[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 1699 Introduced in Senate (IS)]

<DOC>






118th CONGRESS
  1st Session
                                S. 1699

To support the use of technology in maternal health care, and for other 
                               purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              May 18, 2023

Mr. Menendez (for himself, Mr. Booker, and Mr. Sullivan) introduced the 
 following bill; which was read twice and referred to the Committee on 
                 Health, Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
To support the use of technology in maternal health care, 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 ``Tech to Save Moms Act''.

SEC. 2. INTEGRATED TELEHEALTH MODELS IN MATERNITY CARE SERVICES.

    (a) In General.--Section 1115A(b)(2)(B) of the Social Security Act 
(42 U.S.C. 1315a(b)(2)(B)) is amended by adding at the end the 
following:
                            ``(xxviii) Focusing on title XIX, providing 
                        for the adoption of and use of telehealth tools 
                        that allow for screening, monitoring, and 
                        management of common health complications with 
                        respect to an individual receiving medical 
                        assistance during such individual's pregnancy 
                        and for not more than a 1-year period beginning 
                        on the last day of the pregnancy.''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
take effect 1 year after the date of enactment of this Act.

SEC. 3. GRANTS TO EXPAND THE USE OF TECHNOLOGY-ENABLED COLLABORATIVE 
              LEARNING AND CAPACITY MODELS FOR PREGNANT AND POSTPARTUM 
              INDIVIDUALS.

    Title III of the Public Health Service Act is amended by inserting 
after section 330P (42 U.S.C. 254c-22) the following:

``SEC. 330Q. EXPANDING CAPACITY FOR MATERNAL HEALTH OUTCOMES.

    ``(a) Establishment.--Beginning not later than 1 year after the 
date of enactment of the Tech to Save Moms Act, the Secretary shall 
award grants to eligible entities to evaluate, develop, and expand the 
use of technology-enabled collaborative learning and capacity building 
models and improve maternal health outcomes--
            ``(1) in health professional shortage areas;
            ``(2) in areas with high rates of maternal mortality and 
        severe maternal morbidity;
            ``(3) in rural and underserved areas;
            ``(4) in areas with significant maternal health 
        disparities; and
            ``(5) for medically underserved populations and American 
        Indians and Alaska Natives, including Indian Tribes, Tribal 
        organizations, and Urban Indian organizations.
    ``(b) Use of Funds.--
            ``(1) Required uses.--Recipients of grants under this 
        section shall use the grants to--
                    ``(A) train maternal health care providers, 
                students, and other similar professionals through 
                models that include--
                            ``(i) methods to increase safety and health 
                        care quality;
                            ``(ii) implicit bias, racism, and 
                        discrimination;
                            ``(iii) best practices in screening for 
                        and, as needed, evaluating and treating 
                        maternal mental health conditions and substance 
                        use disorders;
                            ``(iv) training on best practices in 
                        maternity care for pregnant and postpartum 
                        individuals during public health emergencies;
                            ``(v) methods to screen for social 
                        determinants of maternal health risks in the 
                        prenatal and postpartum; and
                            ``(vi) the use of remote patient monitoring 
                        tools for pregnancy-related complications 
                        described in section 1115A(b)(2)(B)(xxviii) of 
                        the Social Security Act;
                    ``(B) evaluate and collect information on the 
                effect of such models on--
                            ``(i) access to and quality of care;
                            ``(ii) outcomes with respect to the health 
                        of an individual; and
                            ``(iii) the experience of individuals who 
                        receive pregnancy-related health care;
                    ``(C) develop qualitative and quantitative measures 
                to identify best practices for the expansion and use of 
                such models;
                    ``(D) study the effect of such models on patient 
                outcomes and maternity care providers; and
                    ``(E) conduct any other activity determined by the 
                Secretary.
            ``(2) Permissible uses.--Recipients of grants under this 
        section may use grants to support--
                    ``(A) the use and expansion of technology-enabled 
                collaborative learning and capacity building models, 
                including hardware and software that--
                            ``(i) enables distance learning and 
                        technical support; and
                            ``(ii) supports the secure exchange of 
                        electronic health information; and
                    ``(B) maternity care providers, students, and other 
                similar professionals in the provision of maternity 
                care through such models.
    ``(c) Application.--
            ``(1) In general.--An eligible entity seeking a grant under 
        subsection (a) shall submit to the Secretary an application, at 
        such time, in such manner, and containing such information as 
        the Secretary may require.
            ``(2) Assurance.--An application under paragraph (1) shall 
        include an assurance that such entity shall collect information 
        on and assess the effect of the use of technology-enabled 
        collaborative learning and capacity building models, including 
        with respect to--
                    ``(A) maternal health outcomes;
                    ``(B) access to maternal health care services;
                    ``(C) quality of maternal health care; and
                    ``(D) retention of maternity care providers serving 
                areas and populations described in subsection (a).
    ``(d) Limitations.--
            ``(1) Number.--The Secretary may not award more than 1 
        grant under this section.
            ``(2) Duration.--A grant awarded under this section shall 
        be for a 5-year period.
    ``(e) Access to Broadband.--In administering grants under this 
section, the Secretary may coordinate with other agencies to ensure 
that funding opportunities are available to support access to reliable, 
high-speed internet for grantees.
    ``(f) Technical Assistance.--The Secretary shall provide (either 
directly or by contract) technical assistance to eligible entities, 
including recipients of grants under subsection (a), on the 
development, use, and sustainability of technology-enabled 
collaborative learning and capacity building models to expand access to 
maternal health care services provided by such entities, including--
            ``(1) in health professional shortage areas;
            ``(2) in areas with high rates of maternal mortality and 
        severe maternal morbidity or significant maternal health 
        disparities;
            ``(3) in rural and underserved areas; and
            ``(4) for medically underserved populations or American 
        Indians and Alaska Natives.
    ``(g) Research and Evaluation.--The Secretary, in consultation with 
experts, shall develop a strategic plan to research and evaluate the 
evidence for technology-enabled collaborative learning and capacity 
building models.
    ``(h) Reporting.--
            ``(1) Eligible entities.--An eligible entity that receives 
        a grant under subsection (a) shall submit to the Secretary a 
        report, at such time, in such manner, and containing such 
        information as the Secretary may require.
            ``(2) Secretary.--Not later than 4 years after the date of 
        enactment of the Tech to Save Moms Act, the Secretary shall 
        submit to the Congress, and make available on the website of 
        the Department of Health and Human Services, a report that 
        includes--
                    ``(A) a description of grants awarded under 
                subsection (a) and the purpose and amounts of such 
                grants;
                    ``(B) a summary of--
                            ``(i) the evaluations conducted under 
                        subsection (b)(1)(B);
                            ``(ii) any technical assistance provided 
                        under subsection (f); and
                            ``(iii) the activities conducted under 
                        subsection (a); and
                    ``(C) a description of any significant findings 
                with respect to--
                            ``(i) patient outcomes; and
                            ``(ii) best practices for expanding, using, 
                        or evaluating technology-enabled collaborative 
                        learning and capacity building models.
    ``(i) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $6,000,000 for each of fiscal 
years 2024 through 2028.
    ``(j) Definitions.--In this section:
            ``(1) Eligible entity.--
                    ``(A) In general.--The term `eligible entity' means 
                an entity that provides, or supports the provision of, 
                maternal health care services or other evidence-based 
                services for pregnant and postpartum individuals--
                            ``(i) in health professional shortage 
                        areas;
                            ``(ii) in rural or underserved areas;
                            ``(iii) in areas with high rates of adverse 
                        maternal health outcomes or significant racial 
                        and ethnic disparities in maternal health 
                        outcomes; and
                            ``(iv) who are--
                                    ``(I) members of medically 
                                underserved populations; or
                                    ``(II) American Indians and Alaska 
                                Natives, including Indian Tribes, 
                                Tribal organizations, and Urban Indian 
                                organizations.
                    ``(B) Inclusions.--An eligible entity may include 
                entities that lead, or are capable of leading a 
                technology-enabled collaborative learning and capacity 
                building model.
            ``(2) Health professional shortage area.--The term `health 
        professional shortage area' means a health professional 
        shortage area designated under section 332.
            ``(3) Indian tribe.--The term `Indian Tribe' has the 
        meaning given such term in section 4 of the Indian Self-
        Determination and Education Assistance Act.
            ``(4) Maternal mortality.--The term `maternal mortality' 
        means a death occurring during or within 1-year period after 
        pregnancy caused by pregnancy-related or childbirth 
        complications, including a suicide, overdose, or other death 
        resulting from a mental health or substance use disorder 
        attributed to or aggravated by pregnancy or childbirth 
        complications.
            ``(5) Medically underserved population.--The term 
        `medically underserved population' has the meaning given such 
        term in section 330(b)(3).
            ``(6) Postpartum.--The term `postpartum' means the 1-year 
        period beginning on the last date of an individual's pregnancy.
            ``(7) Severe maternal morbidity.--The term `severe maternal 
        morbidity' means a health condition, including a mental health 
        or substance use disorder, attributed to or aggravated by 
        pregnancy or childbirth that results in significant short-term 
        or long-term consequences to the health of the individual who 
        was pregnant.
            ``(8) Technology-enabled collaborative learning and 
        capacity building model.--The term `technology-enabled 
        collaborative learning and capacity building model' means a 
        distance health education model that connects health care 
        professionals, and other specialists, through simultaneous 
        interactive video conferencing for the purpose of facilitating 
        case-based learning, disseminating best practices, and 
        evaluating outcomes in the context of maternal health care.
            ``(9) Tribal organization.--The term `Tribal organization' 
        has the meaning given such term in section 4 of the Indian 
        Self-Determination and Education Assistance Act.
            ``(10) Urban indian organization.--The term `Urban Indian 
        organization' has the meaning given such term in section 4 of 
        the Indian Health Care Improvement Act.''.

SEC. 4. GRANTS TO PROMOTE EQUITY IN MATERNAL HEALTH OUTCOMES THROUGH 
              DIGITAL TOOLS.

    (a) In General.--Beginning not later than 1 year after the date of 
enactment of this Act, the Secretary of Health and Human Services (in 
this section referred to as the ``Secretary'') shall make grants to 
eligible entities to reduce maternal health disparities by increasing 
access to digital tools related to maternal health care, including 
provider-facing technologies, such as early warning systems and 
clinical decision support mechanisms.
    (b) Applications.--To be eligible to receive a grant under this 
section, an eligible entity shall submit to the Secretary an 
application at such time, in such manner, and containing such 
information as the Secretary may require.
    (c) Prioritization.--In awarding grants under this section, the 
Secretary shall prioritize an eligible entity--
            (1) in an area with elevated rates of maternal mortality, 
        severe maternal morbidity, maternal health disparities, or 
        other adverse perinatal or childbirth outcomes;
            (2) in a health professional shortage area designated under 
        section 332 of the Public Health Service Act (42 U.S.C. 254e) 
        or a rural or underserved area; and
            (3) that promotes technology that addresses maternal health 
        disparities.
    (d) Limitations.--
            (1) Number.--The Secretary may award not more than 1 grant 
        under this section.
            (2) Duration.--A grant awarded under this section shall be 
        for a 5-year period.
    (e) Technical Assistance.--The Secretary shall provide technical 
assistance to an eligible entity on the development, use, evaluation, 
and postgrant sustainability of digital tools for purposes of promoting 
equity in maternal health outcomes.
    (f) Reporting.--
            (1) Eligible entities.--An eligible entity that receives a 
        grant under subsection (a) shall submit to the Secretary a 
        report, at such time, in such manner, and containing such 
        information as the Secretary may require.
            (2) Secretary.--Not later than 4 years after the date of 
        the enactment of this Act, the Secretary shall submit to 
        Congress a report that includes--
                    (A) an evaluation on the effectiveness of grants 
                awarded under this section to improve maternal health 
                outcomes, particularly for pregnant and postpartum 
                individuals from racial and ethnic minority groups;
                    (B) recommendations on new grant programs that 
                promote the use of technology to improve such maternal 
                health outcomes; and
                    (C) recommendations with respect to--
                            (i) technology-based privacy and security 
                        safeguards in maternal health care;
                            (ii) reimbursement rates for maternal 
                        telehealth services;
                            (iii) the use of digital tools to analyze 
                        large data sets to identify potential 
                        pregnancy-related complications;
                            (iv) barriers that prevent maternity care 
                        providers from providing telehealth services 
                        across States;
                            (v) the use of consumer digital tools such 
                        as mobile phone applications, patient portals, 
                        and wearable technologies to improve maternal 
                        health outcomes;
                            (vi) barriers that prevent access to 
                        telehealth services, including a lack of access 
                        to reliable, high-speed internet or electronic 
                        devices;
                            (vii) barriers to data sharing between the 
                        Special Supplemental Nutrition Program for 
                        Women, Infants, and Children program and 
                        maternity care providers, and recommendations 
                        for addressing such barriers; and
                            (viii) lessons learned from expanded access 
                        to telehealth related to maternity care during 
                        the COVID-19 public health emergency.
    (g) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $6,000,000 for each of fiscal 
years 2024 through 2028.

SEC. 5. REPORT ON THE USE OF TECHNOLOGY IN MATERNITY CARE.

    (a) In General.--Not later than 60 days after the date of enactment 
of this Act, the Secretary of Health and Human Services shall seek to 
enter an agreement with the National Academies of Sciences, 
Engineering, and Medicine (referred to in this section as the 
``National Academies'') under which the National Academies shall 
conduct a study on the use of technology and patient monitoring devices 
in maternity care.
    (b) Content.--The agreement entered into pursuant to subsection (a) 
shall provide for the study of the following:
            (1) The use of innovative technology (including artificial 
        intelligence) in maternal health care, including the extent to 
        which such technology has affected racial or ethnic biases in 
        maternal health care.
            (2) The use of patient monitoring devices (including pulse 
        oximeter devices) in maternal health care, including the extent 
        to which such devices have affected racial or ethnic biases in 
        maternal health care.
            (3) Best practices for reducing and preventing racial or 
        ethnic biases in the use of innovative technology and patient 
        monitoring devices in maternity care.
            (4) Best practices in the use of innovative technology and 
        patient monitoring devices for pregnant and postpartum 
        individuals from racial and ethnic minority groups.
            (5) Best practices with respect to privacy and security 
        safeguards in such use.
    (c) Report.--The agreement under subsection (a) shall direct the 
National Academies to complete the study under subsection (b), and 
submit to Congress a report on the results of the study, not later than 
24 months after the date of enactment of this Act.
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