Sec. 3. Rural Obstetric Network Grants

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The Public Health Service Act is amended by inserting after section 317L–1 ( 42 U.S.C. 247b–13a ) the following: For the purpose of enabling the Secretary (through grants, contracts, or otherwise), acting through the Administrator of the Health Resources and Services Administration, to establish collaborative improvement and innovation networks (referred to in this section as rural obstetric networks ) to improve 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 2020 through 2024.

Such amounts shall remain available until expended. Amount appropriated under subsection

(a)shall be used for the establishment of collaborative improvement and innovation networks to improve maternal health in rural areas by improving outcomes in birth and maternal morbidity and mortality. Rural obstetric networks established in accordance with this section shall— assist pregnant women and individuals in rural areas connect with prenatal, labor and birth, and postpartum care to improve outcomes in birth and maternal mortality and morbidity; identify successful prenatal, labor and birth, and postpartum health delivery models for individuals in rural areas, including evidence-based home visiting programs and successful, culturally competent models with positive maternal health outcomes that advance health equity; 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; collaborate with academic institutions that can provide regional expertise and research on access, outcomes, needs assessments, and other identified data; and measure and address inequities in birth outcomes among rural residents, with an emphasis on Black and American Indians and Alaska Native residents, as such terms are defined in section 4 of the Indian Health Care Improvement Act. Not later than October 1, 2020, the Secretary shall establish rural obstetric health networks in at least 5 regions. In this section: The term frontier area means a frontier county, as defined in section 1886(d)(3)(E)(iii)(III) of the Social Security Act. The term Indian tribe has the meaning given such term in section 4 of the Indian Health Care Improvement Act. The term Native Hawaiian Health Care System has the meaning given such term in section 12 of the Native Hawaiian Health Care Improvement Act. 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) of the Social Security Act. The term tribal organization has the meaning given such term in the Indian Self-Determination Act. The term State has the meaning given that term for purposes of title V of the Social Security Act. .

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42 USC 247b–13a

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Sec. 3

Rural Obstetric Network Grants

Cite42 USC 247b–13a

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