{
  "legislationId": "119_HR_8074",
  "lastUpdate": "2026-04-13T14:32:24.690Z",
  "history": [
    {
      "timestamp": "2026-04-13T14:32:24.690Z",
      "source_url": "https://www.congress.gov/119/bills/hr8074/BILLS-119hr8074ih.htm",
      "model": "gemini-flash-lite-latest",
      "prompt_sent": "\nROLE: Fact Checker.\nZADANIE: Porównaj SOURCE (oryginał) i SUMMARY (streszczenie przygotowane przez inne AI).\n\nTwoim celem jest wykrycie \"ZMYŚLONYCH KONKRETÓW\" (Fabricated Entities) w SUMMARY.\n\nSOURCE:\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8074 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8074 To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 25, 2026 Ms. Adams (for herself, Ms. Underwood, Mrs. McIver, Ms. Tlaib, Ms. Norton, Ms. Moore of Wisconsin, 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. Jackson of Illinois, 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, Mr. Soto, Mr. David Scott of Georgia, Ms. Barragan, Ms. McClellan, Mr. Schneider, Mr. Mullin, Ms. Strickland, Mr. Tonko, Ms. Dean of Pennsylvania, Mrs. Sykes, Ms. Salinas, Mr. Lieu, and Ms. Scanlon) introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, 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 ``Kira Johnson Act''. SEC. 2. SUSTAINED FUNDING FOR COMMUNITY-BASED ORGANIZATIONS TO ADVANCE MATERNAL HEALTH EQUITY. (a) In General.--The Secretary of Health and Human Services (in this section referred to as the ``Secretary'') shall award grants to eligible entities to establish or expand programs to advance maternal health equity. (b) Timing.--Following the 1-year period described in subsection (d), the Secretary shall commence awarding the grants authorized by subsection (a). (c) Eligible Entities.--To be eligible to seek a grant under this section, an entity shall be a community-based organization offering programs and resources aligned with evidence-based practices for improving maternal health outcomes for demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (d) Outreach and Technical Assistance Period.--During the 1-year period beginning on the date of enactment of this Act, the Secretary shall-- (1) conduct outreach to encourage eligible entities to apply for grants under this section; and (2) provide technical assistance to eligible entities on best practices for applying for grants under this section. (e) Special Consideration.-- (1) Outreach.--In conducting outreach under subsection (d), the Secretary shall give special consideration to eligible entities that-- (A) are based in, and provide support for, communities 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; (B) are led by individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; and (C) offer programs and resources that are aligned with evidence-based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (2) Awards.--In awarding grants under this section, the Secretary shall give special consideration to eligible entities that-- (A) are described in subparagraphs (A), (B), and (C) of paragraph (1); (B) offer programs and resources designed in consultation with and intended for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (C) offer programs and resources in the communities in which the respective eligible entities are located that-- (i) promote maternal mental health and maternal substance use disorder treatments and supports that are aligned with evidence-based practices for improving maternal mental and behavioral health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (ii) address social determinants of maternal health; (iii) promote evidence-based health literacy and pregnancy, childbirth, and parenting education; (iv) provide support from perinatal health workers; (v) provide culturally and linguistically congruent training to perinatal health workers; (vi) conduct or support research on maternal health issues disproportionately impacting individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (vii) offer group prenatal care or group postpartum care; (viii) coordinate mutual aid efforts during infant formula shortages, including community milk depots, donor human milk banks and exchanges, and forums for community outreach and education; (ix) provide support to individuals or family members of individuals who suffered a pregnancy loss, pregnancy-associated death, or pregnancy-related death; or (x) operate midwifery practices that provide culturally and linguistically congruent maternal health care and support, including for the purposes of-- (I) supporting additional education, training, and certification programs, including support for distance learning; (II) providing financial support to current and future midwives to address education costs, debts, and other needs; (III) clinical site investments; (IV) supporting preceptor development trainings; (V) expanding the midwifery practice; or (VI) related needs identified by the midwifery practice and described in the practice's application; and (D) have developed other programs and resources that address community-specific needs for pregnant and postpartum individuals and are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (f) Technical Assistance.--The Secretary shall provide to grant recipients under this section technical assistance on-- (1) capacity building to establish or expand programs to advance maternal health equity; (2) best practices in data collection, measurement, evaluation, and reporting; and (3) planning for sustaining programs to advance maternal health equity after the period of the grant. (g) Evaluation.--Not later than the end of fiscal year 2031, the Secretary shall submit to the Congress an evaluation of the grant program under this section that-- (1) assesses the effectiveness of outreach efforts during the application process in diversifying the pool of grant recipients; (2) makes recommendations for future outreach efforts to diversify the pool of grant recipients for Department of Health and Human Services grant programs and funding opportunities related to maternal health; (3) assesses the effectiveness of programs funded by grants under this section in improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent practicable; and (4) makes recommendations for future Department of Health and Human Services grant programs and funding opportunities that deliver funding to community-based organizations that provide programs and resources that are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (h) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $100,000,000 for each of fiscal years 2027 through 2031. SEC. 3. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. Part B of title VII of the Public Health Service Act (42 U.S.C. 293 et seq.) is amended by adding at the end the following new section: ``SEC. 742. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. ``(a) Grants.--The Secretary shall award grants for programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care. ``(b) Special Consideration.--In awarding grants under subsection (a), the Secretary shall give special consideration to applications for programs that would-- ``(1) apply to all maternity care providers and any employees who interact with pregnant and postpartum individuals in the provider setting, including front desk employees, sonographers, schedulers, health care professionals, hospital or health system administrators, security staff, and other employees; ``(2) emphasize periodic, as opposed to one-time, trainings for all birthing professionals and employees described in paragraph (1); ``(3) address implicit bias, racism, and cultural humility; ``(4) be delivered in ongoing education settings for providers maintaining their licenses, with a preference for trainings that provide continuing education units; ``(5) include trauma-informed care best practices and an emphasis on shared decision making between providers and patients; ``(6) include antiracism training and programs; ``(7) be delivered in undergraduate programs that funnel into health professions schools; ``(8) be delivered in settings that apply to providers of the special supplemental nutrition program for women, infants, and children under section 17 of the Child Nutrition Act of 1966; ``(9) integrate bias training in obstetric emergency simulation trainings or related trainings; ``(10) include training for emergency department employees and emergency medical technicians on recognizing warning signs for severe pregnancy-related complications; ``(11) offer training to all maternity care providers on the value of racially, ethnically, and professionally diverse maternity care teams to provide culturally and linguistically congruent care; or ``(12) be based on one or more programs designed by a historically Black college or university or other minority- serving institution. ``(c) Application.--To seek a grant under subsection (a), an entity shall submit an application at such time, in such manner, and containing such information as the Secretary may require. ``(d) Reporting.--Each recipient of a grant under this section shall annually submit to the Secretary a report on the status of activities conducted using the grant, including, as applicable, a description of the impact of training provided through the grant on patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. ``(e) Best Practices.--Based on the annual reports submitted pursuant to subsection (d), the Secretary-- ``(1) shall produce an annual report on the findings resulting from programs funded through this section; ``(2) shall disseminate such report to all recipients of grants under this section and to the public; and ``(3) may include in such report findings on best practices for improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families in maternity care settings. ``(f) Definitions.--In this section: ``(1) The term `postpartum' means the 1-year period beginning on the last day of an individual's pregnancy. ``(2) The term `culturally and linguistically congruent' means in agreement with the preferred cultural values, beliefs, worldview, language, and practices of the health care consumer and other stakeholders. ``(3) The term `racial and ethnic minority group' has the meaning given such term in section 1707(g)(1). ``(g) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $5,000,000 for each of fiscal years 2027 through 2031.''. SEC. 4. STUDY ON REDUCING AND PREVENTING BIAS, RACISM, AND DISCRIMINATION IN MATERNITY CARE SETTINGS. (a) In General.--The Secretary of Health and Human Services shall seek to enter into an agreement, not later than 90 days after the date of enactment of this Act, with the National Academies of Sciences, Engineering, and Medicine (referred to in this section as the ``National Academies'') under which the National Academies agree to-- (1) conduct a study on the design and implementation of programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care; and (2) not later than 24 months after the date of enactment of this Act-- (A) complete the study; and (B) transmit a report on the results of the study to the Congress. (b) Possible Topics.--The agreement entered into pursuant to subsection (a) may provide for the study of any of the following: (1) The development of a scorecard or other evaluation standards for programs designed to reduce and prevent bias, racism, and discrimination in maternity care settings to assess the effectiveness of such programs in improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. (2) Determination of the types and frequency of training to reduce and prevent bias, racism, and discrimination in maternity care settings that are demonstrated to improve patient outcomes or patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. SEC. 5. RESPECTFUL MATERNITY CARE COMPLIANCE PROGRAM. (a) In General.--The Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall award grants to accredited hospitals, health systems, and other maternity care settings to establish as an integral part of quality implementation initiatives within one or more hospitals or other birth settings a respectful maternity care compliance program. (b) Program Requirements.--A respectful maternity care compliance program funded through a grant under this section shall-- (1) institutionalize mechanisms to allow patients receiving maternity care services, the families of such patients, or perinatal health workers supporting such patients to report instances of racism or evidence of bias on the basis of race, ethnicity, or another protected class; (2) institutionalize response mechanisms through which representatives of the program can directly follow up with the patient, if possible, and the patient's family in a timely manner; (3) prepare and make publicly available a hospital- or health system-wide strategy to reduce bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care that includes-- (A) information on the training programs to reduce and prevent bias, racism, and discrimination on the basis of race, ethnicity, or another protected class for all employees in maternity care settings; (B) information on the number of cases reported to the compliance program; and (C) the development of methods to routinely assess the extent to which bias, racism, or discrimination on the basis of race, ethnicity, or another protected class is present in the delivery of maternity care to patients from racial and ethnic minority groups; (4) develop mechanisms to routinely collect and publicly report hospital-level data related to patient-reported experience of care; and (5) provide annual reports to the Secretary with information about each case reported to the compliance program over the course of the year containing such information as the Secretary may require, such as-- (A) deidentified demographic information on the patient in the case, such as race, ethnicity, gender identity, and primary language; (B) the content of the report from the patient or the family of the patient to the compliance program; (C) the response from the compliance program; and (D) to the extent applicable, institutional changes made as a result of the case. (c) Secretary Requirements.-- (1) Processes.--Not later than 180 days after the date of enactment of this Act, the Secretary shall establish processes for-- (A) disseminating best practices for establishing and implementing a respectful maternity care compliance program within a hospital or other birth setting; (B) promoting coordination and collaboration between hospitals, health systems, and other maternity care delivery settings on the establishment and implementation of respectful maternity care compliance programs; and (C) evaluating the effectiveness of respectful maternity care compliance programs on maternal health outcomes and patient and family experiences, especially for patients from racial and ethnic minority groups and their families. (2) Study.-- (A) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary shall, through a contract with an independent research organization, conduct a study on strategies to address-- (i) racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services; and (ii) successful implementation of respectful care initiatives. (B) Components of study.--The study shall include the following: (i) An assessment of the reports submitted to the Secretary from the respectful maternity care compliance programs pursuant to subsection (b)(5). (ii) Based on such assessment, recommendations for potential accountability mechanisms related to cases of racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services at hospitals and other birth settings. Such recommendations shall take into consideration medical and nonmedical factors that contribute to adverse patient experiences and maternal health outcomes. (C) Report.--The Secretary shall submit to the Congress and make publicly available a report on the results of the study under this paragraph. (d) Authorization of Appropriations.--To carry out this section, there are authorized to be appropriated such sums as may be necessary for fiscal years 2027 through 2032. SEC. 6. GAO REPORT. (a) In General.--Not later than 2 years after the date of enactment of this Act and annually thereafter, the Comptroller General of the United States shall submit to the Congress and make publicly available a report on the establishment of respectful maternity care compliance programs within hospitals, health systems, and other maternity care settings. (b) Matters Included.--The report under subsection (a) shall include the following: (1) Information regarding the extent to which hospitals, health systems, and other maternity care settings have elected to establish respectful maternity care compliance programs, including-- (A) which hospitals and other birth settings elect to establish compliance programs and when such programs are established; (B) to the extent practicable, impacts of the establishment of such programs on maternal health outcomes and patient and family experiences in the hospitals and other birth settings that have established such programs, especially for patients from racial and ethnic minority groups and their families; (C) information on geographic areas, and types of hospitals or other birth settings, where respectful maternity care compliance programs are not being established and information on factors contributing to decisions to not establish such programs; and (D) recommendations for establishing respectful maternity care compliance programs in geographic areas, and types of hospitals or other birth settings, where such programs are not being established. (2) Whether the funding made available to carry out this section has been sufficient and, if applicable, recommendations for additional appropriations to carry out this section. (3) Such other information as the Comptroller General determines appropriate. SEC. 7. 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) Maternal mortality.--The term ``maternal mortality'' means a death occurring during or within a 1-year period after pregnancy, caused by pregnancy-related or childbirth complications, including a suicide, overdose, or other death resulting from a mental health or substance use disorder attributed to or aggravated by pregnancy-related or childbirth complications. (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) Pregnancy-associated death.--The term ``pregnancy- associated death'' means a death of a pregnant or postpartum individual, by any cause, that occurs during, or within 1 year following, the individual's pregnancy, regardless of the outcome, duration, or site of the pregnancy. (6) Pregnancy-related death.--The term ``pregnancy-related death'' means a death of a pregnant or postpartum individual that occurs during, or within 1 year following, the individual's pregnancy, from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy. (7) 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)). (8) Severe maternal morbidity.--The term ``severe maternal morbidity'' means a health condition, including mental health conditions and substance use disorders, attributed to or aggravated by pregnancy or childbirth that results in significant short-term or long-term consequences to the health of the individual who was pregnant. (9) Social determinants of maternal health.--The term ``social determinants of maternal health'' means nonclinical factors that impact maternal health outcomes. <all>\n\nSUMMARY TO EVALUATE:\nTitle: Kira Johnson Act: Improving Maternal Health and Ending Healthcare Bias\nSummary: This act aims to prevent maternal deaths and health complications by funding community organizations and addressing discrimination in maternity care. It focuses on ensuring all pregnant and postpartum individuals receive respectful, high-quality support regardless of their background.\nKey Points: Significant funding for local organizations providing pregnancy and postpartum resources., New training for all hospital staff to prevent bias and ensure respectful treatment of patients., Establishment of programs in hospitals to report and address instances of racism or unfair treatment., Support for diverse maternity teams, including doulas, midwives, and lactation consultants., Extended focus on maternal health for a full year after childbirth.\n\nZASADY OCENY:\n1. Sprawdź wszystkie LICZBY, DATY i KWOTY w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n2. Sprawdź wszystkie NAZWISKA, ORGANIZACJE i MIEJSCA w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n3. Sprawdź wszystkie konkretne DZIAŁANIA PRAWNE . Jeśli tego mechanizmu nie ma w SOURCE -> is_valid: false.\n\nWAŻNE: Abstrakcyjne pojęcia (np. \"transparentność\", \"zaufanie\") są dozwolone jako wnioski.\n\nOUTPUT (JSON):\n{\n  \"is_valid\": true/false,\n  \"issue\": \"fabricated_entity\" / \"contradiction\" / \"none\"\n}\n\nWYMAGANIA FORMATOWANIA:\n1. Odpowiedz WYŁĄCZNIE surowym obiektem JSON.\n2. NIE używaj bloków kodu Markdown.\n3. NIE dodawaj żadnych wstępów ani wyjaśnień przed ani po JSONie.\n4. JSON musi być poprawny i gotowy do parsowania.\n\n",
      "ai_response_raw": "{\n  \"is_valid\": true,\n  \"issue\": \"none\"\n}"
    },
    {
      "timestamp": "2026-04-13T14:08:23.099Z",
      "source_url": "https://www.congress.gov/119/bills/hr8074/BILLS-119hr8074ih.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8074 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8074 To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 25, 2026 Ms. Adams (for herself, Ms. Underwood, Mrs. McIver, Ms. Tlaib, Ms. Norton, Ms. Moore of Wisconsin, 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. Jackson of Illinois, 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, Mr. Soto, Mr. David Scott of Georgia, Ms. Barragan, Ms. McClellan, Mr. Schneider, Mr. Mullin, Ms. Strickland, Mr. Tonko, Ms. Dean of Pennsylvania, Mrs. Sykes, Ms. Salinas, Mr. Lieu, and Ms. Scanlon) introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, 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 ``Kira Johnson Act''. SEC. 2. SUSTAINED FUNDING FOR COMMUNITY-BASED ORGANIZATIONS TO ADVANCE MATERNAL HEALTH EQUITY. (a) In General.--The Secretary of Health and Human Services (in this section referred to as the ``Secretary'') shall award grants to eligible entities to establish or expand programs to advance maternal health equity. (b) Timing.--Following the 1-year period described in subsection (d), the Secretary shall commence awarding the grants authorized by subsection (a). (c) Eligible Entities.--To be eligible to seek a grant under this section, an entity shall be a community-based organization offering programs and resources aligned with evidence-based practices for improving maternal health outcomes for demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (d) Outreach and Technical Assistance Period.--During the 1-year period beginning on the date of enactment of this Act, the Secretary shall-- (1) conduct outreach to encourage eligible entities to apply for grants under this section; and (2) provide technical assistance to eligible entities on best practices for applying for grants under this section. (e) Special Consideration.-- (1) Outreach.--In conducting outreach under subsection (d), the Secretary shall give special consideration to eligible entities that-- (A) are based in, and provide support for, communities 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; (B) are led by individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; and (C) offer programs and resources that are aligned with evidence-based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (2) Awards.--In awarding grants under this section, the Secretary shall give special consideration to eligible entities that-- (A) are described in subparagraphs (A), (B), and (C) of paragraph (1); (B) offer programs and resources designed in consultation with and intended for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (C) offer programs and resources in the communities in which the respective eligible entities are located that-- (i) promote maternal mental health and maternal substance use disorder treatments and supports that are aligned with evidence-based practices for improving maternal mental and behavioral health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (ii) address social determinants of maternal health; (iii) promote evidence-based health literacy and pregnancy, childbirth, and parenting education; (iv) provide support from perinatal health workers; (v) provide culturally and linguistically congruent training to perinatal health workers; (vi) conduct or support research on maternal health issues disproportionately impacting individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (vii) offer group prenatal care or group postpartum care; (viii) coordinate mutual aid efforts during infant formula shortages, including community milk depots, donor human milk banks and exchanges, and forums for community outreach and education; (ix) provide support to individuals or family members of individuals who suffered a pregnancy loss, pregnancy-associated death, or pregnancy-related death; or (x) operate midwifery practices that provide culturally and linguistically congruent maternal health care and support, including for the purposes of-- (I) supporting additional education, training, and certification programs, including support for distance learning; (II) providing financial support to current and future midwives to address education costs, debts, and other needs; (III) clinical site investments; (IV) supporting preceptor development trainings; (V) expanding the midwifery practice; or (VI) related needs identified by the midwifery practice and described in the practice's application; and (D) have developed other programs and resources that address community-specific needs for pregnant and postpartum individuals and are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (f) Technical Assistance.--The Secretary shall provide to grant recipients under this section technical assistance on-- (1) capacity building to establish or expand programs to advance maternal health equity; (2) best practices in data collection, measurement, evaluation, and reporting; and (3) planning for sustaining programs to advance maternal health equity after the period of the grant. (g) Evaluation.--Not later than the end of fiscal year 2031, the Secretary shall submit to the Congress an evaluation of the grant program under this section that-- (1) assesses the effectiveness of outreach efforts during the application process in diversifying the pool of grant recipients; (2) makes recommendations for future outreach efforts to diversify the pool of grant recipients for Department of Health and Human Services grant programs and funding opportunities related to maternal health; (3) assesses the effectiveness of programs funded by grants under this section in improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent practicable; and (4) makes recommendations for future Department of Health and Human Services grant programs and funding opportunities that deliver funding to community-based organizations that provide programs and resources that are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (h) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $100,000,000 for each of fiscal years 2027 through 2031. SEC. 3. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. Part B of title VII of the Public Health Service Act (42 U.S.C. 293 et seq.) is amended by adding at the end the following new section: ``SEC. 742. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. ``(a) Grants.--The Secretary shall award grants for programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care. ``(b) Special Consideration.--In awarding grants under subsection (a), the Secretary shall give special consideration to applications for programs that would-- ``(1) apply to all maternity care providers and any employees who interact with pregnant and postpartum individuals in the provider setting, including front desk employees, sonographers, schedulers, health care professionals, hospital or health system administrators, security staff, and other employees; ``(2) emphasize periodic, as opposed to one-time, trainings for all birthing professionals and employees described in paragraph (1); ``(3) address implicit bias, racism, and cultural humility; ``(4) be delivered in ongoing education settings for providers maintaining their licenses, with a preference for trainings that provide continuing education units; ``(5) include trauma-informed care best practices and an emphasis on shared decision making between providers and patients; ``(6) include antiracism training and programs; ``(7) be delivered in undergraduate programs that funnel into health professions schools; ``(8) be delivered in settings that apply to providers of the special supplemental nutrition program for women, infants, and children under section 17 of the Child Nutrition Act of 1966; ``(9) integrate bias training in obstetric emergency simulation trainings or related trainings; ``(10) include training for emergency department employees and emergency medical technicians on recognizing warning signs for severe pregnancy-related complications; ``(11) offer training to all maternity care providers on the value of racially, ethnically, and professionally diverse maternity care teams to provide culturally and linguistically congruent care; or ``(12) be based on one or more programs designed by a historically Black college or university or other minority- serving institution. ``(c) Application.--To seek a grant under subsection (a), an entity shall submit an application at such time, in such manner, and containing such information as the Secretary may require. ``(d) Reporting.--Each recipient of a grant under this section shall annually submit to the Secretary a report on the status of activities conducted using the grant, including, as applicable, a description of the impact of training provided through the grant on patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. ``(e) Best Practices.--Based on the annual reports submitted pursuant to subsection (d), the Secretary-- ``(1) shall produce an annual report on the findings resulting from programs funded through this section; ``(2) shall disseminate such report to all recipients of grants under this section and to the public; and ``(3) may include in such report findings on best practices for improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families in maternity care settings. ``(f) Definitions.--In this section: ``(1) The term `postpartum' means the 1-year period beginning on the last day of an individual's pregnancy. ``(2) The term `culturally and linguistically congruent' means in agreement with the preferred cultural values, beliefs, worldview, language, and practices of the health care consumer and other stakeholders. ``(3) The term `racial and ethnic minority group' has the meaning given such term in section 1707(g)(1). ``(g) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $5,000,000 for each of fiscal years 2027 through 2031.''. SEC. 4. STUDY ON REDUCING AND PREVENTING BIAS, RACISM, AND DISCRIMINATION IN MATERNITY CARE SETTINGS. (a) In General.--The Secretary of Health and Human Services shall seek to enter into an agreement, not later than 90 days after the date of enactment of this Act, with the National Academies of Sciences, Engineering, and Medicine (referred to in this section as the ``National Academies'') under which the National Academies agree to-- (1) conduct a study on the design and implementation of programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care; and (2) not later than 24 months after the date of enactment of this Act-- (A) complete the study; and (B) transmit a report on the results of the study to the Congress. (b) Possible Topics.--The agreement entered into pursuant to subsection (a) may provide for the study of any of the following: (1) The development of a scorecard or other evaluation standards for programs designed to reduce and prevent bias, racism, and discrimination in maternity care settings to assess the effectiveness of such programs in improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. (2) Determination of the types and frequency of training to reduce and prevent bias, racism, and discrimination in maternity care settings that are demonstrated to improve patient outcomes or patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. SEC. 5. RESPECTFUL MATERNITY CARE COMPLIANCE PROGRAM. (a) In General.--The Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall award grants to accredited hospitals, health systems, and other maternity care settings to establish as an integral part of quality implementation initiatives within one or more hospitals or other birth settings a respectful maternity care compliance program. (b) Program Requirements.--A respectful maternity care compliance program funded through a grant under this section shall-- (1) institutionalize mechanisms to allow patients receiving maternity care services, the families of such patients, or perinatal health workers supporting such patients to report instances of racism or evidence of bias on the basis of race, ethnicity, or another protected class; (2) institutionalize response mechanisms through which representatives of the program can directly follow up with the patient, if possible, and the patient's family in a timely manner; (3) prepare and make publicly available a hospital- or health system-wide strategy to reduce bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care that includes-- (A) information on the training programs to reduce and prevent bias, racism, and discrimination on the basis of race, ethnicity, or another protected class for all employees in maternity care settings; (B) information on the number of cases reported to the compliance program; and (C) the development of methods to routinely assess the extent to which bias, racism, or discrimination on the basis of race, ethnicity, or another protected class is present in the delivery of maternity care to patients from racial and ethnic minority groups; (4) develop mechanisms to routinely collect and publicly report hospital-level data related to patient-reported experience of care; and (5) provide annual reports to the Secretary with information about each case reported to the compliance program over the course of the year containing such information as the Secretary may require, such as-- (A) deidentified demographic information on the patient in the case, such as race, ethnicity, gender identity, and primary language; (B) the content of the report from the patient or the family of the patient to the compliance program; (C) the response from the compliance program; and (D) to the extent applicable, institutional changes made as a result of the case. (c) Secretary Requirements.-- (1) Processes.--Not later than 180 days after the date of enactment of this Act, the Secretary shall establish processes for-- (A) disseminating best practices for establishing and implementing a respectful maternity care compliance program within a hospital or other birth setting; (B) promoting coordination and collaboration between hospitals, health systems, and other maternity care delivery settings on the establishment and implementation of respectful maternity care compliance programs; and (C) evaluating the effectiveness of respectful maternity care compliance programs on maternal health outcomes and patient and family experiences, especially for patients from racial and ethnic minority groups and their families. (2) Study.-- (A) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary shall, through a contract with an independent research organization, conduct a study on strategies to address-- (i) racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services; and (ii) successful implementation of respectful care initiatives. (B) Components of study.--The study shall include the following: (i) An assessment of the reports submitted to the Secretary from the respectful maternity care compliance programs pursuant to subsection (b)(5). (ii) Based on such assessment, recommendations for potential accountability mechanisms related to cases of racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services at hospitals and other birth settings. Such recommendations shall take into consideration medical and nonmedical factors that contribute to adverse patient experiences and maternal health outcomes. (C) Report.--The Secretary shall submit to the Congress and make publicly available a report on the results of the study under this paragraph. (d) Authorization of Appropriations.--To carry out this section, there are authorized to be appropriated such sums as may be necessary for fiscal years 2027 through 2032. SEC. 6. GAO REPORT. (a) In General.--Not later than 2 years after the date of enactment of this Act and annually thereafter, the Comptroller General of the United States shall submit to the Congress and make publicly available a report on the establishment of respectful maternity care compliance programs within hospitals, health systems, and other maternity care settings. (b) Matters Included.--The report under subsection (a) shall include the following: (1) Information regarding the extent to which hospitals, health systems, and other maternity care settings have elected to establish respectful maternity care compliance programs, including-- (A) which hospitals and other birth settings elect to establish compliance programs and when such programs are established; (B) to the extent practicable, impacts of the establishment of such programs on maternal health outcomes and patient and family experiences in the hospitals and other birth settings that have established such programs, especially for patients from racial and ethnic minority groups and their families; (C) information on geographic areas, and types of hospitals or other birth settings, where respectful maternity care compliance programs are not being established and information on factors contributing to decisions to not establish such programs; and (D) recommendations for establishing respectful maternity care compliance programs in geographic areas, and types of hospitals or other birth settings, where such programs are not being established. (2) Whether the funding made available to carry out this section has been sufficient and, if applicable, recommendations for additional appropriations to carry out this section. (3) Such other information as the Comptroller General determines appropriate. SEC. 7. 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) Maternal mortality.--The term ``maternal mortality'' means a death occurring during or within a 1-year period after pregnancy, caused by pregnancy-related or childbirth complications, including a suicide, overdose, or other death resulting from a mental health or substance use disorder attributed to or aggravated by pregnancy-related or childbirth complications. (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) Pregnancy-associated death.--The term ``pregnancy- associated death'' means a death of a pregnant or postpartum individual, by any cause, that occurs during, or within 1 year following, the individual's pregnancy, regardless of the outcome, duration, or site of the pregnancy. (6) Pregnancy-related death.--The term ``pregnancy-related death'' means a death of a pregnant or postpartum individual that occurs during, or within 1 year following, the individual's pregnancy, from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy. (7) 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)). (8) Severe maternal morbidity.--The term ``severe maternal morbidity'' means a health condition, including mental health conditions and substance use disorders, attributed to or aggravated by pregnancy or childbirth that results in significant short-term or long-term consequences to the health of the individual who was pregnant. (9) Social determinants of maternal health.--The term ``social determinants of maternal health'' means nonclinical factors that impact maternal health outcomes. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa Kiry Johnson: Lepsza opieka okołoporodowa i walka z dyskryminacją\",\n  \"pl_summary\": \"Ustawa ma na celu poprawę bezpieczeństwa kobiet w ciąży i po porodzie poprzez finansowanie organizacji lokalnych oraz walkę z uprzedzeniami w szpitalach. Wprowadza nowe standardy opieki, które mają zapobiegać zgonon i powikłaniom, szczególnie w grupach najbardziej narażonych.\",\n  \"pl_key_points\": [\n    \"Wsparcie finansowe dla lokalnych organizacji pomagających kobietom w ciąży i po porodzie.\",\n    \"Obowiązkowe szkolenia dla personelu medycznego z zakresu szacunku i równego traktowania pacjentek.\",\n    \"Możliwość zgłaszania przez pacjentki i ich rodziny przypadków niewłaściwego traktowania lub dyskryminacji w szpitalach.\",\n    \"Rozszerzenie definicji opieki poporodowej do pełnego roku po urodzeniu dziecka.\",\n    \"Inwestycje w zawody wspierające, takie jak doule, położne i doradcy laktacyjni.\"\n  ],\n  \"eng_ai_title\": \"Kira Johnson Act: Improving Maternal Health and Ending Healthcare Bias\",\n  \"eng_summary\": \"This act aims to prevent maternal deaths and health complications by funding community organizations and addressing discrimination in maternity care. It focuses on ensuring all pregnant and postpartum individuals receive respectful, high-quality support regardless of their background.\",\n  \"eng_key_points\": [\n    \"Significant funding for local organizations providing pregnancy and postpartum resources.\",\n    \"New training for all hospital staff to prevent bias and ensure respectful treatment of patients.\",\n    \"Establishment of programs in hospitals to report and address instances of racism or unfair treatment.\",\n    \"Support for diverse maternity teams, including doulas, midwives, and lactation consultants.\",\n    \"Extended focus on maternal health for a full year after childbirth.\"\n  ],\n  \"de_ai_title\": \"Kira-Johnson-Gesetz: Bessere Müttergesundheit und Schutz vor Diskriminierung in Kliniken\",\n  \"de_summary\": \"Dieses Gesetz zielt darauf ab, vermeidbare Todesfälle bei Müttern zu verhindern und die Gesundheitsversorgung durch die Förderung lokaler Organisationen zu verbessern. Es führt Maßnahmen ein, um Vorurteile und Rassismus in der Geburtshilfe abzubauen und eine respektvolle Behandlung sicherzustellen.\",\n  \"de_key_points\": [\n    \"Finanzielle Förderung für lokale Organisationen, die Schwangere und junge Mütter unterstützen.\",\n    \"Schulungen für das gesamte Klinikpersonal zur Vermeidung von Diskriminierung und Vorurteilen.\",\n    \"Einführung von Meldesystemen für Patientinnen, um respektloses Verhalten im Krankenhaus anzuzeigen.\",\n    \"Stärkung von Berufen wie Hebammen, Doulas und Stillberaterinnen.\",\n    \"Erweiterung der Definition der Nachsorge auf ein volles Jahr nach der Geburt.\"\n  ],\n  \"fr_ai_title\": \"Loi Kira Johnson : Améliorer la santé maternelle et lutter contre les discriminations\",\n  \"fr_summary\": \"Cette loi vise à prévenir les décès maternels et les complications de santé en finançant des organisations locales et en luttant contre les préjugés dans les soins. Elle garantit que chaque femme reçoit un traitement respectueux et de qualité pendant et après la grossesse.\",\n  \"fr_key_points\": [\n    \"Financement important pour les associations locales aidant les femmes enceintes et les nouvelles mères.\",\n    \"Formations obligatoires pour le personnel hospitalier afin d'éliminer le racisme et les préjugés.\",\n    \"Création de programmes permettant aux patientes de signaler les mauvais traitements à l'hôpital.\",\n    \"Soutien accru aux sages-femmes, doulas et conseillers en allaitement.\",\n    \"Suivi de la santé maternelle étendu à un an après l'accouchement.\"\n  ],\n  \"es_ai_title\": \"Ley Kira Johnson: Mejora de la salud materna y fin de la discriminación\",\n  \"es_summary\": \"Esta ley busca prevenir muertes maternas y complicaciones de salud mediante el financiamiento de organizaciones comunitarias y la lucha contra los prejuicios en la atención médica. Se enfoca en garantizar un trato respetuoso y digno para todas las personas embarazadas y puérperas.\",\n  \"es_key_points\": [\n    \"Fondos para organizaciones locales que brindan apoyo durante el embarazo y el posparto.\",\n    \"Capacitación para todo el personal de maternidad para evitar el racismo y los prejuicios.\",\n    \"Sistemas en hospitales para que las pacientes denuncien casos de discriminación o maltrato.\",\n    \"Apoyo a parteras, doulas y otros trabajadores de salud perinatal.\",\n    \"Atención extendida para la madre hasta un año después del parto.\"\n  ],\n  \"it_ai_title\": \"Legge Kira Johnson: Migliorare la salute materna e combattere le discriminazioni\",\n  \"it_summary\": \"Questa legge mira a prevenire i decessi materni e le complicazioni sanitarie finanziando organizzazioni locali e combattendo i pregiudizi nelle cure. Garantisce che ogni donna riceva un trattamento rispettoso e di qualità durante e dopo la gravidanza.\",\n  \"it_key_points\": [\n    \"Finanziamenti alle organizzazioni locali che supportano le donne in gravidanza e dopo il parto.\",\n    \"Formazione per il personale ospedaliero per prevenire razzismo e pregiudizi inconsci.\",\n    \"Creazione di sistemi per segnalare casi di discriminazione o trattamento irrispettoso negli ospedali.\",\n    \"Sostegno a ostetriche, doule e consulenti per l'allattamento.\",\n    \"Estensione dell'assistenza post-parto fino a un anno dalla nascita.\"\n  ],\n  \"nl_ai_title\": \"Kira Johnson Act: Verbetering van de moederzorg en aanpak van discriminatie\",\n  \"nl_summary\": \"Deze wet is bedoeld om vermijdbare sterfte onder moeders te voorkomen door lokale organisaties te financieren en vooroordelen in de zorg aan te pakken. Het richt zich op een respectvolle en kwalitatieve behandeling van alle zwangere en pas bevallen vrouwen.\",\n  \"nl_key_points\": [\n    \"Subsidies voor lokale organisaties die hulp bieden tijdens en na de zwangerschap.\",\n    \"Trainingen voor ziekenhuispersoneel om racisme en vooroordelen in de zorg te voorkomen.\",\n    \"Mogelijkheid voor patiënten om discriminatie of onrespectvolle behandeling in het ziekenhuis te melden.\",\n    \"Extra steun voor verloskundigen, doula's en lactatiekundigen.\",\n    \"Verlenging van de periode voor moederzorg tot één jaar na de bevalling.\"\n  ],\n  \"pt_ai_title\": \"Lei Kira Johnson: Melhorar a saúde materna e combater a discriminação\",\n  \"pt_summary\": \"Esta lei visa prevenir mortes maternas e complicações de saúde através do financiamento de organizações locais e do combate ao preconceito nos cuidados médicos. Garante que todas as grávidas e puérperas recebam um tratamento respeitoso e de qualidade.\",\n  \"pt_key_points\": [\n    \"Financiamento para organizações comunitárias que apoiam grávidas e novas mães.\",\n    \"Formação para funcionários de maternidades para evitar o racismo e preconceitos.\",\n    \"Criação de canais para as pacientes denunciarem casos de discriminação nos hospitais.\",\n    \"Apoio a parteiras, doulas e conselheiros de amamentação.\",\n    \"Acompanhamento da saúde da mãe alargado para um ano após o parto.\"\n  ],\n  \"category\": [\n    \"Health\",\n    \"Family\"\n  ]\n}"
    },
    {
      "timestamp": "2026-04-13T14:08:18.827Z",
      "source_url": "https://www.congress.gov/119/bills/hr8074/BILLS-119hr8074ih.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8074 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8074 To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 25, 2026 Ms. Adams (for herself, Ms. Underwood, Mrs. McIver, Ms. Tlaib, Ms. Norton, Ms. Moore of Wisconsin, 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. Jackson of Illinois, 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, Mr. Soto, Mr. David Scott of Georgia, Ms. Barragan, Ms. McClellan, Mr. Schneider, Mr. Mullin, Ms. Strickland, Mr. Tonko, Ms. Dean of Pennsylvania, Mrs. Sykes, Ms. Salinas, Mr. Lieu, and Ms. Scanlon) introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, 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 ``Kira Johnson Act''. SEC. 2. SUSTAINED FUNDING FOR COMMUNITY-BASED ORGANIZATIONS TO ADVANCE MATERNAL HEALTH EQUITY. (a) In General.--The Secretary of Health and Human Services (in this section referred to as the ``Secretary'') shall award grants to eligible entities to establish or expand programs to advance maternal health equity. (b) Timing.--Following the 1-year period described in subsection (d), the Secretary shall commence awarding the grants authorized by subsection (a). (c) Eligible Entities.--To be eligible to seek a grant under this section, an entity shall be a community-based organization offering programs and resources aligned with evidence-based practices for improving maternal health outcomes for demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (d) Outreach and Technical Assistance Period.--During the 1-year period beginning on the date of enactment of this Act, the Secretary shall-- (1) conduct outreach to encourage eligible entities to apply for grants under this section; and (2) provide technical assistance to eligible entities on best practices for applying for grants under this section. (e) Special Consideration.-- (1) Outreach.--In conducting outreach under subsection (d), the Secretary shall give special consideration to eligible entities that-- (A) are based in, and provide support for, communities 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; (B) are led by individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; and (C) offer programs and resources that are aligned with evidence-based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (2) Awards.--In awarding grants under this section, the Secretary shall give special consideration to eligible entities that-- (A) are described in subparagraphs (A), (B), and (C) of paragraph (1); (B) offer programs and resources designed in consultation with and intended for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (C) offer programs and resources in the communities in which the respective eligible entities are located that-- (i) promote maternal mental health and maternal substance use disorder treatments and supports that are aligned with evidence-based practices for improving maternal mental and behavioral health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (ii) address social determinants of maternal health; (iii) promote evidence-based health literacy and pregnancy, childbirth, and parenting education; (iv) provide support from perinatal health workers; (v) provide culturally and linguistically congruent training to perinatal health workers; (vi) conduct or support research on maternal health issues disproportionately impacting individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (vii) offer group prenatal care or group postpartum care; (viii) coordinate mutual aid efforts during infant formula shortages, including community milk depots, donor human milk banks and exchanges, and forums for community outreach and education; (ix) provide support to individuals or family members of individuals who suffered a pregnancy loss, pregnancy-associated death, or pregnancy-related death; or (x) operate midwifery practices that provide culturally and linguistically congruent maternal health care and support, including for the purposes of-- (I) supporting additional education, training, and certification programs, including support for distance learning; (II) providing financial support to current and future midwives to address education costs, debts, and other needs; (III) clinical site investments; (IV) supporting preceptor development trainings; (V) expanding the midwifery practice; or (VI) related needs identified by the midwifery practice and described in the practice's application; and (D) have developed other programs and resources that address community-specific needs for pregnant and postpartum individuals and are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (f) Technical Assistance.--The Secretary shall provide to grant recipients under this section technical assistance on-- (1) capacity building to establish or expand programs to advance maternal health equity; (2) best practices in data collection, measurement, evaluation, and reporting; and (3) planning for sustaining programs to advance maternal health equity after the period of the grant. (g) Evaluation.--Not later than the end of fiscal year 2031, the Secretary shall submit to the Congress an evaluation of the grant program under this section that-- (1) assesses the effectiveness of outreach efforts during the application process in diversifying the pool of grant recipients; (2) makes recommendations for future outreach efforts to diversify the pool of grant recipients for Department of Health and Human Services grant programs and funding opportunities related to maternal health; (3) assesses the effectiveness of programs funded by grants under this section in improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent practicable; and (4) makes recommendations for future Department of Health and Human Services grant programs and funding opportunities that deliver funding to community-based organizations that provide programs and resources that are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (h) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $100,000,000 for each of fiscal years 2027 through 2031. SEC. 3. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. Part B of title VII of the Public Health Service Act (42 U.S.C. 293 et seq.) is amended by adding at the end the following new section: ``SEC. 742. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. ``(a) Grants.--The Secretary shall award grants for programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care. ``(b) Special Consideration.--In awarding grants under subsection (a), the Secretary shall give special consideration to applications for programs that would-- ``(1) apply to all maternity care providers and any employees who interact with pregnant and postpartum individuals in the provider setting, including front desk employees, sonographers, schedulers, health care professionals, hospital or health system administrators, security staff, and other employees; ``(2) emphasize periodic, as opposed to one-time, trainings for all birthing professionals and employees described in paragraph (1); ``(3) address implicit bias, racism, and cultural humility; ``(4) be delivered in ongoing education settings for providers maintaining their licenses, with a preference for trainings that provide continuing education units; ``(5) include trauma-informed care best practices and an emphasis on shared decision making between providers and patients; ``(6) include antiracism training and programs; ``(7) be delivered in undergraduate programs that funnel into health professions schools; ``(8) be delivered in settings that apply to providers of the special supplemental nutrition program for women, infants, and children under section 17 of the Child Nutrition Act of 1966; ``(9) integrate bias training in obstetric emergency simulation trainings or related trainings; ``(10) include training for emergency department employees and emergency medical technicians on recognizing warning signs for severe pregnancy-related complications; ``(11) offer training to all maternity care providers on the value of racially, ethnically, and professionally diverse maternity care teams to provide culturally and linguistically congruent care; or ``(12) be based on one or more programs designed by a historically Black college or university or other minority- serving institution. ``(c) Application.--To seek a grant under subsection (a), an entity shall submit an application at such time, in such manner, and containing such information as the Secretary may require. ``(d) Reporting.--Each recipient of a grant under this section shall annually submit to the Secretary a report on the status of activities conducted using the grant, including, as applicable, a description of the impact of training provided through the grant on patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. ``(e) Best Practices.--Based on the annual reports submitted pursuant to subsection (d), the Secretary-- ``(1) shall produce an annual report on the findings resulting from programs funded through this section; ``(2) shall disseminate such report to all recipients of grants under this section and to the public; and ``(3) may include in such report findings on best practices for improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families in maternity care settings. ``(f) Definitions.--In this section: ``(1) The term `postpartum' means the 1-year period beginning on the last day of an individual's pregnancy. ``(2) The term `culturally and linguistically congruent' means in agreement with the preferred cultural values, beliefs, worldview, language, and practices of the health care consumer and other stakeholders. ``(3) The term `racial and ethnic minority group' has the meaning given such term in section 1707(g)(1). ``(g) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $5,000,000 for each of fiscal years 2027 through 2031.''. SEC. 4. STUDY ON REDUCING AND PREVENTING BIAS, RACISM, AND DISCRIMINATION IN MATERNITY CARE SETTINGS. (a) In General.--The Secretary of Health and Human Services shall seek to enter into an agreement, not later than 90 days after the date of enactment of this Act, with the National Academies of Sciences, Engineering, and Medicine (referred to in this section as the ``National Academies'') under which the National Academies agree to-- (1) conduct a study on the design and implementation of programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care; and (2) not later than 24 months after the date of enactment of this Act-- (A) complete the study; and (B) transmit a report on the results of the study to the Congress. (b) Possible Topics.--The agreement entered into pursuant to subsection (a) may provide for the study of any of the following: (1) The development of a scorecard or other evaluation standards for programs designed to reduce and prevent bias, racism, and discrimination in maternity care settings to assess the effectiveness of such programs in improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. (2) Determination of the types and frequency of training to reduce and prevent bias, racism, and discrimination in maternity care settings that are demonstrated to improve patient outcomes or patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. SEC. 5. RESPECTFUL MATERNITY CARE COMPLIANCE PROGRAM. (a) In General.--The Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall award grants to accredited hospitals, health systems, and other maternity care settings to establish as an integral part of quality implementation initiatives within one or more hospitals or other birth settings a respectful maternity care compliance program. (b) Program Requirements.--A respectful maternity care compliance program funded through a grant under this section shall-- (1) institutionalize mechanisms to allow patients receiving maternity care services, the families of such patients, or perinatal health workers supporting such patients to report instances of racism or evidence of bias on the basis of race, ethnicity, or another protected class; (2) institutionalize response mechanisms through which representatives of the program can directly follow up with the patient, if possible, and the patient's family in a timely manner; (3) prepare and make publicly available a hospital- or health system-wide strategy to reduce bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care that includes-- (A) information on the training programs to reduce and prevent bias, racism, and discrimination on the basis of race, ethnicity, or another protected class for all employees in maternity care settings; (B) information on the number of cases reported to the compliance program; and (C) the development of methods to routinely assess the extent to which bias, racism, or discrimination on the basis of race, ethnicity, or another protected class is present in the delivery of maternity care to patients from racial and ethnic minority groups; (4) develop mechanisms to routinely collect and publicly report hospital-level data related to patient-reported experience of care; and (5) provide annual reports to the Secretary with information about each case reported to the compliance program over the course of the year containing such information as the Secretary may require, such as-- (A) deidentified demographic information on the patient in the case, such as race, ethnicity, gender identity, and primary language; (B) the content of the report from the patient or the family of the patient to the compliance program; (C) the response from the compliance program; and (D) to the extent applicable, institutional changes made as a result of the case. (c) Secretary Requirements.-- (1) Processes.--Not later than 180 days after the date of enactment of this Act, the Secretary shall establish processes for-- (A) disseminating best practices for establishing and implementing a respectful maternity care compliance program within a hospital or other birth setting; (B) promoting coordination and collaboration between hospitals, health systems, and other maternity care delivery settings on the establishment and implementation of respectful maternity care compliance programs; and (C) evaluating the effectiveness of respectful maternity care compliance programs on maternal health outcomes and patient and family experiences, especially for patients from racial and ethnic minority groups and their families. (2) Study.-- (A) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary shall, through a contract with an independent research organization, conduct a study on strategies to address-- (i) racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services; and (ii) successful implementation of respectful care initiatives. (B) Components of study.--The study shall include the following: (i) An assessment of the reports submitted to the Secretary from the respectful maternity care compliance programs pursuant to subsection (b)(5). (ii) Based on such assessment, recommendations for potential accountability mechanisms related to cases of racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services at hospitals and other birth settings. Such recommendations shall take into consideration medical and nonmedical factors that contribute to adverse patient experiences and maternal health outcomes. (C) Report.--The Secretary shall submit to the Congress and make publicly available a report on the results of the study under this paragraph. (d) Authorization of Appropriations.--To carry out this section, there are authorized to be appropriated such sums as may be necessary for fiscal years 2027 through 2032. SEC. 6. GAO REPORT. (a) In General.--Not later than 2 years after the date of enactment of this Act and annually thereafter, the Comptroller General of the United States shall submit to the Congress and make publicly available a report on the establishment of respectful maternity care compliance programs within hospitals, health systems, and other maternity care settings. (b) Matters Included.--The report under subsection (a) shall include the following: (1) Information regarding the extent to which hospitals, health systems, and other maternity care settings have elected to establish respectful maternity care compliance programs, including-- (A) which hospitals and other birth settings elect to establish compliance programs and when such programs are established; (B) to the extent practicable, impacts of the establishment of such programs on maternal health outcomes and patient and family experiences in the hospitals and other birth settings that have established such programs, especially for patients from racial and ethnic minority groups and their families; (C) information on geographic areas, and types of hospitals or other birth settings, where respectful maternity care compliance programs are not being established and information on factors contributing to decisions to not establish such programs; and (D) recommendations for establishing respectful maternity care compliance programs in geographic areas, and types of hospitals or other birth settings, where such programs are not being established. (2) Whether the funding made available to carry out this section has been sufficient and, if applicable, recommendations for additional appropriations to carry out this section. (3) Such other information as the Comptroller General determines appropriate. SEC. 7. 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) Maternal mortality.--The term ``maternal mortality'' means a death occurring during or within a 1-year period after pregnancy, caused by pregnancy-related or childbirth complications, including a suicide, overdose, or other death resulting from a mental health or substance use disorder attributed to or aggravated by pregnancy-related or childbirth complications. (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) Pregnancy-associated death.--The term ``pregnancy- associated death'' means a death of a pregnant or postpartum individual, by any cause, that occurs during, or within 1 year following, the individual's pregnancy, regardless of the outcome, duration, or site of the pregnancy. (6) Pregnancy-related death.--The term ``pregnancy-related death'' means a death of a pregnant or postpartum individual that occurs during, or within 1 year following, the individual's pregnancy, from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy. (7) 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)). (8) Severe maternal morbidity.--The term ``severe maternal morbidity'' means a health condition, including mental health conditions and substance use disorders, attributed to or aggravated by pregnancy or childbirth that results in significant short-term or long-term consequences to the health of the individual who was pregnant. (9) Social determinants of maternal health.--The term ``social determinants of maternal health'' means nonclinical factors that impact maternal health outcomes. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa Kiry Johnson: Lepsza opieka okołoporodowa i walka z nierównościami\",\n  \"pl_summary\": \"Ustawa ma na celu poprawę bezpieczeństwa kobiet w ciąży i po porodzie poprzez wsparcie lokalnych organizacji oraz walkę z uprzedzeniami w szpitalach. Wprowadza nowe standardy traktowania pacjentek, aby każda kobieta otrzymała godną i fachową opiekę niezależnie od pochodzenia.\",\n  \"pl_key_points\": [\n    \"Wysokie dotacje dla lokalnych organizacji wspierających zdrowie matek i kobiet po porodzie.\",\n    \"Obowiązkowe szkolenia dla personelu medycznego z zakresu równego i pełnego szacunku traktowania pacjentek.\",\n    \"Możliwość zgłaszania przez pacjentki i ich rodziny przypadków niewłaściwego traktowania lub uprzedzeń w szpitalach.\",\n    \"Większe wsparcie finansowe dla położnych, doul oraz specjalistów od zdrowia psychicznego matek.\"\n  ],\n  \"eng_ai_title\": \"Kira Johnson Act: Improving Maternal Health and Ending Care Disparities\",\n  \"eng_summary\": \"This act aims to prevent maternal deaths and improve health outcomes by funding community organizations and hospital training. It focuses on ensuring respectful, bias-free care for all pregnant and postpartum individuals.\",\n  \"eng_key_points\": [\n    \"$100 million annual funding for community-based maternal health programs and resources.\",\n    \"Anti-bias and respectful care training for all maternity ward employees, from doctors to security.\",\n    \"New systems in hospitals for patients and families to report instances of racism or bias.\",\n    \"Increased support for midwives, doulas, and mental health services for new mothers.\"\n  ],\n  \"de_ai_title\": \"Kira-Johnson-Gesetz: Bessere Müttergesundheit und Schutz vor Diskriminierung in Kliniken\",\n  \"de_summary\": \"Dieses Gesetz soll die Müttersterblichkeit senken und eine gerechtere medizinische Versorgung während und nach der Schwangerschaft sicherstellen. Es fördert lokale Hilfsprojekte und führt Schulungen gegen Vorurteile für Krankenhauspersonal ein.\",\n  \"de_key_points\": [\n    \"Hohe Fördermittel für lokale Organisationen zur Unterstützung von Müttern in der Schwangerschaft.\",\n    \"Schulungen für Klinikpersonal zu respektvollem Umgang und zum Abbau von Vorurteilen.\",\n    \"Einführung von Beschwerdestellen für Patientinnen bei unfairer Behandlung oder Diskriminierung.\",\n    \"Stärkung von Hebammen, Doulas und der psychosozialen Unterstützung für Mütter.\"\n  ],\n  \"fr_ai_title\": \"Loi Kira Johnson : Améliorer la santé maternelle et l'équité des soins\",\n  \"fr_summary\": \"Cette loi vise à réduire la mortalité maternelle en finançant des associations locales et en formant le personnel hospitalier. Elle garantit des soins respectueux et sans discrimination pour toutes les femmes enceintes et les nouvelles mères.\",\n  \"fr_key_points\": [\n    \"Financement important pour les organisations locales de santé maternelle et périnatale.\",\n    \"Formation obligatoire du personnel soignant contre les préjugés, le racisme et la discrimination.\",\n    \"Création de programmes de signalement pour les patientes victimes de mauvais traitements.\",\n    \"Soutien accru aux sages-femmes, doulas et services de santé mentale pour les mères.\"\n  ],\n  \"es_ai_title\": \"Ley Kira Johnson: Mejor salud materna y fin a la discriminación en hospitales\",\n  \"es_summary\": \"Esta ley busca prevenir muertes maternas y mejorar la atención mediante el apoyo a organizaciones comunitarias y capacitación en hospitales. El objetivo es asegurar un trato digno y sin prejuicios para todas las madres.\",\n  \"es_key_points\": [\n    \"Fondos anuales para programas comunitarios de salud para madres y recién nacidos.\",\n    \"Capacitación para todo el personal de maternidad sobre trato respetuoso y eliminación de prejuicios.\",\n    \"Sistemas en hospitales para que pacientes y familias denuncien casos de racismo o sesgos.\",\n    \"Apoyo a parteras, doulas y servicios de salud mental y lactancia.\"\n  ],\n  \"it_ai_title\": \"Legge Kira Johnson: Migliorare la salute materna e combattere le discriminazioni\",\n  \"it_summary\": \"Questa legge mira a ridurre la mortalità materna finanziando organizzazioni locali e migliorando la formazione negli ospedali. Promuove un'assistenza rispettosa e priva di pregiudizi per tutte le donne in gravidanza e nel post-parto.\",\n  \"it_key_points\": [\n    \"Finanziamenti significativi per organizzazioni territoriali a tutela della salute delle madri.\",\n    \"Formazione obbligatoria per il personale sanitario contro i pregiudizi e il razzismo.\",\n    \"Nuovi canali per segnalare trattamenti ingiusti o discriminatori all'interno degli ospedali.\",\n    \"Sostegno a ostetriche, doule e servizi per la salute mentale e l'allattamento.\"\n  ],\n  \"nl_ai_title\": \"Kira Johnson Wet: Betere moederzorg en aanpak van ongelijkheid in de zorg\",\n  \"nl_summary\": \"Deze wet richt zich op het voorkomen van moedersterfte door lokale organisaties te steunen en ziekenhuispersoneel te trainen. Het doel is respectvolle zorg zonder vooroordelen voor elke zwangere en pas bevallen vrouw.\",\n  \"nl_key_points\": [\n    \"Jaarlijkse subsidies voor lokale moederzorgprojecten en gemeenschapsorganisaties.\",\n    \"Verplichte trainingen voor zorgpersoneel over respectvolle behandeling en anti-discriminatie.\",\n    \"Mogelijkheid voor patiënten om vooroordelen of racisme in het ziekenhuis officieel te melden.\",\n    \"Extra steun voor verloskundigen, doula's en geestelijke gezondheidszorg voor moeders.\"\n  ],\n  \"pt_ai_title\": \"Lei Kira Johnson: Melhorar a saúde materna e combater a discriminação\",\n  \"pt_summary\": \"Esta lei visa reduzir a mortalidade materna através do apoio a organizações locais e da formação de profissionais de saúde. Garante cuidados respeitosos e sem preconceitos para todas as grávidas e puérperas.\",\n  \"pt_key_points\": [\n    \"Financiamento para programas comunitários focados na equidade da saúde das mães.\",\n    \"Formação obrigatória contra o racismo e preconceitos para todas as equipas de maternidade.\",\n    \"Criação de sistemas para as pacientes e famílias denunciarem discriminação nos hospitais.\",\n    \"Apoio a parteiras, doulas e cuidados de saúde mental e apoio à amamentação.\"\n  ],\n  \"category\": [\"Health\", \"Family\"]\n}"
    },
    {
      "timestamp": "2026-04-13T14:08:00.045Z",
      "source_url": "https://www.congress.gov/119/bills/hr8074/BILLS-119hr8074ih.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8074 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8074 To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 25, 2026 Ms. Adams (for herself, Ms. Underwood, Mrs. McIver, Ms. Tlaib, Ms. Norton, Ms. Moore of Wisconsin, 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. Jackson of Illinois, 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, Mr. Soto, Mr. David Scott of Georgia, Ms. Barragan, Ms. McClellan, Mr. Schneider, Mr. Mullin, Ms. Strickland, Mr. Tonko, Ms. Dean of Pennsylvania, Mrs. Sykes, Ms. Salinas, Mr. Lieu, and Ms. Scanlon) introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, 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 ``Kira Johnson Act''. SEC. 2. SUSTAINED FUNDING FOR COMMUNITY-BASED ORGANIZATIONS TO ADVANCE MATERNAL HEALTH EQUITY. (a) In General.--The Secretary of Health and Human Services (in this section referred to as the ``Secretary'') shall award grants to eligible entities to establish or expand programs to advance maternal health equity. (b) Timing.--Following the 1-year period described in subsection (d), the Secretary shall commence awarding the grants authorized by subsection (a). (c) Eligible Entities.--To be eligible to seek a grant under this section, an entity shall be a community-based organization offering programs and resources aligned with evidence-based practices for improving maternal health outcomes for demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (d) Outreach and Technical Assistance Period.--During the 1-year period beginning on the date of enactment of this Act, the Secretary shall-- (1) conduct outreach to encourage eligible entities to apply for grants under this section; and (2) provide technical assistance to eligible entities on best practices for applying for grants under this section. (e) Special Consideration.-- (1) Outreach.--In conducting outreach under subsection (d), the Secretary shall give special consideration to eligible entities that-- (A) are based in, and provide support for, communities 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; (B) are led by individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; and (C) offer programs and resources that are aligned with evidence-based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (2) Awards.--In awarding grants under this section, the Secretary shall give special consideration to eligible entities that-- (A) are described in subparagraphs (A), (B), and (C) of paragraph (1); (B) offer programs and resources designed in consultation with and intended for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (C) offer programs and resources in the communities in which the respective eligible entities are located that-- (i) promote maternal mental health and maternal substance use disorder treatments and supports that are aligned with evidence-based practices for improving maternal mental and behavioral health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (ii) address social determinants of maternal health; (iii) promote evidence-based health literacy and pregnancy, childbirth, and parenting education; (iv) provide support from perinatal health workers; (v) provide culturally and linguistically congruent training to perinatal health workers; (vi) conduct or support research on maternal health issues disproportionately impacting individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (vii) offer group prenatal care or group postpartum care; (viii) coordinate mutual aid efforts during infant formula shortages, including community milk depots, donor human milk banks and exchanges, and forums for community outreach and education; (ix) provide support to individuals or family members of individuals who suffered a pregnancy loss, pregnancy-associated death, or pregnancy-related death; or (x) operate midwifery practices that provide culturally and linguistically congruent maternal health care and support, including for the purposes of-- (I) supporting additional education, training, and certification programs, including support for distance learning; (II) providing financial support to current and future midwives to address education costs, debts, and other needs; (III) clinical site investments; (IV) supporting preceptor development trainings; (V) expanding the midwifery practice; or (VI) related needs identified by the midwifery practice and described in the practice's application; and (D) have developed other programs and resources that address community-specific needs for pregnant and postpartum individuals and are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (f) Technical Assistance.--The Secretary shall provide to grant recipients under this section technical assistance on-- (1) capacity building to establish or expand programs to advance maternal health equity; (2) best practices in data collection, measurement, evaluation, and reporting; and (3) planning for sustaining programs to advance maternal health equity after the period of the grant. (g) Evaluation.--Not later than the end of fiscal year 2031, the Secretary shall submit to the Congress an evaluation of the grant program under this section that-- (1) assesses the effectiveness of outreach efforts during the application process in diversifying the pool of grant recipients; (2) makes recommendations for future outreach efforts to diversify the pool of grant recipients for Department of Health and Human Services grant programs and funding opportunities related to maternal health; (3) assesses the effectiveness of programs funded by grants under this section in improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent practicable; and (4) makes recommendations for future Department of Health and Human Services grant programs and funding opportunities that deliver funding to community-based organizations that provide programs and resources that are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (h) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $100,000,000 for each of fiscal years 2027 through 2031. SEC. 3. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. Part B of title VII of the Public Health Service Act (42 U.S.C. 293 et seq.) is amended by adding at the end the following new section: ``SEC. 742. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. ``(a) Grants.--The Secretary shall award grants for programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care. ``(b) Special Consideration.--In awarding grants under subsection (a), the Secretary shall give special consideration to applications for programs that would-- ``(1) apply to all maternity care providers and any employees who interact with pregnant and postpartum individuals in the provider setting, including front desk employees, sonographers, schedulers, health care professionals, hospital or health system administrators, security staff, and other employees; ``(2) emphasize periodic, as opposed to one-time, trainings for all birthing professionals and employees described in paragraph (1); ``(3) address implicit bias, racism, and cultural humility; ``(4) be delivered in ongoing education settings for providers maintaining their licenses, with a preference for trainings that provide continuing education units; ``(5) include trauma-informed care best practices and an emphasis on shared decision making between providers and patients; ``(6) include antiracism training and programs; ``(7) be delivered in undergraduate programs that funnel into health professions schools; ``(8) be delivered in settings that apply to providers of the special supplemental nutrition program for women, infants, and children under section 17 of the Child Nutrition Act of 1966; ``(9) integrate bias training in obstetric emergency simulation trainings or related trainings; ``(10) include training for emergency department employees and emergency medical technicians on recognizing warning signs for severe pregnancy-related complications; ``(11) offer training to all maternity care providers on the value of racially, ethnically, and professionally diverse maternity care teams to provide culturally and linguistically congruent care; or ``(12) be based on one or more programs designed by a historically Black college or university or other minority- serving institution. ``(c) Application.--To seek a grant under subsection (a), an entity shall submit an application at such time, in such manner, and containing such information as the Secretary may require. ``(d) Reporting.--Each recipient of a grant under this section shall annually submit to the Secretary a report on the status of activities conducted using the grant, including, as applicable, a description of the impact of training provided through the grant on patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. ``(e) Best Practices.--Based on the annual reports submitted pursuant to subsection (d), the Secretary-- ``(1) shall produce an annual report on the findings resulting from programs funded through this section; ``(2) shall disseminate such report to all recipients of grants under this section and to the public; and ``(3) may include in such report findings on best practices for improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families in maternity care settings. ``(f) Definitions.--In this section: ``(1) The term `postpartum' means the 1-year period beginning on the last day of an individual's pregnancy. ``(2) The term `culturally and linguistically congruent' means in agreement with the preferred cultural values, beliefs, worldview, language, and practices of the health care consumer and other stakeholders. ``(3) The term `racial and ethnic minority group' has the meaning given such term in section 1707(g)(1). ``(g) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $5,000,000 for each of fiscal years 2027 through 2031.''. SEC. 4. STUDY ON REDUCING AND PREVENTING BIAS, RACISM, AND DISCRIMINATION IN MATERNITY CARE SETTINGS. (a) In General.--The Secretary of Health and Human Services shall seek to enter into an agreement, not later than 90 days after the date of enactment of this Act, with the National Academies of Sciences, Engineering, and Medicine (referred to in this section as the ``National Academies'') under which the National Academies agree to-- (1) conduct a study on the design and implementation of programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care; and (2) not later than 24 months after the date of enactment of this Act-- (A) complete the study; and (B) transmit a report on the results of the study to the Congress. (b) Possible Topics.--The agreement entered into pursuant to subsection (a) may provide for the study of any of the following: (1) The development of a scorecard or other evaluation standards for programs designed to reduce and prevent bias, racism, and discrimination in maternity care settings to assess the effectiveness of such programs in improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. (2) Determination of the types and frequency of training to reduce and prevent bias, racism, and discrimination in maternity care settings that are demonstrated to improve patient outcomes or patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. SEC. 5. RESPECTFUL MATERNITY CARE COMPLIANCE PROGRAM. (a) In General.--The Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall award grants to accredited hospitals, health systems, and other maternity care settings to establish as an integral part of quality implementation initiatives within one or more hospitals or other birth settings a respectful maternity care compliance program. (b) Program Requirements.--A respectful maternity care compliance program funded through a grant under this section shall-- (1) institutionalize mechanisms to allow patients receiving maternity care services, the families of such patients, or perinatal health workers supporting such patients to report instances of racism or evidence of bias on the basis of race, ethnicity, or another protected class; (2) institutionalize response mechanisms through which representatives of the program can directly follow up with the patient, if possible, and the patient's family in a timely manner; (3) prepare and make publicly available a hospital- or health system-wide strategy to reduce bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care that includes-- (A) information on the training programs to reduce and prevent bias, racism, and discrimination on the basis of race, ethnicity, or another protected class for all employees in maternity care settings; (B) information on the number of cases reported to the compliance program; and (C) the development of methods to routinely assess the extent to which bias, racism, or discrimination on the basis of race, ethnicity, or another protected class is present in the delivery of maternity care to patients from racial and ethnic minority groups; (4) develop mechanisms to routinely collect and publicly report hospital-level data related to patient-reported experience of care; and (5) provide annual reports to the Secretary with information about each case reported to the compliance program over the course of the year containing such information as the Secretary may require, such as-- (A) deidentified demographic information on the patient in the case, such as race, ethnicity, gender identity, and primary language; (B) the content of the report from the patient or the family of the patient to the compliance program; (C) the response from the compliance program; and (D) to the extent applicable, institutional changes made as a result of the case. (c) Secretary Requirements.-- (1) Processes.--Not later than 180 days after the date of enactment of this Act, the Secretary shall establish processes for-- (A) disseminating best practices for establishing and implementing a respectful maternity care compliance program within a hospital or other birth setting; (B) promoting coordination and collaboration between hospitals, health systems, and other maternity care delivery settings on the establishment and implementation of respectful maternity care compliance programs; and (C) evaluating the effectiveness of respectful maternity care compliance programs on maternal health outcomes and patient and family experiences, especially for patients from racial and ethnic minority groups and their families. (2) Study.-- (A) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary shall, through a contract with an independent research organization, conduct a study on strategies to address-- (i) racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services; and (ii) successful implementation of respectful care initiatives. (B) Components of study.--The study shall include the following: (i) An assessment of the reports submitted to the Secretary from the respectful maternity care compliance programs pursuant to subsection (b)(5). (ii) Based on such assessment, recommendations for potential accountability mechanisms related to cases of racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services at hospitals and other birth settings. Such recommendations shall take into consideration medical and nonmedical factors that contribute to adverse patient experiences and maternal health outcomes. (C) Report.--The Secretary shall submit to the Congress and make publicly available a report on the results of the study under this paragraph. (d) Authorization of Appropriations.--To carry out this section, there are authorized to be appropriated such sums as may be necessary for fiscal years 2027 through 2032. SEC. 6. GAO REPORT. (a) In General.--Not later than 2 years after the date of enactment of this Act and annually thereafter, the Comptroller General of the United States shall submit to the Congress and make publicly available a report on the establishment of respectful maternity care compliance programs within hospitals, health systems, and other maternity care settings. (b) Matters Included.--The report under subsection (a) shall include the following: (1) Information regarding the extent to which hospitals, health systems, and other maternity care settings have elected to establish respectful maternity care compliance programs, including-- (A) which hospitals and other birth settings elect to establish compliance programs and when such programs are established; (B) to the extent practicable, impacts of the establishment of such programs on maternal health outcomes and patient and family experiences in the hospitals and other birth settings that have established such programs, especially for patients from racial and ethnic minority groups and their families; (C) information on geographic areas, and types of hospitals or other birth settings, where respectful maternity care compliance programs are not being established and information on factors contributing to decisions to not establish such programs; and (D) recommendations for establishing respectful maternity care compliance programs in geographic areas, and types of hospitals or other birth settings, where such programs are not being established. (2) Whether the funding made available to carry out this section has been sufficient and, if applicable, recommendations for additional appropriations to carry out this section. (3) Such other information as the Comptroller General determines appropriate. SEC. 7. 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) Maternal mortality.--The term ``maternal mortality'' means a death occurring during or within a 1-year period after pregnancy, caused by pregnancy-related or childbirth complications, including a suicide, overdose, or other death resulting from a mental health or substance use disorder attributed to or aggravated by pregnancy-related or childbirth complications. (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) Pregnancy-associated death.--The term ``pregnancy- associated death'' means a death of a pregnant or postpartum individual, by any cause, that occurs during, or within 1 year following, the individual's pregnancy, regardless of the outcome, duration, or site of the pregnancy. (6) Pregnancy-related death.--The term ``pregnancy-related death'' means a death of a pregnant or postpartum individual that occurs during, or within 1 year following, the individual's pregnancy, from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy. (7) 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)). (8) Severe maternal morbidity.--The term ``severe maternal morbidity'' means a health condition, including mental health conditions and substance use disorders, attributed to or aggravated by pregnancy or childbirth that results in significant short-term or long-term consequences to the health of the individual who was pregnant. (9) Social determinants of maternal health.--The term ``social determinants of maternal health'' means nonclinical factors that impact maternal health outcomes. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa Kiry Johnson: Lepsza opieka okołoporodowa i walka z dyskryminacją\",\n  \"pl_summary\": \"Ustawa ma na celu poprawę bezpieczeństwa kobiet w ciąży i po porodzie poprzez finansowanie organizacji lokalnych oraz walkę z uprzedzeniami w szpitalach. Wprowadza nowe standardy opieki, które mają zapobiegać zgonon i powikłaniom, szczególnie w grupach najbardziej narażonych.\",\n  \"pl_key_points\": [\n    \"Wsparcie finansowe dla lokalnych organizacji pomagających kobietom w ciąży i po porodzie.\",\n    \"Obowiązkowe szkolenia dla personelu medycznego z zakresu szacunku i równego traktowania pacjentek.\",\n    \"Możliwość zgłaszania przez pacjentki i ich rodziny przypadków niewłaściwego traktowania lub dyskryminacji w szpitalach.\",\n    \"Rozszerzenie definicji opieki poporodowej do pełnego roku po urodzeniu dziecka.\",\n    \"Inwestycje w zawody wspierające, takie jak doule, położne i doradcy laktacyjni.\"\n  ],\n  \"eng_ai_title\": \"Kira Johnson Act: Improving Maternal Health and Ending Healthcare Bias\",\n  \"eng_summary\": \"This act aims to prevent maternal deaths and health complications by funding community organizations and addressing discrimination in maternity care. It focuses on ensuring all pregnant and postpartum individuals receive respectful, high-quality support regardless of their background.\",\n  \"eng_key_points\": [\n    \"Significant funding for local organizations providing pregnancy and postpartum resources.\",\n    \"New training for all hospital staff to prevent bias and ensure respectful treatment of patients.\",\n    \"Establishment of programs in hospitals to report and address instances of racism or unfair treatment.\",\n    \"Support for diverse maternity teams, including doulas, midwives, and lactation consultants.\",\n    \"Extended focus on maternal health for a full year after childbirth.\"\n  ],\n  \"de_ai_title\": \"Kira-Johnson-Gesetz: Bessere Müttergesundheit und Schutz vor Diskriminierung in Kliniken\",\n  \"de_summary\": \"Dieses Gesetz zielt darauf ab, vermeidbare Todesfälle bei Müttern zu verhindern und die Gesundheitsversorgung durch die Förderung lokaler Organisationen zu verbessern. Es führt Maßnahmen ein, um Vorurteile und Rassismus in der Geburtshilfe abzubauen und eine respektvolle Behandlung sicherzustellen.\",\n  \"de_key_points\": [\n    \"Finanzielle Förderung für lokale Organisationen, die Schwangere und junge Mütter unterstützen.\",\n    \"Schulungen für das gesamte Klinikpersonal zur Vermeidung von Diskriminierung und Vorurteilen.\",\n    \"Einführung von Meldesystemen für Patientinnen, um respektloses Verhalten im Krankenhaus anzuzeigen.\",\n    \"Stärkung von Berufen wie Hebammen, Doulas und Stillberaterinnen.\",\n    \"Erweiterung der Definition der Nachsorge auf ein volles Jahr nach der Geburt.\"\n  ],\n  \"fr_ai_title\": \"Loi Kira Johnson : Améliorer la santé maternelle et lutter contre les discriminations\",\n  \"fr_summary\": \"Cette loi vise à prévenir les décès maternels et les complications de santé en finançant des organisations locales et en luttant contre les préjugés dans les soins. Elle garantit que chaque femme reçoit un traitement respectueux et de qualité pendant et après la grossesse.\",\n  \"fr_key_points\": [\n    \"Financement important pour les associations locales aidant les femmes enceintes et les nouvelles mères.\",\n    \"Formations obligatoires pour le personnel hospitalier afin d'éliminer le racisme et les préjugés.\",\n    \"Création de programmes permettant aux patientes de signaler les mauvais traitements à l'hôpital.\",\n    \"Soutien accru aux sages-femmes, doulas et conseillers en allaitement.\",\n    \"Suivi de la santé maternelle étendu à un an après l'accouchement.\"\n  ],\n  \"es_ai_title\": \"Ley Kira Johnson: Mejora de la salud materna y fin de la discriminación\",\n  \"es_summary\": \"Esta ley busca prevenir muertes maternas y complicaciones de salud mediante el financiamiento de organizaciones comunitarias y la lucha contra los prejuicios en la atención médica. Se enfoca en garantizar un trato respetuoso y digno para todas las personas embarazadas y puérperas.\",\n  \"es_key_points\": [\n    \"Fondos para organizaciones locales que brindan apoyo durante el embarazo y el posparto.\",\n    \"Capacitación para todo el personal de maternidad para evitar el racismo y los prejuicios.\",\n    \"Sistemas en hospitales para que las pacientes denuncien casos de discriminación o maltrato.\",\n    \"Apoyo a parteras, doulas y otros trabajadores de salud perinatal.\",\n    \"Atención extendida para la madre hasta un año después del parto.\"\n  ],\n  \"it_ai_title\": \"Legge Kira Johnson: Migliorare la salute materna e combattere le discriminazioni\",\n  \"it_summary\": \"Questa legge mira a prevenire i decessi materni e le complicazioni sanitarie finanziando organizzazioni locali e combattendo i pregiudizi nelle cure. Garantisce che ogni donna riceva un trattamento rispettoso e di qualità durante e dopo la gravidanza.\",\n  \"it_key_points\": [\n    \"Finanziamenti alle organizzazioni locali che supportano le donne in gravidanza e dopo il parto.\",\n    \"Formazione per il personale ospedaliero per prevenire razzismo e pregiudizi inconsci.\",\n    \"Creazione di sistemi per segnalare casi di discriminazione o trattamento irrispettoso negli ospedali.\",\n    \"Sostegno a ostetriche, doule e consulenti per l'allattamento.\",\n    \"Estensione dell'assistenza post-parto fino a un anno dalla nascita.\"\n  ],\n  \"nl_ai_title\": \"Kira Johnson Act: Verbetering van de moederzorg en aanpak van discriminatie\",\n  \"nl_summary\": \"Deze wet is bedoeld om vermijdbare sterfte onder moeders te voorkomen door lokale organisaties te financieren en vooroordelen in de zorg aan te pakken. Het richt zich op een respectvolle en kwalitatieve behandeling van alle zwangere en pas bevallen vrouwen.\",\n  \"nl_key_points\": [\n    \"Subsidies voor lokale organisaties die hulp bieden tijdens en na de zwangerschap.\",\n    \"Trainingen voor ziekenhuispersoneel om racisme en vooroordelen in de zorg te voorkomen.\",\n    \"Mogelijkheid voor patiënten om discriminatie of onrespectvolle behandeling in het ziekenhuis te melden.\",\n    \"Extra steun voor verloskundigen, doula's en lactatiekundigen.\",\n    \"Verlenging van de periode voor moederzorg tot één jaar na de bevalling.\"\n  ],\n  \"pt_ai_title\": \"Lei Kira Johnson: Melhorar a saúde materna e combater a discriminação\",\n  \"pt_summary\": \"Esta lei visa prevenir mortes maternas e complicações de saúde através do financiamento de organizações locais e do combate ao preconceito nos cuidados médicos. Garante que todas as grávidas e puérperas recebam um tratamento respeitoso e de qualidade.\",\n  \"pt_key_points\": [\n    \"Financiamento para organizações comunitárias que apoiam grávidas e novas mães.\",\n    \"Formação para funcionários de maternidades para evitar o racismo e preconceitos.\",\n    \"Criação de canais para as pacientes denunciarem casos de discriminação nos hospitais.\",\n    \"Apoio a parteiras, doulas e conselheiros de amamentação.\",\n    \"Acompanhamento da saúde da mãe alargado para um ano após o parto.\"\n  ],\n  \"category\": [\n    \"Health\",\n    \"Family\"\n  ]\n}"
    }
  ]
}