Federal
Home Visiting to Reduce Maternal Mortality and Morbidity Act
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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-
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tives of the United States of America in Congress assembled,
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•HR 4768 IH
SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Home Visiting to Re-
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duce Maternal Mortality and Morbidity Act’’.
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SEC. 2. INCREASE IN TRIBAL SET-ASIDE PERCENTAGE.
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(a) IN GENERAL.—Section 511(j)(2)(A) of the Social
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Security Act (42 U.S.C. 711(j)(2)(A)) is amended by
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striking ‘‘3’’ and inserting ‘‘6’’.
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(b) EFFECTIVE DATE.—The amendment made by
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subsection (a) shall take effect on October 1, 2020.
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SEC. 3. INCREASE IN FUNDING.
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Section 511(j)(1) of the Social Security Act (42
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U.S.C. 711(j)(1)) is amended—
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(1) by striking ‘‘and’’ at the end of subpara-
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graph (G); and
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(2) by striking subparagraph (H) and inserting
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the following:
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‘‘(H) $400,000,000 for each of fiscal years
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2017 through 2020;
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‘‘(I) $600,000,000 for fiscal year 2021;
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and
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‘‘(J) $800,000,000 for fiscal year 2022.’’.
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SEC. 4. USE OF ADDITIONAL FUNDS.
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Section 511(c) of the Social Security Act (42 U.S.C.
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711(c)) is amended by adding at the end the following:
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‘‘(6) USE OF CERTAIN FUNDS TO PROVIDE AD-
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DITIONAL RESOURCES TO ADDRESS HIGH RATES OF
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•HR 4768 IH
MATERNAL
MORTALITY
AND
MORBIDITY, SUPPORT
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UNMET NEEDS IDENTIFIED BY THE NEEDS ASSESS-
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MENT, OR INCREASE ALLOCATIONS TO STATES AND
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TERRITORIES BASED ON RELATIVE POPULATION OR
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POVERTY.—The Secretary shall ensure that any
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amounts exceeding $400,000,000 that are used for
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grants under this subsection for a fiscal year are
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used to—
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‘‘(A) provide additional funding priority to
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States, tribes, and territories to address high
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rates of maternal mortality and morbidity docu-
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mented in needs assessments conducted under
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subsection (b) or performed under other Fed-
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eral programs;
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‘‘(B) address unmet needs identified by a
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needs assessment conducted under subsection
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(b); or
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‘‘(C) increase the amounts allocated under
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this section to States and to Puerto Rico,
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Guam, the Virgin Islands, the Northern Mar-
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iana Islands, and American Samoa, based on
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the proportion of children who have not at-
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tained 5 years of age and are living in pov-
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erty.’’.
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Æ
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