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Code · BILL · 117th Congress · S. 4486 (Introduced in Senate) — To improve the health of minority individuals, and for other purposes. · Sec. 5218

Sec. 5218. Development of interprofessional maternity care educational models and tools

446 words·~2 min read·/bill/117/s/4486/is/section-5218

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Not later than 6 months after the date of the enactment of this Act, the Secretary of Health and Human Services, acting in conjunction with the Administrator of Health Resources and Services Administration, shall convene, for a 1-year period, an Interprofessional Maternity Provider Education Commission (referred to in this section as the Commission ) to discuss and make recommendations for— a consensus standard physiologic maternity care curriculum that takes into account the core competencies for basic midwifery practice such as those developed by the American College of Nurse-Midwives and the North American Registry of Midwives, and the educational objectives for physicians practicing in obstetrics and gynecology as determined by the Council on Resident Education in Obstetrics and Gynecology; suggestions for multidisciplinary use of the consensus physiologic curriculum; strategies to integrate and coordinate education across maternity care disciplines, including recommendations to increase medical and midwifery student exposure to out-of-hospital birth; curriculum and strategies for continuing education of practicing perinatal professionals who have completed their undergraduate and graduate education; and pilot demonstrations of interprofessional educational models.
The Commission shall include maternity care educators, curriculum developers, service leaders, certification leaders, and accreditation leaders from the various professions that provide or support maternity care in the United States. Such professions shall include obstetrician gynecologists, certified nurse midwives or certified midwives, family practice physicians, nurse practitioners, physician assistants, certified professional midwives, perinatal nurses, doulas, lactation personnel, and community health workers.
The Commission shall also include representation from maternity care consumer advocates. The consensus standard physiologic maternity care curriculum described in subsection (a)(1) shall— have a public health focus with a foundation in health promotion and disease prevention; foster physiologic childbearing and person and family centered care; reflect the extensive, growing research evidence about— the innate abilities and processes of the birthing person and the fetus or newborn for labor, birth, postpartum transition, breastfeeding, and attachment, when promoted, supported, and protected; and the effects of factors that disturb and disrupt these processes; integrate strategies to reduce maternal and infant morbidity and mortality; incorporate recommendations to ensure respectful, safe, and seamless consultation, referral, transport, and transfer of care when necessary; include cultural sensitivity and strategies to decrease inequities in maternity outcomes; and include implicit bias training.
Not later than 6 months after the final meeting of the Commission, the Secretary of Health and Human Services shall— submit to Congress a report containing the recommendations made by the Commission under this section; and make such report publicly available. There is authorized to be appropriated to carry out this section $1,000,000 for each of the fiscal years 2023 and 2024, and such sums as are necessary for each of the fiscal years 2025 through 2027.
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