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Code · BILL · 118th Congress · H.R. 5568 (Introduced in House) — To improve Federal efforts with respect to the prevention of maternal mortality, and for other purposes. · Sec. 5

Sec. 5. Grants for rural obstetric mobile health units

643 words·~3 min read·/bill/118/hr/5568/ih/section-5

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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 adding at the end the following: The Secretary, acting through the Administrator of the Health Resources and Services Administration (referred to in this section as the Secretary ), shall establish a pilot program under which the Secretary shall make grants to States— to purchase and equip rural mobile health units for the purpose of providing pre-conception, pregnancy, postpartum, and obstetric emergency services in rural and underserved communities; to train providers including obstetrician-gynecologists, certified nurse-midwives, nurse practitioners, nurses, and midwives to operate and provide obstetric services, including training and planning for obstetric emergencies, in such mobile health units; and to address access issues, including social determinants of health and wrap-around clinical and community services including nutrition, housing, lactation services, and transportation support and referrals.
As a condition of receiving a grant under this section, a State shall submit to the Secretary an assurance that the State will not make available to Federal or State law enforcement any personally identifiable information regarding any pregnant or postpartum individual collected pursuant to such grant. The period of a grant under this section shall not exceed 5 years. States that receive pilot grants under this section shall be responsible for— implementing the program funded by the pilot grants; and not later than 3 years after the date of enactment of this Act, and 6 years after the date of enactment of this Act, submitting a report containing the results of such program to the Secretary, including— relevant information and relevant quantitative indicators of the programs’ success in improving the standard of care and maternal health outcomes for individuals in rural and underserved communities seen for pre-conception, pregnancy, or postpartum visits in the rural mobile health units, stratified by the categories of data specified in paragraph (2); relevant qualitative evaluations from individuals receiving pre-conception, pregnant, or postpartum care from rural mobile health units, including measures of patient-reported experience of care and measures of patient-reported issues with access to care without the rural mobile health unit pilot; and strategies to sustain such programs beyond the duration of the grant and expand such programs to other rural and underserved communities.
The categories of data specified in this paragraph are the following: Race, ethnicity, sex, gender, gender identity, primary language, age, geography, disability status, and insurance status. Number of visits provided for preconception, prenatal, or postpartum care. Number of repeat visits provided for preconception, prenatal, or postpartum care. Number of screenings or tests provided for smoking, substance use, hypertension, sexually-transmitted diseases, diabetes, HIV, depression, intimate partner violence, pap smears, and pregnancy.
The reports referred to in paragraph (1)(B) shall not contain any personally identifiable information regarding any pregnant or postpartum individual. The Secretary shall conduct an evaluation of the pilot program under this section to determine the impact of the pilot program with respect to— the effectiveness of the grants awarded under this section to improve maternal health outcomes in rural and underserved communities, with data stratified by race, ethnicity, primary language, socioeconomic status, geography, insurance type, and other factors as the Secretary determines appropriate; spending on maternity care by States participating in the pilot program; to the extent practicable, qualitative, and quantitative measures of patient experience; and any other areas of assessment that the Secretary determines relevant.
Not later than one year after the completion of the pilot program under this section, the Secretary shall submit to the Congress, and make publicly available, a report containing— the results of any evaluation conducted under subsection (e); and a recommendation regarding whether the pilot program should be continued after fiscal year 2028 and expanded on a national basis. There is authorized to be appropriated to the Secretary to carry out this section $10,000,000 for each of fiscal years 2024 through 2028. .
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Sec. 5
Grants for rural obstetric mobile health units
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