligible to receive a grant under
subsection (a), an entity shall submit to the Secretary an
application at such time, in such manner, and containing such
information as the Secretary may require, including an estimate
of the amount to be expended to conduct training activities
under the grant (including ancillary and administrative costs).
``(d) Study and Report.--
``(1) Study.--
``(A) In general.--The Secretary, acting through
the Administrator of the Health Resources and Services
Administration, shall conduct a study on the results of
the demonstration program under this section.
``(B) Data submission.--Not later than 90 days
after the completion of the first year of the training
program, and each subsequent year for the duration of
the grant, that the program is in effect, each
recipient of a grant under subsection (a) shall submit
to the Secretary such data as the Secretary may require
for analysis for the report described in paragraph (2).
``(2) Report to congress.--Not later than 1 year after
receipt of the data described in paragraph (1)(B), the
Secretary shall submit to the Committee on Energy and Commerce
of the House of Representatives and the Committee on Health,
Education, Labor, and Pensions of the Senate a report that
includes--
``(A) an analysis of the effect of the
demonstration program under this section on the
quality, quantity, and distribution of maternal
(including prenatal, labor and birth, and postpartum)
care services and the demographics of the recipients of
those services;
``(B) an analysis of maternal and infant health
outcomes (including quality of care, morbidity, and
mortality) before and after implementation of the
program in the communities served by entities
participating in the demonstration; and
``(C) recommendations on whether the demonstration
program should be expanded.
``(e) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section, $5,000,000 for each of fiscal
years 2020 through 2024.''.
SEC. 105. GAO REPORT.
Not later than 18 months after the date of enactment of this Act,
the Comptroller General of the United States shall submit to the
Committee on Energy and Commerce of the House of Representatives and
the Committee on Health, Education, Labor, and Pensions of the Senate a
report on maternal care in rural areas, including prenatal, labor and
birth, and postpartum care in rural areas. Such report shall include
the following:
(1) Trends in data that may identify potential gaps in
maternal and obstetric clinicians and health professionals,
including non-clinical professionals.
(2) Trends in the number of facilities able to provide
maternal care, including prenatal, labor and birth, and
postpartum care, in rural areas, including care for high-risk
pregnancies.
(3) The gaps in data on maternal mortality and morbidity
and recommendations to standardize the format on collecting
data related to maternal mortality and morbidity.
(4) The gaps in maternal health outcomes by race and
ethnicity in rural communities, with a focus on racial
inequities for residents who are racial and ethnic minorities
or members of underserved populations.
(5) An examination of--
(A) activities which the Secretary of Health and
Human Services plans to conduct to improve maternal
care in rural areas, including prenatal, labor and
birth, and postpartum care; and
(B) the extent to which the Secretary has a plan
for completing these activities, has identified the
lead agency responsible for each activity, has
identified any needed coordination among agencies, and
has developed a budget for conducting such activities.
(6) Other information that the Comptroller General
determines appropriate.
TITLE II--OTHER IMPROVEMENTS TO MATERNAL CARE
SEC. 201. INNOVATION FOR MATERNAL HEALTH.
The Public Health Service Act is amended--
(1) in the section designation of section 330M (42 U.S.C.
254c-19) by inserting a period after ``330M''; and
(2) by inserting after such section 330M the following:
``SEC. 330N. INNOVATION FOR MATERNAL HEALTH.
``(a) In General.--The Secretary, in consultation with experts
representing a variety of clinical specialties, State, tribal, or local
public health officials, researchers, epidemiologists, statisticians,
and community organizations, shall establish or continue a program to
award competitive grants to eligible entities for the purpose of--
``(1) identifying, developing, or disseminating best
practices to improve maternal health care quality and outcomes,
eliminate preventable maternal mortality and severe maternal
morbidity, and improve infant health outcomes, which may
include--
``(A) information on evidence-based practices to
improve the quality and safety of maternal health care
in hospitals and other health care settings of a State
or health care system, including by addressing topics
commonly associated with health complications or risks
related to prenatal care, labor care, birthing, and
postpartum care;
``(B) best practices for improving maternal health
care based on data findings and reviews conducted by a
State maternal mortality review committee that address
topics of relevance to common complications or health
risks related to prenatal care, labor care, birthing,
and postpartum care; and
``(C) information on addressing determinants of
health that impact maternal health outcomes for women
before, during, and after pregnancy;
``(2) collaborating with State maternal mortality review
committees to identify issues for the development and
implementation of evidence-based practices to improve maternal
health outcomes and reduce preventable maternal mortality and
severe maternal morbidity;
``(3) providing technical assistance and supporting the
implementation of best practices identified in paragraph (1) to
entities providing health care services to pregnant and
postpartum women; and
``(4) identifying, developing, and evaluating new models of
care that improve maternal and infant health outcomes, which
may include the integration of community-based services and
clinical care.
``(b) Eligible Entities.--To be eligible for a grant under
subsection (a), an entity shall--
``(1) submit to the Secretary an application at such time,
in such manner, and containing such information as the
Secretary may require; and
``(2) demonstrate in such application that the entity is
capable of carrying out data-driven maternal safety and quality
improvement initiatives in the areas of obstetrics and
gynecology or maternal health.
``(c) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $10,000,000 for each of fiscal
years 2020 through 2024.''.
SEC. 202. TRAINING FOR HEALTH CARE PROVIDERS.
Title VII of the Public Health Service Act is amended by striking
section 763 (42 U.S.C. 294p) and inserting the following:
``SEC. 763. TRAINING FOR HEALTH CARE PROVIDERS.
``(a) Grant Program.--The Secretary shall establish a program to
award grants to accredited schools of allopathic medicine, osteopathic
medicine, and nursing, and other health professional training programs
for the training of health care professionals to reduce and prevent
discrimination (including training related to implicit and explicit
biases) in the provision of health care services related to prenatal
care, labor care, birthing, and postpartum care.
``(b) Eligibility.--To be eligible for a grant under subsection
(a), an entity described in such subsection shall submit to the
Secretary an application at such time, in such manner, and containing
such information as the Secretary may require.
``(c) Reporting Requirement.--Each entity awarded a grant under
this section shall periodically submit to the Secretary a report on the
status of activities conducted using the grant, including a description
of the impact of such training on patient outcomes, as applicable.
``(d) Best Practices.--The Secretary may identify and disseminate
best practices for the training of health care professionals to reduce
and prevent discrimination (including training related to implicit and
explicit biases) in the provision of health care services related to
prenatal care, labor care, birthing, and postpartum care.
``(e) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $5,000,000 for each of fiscal
years 2020 through 2024.''.
SEC. 203. STUDY ON TRAINING TO REDUCE AND PREVENT DISCRIMINATION.
Not later than 2 years after date of enactment of this Act, the
Secretary of Health and Human Services (referred to in this section as
the ``Secretary'') shall, through a contract with an independent
research organization, conduct a study and make recommendations for
accredited schools of allopathic medicine, osteopathic medicine, and
nursing, and other health professional training programs, on best
practices related to training to reduce and prevent discrimination,
including training related to implicit and explicit biases, in the
provision of health care services related to prenatal care, labor care,
birthing, and postpartum care.
SEC. 204. PERINATAL QUALITY COLLABORATIVES.
(a) Grants.--Section 317K(a)(2) of the Public Health Service Act
(42 U.S.C. 247b-12(a)(2)) is amended by adding at the end the
following:
``(E)(i) The Secretary, acting through the Director
of the Centers for Disease Control and Prevention and
in coordination with other offices and agencies, as
appropriate, shall establish or continue a competitive
grant program for the establishment or support of
perinatal quality collaboratives to improve perinatal
care and perinatal health outcomes for pregnant and
postpartum women and their infants. A State, Indian
Tribe, or tribal organization may use funds received
through such grant to--
``(I) support the use of evidence-based or
evidence-informed practices to improve outcomes
for maternal and infant health;
``(II) work with clinical teams; experts;
State, local, and, as appropriate, tribal
public health officials; and stakeholders,
including patients and families, to identify,
develop, or disseminate best practices to
improve perinatal care and outcomes; and
``(III) employ strategies that provide
opportunities for health care professionals and
clinical teams to collaborate across health
care settings and disciplines, including
primary care and mental health, as appropriate,
to improve maternal and infant health outcomes,
which may include the use of data to provide
timely feedback across hospital and clinical
teams to inform responses, and to provide
support and training to hospital and clinical
teams for quality improvement, as appropriate.
``(ii) To be eligible for a grant under clause (i),
an entity shall submit to the Secretary an application
in such form and manner and containing such information
as the Secretary may require.''.
(b) Authorization of Appropriations.--Section 317K(f) of the Public
Health Service Act (42 U.S.C. 247b-12(f)) is amended by striking
``$58,000,000 for each of fiscal years 2019 through 2023'' and
inserting ``$65,000,000 for each of fiscal years 2020 through 2024''.
SEC. 205. INTEGRATED SERVICES FOR PREGNANT AND POSTPARTUM WOMEN.
(a) Grants.--The Public Health Service Act is amended by inserting
after section 330N of such Act, as added by section 201, the following:
``SEC. 330O. INTEGRATED SERVICES FOR PREGNANT AND POSTPARTUM WOMEN.
``(a) In General.--The Secretary may award grants for the purpose
of establishing or operating evidence-based or innovative, evidence-
informed programs to deliver integrated health care services to
pregnant and postpartum women to optimize the health of women and their
infants, including--
``(1) to reduce adverse maternal health outcomes,
pregnancy-related deaths, and related health disparities
(including such disparities associated with racial and ethnic
minority populations); and
``(2) as appropriate, by addressing issues researched under
section 317K(b)(2).
``(b) Integrated Services for Pregnant and Postpartum Women.--
``(1) Eligibility.--To be eligible to receive a grant under
subsection (a), a State, Indian Tribe, or tribal organization
(as such terms are defined in section 4 of the Indian Self-
Determination and Education Assistance Act) shall work with
relevant stakeholders that coordinate care (including
coordinating resources and referrals for health care and social
services) to develop and carry out the program, including--
``(A) State, Tribal, and local agencies responsible
for Medicaid, public health, social services, mental
health, and substance use disorder treatment and
services;
``(B) health care providers who serve pregnant and
postpartum women; and
``(C) community-based health organizations and
health workers, including providers of home visiting
services and individuals representing communities with
disproportionately high rates of maternal mortality and
severe maternal morbidity, and including those
representing racial and ethnicity minority populations.
``(2) Terms.--
``(A) Period.--A grant awarded under subsection (a)
shall be made for a period of 5 years. Any supplemental
award made to a grantee under subsection (a) may be
made for a period of less than 5 years.
``(B) Preference.--In awarding grants under
subsection (a), the Secretary shall--
``(i) give preference to States, Indian
Tribes, and tribal organizations that have the
highest rates of maternal mortality and severe
maternal morbidity relative to other such
States, Indian Tribes, or tribal organizations,
respectively; and
``(ii) shall consider health disparities
related to maternal mortality and severe
maternal morbidity, including such disparities
associated with racial and ethnic minority
populations.
``(C) Priority.--In awarding grants under
subsection (a), the Secretary shall give priority to
applications from up to 15 entities described in
subparagraph (B)(i).
``(D) Evaluation.--The Secretary shall require
grantees to evaluate the outcomes of the programs
supported under the grant.
``(c) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $15,000,000 for each of fiscal
years 2020 through 2024.''.
(b) Report on Grant Outcomes and Dissemination of Best Practices.--
(1) Report.--Not later than February 1, 2026, the Secretary
of Health and Human Services shall submit to the Committee on
Energy and Commerce of the House of Representatives and the
Committee on Health, Education, Labor, and Pensions of the
Senate a report that describes--
(A) the outcomes of the activities supported by the
grants awarded under the amendments made by this
section on maternal and child health;
(B) best practices and models of care used by
recipients of grants under such amendments; and
(C) obstacles identified by recipients of grants
under such amendments, and strategies used by such
recipients to deliver care, improve maternal and child
health, and reduce health disparities.
(2) Dissemination of best practices.--Not later than August
1, 2026, the Secretary of Health and Human Services shall
disseminate information on best practices and models of care
used by recipients of grants under section 330O of the Public
Health Service Act (as added by this section) (including best
practices and models of care relating to the reduction of
health disparities, including such disparities associated with
racial and ethnic minority populations, in rates of maternal
mortality and severe maternal morbidity) to relevant
stakeholders, which may include health providers, medical
schools, nursing schools, relevant State, tribal, and local
agencies, and the general public.
Union Calendar No. 414
116th CONGRESS
2d Session
H. R. 4995
[Report No. 116-514]
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to improve obstetric care and
maternal health outcomes, and for other purposes.
_______________________________________________________________________
September 17, 2020
Reported with an amendment; committed to the Committee of the Whole
House on the State of the Union and ordered to be printed