Rep. Emilia Strong Sykes

Maddy summaryHR 3523, the Perinatal Workforce Act, provides $15 million annually from 2024 to 2028 to expand and diversify maternity care providers. It directs HHS to issue guidance for states on recruiting diverse providers (including midwives, nurses, and community health workers) and requires grant recipients to prioritize students from racial/ethnic minority groups, implement bias training, and target health professional shortage areas. The bill also mandates annual reporting on workforce diversity and outcomes, and requires a GAO report assessing barriers to equitable access in maternal healthcare. This legislation directly affects hospitals, nursing schools, midwifery programs, and insurers by funding targeted workforce development to address racial disparities in maternal care.

Maddy summaryThis bill requires that AM radio receivers be included as standard equipment in all new motor vehicles (such as cars and trucks) sold in the United States, with a rule to be issued by the Department of Transportation within one year. The rule must ensure AM radio is easily accessible on the dashboard and allows manufacturers to use digital AM radio technology instead of traditional AM. During the one-year period between the bill's enactment and the rule's effective date, manufacturers must clearly label vehicles without AM radio. The bill also directs a study to evaluate whether an alternative system could deliver emergency alerts as reliably as AM radio across the country, especially during crises.

Maddy summaryThe Maternal Vaccination Act amends public health law to specifically target vaccination outreach for pregnant and postpartum individuals and their children, directly affecting public health campaigns and health agencies. It updates existing provisions to include these groups in awareness efforts, requires new activities to increase vaccination rates - particularly among racial and ethnic minority communities - and increases annual funding from $15 million to $17 million for fiscal years 2024-2028. Key mechanisms include revising language in the Public Health Service Act to explicitly cover pregnant/postpartum individuals in campaign descriptions and adding a new requirement (Section 317(k)(1)(E)(vii)) to address vaccination equity. The bill focuses on concrete policy changes to expand access and awareness, not on predicting outcomes.

Maddy summaryThe Kira Johnson Act (HR 3310) provides $100 million annually from 2024-2028 to fund community-based organizations working to improve maternal health outcomes for racial and ethnic minority groups with elevated rates of maternal mortality, severe maternal morbidity, and health disparities. It requires hospitals to establish respectful maternity care compliance programs allowing patients to report racism or bias, and mandates training for all maternity care employees to address bias, racism, and discrimination. The bill also requires annual reports on program effectiveness and studies to evaluate strategies for reducing bias in maternity care settings. These provisions directly affect hospitals, maternity care providers, community-based organizations, and pregnant and postpartum individuals from racial and ethnic minority groups.

Maddy summaryThe Data to Save Moms Act allocates $10 million annually (2024-2028) to help maternal mortality review committees improve community engagement and diversity, with special focus on racial and ethnic minority groups. It requires committees to better document pregnancy-related deaths, consider nonclinical factors affecting maternal health, and collect more detailed demographic data including race, ethnicity, and socioeconomic status. The bill also mandates a comprehensive review of maternal health data collection processes and establishes a study specifically focused on maternal health outcomes for American Indian and Alaska Native individuals. Additionally, it provides grants to minority-serving institutions to research maternal health disparities among racial and ethnic minority groups. These provisions aim to improve data quality, community involvement, and address maternal mortality and severe maternal morbidity.

Social Determinants for Moms Act This bill requires the Department of Health and Human Services (HHS) to establish a task force and a grant program to address social determinants of maternal health. These are nonmedical factors that impact maternal health outcomes, such as transportation, food security, and economic security. The task force, composed of federal and nonfederal stakeholders, must develop strategies and coordinate efforts to eliminate preventable maternal mortality, severe maternal morbidity, and maternal health disparities. Additionally, HHS must award grants to community-based organizations, nonprofits, tribal organizations, public health departments, or consortia of these entities to address social determinants of maternal health and eliminate disparities in maternal health outcomes.

Innovative Maternal Payment and Coverage To Save Moms Act or the IMPACT to Save Moms Act This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish a demonstration program to test alternative payment models under Medicaid and the Children's Health Insurance Program (CHIP) for maternity care. The CMS may consider payment models that include or are designed to address certain areas, such as improved maternal health outcomes for at-risk demographic groups, consideration of social determinants of health, or incorporation of diverse maternity care teams or settings. The CMS must evaluate the program's impact on maternal health outcomes, spending, patient experience, and other relevant areas.

Maddy summaryHR 3304, the Maternal Health Pandemic Response Act, allocates $190 million to improve maternal and infant health outcomes during public health emergencies. It funds CDC programs to collect and analyze racial, ethnic, and demographic data on pregnant and postpartum individuals affected by infectious diseases, requiring public reporting of disaggregated data (by race, ethnicity, and geography) to address health disparities. The bill also establishes a federal task force to develop recommendations for respectful, equitable maternity care during emergencies, including telehealth access, mental health support, and culturally appropriate services. These provisions directly affect pregnant and postpartum people, particularly those from racial and ethnic minority groups facing higher maternal mortality risks.

Maddy summaryThe Protecting Moms and Babies Against Climate Change Act establishes a federal grant program to help communities address climate change risks that affect pregnant people, new mothers, and infants under 3 years old. It allocates $100 million over four years for community-based organizations to provide climate-related health services, including air conditioning, housing assistance, mental health support, and training for health care providers on climate risks. The bill also creates a grant program for health profession schools to integrate climate change education into medical training and establishes a National Institutes of Health research consortium to study climate impacts on maternal health. All grant recipients must address racial and ethnic disparities, collect data by demographic factors, and prevent negative environmental or housing impacts in their initiatives.

Maddy summary# Comprehensive Summary: Maternal Health and Vaccination Legislation This proposed legislation establishes a comprehensive framework to improve maternal health outcomes across multiple dimensions, with a strong focus on equity and addressing systemic disparities. The bill is organized into 13 titles covering various aspects of maternal health care. ## Key Focus Areas 1. **Maternal Health Equity**: The legislation emphasizes reducing racial and ethnic disparities in maternal health outcomes, with specific provisions targeting communities of color and underserved populations. 2. **Incarcerated Mothers**: Includes provisions to end shackling of pregnant individuals in correctional facilities and establishes programs for maternal health care in prisons and jails. 3. **Technology and Telehealth**: Creates grant programs for telehealth models, technology-enabled collaborative learning, and digital tools to improve access to maternal care. 4. **Climate Change Impact**: Addresses how climate change affects maternal and infant health, with a focus on vulnerable populations. 5. **Public Health Emergencies**: Establishes protocols for maternal care during public health crises like pandemics. 6. **Vaccinations**: Expands maternal vaccination awareness and equity campaigns. ## Major Provisions **Maternal Vaccination Campaign (Title XIII)**: - Expands awareness campaigns to specifically target pregnant and postpartum individuals - Allocates $17 million annually (2024-2028) for vaccination outreach - Includes specific efforts to increase vaccination rates among racial/ethnic minority groups **Technology and Telehealth (Titles IX)**: - $6 million annually for technology-enabled collaborative learning models - $6 million annually for digital tools to promote equity in maternal health - Creates a demonstration project for alternative payment models in maternal care **Climate Change and Maternal Health (Title XII)**: - $100 million for a grant program to protect vulnerable mothers and babies from climate change risks - $5 million for education and training at health profession schools - Establishes a National Institutes of Health Consortium on Birth and Climate Change Research **Incarcerated Mothers (Title VIII)**: - Requires 25% grant reduction for states that don't restrict restraints on pregnant incarcerated individuals - Establishes model programs in Bureau of Prisons facilities for pregnant and postpartum incarcerated individuals - $10 million annually for State and local prison and jail programs **Public Health Emergency Response (Title XI)**: - $100 million for data collection on maternal health during public health emergencies - $30 million for expanding maternal mortality reviews - $45 million for Pregnancy Risk Assessment Monitoring System (PRAMS) - $15 million for research on public health emergencies' impact on maternal health ## Cross-Cutting Themes - **Equity Focus**: Nearly every provision includes specific measures to address racial and ethnic disparities - **Data Collection**: Strong emphasis on collecting and analyzing demographic data - **Community Involvement**: Requires input from community-based organizations and affected populations - **Interagency Coordination**: Mandates collaboration between multiple federal agencies - **Long-Term Investment**: All funding is allocated for 5-year periods (2024-2028) The legislation represents a comprehensive, multi-faceted approach to improving maternal health outcomes in the United States, with particular attention to vulnerable populations and systemic barriers that contribute to poor maternal health outcomes.