Black Maternal Health Momnibus Act of 2020

I 116TH CONGRESS 2D SESSION H. R. 6142 To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. IN THE HOUSE OF REPRESENTATIVES MARCH 9, 2020 Ms. UNDERWOOD (for herself, Ms. ADAMS, Ms. SEWELL of Alabama, Ms. NORTON, Ms. SCANLON, Mrs. WATSON COLEMAN, Ms. BARRAGA´N, Ms. OMAR, Mr. RYAN, Ms. MOORE, Mr. CLAY, Mr. KHANNA, Ms. BASS, Ms. BLUNT ROCHESTER, Mr. KENNEDY, Ms. SCHAKOWSKY, Mrs. LURIA, Ms. HAALAND, Ms. PRESSLEY, Mr. LAWSON of Florida, Ms. SHALALA, Ms. SPANBERGER, Ms. SCHRIER, and Mr. MOULTON) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Financial Services, Transportation and Infrastructure, Education and Labor, the Judiciary, Natural Resources, Agriculture, and Veterans’ Affairs, for a period to be subsequently deter- mined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, 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 VerDate Sep 11 2014 19:17 Mar 27, 2020 Jkt 099200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H6142.IH H6142 pamtmann on DSKBC07HB2PROD with BILLS 2 •HR 6142 IH SECTION 1. SHORT TITLE. 1 This Act may be cited as the ‘‘Black Maternal Health 2 Momnibus Act of 2020’’. 3 SEC. 2. TABLE OF CONTENTS. 4 The table of contents for this Act is as follows: 5 Sec. 1. Short title. Sec. 2. Table of contents. Sec. 3. Definitions. TITLE I—SOCIAL DETERMINANTS FOR MOMS Sec. 101. Task force to coordinate efforts to address social determinants of health for women in the prenatal and postpartum periods. Sec. 102. Requirements for guidance relating to social determinants of health for pregnant women. Sec. 103. Department of Housing and Urban Development. Sec. 104. Department of Transportation. Sec. 105. Department of Agriculture. Sec. 106. Environmental study through National Academies. Sec. 107. Child care access. Sec. 108. Grants to State, local, and Tribal public health departments address- ing social determinants of health for pregnant and postpartum women. TITLE II—HONORING KIRA JOHNSON Sec. 201. Investments in community-based organizations to improve Black ma- ternal health outcomes. Sec. 202. Training for all employees in maternity care settings. Sec. 203. Study on reducing and preventing bias, racism, and discrimination in maternity care settings. Sec. 204. Respectful maternity care compliance program. Sec. 205. GAO report. TITLE III—PROTECTING MOMS WHO SERVED Sec. 301. Support for maternity care coordination. Sec. 302. Sense of Congress on veteran status requirements. Sec. 303. Report on maternal mortality and severe maternal morbidity among women veterans. TITLE IV—PERINATAL WORKFORCE Sec. 401. HHS agency directives. Sec. 402. Grants to grow and diversify the perinatal workforce. Sec. 403. Grants to grow and diversify the nursing workforce in maternal and perinatal health. Sec. 404. GAO report on barriers to maternity care. TITLE V—DATA TO SAVE MOMS VerDate Sep 11 2014 19:17 Mar 27, 2020 Jkt 099200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6211 E:\BILLS\H6142.IH H6142 pamtmann on DSKBC07HB2PROD with BILLS 3 •HR 6142 IH Sec. 501. Funding for maternal mortality review committees to promote rep- resentative community engagement. Sec. 502. Data collection and review. Sec. 503. Task force on maternal health data and quality measures. Sec. 504. Indian Health Service study on maternal mortality. Sec. 505. Grants to minority-serving institutions to study maternal mortality, severe maternal morbidity, and other adverse maternal health outcomes. TITLE VI—MOMS MATTER Sec. 601. Innovative models to reduce maternal mortality. TITLE VII—JUSTICE FOR INCARCERATED MOMS Sec. 701. Sense of Congress. Sec. 702. Ending the shackling of pregnant individuals. Sec. 703. Creating model programs for the care of incarcerated individuals in the prenatal and postpartum periods. Sec. 704. Grant program to improve maternal health outcomes for individuals in State and local prisons and jails. Sec. 705. GAO report. Sec. 706. MACPAC report. TITLE VIII—TECH TO SAVE MOMS Sec. 801. CMI modeling of integrated telehealth models in maternity care serv- ices. Sec. 802. Grants to expand the use of technology-enabled collaborative learning and capacity models that provide care to pregnant and postpartum women. Sec. 803. Grants to promote equity in maternal health outcomes by increasing access to digital tools. Sec. 804. Report on the use of technology to reduce maternal mortality and se- vere maternal morbidity and to close racial and ethnic dispari- ties in outcomes. TITLE IX—IMPACT TO SAVE MOMS Sec. 901. Perinatal Care Alternative Payment Model Demonstration Project. Sec. 902. MACPAC report. SEC. 3. DEFINITIONS. 1 In this Act: 2 (1) CULTURALLY CONGRUENT.—The term ‘‘cul- 3 turally congruent’’, with respect to care or maternity 4 care, means care that is in agreement with the pre- 5 ferred cultural values, beliefs, worldview, and prac- 6 VerDate Sep 11 2014 19:17 Mar 27, 2020 Jkt 099200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H6142.IH H6142 pamtmann on DSKBC07HB2PROD with BILLS 4 •HR 6142 IH tices of the health care consumer and other stake- 1 holders. 2 (2) MATERNAL MORTALITY.—The term ‘‘mater- 3 nal mortality’’ means a death occurring during or 4 within a one-year period after pregnancy caused by 5 pregnancy or childbirth complications. 6 (3) POSTPARTUM.—The term ‘‘postpartum’’ 7 means the one-year period beginning on the last day 8 of a woman’s pregnancy. 9 (4) SEVERE MATERNAL MORBIDITY.—The term 10 ‘‘severe maternal morbidity’’ means an unexpected 11 outcome caused by labor and delivery of a woman 12 that results in significant short-term or long-term 13 consequences to the health of the woman. 14 TITLE I—SOCIAL 15 DETERMINANTS FOR MOMS 16 SEC. 101. TASK FORCE TO COORDINATE EFFORTS TO AD- 17 DRESS SOCIAL DETERMINANTS OF HEALTH 18 FOR WOMEN IN THE PRENATAL AND 19 POSTPARTUM PERIODS. 20 (a) IN GENERAL.—The Secretary of Health and 21 Human Services shall convene a task force (in this section 22 referred to as the ‘‘Task Force’’) to develop strategies to 23 coordinate efforts across the Federal Government to ad- 24 VerDate Sep 11 2014 19:17 Mar 27, 2020 Jkt 099200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H6142.IH H6142 pamtmann on DSKBC07HB2PROD with BILLS 5 •HR 6142 IH dress social determinants of health for women in the pre- 1 natal and postpartum periods. 2 (b) MEMBERS.—The members of the Task Force 3 shall consist of the following: 4 (1) The Secretary of Health and Human Serv- 5 ices (or the Secretary’s designee). 6 (2) The Secretary of Housing and Urban Devel- 7 opment (or the Secretary’s designee). 8 (3) The Secretary of Transportation (or the 9 Secretary’s designee). 10 (4) The Secretary of Agriculture (or the Sec- 11 retary’s designee). 12 (5) The Administrator of the Environmental 13 Protection Agency (or the Administrator’s designee). 14 (6) The Assistant Secretary for the Administra- 15 tion for Children and Families (or the Assistant Sec- 16 retary’s designee). 17 (7) The Administrator of the Centers for Medi- 18 care & Medicaid Services (or the Administrator’s 19 designee). 20 (8) The Director of the Indian Health Service 21 (or the Director’s designee). 22 (9) The Director of the National Institutes of 23 Health (or the Director’s designee). 24 VerDate Sep 11 2014 19:17 Mar 27, 2020 Jkt 099200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H6142.IH H6142 pamtmann on DSKBC07HB2PROD with BILLS 6 •HR 6142 IH (10) The Administrator of the Health Re- 1 sources and Services Administration (or the Admin- 2 istrator’s designee). 3 (11) The Deputy Assistant Secretary for Minor- 4 ity Health of the Department of Health and Human 5 Services (or the Deputy Assistant Secretary’s des- 6 ignee). 7 (12) The Deputy Assistant Secretary for Wom- 8 en’s Health of the Department of Health and 9 Human Services (or the Deputy Assistant Sec- 10 retary’s designee). 11 (13) The Director of the Centers for Disease 12 Control and Prevention (or the Director’s designee). 13 (14) A woman who has experienced severe ma- 14 ternal morbidity or a family member of a woman 15 who has suffered a pregnancy-related death. 16 (15) A leader of a community-based organiza- 17 tion that addresses maternal mortality and severe 18 maternal morbidity with a specific focus on racial 19 and ethnic disparities. 20 (16) A maternal health care provider. 21 (c) CHAIR.—The Secretary of Health and Human 22 Services shall select the Chair of the Task Force from 23 among the members of the Task Force. 24 VerDate Sep 11 2014 19:17 Mar 27, 2020 Jkt 099200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H6142.IH H6142 pamtmann on DSKBC07HB2PROD with BILLS 7 •HR 6142 IH (d) REPORT.—Not later than 2 years after the date 1 of enactment of this Act, the Task Force shall— 2 (1) finalize strategies to coordinate efforts 3 across the Federal Government to address social de- 4 terminants of health for women in the prenatal and 5 postpartum periods; and 6 (2) submit a report on such strategies to the 7 Congress, including— 8 (A) plans for implementing such strategies; 9 and 10 (B) recommendations on the funding 11 amounts needed by each department and agen- 12 cy to implement such strategies. 13 (e) TERMINATION.—Termination under section 14 of 14 the Federal Advisory Committee Act (5 U.S.C. App.) shall 15 not apply to the Task Force. 16 SEC. 102. REQUIREMENTS FOR GUIDANCE RELATING TO 17 SOCIAL DETERMINANTS OF HEALTH FOR 18 PREGNANT WOMEN. 19 (a) IN GENERAL.—Not later than 1 year after the 20 date of the enactment of this Act, the Secretary of Health 21 and Human Services shall issue guidance with respect to 22 how medicaid managed care organizations and State Med- 23 icaid programs can use payments made pursuant to sec- 24 tion 1903 of the Social Security Act (42 U.S.C. 1396b) 25 VerDate Sep 11 2014 19:17 Mar 27, 2020 Jkt 099200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H6142.IH H6142 pamtmann on DSKBC07HB2PROD with BILLS 8 •HR 6142 IH to address the following issues related to social deter- 1 minants of health for high-risk mothers during the pre- 2 sumptive eligibility period for pregnant women: 3 (1) Housing. 4 (2) Transportation. 5 (3) Nutrition. 6 (4) Lactation and other infant feeding options 7 support. 8 (5) Lead testing and abatement. 9 (6) Air and water quality. 10 (7) Car seat installation. 11 (8) Child care access. 12 (9) Wellness and stress management programs. 13 (10) Other social determinants of health (as de- 14 termined by the Secretary). 15 (b) DEFINITIONS.—In this section: 16 (1) MEDICAID MANAGED CARE ORGANIZA- 17 TIONS.—The term ‘‘medicaid managed care organi- 18 zation’’ has the meaning given such term in section 19 1903(m)(1)(A) of the Social Security Act (42 U.S.C. 20 1396b(m)(1)(A)). 21 (2) PRESUMPTIVE ELIGIBILITY PERIOD.—The 22 term ‘‘presumptive eligibility period’’ has the mean- 23 ing given such term in section 1920(b)(1) of the So- 24 cial Security Act (42 U.S.C. 1396r–1(b)(1)). 25 VerDate Sep 11 2014 19:17 Mar 27, 2020 Jkt 099200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\H6142.IH H6142 pamtmann on DSKBC07HB2PROD with BILLS 9 •HR 6142 IH SEC. 103. DEPARTMENT OF HOUSING AND URBAN DEVEL- 1 OPMENT. 2 The Secretary of Housing and Urban Development 3 shall establish a new Housing for Moms task force within 4 the Department that shall be responsible for ensuring that 5 women in the prenatal and postpartum periods have safe, 6 stable, affordable, and adequate housing for themselves 7 and their other children. The task force shall— 8 (1) study how the Department of Housing and 9 Urban Development can support women in the pre- 10 natal and postpartum periods and make rec- 11 ommendations to the Secretary; 12 (2) provide guidance to regional offices of the 13 Department on measures to ensure that local hous- 14 ing infrastructure is supportive to women in the pre- 15 natal and postpartum periods, including providing 16 information on— 17 (A) health-promoting housing codes; 18 (B) enforcement of housing codes; 19 (C) proactive rental inspection programs; 20 (D) code enforcement officer training; and 21 (E) partnerships between regional offices 22 of the Department and community organiza- 23 tions to ensure housing laws are understood 24 and violations are discovered; and 25 VerDate Sep 11 2014 19:17 Mar 27, 2020 Jkt 099200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\H6142.IH H6142 pamtmann on DSKBC07HB2PROD with BILLS 10 •HR 6142 IH (3) not later than 2 years after the date of en- 1 actment of this Act, and annually thereafter, submit 2 to the Congress a report summarizing the activities 3 of the task force. 4 SEC. 104. DEPARTMENT OF TRANSPORTATION. 5 (a) REPORT.—Not later than 1 year after the date 6 of enactment of this Act, the Secretary of Transportation 7 shall submit to Congress a report containing— 8 (1) an assessment of transportation barriers 9 preventing individuals from attending prenatal and 10 postpartum appointments, accessing maternal health 11 care services, or accessing services and resources re- 12 lated to social determinants of health that affect ma- 13 ternal health outcomes, such as healthy foods; 14 (2) recommendations on how to overcome such 15 barriers; and 16 (3) an assessment of transportation safety risks 17 for pregnant individuals and recommendations on 18 how to mitigate such risks. 19 (b) CONSIDERATIONS.—In carrying out subsection 20 (a), the Secretary shall give special consideration to solu- 21 tions for— 22 (1) women living in a health professional short- 23 age area designated under section 332 of the Public 24 Health Service Act (42 U.S.C. 254e); and 25 VerDate Sep 11 2014 19:17 Mar 27, 2020 Jkt 099200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\H6142.IH H6142 pamtmann on DSKBC07HB2PROD with BILLS 11 •HR 6142 IH (2) women living in areas with high maternal 1 mortality or severe morbidity rates and significant 2 racial or ethnic disparities in maternal health out- 3 comes. 4 SEC. 105. DEPARTMENT OF AGRICULTURE. 5 (a) SPECIAL SUPPLEMENTAL NUTRITION PRO- 6 GRAM.— 7 (1) EXTENSION OF POSTPARTUM PERIOD.— 8 Section 17(b)(10) of the Child Nutrition Act of 9 1966 (42 U.S.C. 1786(b)(10)) is amended by strik- 10 ing ‘‘six months’’ and inserting ‘‘24 months’’. 11 (2) EXTENSION OF BREASTFEEDING PERIOD.— 12 Section 17(d)(3)(A)(ii) of the Child Nutrition Act of 13 1966 (7 U.S.C. 1431(d)(3)(A [Text truncated for display. Full text available on Congress.gov.]