Social Determinants for Moms Act

I 118TH CONGRESS 1ST SESSION H. R. 3322 To address social determinants of maternal health to eliminate maternal mortality, severe maternal morbidity, and maternal health disparities, and for other purposes. IN THE HOUSE OF REPRESENTATIVES MAY 15, 2023 Mrs. HAYES (for herself, Ms. UNDERWOOD, Mr. AGUILAR, Mr. ALLRED, Ms. BARRAGA´N, Mrs. BEATTY, Mr. BISHOP of Georgia, Mr. BLUMENAUER, Ms. BLUNT ROCHESTER, Ms. BROWNLEY, Ms. BUDZINSKI, Ms. BUSH, Ms. CARAVEO, Mr. CARBAJAL, Mr. CARSON, Mr. CARTER of Louisiana, Mrs. CHERFILUS-MCCORMICK, Ms. CLARKE of New York, Mr. COHEN, Mr. CLEAVER, Ms. CRAIG, Ms. CROCKETT, Mr. DAVIS of Illinois, Ms. DEAN of Pennsylvania, Ms. ESCOBAR, Mr. ESPAILLAT, Mr. EVANS, Mrs. FOUSHEE, Mr. GARAMENDI, Ms. GARCIA of Texas, Mr. GARCI´A of Illi- nois, Mr. GREEN of Texas, Mr. HORSFORD, Mr. HUFFMAN, Mr. IVEY, Mr. JACKSON of Illinois, Ms. JACKSON LEE, Ms. JACOBS, Ms. JAYAPAL, Mr. JOHNSON of Georgia, Ms. KAMLAGER-DOVE, Mr. KRISHNAMOORTHI, Ms. KUSTER, Ms. LEE of California, Mr. LIEU, Ms. LOFGREN, Mrs. MCBATH, Mrs. MCCLELLAN, Ms. MCCOLLUM, Mr. MCGOVERN, Mr. MEEKS, Ms. MENG, Mr. MFUME, Mr. MORELLE, Ms. MOORE of Wis- consin, Mr. MOULTON, Mr. MRVAN, Mr. MULLIN, Mrs. NAPOLITANO, Mr. NEGUSE, Ms. OCASIO-CORTEZ, Mr. PAPPAS, Mr. PAYNE, Mr. PHILLIPS, Ms. PORTER, Ms. PRESSLEY, Mr. RUPPERSBERGER, Ms. SALINAS, Ms. SCANLON, Mr. SCHIFF, Mr. SCHNEIDER, Ms. SCHOLTEN, Mr. DAVID SCOTT of Georgia, Ms. SEWELL, Mr. SMITH of Washington, Mr. SOTO, Ms. SPANBERGER, Ms. STANSBURY, Mrs. SYKES, Mr. TAKANO, Ms. TLAIB, Ms. TOKUDA, Mr. TONKO, Mrs. TORRES of California, Mrs. TRAHAN, Mr. TRONE, Mr. VARGAS, Mr. VEASEY, Ms. VELA´ZQUEZ, Ms. WASSERMAN SCHULTZ, Mrs. WATSON COLEMAN, Ms. WEXTON, Ms. WIL- LIAMS of Georgia, Mr. PASCRELL, Ms. DELBENE, and Mr. LYNCH) intro- duced the following bill; which was referred to the Committee on Energy and Commerce VerDate Sep 11 2014 00:54 May 30, 2023 Jkt 039200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6652 E:\BILLS\H3322.IH H3322 kjohnson on DSK79L0C42PROD with BILLS 2 •HR 3322 IH A BILL To address social determinants of maternal health to elimi- nate maternal mortality, severe maternal morbidity, and maternal health disparities, 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 ‘‘Social Determinants 4 for Moms Act’’. 5 SEC. 2. TASK FORCE TO ADDRESS THE UNITED STATES MA- 6 TERNAL HEALTH CRISIS. 7 (a) IN GENERAL.—The Secretary of Health and 8 Human Services shall convene a task force (in this section 9 referred to as the ‘‘Task Force’’) to develop strategies and 10 coordinate efforts between Federal agencies and other 11 stakeholders to eliminate preventable maternal mortality, 12 severe maternal morbidity, and maternal health disparities 13 in the United States, including actions to address clinical 14 and nonclinical causes of maternal mortality, severe ma- 15 ternal morbidity, and maternal health disparities. 16 (b) EX OFFICIO MEMBERS.—The ex officio members 17 of the Task Force shall consist of the following: 18 (1) The Secretary of Health and Human Serv- 19 ices (or a designee thereof). 20 VerDate Sep 11 2014 00:54 May 30, 2023 Jkt 039200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H3322.IH H3322 kjohnson on DSK79L0C42PROD with BILLS 3 •HR 3322 IH (2) The Secretary of Housing and Urban Devel- 1 opment (or a designee thereof). 2 (3) The Secretary of Transportation (or a des- 3 ignee thereof). 4 (4) The Secretary of Agriculture (or a designee 5 thereof). 6 (5) The Secretary of Labor (or a designee 7 thereof). 8 (6) The Administrator of the Environmental 9 Protection Agency (or a designee thereof). 10 (7) The Assistant Secretary for the Administra- 11 tion for Children and Families (or a designee there- 12 of). 13 (8) The Administrator of the Centers for Medi- 14 care & Medicaid Services (or a designee thereof). 15 (9) The Director of the Indian Health Service 16 (or a designee thereof). 17 (10) The Director of the National Institutes of 18 Health (or a designee thereof). 19 (11) The Director of the Eunice Kennedy 20 Shriver National Institute of Child Health and 21 Human Development (or a designee thereof). 22 (12) The Administrator of the Health Re- 23 sources and Services Administration (or a designee 24 thereof). 25 VerDate Sep 11 2014 00:54 May 30, 2023 Jkt 039200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H3322.IH H3322 kjohnson on DSK79L0C42PROD with BILLS 4 •HR 3322 IH (13) The Deputy Assistant Secretary for Minor- 1 ity Health of the Department of Health and Human 2 Services (or a designee thereof). 3 (14) The Deputy Assistant Secretary for Wom- 4 en’s Health of the Department of Health and 5 Human Services (or a designee thereof). 6 (15) The Director of the Centers for Disease 7 Control and Prevention (or a designee thereof). 8 (16) The Director of the Office on Violence 9 Against Women at the Department of Justice (or a 10 designee thereof). 11 (c) APPOINTED MEMBERS.—In addition to the ex 12 officio members of the Task Force, the Secretary of 13 Health and Human Services may appoint the following 14 members of the Task Force: 15 (1) Representatives of patients, to include— 16 (A) a representative of patients who have 17 suffered from severe maternal morbidity; or 18 (B) a representative of patients who is a 19 family member of an individual who suffered a 20 pregnancy-related death. 21 (2) Leaders of community-based organizations 22 that address maternal mortality, severe maternal 23 morbidity, and maternal health with a specific focus 24 on racial and ethnic disparities. In appointing such 25 VerDate Sep 11 2014 00:54 May 30, 2023 Jkt 039200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H3322.IH H3322 kjohnson on DSK79L0C42PROD with BILLS 5 •HR 3322 IH leaders under this paragraph, the Secretary of 1 Health and Human Services shall give priority to in- 2 dividuals who are leaders of organizations led by in- 3 dividuals from demographic groups with elevated 4 rates of maternal mortality, severe maternal mor- 5 bidity, maternal health disparities, or other adverse 6 perinatal or childbirth outcomes. 7 (3) Perinatal health workers. 8 (4) A professionally and geographically diverse 9 panel of maternity care providers. 10 (5) Other maternal health stakeholders outside 11 of the Federal Government with expertise in mater- 12 nal health, including social determinants of maternal 13 health. 14 (d) CHAIR.—The Secretary of Health and Human 15 Services shall select the chair of the Task Force from 16 among the members of the Task Force. 17 (e) TOPICS.—In developing strategies coordinating 18 efforts between Federal agencies and other stakeholders 19 to eliminate preventable maternal mortality, severe mater- 20 nal morbidity, and maternal health disparities in the 21 United States under this section, the Task Force may ad- 22 dress topics such as— 23 (1) addressing barriers that prevent individuals 24 from attending prenatal and postpartum appoint- 25 VerDate Sep 11 2014 00:54 May 30, 2023 Jkt 039200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H3322.IH H3322 kjohnson on DSK79L0C42PROD with BILLS 6 •HR 3322 IH ments, accessing maternal health care services, or 1 accessing services and resources related to social de- 2 terminants of maternal health; 3 (2) increasing access to safe, stable, affordable, 4 and adequate housing for pregnant and postpartum 5 individuals and their families; 6 (3) delivering healthy food, infant formula, 7 clean water, diapers, or other perinatal necessities to 8 pregnant and postpartum individuals located in 9 areas that are food deserts; 10 (4) addressing the impacts of water and air 11 quality, exposure to extreme temperatures, environ- 12 mental chemicals, environmental risks in the work- 13 place and the home, and pollution levels, on mater- 14 nal and infant health outcomes; 15 (5) offering free and accessible drop-in 16 childcare services during prenatal and postpartum 17 appointments; 18 (6) addressing the clinical and nonclinical needs 19 of postpartum individuals and their families for the 20 duration of the postpartum period; 21 (7) engaging with nongovernmental entities to 22 address social determinants of maternal health, in- 23 cluding through public-private partnerships; 24 VerDate Sep 11 2014 00:54 May 30, 2023 Jkt 039200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H3322.IH H3322 kjohnson on DSK79L0C42PROD with BILLS 7 •HR 3322 IH (8) addressing the impact of domestic or inti- 1 mate partner violence on maternal health outcomes; 2 and 3 (9) other topics determined by the chair of the 4 Task Force. 5 (f) REPORT.—Not later than 2 years after the date 6 of enactment of this Act, and every year thereafter, the 7 Task Force shall submit to Congress and make publicly 8 available on the website of the Department of Health and 9 Human Services a report— 10 (1) describing the Task Force’s efforts to de- 11 velop strategies and coordinate efforts between Fed- 12 eral agencies and other stakeholders to eliminate 13 preventable maternal mortality, severe maternal 14 morbidity, and maternal health disparities in the 15 United States; 16 (2) providing an overview of actions taken by 17 each member of the Task Force listed under sub- 18 section (b) to eliminate preventable maternal mor- 19 tality, severe maternal morbidity, and maternal 20 health disparities in the United States; 21 (3) providing recommendations on Federal 22 funding amounts and authorities needed to imple- 23 ment strategies developed by the Task Force to 24 eliminate preventable maternal mortality, severe ma- 25 VerDate Sep 11 2014 00:54 May 30, 2023 Jkt 039200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H3322.IH H3322 kjohnson on DSK79L0C42PROD with BILLS 8 •HR 3322 IH ternal morbidity, and maternal health disparities in 1 the United States; 2 (4) providing recommendations on actions that 3 stakeholders outside of the Federal Government can 4 take to eliminate preventable maternal mortality, se- 5 vere maternal morbidity, and maternal health dis- 6 parities in the United States; and 7 (5) addressing other topics as determined by 8 the chair of the Task Force. 9 (g) TERMINATION.—Section 1013 of title 5, United 10 States Code, shall not apply to the Task Force with re- 11 spect to termination. 12 SEC. 3. SUSTAINED FUNDING TO ADDRESS SOCIAL DETER- 13 MINANTS OF MATERNAL HEALTH. 14 (a) IN GENERAL.—The Secretary of Health and 15 Human Services (in this section referred to as the ‘‘Sec- 16 retary’’) shall award grants to eligible entities to address 17 social determinants of maternal health to eliminate mater- 18 nal mortality, severe maternal morbidity, and maternal 19 health disparities. 20 (b) ELIGIBLE ENTITIES.—In this section, the term 21 ‘‘eligible entity’’ means— 22 (1) a community-based organization, Indian 23 Tribe or Tribal organization, or Urban Indian orga- 24 nization; 25 VerDate Sep 11 2014 00:54 May 30, 2023 Jkt 039200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\H3322.IH H3322 kjohnson on DSK79L0C42PROD with BILLS 9 •HR 3322 IH (2) a public health department or nonprofit or- 1 ganization working with an entity listed in para- 2 graph (1); or 3 (3) a consortium of entities listed in paragraph 4 (1) or (2) that includes at minimum one entity listed 5 in paragraph (1). 6 (c) APPLICATION.—To be eligible to receive a grant 7 under this section, an eligible entity shall submit to the 8 Secretary an application at such time, in such manner, 9 and containing such information as the Secretary may 10 provide. 11 (d) PRIORITIZATION.—In awarding grants under 12 subsection (a), the Secretary shall give priority to an eligi- 13 ble entity that is operating in an area with— 14 (1) high rates of maternal mortality, severe ma- 15 ternal morbidity, maternal health disparities, or 16 other adverse perinatal or childbirth outcomes; and 17 (2) a high poverty rate. 18 (e) ACTIVITIES.—An eligible entity that receives a 19 grant under this section may use the grant to address so- 20 cial determinants of maternal health such as— 21 (1) housing; 22 (2) transportation; 23 (3) nutrition; 24 VerDate Sep 11 2014 00:54 May 30, 2023 Jkt 039200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\H3322.IH H3322 kjohnson on DSK79L0C42PROD with BILLS 10 •HR 3322 IH (4) employment, workplace conditions, and 1 other economic factors; 2 (5) environmental conditions; 3 (6) intimate partner violence; and 4 (7) other nonclinical factors that impact mater- 5 nal health outcomes. 6 (f) TECHNICAL ASSISTANCE.—The Secretary shall 7 provide to grant recipients under this section technical as- 8 sistance to plan for sustaining programs to address social 9 determinants of maternal health after the period of the 10 grant. 11 (g) REPORTING.— 12 (1) GRANTEES.—Not later than 1 year after an 13 eligible entity first receives a grant under this sec- 14 tion, and annually thereafter, an eligible entity shall 15 submit to the Secretary, and make publicly available, 16 a report on the status of activities conducted using 17 the grant. Each such report shall include data on 18 the effects of such activities, disaggregated by race, 19 ethnicity, gender, primary language, geography, so- 20 cioeconomic status, and other relevant factors. 21 (2) SECRETARY.—Not later than the end of fis- 22 cal year 2028, the Secretary shall submit to Con- 23 gress a report that includes— 24 VerDate Sep 11 2014 00:54 May 30, 2023 Jkt 039200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\H3322.IH H3322 kjohnson on DSK79L0C42PROD with BILLS 11 •HR 3322 IH (A) a summary of the reports under para- 1 graph (1); and 2 (B) recommendations for future Federal 3 grant allocations to address social determinants 4 of maternal health. 5 (h) AUTHORIZATION OF APPROPRIATIONS.—There is 6 authorized to be appropriated to carry out this section 7 $100,000,000 for each of fiscal years 2024 through 2028. 8 SEC. 4. DEFINITIONS. 9 In this Act: 10 (1) MATERNAL MORTALITY.—The term ‘‘mater- 11 nal mortality’’ means a death occurring during or 12 within a 1-year period after pregnancy, caused by 13 pregnancy-related or childbirth complications, in- 14 cluding a suicide, overdose, or other death resulting 15 from a mental health or substance use disorder at- 16 tributed to or aggravated by pregnancy-related or 17 childbirth complications. 18 (2) MATERNITY CARE PROVIDER.—The term 19 ‘‘maternity care provider’’ means a health care pro- 20 vider who— 21 (A) is a physician, a physician assistant, a 22 midwife who meets, at a minimum, the inter- 23 national definition of a midwife and global 24 standards for midwifery education as estab- 25 VerDate Sep 11 2014 00:54 May 30, 2023 Jkt 039200 PO 00000 Frm 00011 Fmt 6652 Sfmt [Text truncated for display. Full text available on Congress.gov.]