H.R. 8089

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8089 Introduced in House (IH)]

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119th CONGRESS
2d Session
H. R. 8089

To amend the Public Health Service Act to grow and diversify the 
perinatal workforce, and for other purposes.

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

March 25, 2026

Ms. Moore of Wisconsin (for herself, Ms. Underwood, Ms. Adams, Mrs. 
McIver, Ms. Tlaib, Ms. Norton, Mrs. Watson Coleman, Ms. Kamlager-Dove, 
Mr. Johnson of Georgia, Ms. Pressley, Mr. Ivey, Mr. Krishnamoorthi, 
Mrs. Cherfilus-McCormick, Mr. Menefee, Mr. Bell, Mr. Moulton, Ms. 
Clarke of New York, Ms. DelBene, Mr. Garamendi, Mr. Cohen, Ms. 
Stansbury, Mrs. Dingell, Ms. Jacobs, Mr. Figures, Mr. Horsford, Mr. 
Garcia of Illinois, Mr. Veasey, Mrs. Beatty, Mr. Smith of Washington, 
Ms. Sewell, Ms. Wilson of Florida, Mr. Conaway, Mr. Scott of Virginia, 
Mrs. Hayes, Ms. Craig, Mr. McGarvey, Mrs. Grijalva, Mr. Carson, Mr. 
Takano, Mrs. McBath, Mr. Latimer, Ms. Johnson of Texas, and Mr. Soto) 
introduced the following bill; which was referred to the Committee on 
Energy and Commerce

_______________________________________________________________________

A BILL

To amend the Public Health Service Act to grow and diversify the 
perinatal workforce, and for other purposes.

Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the ``Perinatal Workforce Act''.

SEC. 2. HHS AGENCY DIRECTIVES.

(a) Guidance to States.--
(1) In general.--Not later than 2 years after the date of 
enactment of this Act, the Secretary of Health and Human 
Services shall issue and disseminate guidance to States to 
educate providers, managed care entities, and other insurers 
about the value and process of delivering respectful maternal 
health care through diverse and multidisciplinary care provider 
models.
(2) Contents.--The guidance required by paragraph (1) shall 
address how States can encourage and incentivize hospitals, 
health systems, midwifery practices, freestanding birth 
centers, other maternity care provider groups, managed care 
entities, and other insurers--
(A) to recruit and retain maternity care providers, 
mental and behavioral health care providers acting in 
accordance with State law, and registered dietitians or 
nutrition professionals (as such term is defined in 
section 1861(vv)(2) of the Social Security Act (42 
U.S.C. 1395x(vv)(2)))--
(i) from racially, ethnically, and 
linguistically diverse backgrounds;
(ii) with experience practicing in racially 
and ethnically diverse communities; and
(iii) who have undergone training on 
implicit bias and racism;
(B) to incorporate into maternity care teams--
(i) midwives who meet, at a minimum, the 
international definition of a midwife and 
global standards for midwifery education as 
established by the International Confederation 
of Midwives;
(ii) perinatal health workers;
(iii) physician assistants;
(iv) advanced practice registered nurses; 
and
(v) lactation consultants certified by the 
International Board of Lactation Consultant 
Examiners;
(C) to provide collaborative, culturally and 
linguistically congruent care; and
(D) to provide opportunities for individuals 
enrolled in accredited midwifery education programs to 
participate in job shadowing with maternity care teams 
in hospitals, health systems, midwifery practices, and 
freestanding birth centers.
(b) Study on Respectful and Culturally and Linguistically Congruent 
Maternity Care.--
(1) Study.--The Secretary of Health and Human Services 
acting through the Director of the National Institutes of 
Health (in this subsection referred to as the ``Secretary'') 
shall conduct a study on best practices in respectful and 
culturally and linguistically congruent maternity care.
(2) Report.--Not later than 2 years after the date of 
enactment of this Act, the Secretary shall--
(A) complete the study required by paragraph (1);
(B) submit to the Congress and make publicly 
available a report on the results of such study; and
(C) include in such report--
(i) a compendium of examples of hospitals, 
health systems, midwifery practices, 
freestanding birth centers, other maternity 
care provider groups, managed care entities, 
and other insurers that are delivering 
respectful and culturally and linguistically 
congruent maternal health care;
(ii) a compendium of examples of hospitals, 
health systems, midwifery practices, 
freestanding birth centers, other maternity 
care provider groups, managed care entities, 
and other insurers that have made progress in 
reducing disparities in maternal health 
outcomes and improving birthing experiences for 
pregnant and postpartum individuals from racial 
and ethnic minority groups; and
(iii) recommendations to hospitals, health 
systems, midwifery practices, freestanding 
birth centers, other maternity care provider 
groups, managed care entities, and other 
insurers, for best practices in respectful and 
culturally and linguistically congruent 
maternity care.

SEC. 3. GRANTS TO GROW AND DIVERSIFY THE PERINATAL WORKFORCE.

Title VII of the Public Health Service Act is amended by inserting 
after section 757 (42 U.S.C. 294f) the following:

``SEC. 758. PERINATAL WORKFORCE GRANTS.

``(a) In General.--The Secretary shall award grants to entities to 
establish or expand programs described in subsection (b) to grow and 
diversify the perinatal workforce.
``(b) Use of Funds.--Recipients of grants under this section shall 
use the grants to grow and diversify the perinatal workforce by--
``(1) establishing accredited schools or programs that 
provide education and training to individuals seeking 
appropriate licensing and certification as--
``(A) physician assistants who will complete 
clinical training in the field of maternal and 
perinatal health;
``(B) perinatal health workers; or
``(C) midwives who meet, at a minimum, the 
international definition of a midwife and global 
standards for midwifery education as established by the 
International Confederation of Midwives; and
``(2) expanding the capacity of existing accredited schools 
or programs described in paragraph (1), for the purposes of 
increasing the number of students enrolled in such accredited 
schools or programs, such as by awarding scholarships for 
students (including students from racially, ethnically, and 
linguistically diverse backgrounds).
``(c) Prioritization.--In awarding grants under this section, the 
Secretary shall give priority to a school or program described in 
subsection (b) that--
``(1) has demonstrated a commitment to recruiting and 
retaining students and faculty from racial and ethnic minority 
groups;
``(2) has developed a strategy to recruit and retain a 
diverse pool of students into the school or program described 
in subsection (b) that is supported by funds received through 
the grant, particularly from racial and ethnic minority groups 
and other underserved populations;
``(3) has developed a strategy to recruit and retain 
students who plan to practice in a health professional shortage 
area designated under section 332;
``(4) has developed a strategy to recruit and retain 
students who plan to practice in an area with significant 
racial and ethnic disparities in maternal health outcomes, to 
the extent practicable; and
``(5) includes in the standard curriculum for all students 
within the school or program described in subsection (b) a 
bias, racism, or discrimination training program that includes 
training on implicit bias and racism.
``(d) Reporting.--As a condition on receipt of a grant under this 
section for a school or program described in subsection (b), an entity 
shall agree to submit to the Secretary an annual report on the 
activities conducted through the grant, including--
``(1) the number and demographics of students participating 
in the school or program;
``(2) the extent to which students in the school or program 
are entering careers in--
``(A) health professional shortage areas designated 
under section 332; and
``(B) areas with elevated rates of maternal 
mortality, severe maternal morbidity, maternal health 
disparities, or other adverse perinatal or childbirth 
outcomes, to the extent such data are available; and
``(3) whether the school or program has included in the 
standard curriculum for all students a bias, racism, or 
discrimination training program that includes explicit and 
implicit bias, and if so the effectiveness of such training 
program.
``(e) Period of Grants.--The period of a grant under this section 
shall be up to 5 years.
``(f) Application.--To seek a grant under this section, an entity 
shall submit to the Secretary an application at such time, in such 
manner, and containing such information as the Secretary may require, 
including any information necessary for prioritization under subsection 
(c).
``(g) Technical Assistance.--The Secretary shall provide, directly 
or by contract, technical assistance to entities seeking or receiving a 
grant under this section on the development, use, evaluation, and 
postgrant period sustainability of the school or program described in 
subsection (b) that is proposed to be, or is being, established or 
expanded through the grant.
``(h) Report by the Secretary.--Not later than 4 years after the 
date of enactment of this section, the Secretary shall prepare and 
submit to the Congress, and post on the internet website of the 
Department of Health and Human Services, a report on the effectiveness 
of the grant program under this section at--
``(1) recruiting students from racial and ethnic minority 
groups;
``(2) increasing the number of health professionals 
described in subparagraphs (A), (B), and (C) of subsection 
(b)(1) from racial and ethnic minority groups and other 
underserved populations;
``(3) increasing the number of such health professionals 
working in health professional shortage areas designated under 
section 332; and
``(4) increasing the number of such health professionals 
working in areas with significant racial and ethnic disparities 
in maternal health outcomes, to the extent such data are 
available.
``(i) Definition.--In this section, the term `racial and ethnic 
minority group' has the meaning given such term in section 1707(g)(1).
``(j) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $15,000,000 for each of fiscal 
years 2027 through 2031.''.

SEC. 4. GRANTS TO GROW AND DIVERSIFY THE NURSING WORKFORCE IN MATERNAL 
AND PERINATAL HEALTH.

Title VIII of the Public Health Service Act is amended by inserting 
after section 811 (42 U.S.C. 296j) the following:

``SEC. 812. PERINATAL NURSING WORKFORCE GRANTS.

``(a) In General.--The Secretary shall award grants to schools of 
nursing to grow and diversify the perinatal nursing workforce.
``(b) Use of Funds.--Recipients of grants under this section shall 
use the grants to grow and diversify the perinatal nursing workforce by 
providing scholarships to students seeking to become--
``(1) nurse practitioners whose education includes a focus 
on maternal and perinatal health;
``(2) certified nurse-midwives; or
``(3) clinical nurse specialists whose education includes a 
focus on maternal and perinatal health.
``(c) Prioritization.--In awarding grants under this section, the 
Secretary shall give priority to any school of nursing that--
``(1) has developed a strategy to recruit and retain a 
diverse pool of students seeking to enter careers focused on 
maternal and perinatal health, particularly students from 
racial and ethnic minority groups and other underserved 
populations;
``(2) has developed a partnership with a practice setting 
in a health professional shortage area designated under section 
332 for the clinical placements of the school's students;
``(3) has developed a strategy to recruit and retain 
students who plan to practice in an area with significant 
racial and ethnic disparities in maternal health outcomes, to 
the extent practicable; and
``(4) includes in the standard curriculum for all students 
seeking to enter careers focused on maternal and perinatal 
health a bias, racism, or discrimination training program that 
includes education on implicit bias and racism.
``(d) Reporting.--As a condition on receipt of a grant under this 
section, a school of nursing shall agree to submit to the Secretary an 
annual report on the activities conducted through the grant, including, 
to the extent practicable--
``(1) the number and demographics of students in the school 
of nursing seeking to enter careers focused on maternal and 
perinatal health;
``(2) the extent to which such students are preparing to 
enter careers in--
``(A) health professional shortage areas designated 
under section 332; and
``(B) areas with elevated rates of maternal 
mortality, severe maternal morbidity, maternal health 
disparities, or other adverse perinatal or childbirth 
outcomes, to the extent such data are available; and
``(3) whether the standard curriculum for all students 
seeking to enter careers focused on maternal and perinatal 
health includes a bias, racism, or discrimination training 
program that includes education on implicit bias and racism.
``(e) Period of Grants.--The period of a grant under this section 
shall be up to 5 years.
``(f) Application.--To seek a grant under this section, an entity 
shall submit to the Secretary an application, at such time, in such 
manner, and containing such information as the Secretary may require, 
including any information necessary for prioritization under subsection 
(c).
``(g) Technical Assistance.--The Secretary shall provide, directly 
or by contract, technical assistance to schools of nursing seeking or 
receiving a grant under this section on the processes of awarding and 
evaluating scholarships through the grant.
``(h) Report by the Secretary.--Not later than 4 years after the 
date of enactment of this section, the Secretary shall prepare and 
submit to the Congress, and post on the internet website of the 
Department of Health and Human Services, a report on the effectiveness 
of the grant program under this section at--
``(1) recruiting students from racial and ethnic minority 
groups and other underserved populations;
``(2) increasing the number of advanced practice registered 
nurses entering careers focused on maternal and perinatal 
health from racial and ethnic minority groups and other 
underserved populations;
``(3) increasing the number of advanced practice registered 
nurses entering careers focused on maternal and perinatal 
health working in health professional shortage areas designated 
under section 332; and
``(4) increasing the number of advanced practice registered 
nurses entering careers focused on maternal and perinatal 
health working in areas with significant racial and ethnic 
disparities in maternal health outcomes, to the extent such 
data are available.
``(i) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $15,000,000 for each of fiscal 
years 2027 through 2031.''.

SEC. 5. GAO REPORT.

(a) In General.--Not later than 2 years after the date of enactment 
of this Act and every 5 years thereafter, the Comptroller General of 
the United States shall submit to Congress a report on barriers to 
maternal health education and access to care in the United States. Such 
report shall include the information and recommendations described in 
subsection (b).
(b) Content of Report.--The report under subsection (a) shall 
include--
(1) an assessment of current barriers to entering and 
successfully completing accredited midwifery education 
programs, and recommendations for addressing such barriers, 
particularly for low-income women and women from racial and 
ethnic minority groups;
(2) an assessment of current barriers to entering and 
successfully completing accredited education programs for other 
health professional careers related to maternity care, 
including maternity care providers, mental and behavioral 
health care providers acting in accordance with State law, and 
registered dietitians or nutrition professionals (as such term 
is defined in section 1861(vv)(2) of the Social Security Act 
(42 U.S.C. 1395x(vv)(2))), particularly for low-income women 
and women from racial and ethnic minority groups;
(3) an assessment of current barriers that prevent midwives 
from meeting the international definition of a midwife and 
global standards for midwifery education as established by the 
International Confederation of Midwives, and recommendations 
for addressing such barriers, particularly for low-income women 
and women from racial and ethnic minority groups;
(4) an assessment of disparities in access to maternity 
care providers, mental or behavioral health care providers 
acting in accordance with State law, and registered dietitians 
or nutrition professionals (as such term is defined in section 
1861(vv)(2) of the Social Security Act (42 U.S.C. 
1395x(vv)(2))), and perinatal health workers, stratified by 
race, ethnicity, gender identity, primary language, geographic 
location, and insurance type and recommendations to promote 
greater access equity; and
(5) recommendations to promote greater equity in 
compensation for perinatal health workers under public and 
private insurers, particularly for such individuals from 
racially and ethnically diverse backgrounds.

SEC. 6. DEFINITIONS.

In this Act:
(1) Culturally and linguistically congruent.--The term 
``culturally and linguistically congruent'', with respect to 
care or maternity care, means care that is in agreement with 
the preferred cultural values, beliefs, worldview, language, 
and practices of the health care consumer and other 
stakeholders.
(2) Maternity care provider.--The term ``maternity care 
provider'' means a health care provider who--
(A) is a physician, a physician assistant, a 
midwife who meets at a minimum the international 
definition of a midwife and global standards for 
midwifery education as established by the International 
Confederation of Midwives, an advanced practice 
registered nurse, a doula accredited by a State to 
receive reimbursement for doula services under a State 
plan (or a waiver of such plan) under title XIX of the 
Social Security Act (42 U.S.C. 1396 et seq.), or a 
lactation consultant certified by the International 
Board of Lactation Consultant Examiners; and
(B) has a focus on maternal or perinatal health.
(3) Perinatal health worker.--The term ``perinatal health 
worker'' means a nonclinical health worker focused on maternal 
or perinatal health, such as a doula, community health worker, 
peer supporter, lactation educator or counselor, nutritionist 
or dietitian, childbirth educator, social worker, home visitor, 
patient navigator or coordinator, or language interpreter.
(4) Postpartum.--The term ``postpartum'' refers to the 1-
year period beginning on the last day of the pregnancy of an 
individual.
(5) Racial and ethnic minority group.--The term ``racial 
and ethnic minority group'' has the meaning given such term in 
section 1707(g)(1) of the Public Health Service Act (42 U.S.C. 
300u-6(g)(1)).
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