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I
116TH CONGRESS
2D SESSION
H. R. 6129
To provide improved care and protection to incarcerated mothers, and for
other purposes.
IN THE HOUSE OF REPRESENTATIVES
MARCH 9, 2020
Ms. PRESSLEY (for herself, Ms. UNDERWOOD, Ms. ADAMS, Ms. SEWELL of
Alabama, Ms. NORTON, Ms. SCANLON, Ms. MOORE, Mr. CLAY, Mr.
KHANNA, and Mr. LAWSON of Florida) introduced the following bill;
which was referred to the Committee on the Judiciary, and in addition
to the Committee on Energy and Commerce, for a period to be subse-
quently determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
A BILL
To provide improved care and protection to incarcerated
mothers, and for other purposes.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE.
3
This Act may be cited as the ‘‘Justice for Incarcer-
4
ated Moms Act’’.
5
SEC. 2. SENSE OF CONGRESS.
6
It is the sense of Congress that the respect and prop-
7
er care that mothers deserve is inclusive, and whether the
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mothers are transgender, cisgender, or gender noncon-
1
forming, all deserve dignity.
2
SEC. 3. ENDING THE SHACKLING OF PREGNANT INDIVID-
3
UALS.
4
(a) IN GENERAL.—Beginning on the date that is 6
5
months after the date of enactment of this Act, and annu-
6
ally thereafter, in each State that received a grant under
7
subpart 1 of part E of title I of the Omnibus Crime Con-
8
trol and Safe Streets Act of 1968 (34 U.S.C. 10151 et
9
seq.) (commonly referred to as the ‘‘Edward Byrne Memo-
10
rial Justice Grant Program’’) and that does not have in
11
effect throughout the State for such fiscal year laws re-
12
stricting the use of restraints on pregnant individuals in
13
prison that are substantially similar to the rights, proce-
14
dures, requirements, effects, and penalties set forth in sec-
15
tion 4322 of title 18, United States Code, the amount of
16
such grant that would otherwise be allocated to such State
17
under such subpart for the fiscal year shall be decreased
18
by 25 percent.
19
(b) REALLOCATION.—Amounts not allocated to a
20
State for failure to comply with subsection (a) shall be
21
reallocated in accordance with subpart 1 of part E of title
22
I of the Omnibus Crime Control and Safe Streets Act of
23
1968 (34 U.S.C. 10151 et seq.) to States that have com-
24
plied with such subsection.
25
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SEC. 4. CREATING MODEL PROGRAMS FOR THE CARE OF
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INCARCERATED INDIVIDUALS IN THE PRE-
2
NATAL AND POSTPARTUM PERIODS.
3
(a) IN GENERAL.—Not later than 1 year after the
4
date of enactment of this Act, the Attorney General, act-
5
ing through the Director of the Bureau of Prisons, shall
6
establish, in not more than 6 Bureau of Prisons facilities,
7
programs to optimize maternal health outcomes for preg-
8
nant and postpartum individuals incarcerated in such fa-
9
cilities. The Attorney General shall establish such pro-
10
grams in consultation with stakeholders such as—
11
(1) relevant community-based organizations,
12
particularly organizations that represent incarcer-
13
ated and formerly incarcerated individuals and orga-
14
nizations that seek to improve maternal health out-
15
comes for minority women;
16
(2) relevant organizations representing patients,
17
with a particular focus on minority patients;
18
(3) relevant organizations representing mater-
19
nal health care providers;
20
(4) nonclinical perinatal health workers such as
21
doulas, community health workers, peer supporters,
22
certified lactation consultants, nutritionists and di-
23
etitians, social workers, home visitors, and naviga-
24
tors; and
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(5) researchers and policy experts in fields re-
1
lated to women’s health care for incarcerated indi-
2
viduals.
3
(b) START DATE.—Each selected facility shall begin
4
facility programs not later than 18 months after the date
5
of enactment of this Act.
6
(c) FACILITY PRIORITY.—In carrying out subsection
7
(a), the Director shall give priority to a facility based on—
8
(1) the number of pregnant and postpartum in-
9
dividuals incarcerated in such facility and, among
10
such individuals, the number of pregnant and
11
postpartum minority individuals; and
12
(2) the extent to which the leaders of such facil-
13
ity have demonstrated a commitment to developing
14
exemplary programs for pregnant and postpartum
15
individuals incarcerated in such facility.
16
(d) PROGRAM DURATION.—The programs established
17
under this section shall be for a 5-year period.
18
(e) PROGRAMS.—Bureau of Prisons facilities selected
19
by the Director shall establish programs for pregnant and
20
postpartum incarcerated individuals, and such programs
21
may—
22
(1) provide access to doulas and other perinatal
23
health
workers
from
pregnancy
through
the
24
postpartum period;
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(2) provide access to healthy foods and coun-
1
seling on nutrition, recommended activity levels, and
2
safety measures throughout pregnancy;
3
(3) train correctional officers and medical per-
4
sonnel to ensure that pregnant incarcerated individ-
5
uals receive trauma-informed, culturally congruent
6
care that promotes the health and safety of the
7
pregnant individuals;
8
(4) provide counseling and treatment for indi-
9
viduals who have suffered from—
10
(A) diagnosed mental or behavioral health
11
conditions, including trauma and substance use
12
disorders;
13
(B) domestic violence;
14
(C) human immunodeficiency virus;
15
(D) sexual abuse;
16
(E) pregnancy or infant loss; or
17
(F) chronic conditions, including heart dis-
18
ease, diabetes, osteoporosis and osteopenia, hy-
19
pertension, asthma, liver disease, and bleeding
20
disorders;
21
(5) provide pregnancy and childbirth education,
22
parenting support, and other relevant forms of
23
health literacy;
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(6) offer opportunities for postpartum individ-
1
uals to maintain contact with the individual’s new-
2
born child to promote bonding, including enhanced
3
visitation policies, access to prison nursery pro-
4
grams, or breastfeeding support;
5
(7) provide reentry assistance, particularly to—
6
(A) ensure continuity of health insurance
7
coverage if an incarcerated individual exits the
8
criminal justice system during such individual’s
9
pregnancy or in the postpartum period; and
10
(B) connect individuals exiting the criminal
11
justice system during pregnancy or in the
12
postpartum period to community-based re-
13
sources, such as referrals to health care pro-
14
viders and social services that address social de-
15
terminants of health like housing, employment
16
opportunities, transportation, and nutrition; or
17
(8) establish partnerships with local public enti-
18
ties, private community entities, community-based
19
organizations, Indian Tribes and tribal organizations
20
(as such terms are defined in section 4 of the Indian
21
Self-Determination and Education Assistance Act
22
(25 U.S.C. 5304)), and urban Indian organizations
23
(as such term is defined in section 4 of the Indian
24
Health Care Improvement Act (25 U.S.C. 1603)) to
25
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establish or expand pretrial diversion programs as
1
an alternative to incarceration for pregnant and
2
postpartum individuals. Such programs may in-
3
clude—
4
(A) parenting classes;
5
(B) prenatal health coordination;
6
(C) family and individual counseling;
7
(D) evidence-based screenings, education,
8
and, as needed, treatment for mental and be-
9
havioral health conditions, including drug and
10
alcohol treatments;
11
(E) family case management services;
12
(F) domestic violence education and pre-
13
vention;
14
(G) physical and sexual abuse counseling;
15
and
16
(H) programs to address social deter-
17
minants of health such as employment, housing,
18
education, transportation, and nutrition.
19
(f) IMPLEMENTATION AND REPORTING.—A selected
20
facility shall be responsible for—
21
(1) implementing programs, which may include
22
the programs described in subsection (e); and
23
(2) not later than 3 years after the date of en-
24
actment of this Act, and not 6 years after the date
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of enactment of this Act, reporting results of the
1
programs to the Director, including information de-
2
scribing—
3
(A) relevant quantitative indicators of suc-
4
cess in improving the standard of care and
5
health outcomes for pregnant and postpartum
6
incarcerated individuals who participated in
7
such programs, including data stratified by
8
race, ethnicity, sex, age, geography, disability
9
status, the category of the criminal charge
10
against such individual, rates of pregnancy-re-
11
lated deaths, pregnancy-associated deaths, cases
12
of infant mortality, cases of severe maternal
13
morbidity, cases of violence against pregnant or
14
postpartum individuals, diagnoses of maternal
15
mental or behavioral health conditions, and
16
other such information as appropriate;
17
(B) relevant qualitative evaluations from
18
pregnant and postpartum incarcerated individ-
19
uals who participated in such programs, includ-
20
ing subjective measures of patient-reported ex-
21
perience of care;
22
(C) evaluations of cost effectiveness; and
23
(D) strategies to sustain such programs
24
beyond 2026.
25
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(g) REPORT.—Not later than 7 years after the date
1
of enactment of this Act, the Director shall submit to the
2
Attorney General and to the Committee on the Judiciary
3
of the House of Representatives and the Senate a report
4
describing the results of the programs funded under this
5
section.
6
(h) OVERSIGHT.—Not later than 1 year after the
7
date of enactment of this Act, the Attorney General shall
8
award a contract to an independent organization or inde-
9
pendent organizations to conduct oversight of the pro-
10
grams described in subsection (e).
11
(i) AUTHORIZATION OF APPROPRIATIONS.—There is
12
authorized to be appropriated to carry out this section
13
$10,000,000 for each of fiscal years 2021 through 2025.
14
SEC. 5. GRANT PROGRAM TO IMPROVE MATERNAL HEALTH
15
OUTCOMES FOR INDIVIDUALS IN STATE AND
16
LOCAL PRISONS AND JAILS.
17
(a) ESTABLISHMENT.—Not later than 1 year after
18
the date of enactment of this Act, the Attorney General,
19
acting through the Director of the Bureau of Justice As-
20
sistance, shall award Justice for Incarcerated Moms
21
grants to States to establish or expand programs in State
22
and local prisons and jails for pregnant and postpartum
23
incarcerated individuals. The Attorney General shall
24
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award such grants in consultation with stakeholders such
1
as—
2
(1) relevant community-based organizations,
3
particularly organizations that represent incarcer-
4
ated and formerly incarcerated individuals and orga-
5
nizations that seek to improve maternal health out-
6
comes for minority women;
7
(2) relevant organizations representing patients,
8
with a particular focus on minority patients;
9
(3) relevant organizations representing mater-
10
nal health care providers;
11
(4) nonclinical perinatal health workers such as
12
doulas, community health workers, peer supporters,
13
certified lactation consultants, nutritionists and di-
14
etitians, social workers, home visitors, and naviga-
15
tors; and
16
(5) researchers and policy experts in fields re-
17
lated to women’s health care for incarcerated indi-
18
viduals.
19
(b) APPLICATIONS.—Each applicant for a grant
20
under this section shall submit to the Director of the Bu-
21
reau of Justice Assistance an application at such time, in
22
such manner, and containing such information as the Di-
23
rector may require.
24
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(c) USE OF FUNDS.—A State that is awarded a grant
1
under this section shall use such grant to establish or ex-
2
pand programs for pregnant and postpartum incarcerated
3
individuals, and such programs may—
4
(1) provide access to doulas and other perinatal
5
health
workers
from
pregnancy
through
the
6
postpartum period;
7
(2) provide access to healthy foods and coun-
8
seling on nutrition, recommended activity levels, and
9
safety measures throughout pregnancy;
10
(3) train correctional officers and medical per-
11
sonnel to ensure that pregnant incarcerated individ-
12
uals receive trauma-informed, culturally congruent
13
care that promotes the health and safety of the
14
pregnant individuals;
15
(4) provide counseling and treatment for indi-
16
viduals who have suffered from—
17
(A) diagnosed mental or behavioral health
18
conditions, including trauma and substance use
19
disorders;
20
(B) domestic violence;
21
(C) human immunodeficiency virus;
22
(D) sexual abuse;
23
(E) pregnancy or infant loss; or
24
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(F) chronic conditions, including heart dis-
1
ease, diabetes, osteoporosis and osteopenia, hy-
2
pertension, asthma, liver disease, and bleeding
3
disorders;
4
(5) provide pregnancy and childbirth education,
5
parenting support, and other relevant forms of
6
health literacy;
7
(6) offer opportunities for postpartum individ-
8
uals to maintain contact with the individual’s new-
9
born child to promote bo
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