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Code · BILL · 118th Congress · H.R. 4605 (Introduced in House) — To amend titles XIX and XXI of the Social Security Act to improve maternal health coverage under Medicaid and CHIP, a... · Sec. 7

Sec. 7. National reskilling of the maternity care workforce

286 words·~1 min read·/bill/118/hr/4605/ih/section-7·

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Part B of title III of the Public Health Service Act ( 42 U.S.C. 243 et seq. ) is amended by inserting after section 317L–1 the following: The Secretary shall establish a national expert group to evaluate national education on, and practice of, best birthing practices. The group established under paragraph
(1)shall be composed of such members as the Secretary appoints, including— obstetricians and gynecologists, family medicine physicians, midwives, and nursing leaders; hospital administrators; graduate medical education leaders; doula leaders; individuals with experience in community birth settings; patients; high-risk birth experts; and quality improvement leaders. In appointing members under subparagraph (A), the Secretary shall ensure a balance of members representing rural areas and members representing urban areas. The group established under subsection
(a)shall— examine evidence, trends, and differential use or access by income, geographic area, and race and ethnicity associated with birthing practices that include— cesarean sections, repeat cesarean, and vaginal birth after cesarean; electronic fetal monitoring and intermittent auscultation; birth positions, including upright positioning and ambulation; labor with doula support; evaluating indications for cesarean delivery, including cervical dilation and duration of pushing; operative vaginal deliveries; manual fetal rotation; amnioinfusion and scalp stimulation; and cervical ripening methods; assess the role of the culture of care, maternity care financing, and health education with respect to the trends under paragraph (1); and identify case studies of the provision of exemplary birthing care. The group established under subsection
(a)shall, not later than 1 year after such establishment, issue— best practices for— evaluating birthing skills; improving curricula for health professionals engaged in birthing; and the incorporation of midwives and doulas into residency curricula for obstetricians; and recommendations for policies and practices to improve maternity care overall. .
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Sec. 7
National reskilling of the maternity care workforce
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