Sec. 504. Indian Health Service study on maternal mortality
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The Director of the Indian Health Service (referred to in this section as the Director ) shall, in coordination with the individuals described in subsection (b)(1)— not later than 90 days after the date of enactment of this Act, offer to enter into a contract with an independent research organization or Tribal epidemiology center established under section 214 of the Indian Health Care Improvement Act ( 25 U.S.C. 1621m ) to conduct a comprehensive study on maternal mortality and severe maternal morbidity in the populations of American Indian and Alaska Native women; and not later than 3 years after the date of enactment of this Act, submit to Congress a report describing the results of that study that contains recommendations for policies and practices that can be adopted to improve maternal health outcomes for those women.
The individuals referred to in subsection
(a)are 12 individuals, selected by the Director from among individuals nominated by Indian tribes, tribal organizations, and urban Indian organizations (as those terms are defined in section 4 of the Indian Health Care Improvement Act ( 25 U.S.C. 1603 )). In selecting individuals under paragraph (1), the Director shall ensure that each of the 12 service areas of the Indian Health Service is represented. The study conducted pursuant to subsection
(a)shall— examine the causes of maternal mortality and severe maternal morbidity that are unique to American Indian and Alaska Native women; include a systematic process of listening to the stories of American Indian and Alaska Native women to fully understand the causes of, and inform potential solutions to, the maternal mortality and severe maternal morbidity crisis within their respective communities; distinguish between the causes of, landscape of maternity care at, and recommendations to improve maternal health outcomes within, the different settings in which American Indian and Alaska Native women receive maternity care, such as— facilities operated by the Indian Health Service; an Indian health program operated by an Indian tribe or tribal organization pursuant to a contract, grant, cooperative agreement, or compact with the Indian Health Service pursuant to the Indian Self-Determination Act ( 25 U.S.C. 5321 et seq.); and an urban Indian health program operated by an urban Indian organization pursuant to a grant or contract with the Indian Health Service pursuant to title V of the Indian Health Care Improvement Act ( 25 U.S.C. 1651 et seq.); review processes for coordinating programs of the Indian Health Service with social services provided through other programs administered by the Secretary of Health and Human Services (other than the Medicare program under title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq.), the Medicaid program under title XIX of that Act ( 42 U.S.C. 1396 et seq.), and the Children’s Health Insurance Program under title XXI of that Act ( 42 U.S.C. 1397aa et seq.)), including coordination with the efforts of the Task Force established under section 503; review current data collection and quality measurement processes and practices; consider social determinants of health, including poverty, lack of health insurance, unemployment, sexual violence, and environmental conditions in Tribal areas; consider the role that historical mistreatment of American Indian and Alaska Native women has played in causing currently high rates of maternal mortality and severe maternal morbidity; consider how current funding of the Indian Health Service affects the ability of the Indian Health Service to deliver quality maternity care; consider the extent to which the delivery of maternity care services is culturally appropriate for American Indian and Alaska Native women; make recommendations to reduce misclassification of American Indian and Alaska Native women, including consideration of best practices in training for maternal mortality review committee members to be able to correctly classify American Indian and Alaska Native women; and make recommendations informed by the stories shared by American Indian and Alaska Native women under paragraph
(2)to improve maternal health outcomes for such women. The contract entered into under subsection (a)(1) with an independent research organization or Tribal epidemiology center established under section 214 of the Indian Health Care Improvement Act ( 25 U.S.C. 1621m ) shall require that the organization or center submit to Congress a report on the results of the study conducted pursuant to that contract not later than 3 years after the date of enactment of this Act. There is authorized to be appropriated to carry out this section $2,000,000 for each of fiscal years 2021 through 2023.
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Sec. 504
Indian Health Service study on maternal mortality
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