Sec. 3. Collaborative improvement and innovation networks to improve obstetric health in rural areas
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Section 501 of the Social Security Act ( 42 U.S.C. 701 ) is amended— in subsection (a)(2), by inserting and the establishment of collaborative improvement and innovation networks to improve obstetric health in rural areas by improving outcomes in birth and maternal morbidity and mortality after services development ; and by adding at the end the following: For the purpose of enabling the Secretary (through grants, contracts, or otherwise) to establish, as special projects of regional and national significance, collaborative improvement and innovation networks (referred to in this subsection as rural obstetric health CoIINs ) to improve obstetric health in rural areas by improving outcomes in birth and maternal morbidity and mortality, there is appropriated to the Secretary, out of any money in the Treasury not otherwise appropriated, $3,000,000 for each of fiscal years 2019 through 2023.
Funds appropriated under subparagraph
(A)shall— be in addition to amounts appropriated under subsection
(a)and retained under section 502(a)(1) for the purpose of carrying out activities described in subsection (a)(2); and remain available until expended. Rural obstetric health CoIINs established in accordance with this subsection shall— assist pregnant women in rural areas connect with maternal, prenatal and postnatal, and obstetric care to improve outcomes in birth and maternal mortality and morbidity; identify successful maternal, prenatal and postnatal, and obstetric health delivery models for women in rural areas; develop a model for collaboration between health facilities that have an obstetric health unit and health facilities that do not have an obstetric health unit; provide training and guidance for health facilities that do not have obstetric health units; and collaborate with academic institutions that can provide regional expertise and research on access, outcomes, needs assessments, and other identified data. Not later than October 1, 2019, the Secretary shall establish rural obstetric health CoIINs in at least 5 regions. In this subsection: The term frontier area means a frontier county, as defined in section 1886(d)(3)(E)(iii)(III). The term Indian tribe has the meaning given such term in section 4 of the Indian Health Care Improvement Act ( 25 U.S.C. 1603 ). The term region means a State, Indian tribe, rural area, or frontier area. The term rural area has the meaning given that term in section 1886(d)(2)(D). The term State has the meaning given that term for purposes of this title in section 1101. The provisions of this title that are applicable to the funds made available to the Secretary under section 502(a)(1) apply in the same manner to funds made available to the Secretary under paragraph (1)(A). .
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Sec. 3
Collaborative improvement and innovation networks to improve obstetric health in rural areas
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