HR 1318 — Preventing Maternal Deaths Act of 2018

[Congressional[115th BillsCongress 115thPublic Congress]Law 344] [From the U.S.

Government Publishing Office] [H.R.[[Page 132 STAT.

13185047]] ReceivedPublic Law 115-344 115th Congress An Act To support States in Senatetheir (RDS)]work <DOC>to 115thsave CONGRESSand 2dsustain Sessionthe H.health of mothers during pregnancy, childbirth, and in the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes.

R.<<NOTE:

1318Dec. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES December 12, 2018 Received _______________________________________________________________________ AN ACT To support States in their work to save and sustain the health of mothers during pregnancy, childbirth, and in the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes.

Be21, it2018 enacted- by[H.R. the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1.

1318]>> Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, <<NOTE:

Preventing Maternal Deaths Act of 2018.

42 USC 201 note.>> SECTION 1.

``(A) The<<NOTE: Secretary may continue and improve activities related to a national maternal mortality data collection and surveillance program to identify and support the review of pregnancy-associated deaths and pregnancy-related deaths that occur during, or within 1 year following, pregnancy.'';

Time period.>> The Secretary may continue and improve activities related to a national maternal mortality data collection and surveillance program to identify and support the review of pregnancy- associated deaths and pregnancy-related deaths that occur during, or within 1 year following, pregnancy.'';

``(D) The<<NOTE: Secretary may, in cooperation with States, Indian tribes, and tribal organizations, develop a program to support States, Indian tribes, and tribal organizations in establishing or operating maternal mortality review committees, in accordance with subsection (d).'';

(2)Cooperation.>> The Secretary may, in subsectioncooperation (b)(2)--with (A)States, inIndian subparagraphtribes, (A)--and (i)tribal byorganizations, strikingdevelop ``encouraginga preconception''program to support States, Indian tribes, and insertingtribal ``prepregnancy'';organizations in establishing or operating maternal mortality review committees, in accordance with subsection (d).'';

(2) in subsection (b)(2)-- (A) in subparagraph (A)-- [[Page 132 STAT.

5048]] (i) by striking ``encouraging preconception'' and inserting ``prepregnancy'';

``(4) activities<<NOTE: to promote physical, mental, and behavioral health during, and up to 1 year following, pregnancy, with an emphasis on prevention of, and treatment for, mental health disorders and substance use disorder.'';

Time period.>> activities to promote physical, mental, and behavioral health during, and up to 1 year following, pregnancy, with an emphasis on prevention of, and treatment for, mental health disorders and substance use disorder.'';

and ``(B)[[Page demonstrate132 toSTAT. the Centers for Disease Control and Prevention that such maternal mortality review committee's methods and processes for data collection and review, as required under paragraph (3), use best practices to reliably determine and include all pregnancy-associated deaths and pregnancy-related deaths, regardless of the outcome of the pregnancy.

5049]] ``(B) demonstrate to the Centers for Disease Control and Prevention that such maternal mortality review committee's methods and processes for data collection and review, as required under paragraph (3), use best practices to reliably determine and include all pregnancy-associated deaths and pregnancy-related deaths, regardless of the outcome of the pregnancy.

and ``(C) shall include-- ``(i) making<<NOTE: publicly available contact information of the committee for use in such reporting;

Public information.>> making publicly available contact information of the committee for use in such reporting;

``(B)[[Page through132 theSTAT. maternal mortality review committee, review data and information to identify adverse outcomes that may contribute to pregnancy- associated death and pregnancy-related death, and to identify trends, patterns, and disparities in such adverse outcomes to allow the State, Indian tribe, or tribal organization to make recommendations to individuals and entities described in paragraph (2)(A), as appropriate, to improve maternal care and reduce pregnancy-associated death and pregnancy-related death;

``(C)5050]] identify``(B) training<<NOTE: available to the individuals and entities described in paragraph (2)(A) for accurate identification and reporting of pregnancy- associated and pregnancy-related deaths;

Recommenda- tions.>> through the maternal mortality review committee, review data and information to identify adverse outcomes that may contribute to pregnancy-associated death and pregnancy- related death, and to identify trends, patterns, and disparities in such adverse outcomes to allow the State, Indian tribe, or tribal organization to make recommendations to individuals and entities described in paragraph (2)(A), as appropriate, to improve maternal care and reduce pregnancy-associated death and pregnancy-related death;

``(C) identify training available to the individuals and entities described in paragraph (2)(A) for accurate identification and reporting of pregnancy-associated and pregnancy-related deaths;

and ``(E) publicly<<NOTE: identify the methods used to identify pregnancy-associated deaths and pregnancy- related deaths in accordance with this section.

Public information.>> publicly identify the methods used to identify pregnancy- associated deaths and pregnancy-related deaths in accordance with this section.

``(5) Reports to cdc.--For fiscal year 2019, and each subsequent fiscal year, each maternal mortality review committee participating in the program described in this subsection shall submit to the Director of the Centers for Disease Control and Prevention a report that includes-- ``(A) data,<<NOTE: findings, and any recommendations of such committee;

Recommenda- tions.>> data, findings, and any recommendations of such committee;

``(7) Appropriate mechanisms for indian tribes and tribal organizations.--The Secretary, in<<NOTE: consultation with Indian tribes, shall identify and establish appropriate mechanisms for Indian tribes and tribal organizations to demonstrate, report data, and conduct the activities as required for participation in the program described in this subsection.

SuchConsultation.>> in consultation with Indian tribes, shall identify and establish appropriate mechanisms mayfor includeIndian technicaltribes assistanceand withtribal respectorganizations to grantdemonstrate, applicationreport data, and submissionconduct procedures,the andactivities awardas managementrequired activities.for participation in the program described in this subsection.

Such mechanisms may include technical assistance with respect to grant [[Page 132 STAT.

5051]] application and submission procedures, and award management activities.

PassedApproved the House of Representatives December 11,21, 2018.

Attest:LEGISLATIVE HISTORY--H.R.

KAREN1318: L.

HAAS,--------------------------------------------------------------------------- Clerk.CONGRESSIONAL RECORD, Vol.

164 (2018):

Dec.

11, considered and passed House.