{
  "legislationId": "119_HR_8089",
  "lastUpdate": "2026-04-13T14:48:56.523Z",
  "history": [
    {
      "timestamp": "2026-04-13T14:48:56.523Z",
      "source_url": "https://www.congress.gov/119/bills/hr8089/BILLS-119hr8089ih.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. 8089 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8089 To amend the Public Health Service Act to grow and diversify the perinatal workforce, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 25, 2026 Ms. Moore of Wisconsin (for herself, Ms. Underwood, Ms. Adams, Mrs. McIver, Ms. Tlaib, Ms. Norton, Mrs. Watson Coleman, Ms. Kamlager-Dove, Mr. Johnson of Georgia, Ms. Pressley, Mr. Ivey, Mr. Krishnamoorthi, Mrs. Cherfilus-McCormick, Mr. Menefee, Mr. Bell, Mr. Moulton, Ms. Clarke of New York, Ms. DelBene, Mr. Garamendi, Mr. Cohen, Ms. Stansbury, Mrs. Dingell, Ms. Jacobs, Mr. Figures, Mr. Horsford, Mr. Garcia of Illinois, Mr. Veasey, Mrs. Beatty, Mr. Smith of Washington, Ms. Sewell, Ms. Wilson of Florida, Mr. Conaway, Mr. Scott of Virginia, Mrs. Hayes, Ms. Craig, Mr. McGarvey, Mrs. Grijalva, Mr. Carson, Mr. Takano, Mrs. McBath, Mr. Latimer, Ms. Johnson of Texas, and Mr. Soto) introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To amend the Public Health Service Act to grow and diversify the perinatal workforce, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Perinatal Workforce Act''. SEC. 2. HHS AGENCY DIRECTIVES. (a) Guidance to States.-- (1) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary of Health and Human Services shall issue and disseminate guidance to States to educate providers, managed care entities, and other insurers about the value and process of delivering respectful maternal health care through diverse and multidisciplinary care provider models. (2) Contents.--The guidance required by paragraph (1) shall address how States can encourage and incentivize hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers-- (A) to recruit and retain maternity care providers, mental and behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2)))-- (i) from racially, ethnically, and linguistically diverse backgrounds; (ii) with experience practicing in racially and ethnically diverse communities; and (iii) who have undergone training on implicit bias and racism; (B) to incorporate into maternity care teams-- (i) midwives who meet, at a minimum, the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives; (ii) perinatal health workers; (iii) physician assistants; (iv) advanced practice registered nurses; and (v) lactation consultants certified by the International Board of Lactation Consultant Examiners; (C) to provide collaborative, culturally and linguistically congruent care; and (D) to provide opportunities for individuals enrolled in accredited midwifery education programs to participate in job shadowing with maternity care teams in hospitals, health systems, midwifery practices, and freestanding birth centers. (b) Study on Respectful and Culturally and Linguistically Congruent Maternity Care.-- (1) Study.--The Secretary of Health and Human Services acting through the Director of the National Institutes of Health (in this subsection referred to as the ``Secretary'') shall conduct a study on best practices in respectful and culturally and linguistically congruent maternity care. (2) Report.--Not later than 2 years after the date of enactment of this Act, the Secretary shall-- (A) complete the study required by paragraph (1); (B) submit to the Congress and make publicly available a report on the results of such study; and (C) include in such report-- (i) a compendium of examples of hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers that are delivering respectful and culturally and linguistically congruent maternal health care; (ii) a compendium of examples of hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers that have made progress in reducing disparities in maternal health outcomes and improving birthing experiences for pregnant and postpartum individuals from racial and ethnic minority groups; and (iii) recommendations to hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers, for best practices in respectful and culturally and linguistically congruent maternity care. SEC. 3. GRANTS TO GROW AND DIVERSIFY THE PERINATAL WORKFORCE. Title VII of the Public Health Service Act is amended by inserting after section 757 (42 U.S.C. 294f) the following: ``SEC. 758. PERINATAL WORKFORCE GRANTS. ``(a) In General.--The Secretary shall award grants to entities to establish or expand programs described in subsection (b) to grow and diversify the perinatal workforce. ``(b) Use of Funds.--Recipients of grants under this section shall use the grants to grow and diversify the perinatal workforce by-- ``(1) establishing accredited schools or programs that provide education and training to individuals seeking appropriate licensing and certification as-- ``(A) physician assistants who will complete clinical training in the field of maternal and perinatal health; ``(B) perinatal health workers; or ``(C) midwives who meet, at a minimum, the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives; and ``(2) expanding the capacity of existing accredited schools or programs described in paragraph (1), for the purposes of increasing the number of students enrolled in such accredited schools or programs, such as by awarding scholarships for students (including students from racially, ethnically, and linguistically diverse backgrounds). ``(c) Prioritization.--In awarding grants under this section, the Secretary shall give priority to a school or program described in subsection (b) that-- ``(1) has demonstrated a commitment to recruiting and retaining students and faculty from racial and ethnic minority groups; ``(2) has developed a strategy to recruit and retain a diverse pool of students into the school or program described in subsection (b) that is supported by funds received through the grant, particularly from racial and ethnic minority groups and other underserved populations; ``(3) has developed a strategy to recruit and retain students who plan to practice in a health professional shortage area designated under section 332; ``(4) has developed a strategy to recruit and retain students who plan to practice in an area with significant racial and ethnic disparities in maternal health outcomes, to the extent practicable; and ``(5) includes in the standard curriculum for all students within the school or program described in subsection (b) a bias, racism, or discrimination training program that includes training on implicit bias and racism. ``(d) Reporting.--As a condition on receipt of a grant under this section for a school or program described in subsection (b), an entity shall agree to submit to the Secretary an annual report on the activities conducted through the grant, including-- ``(1) the number and demographics of students participating in the school or program; ``(2) the extent to which students in the school or program are entering careers in-- ``(A) health professional shortage areas designated under section 332; and ``(B) areas with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; and ``(3) whether the school or program has included in the standard curriculum for all students a bias, racism, or discrimination training program that includes explicit and implicit bias, and if so the effectiveness of such training program. ``(e) Period of Grants.--The period of a grant under this section shall be up to 5 years. ``(f) Application.--To seek a grant under this section, an entity shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including any information necessary for prioritization under subsection (c). ``(g) Technical Assistance.--The Secretary shall provide, directly or by contract, technical assistance to entities seeking or receiving a grant under this section on the development, use, evaluation, and postgrant period sustainability of the school or program described in subsection (b) that is proposed to be, or is being, established or expanded through the grant. ``(h) Report by the Secretary.--Not later than 4 years after the date of enactment of this section, the Secretary shall prepare and submit to the Congress, and post on the internet website of the Department of Health and Human Services, a report on the effectiveness of the grant program under this section at-- ``(1) recruiting students from racial and ethnic minority groups; ``(2) increasing the number of health professionals described in subparagraphs (A), (B), and (C) of subsection (b)(1) from racial and ethnic minority groups and other underserved populations; ``(3) increasing the number of such health professionals working in health professional shortage areas designated under section 332; and ``(4) increasing the number of such health professionals working in areas with significant racial and ethnic disparities in maternal health outcomes, to the extent such data are available. ``(i) Definition.--In this section, the term `racial and ethnic minority group' has the meaning given such term in section 1707(g)(1). ``(j) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $15,000,000 for each of fiscal years 2027 through 2031.''. SEC. 4. GRANTS TO GROW AND DIVERSIFY THE NURSING WORKFORCE IN MATERNAL AND PERINATAL HEALTH. Title VIII of the Public Health Service Act is amended by inserting after section 811 (42 U.S.C. 296j) the following: ``SEC. 812. PERINATAL NURSING WORKFORCE GRANTS. ``(a) In General.--The Secretary shall award grants to schools of nursing to grow and diversify the perinatal nursing workforce. ``(b) Use of Funds.--Recipients of grants under this section shall use the grants to grow and diversify the perinatal nursing workforce by providing scholarships to students seeking to become-- ``(1) nurse practitioners whose education includes a focus on maternal and perinatal health; ``(2) certified nurse-midwives; or ``(3) clinical nurse specialists whose education includes a focus on maternal and perinatal health. ``(c) Prioritization.--In awarding grants under this section, the Secretary shall give priority to any school of nursing that-- ``(1) has developed a strategy to recruit and retain a diverse pool of students seeking to enter careers focused on maternal and perinatal health, particularly students from racial and ethnic minority groups and other underserved populations; ``(2) has developed a partnership with a practice setting in a health professional shortage area designated under section 332 for the clinical placements of the school's students; ``(3) has developed a strategy to recruit and retain students who plan to practice in an area with significant racial and ethnic disparities in maternal health outcomes, to the extent practicable; and ``(4) includes in the standard curriculum for all students seeking to enter careers focused on maternal and perinatal health a bias, racism, or discrimination training program that includes education on implicit bias and racism. ``(d) Reporting.--As a condition on receipt of a grant under this section, a school of nursing shall agree to submit to the Secretary an annual report on the activities conducted through the grant, including, to the extent practicable-- ``(1) the number and demographics of students in the school of nursing seeking to enter careers focused on maternal and perinatal health; ``(2) the extent to which such students are preparing to enter careers in-- ``(A) health professional shortage areas designated under section 332; and ``(B) areas with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; and ``(3) whether the standard curriculum for all students seeking to enter careers focused on maternal and perinatal health includes a bias, racism, or discrimination training program that includes education on implicit bias and racism. ``(e) Period of Grants.--The period of a grant under this section shall be up to 5 years. ``(f) Application.--To seek a grant under this section, an entity shall submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require, including any information necessary for prioritization under subsection (c). ``(g) Technical Assistance.--The Secretary shall provide, directly or by contract, technical assistance to schools of nursing seeking or receiving a grant under this section on the processes of awarding and evaluating scholarships through the grant. ``(h) Report by the Secretary.--Not later than 4 years after the date of enactment of this section, the Secretary shall prepare and submit to the Congress, and post on the internet website of the Department of Health and Human Services, a report on the effectiveness of the grant program under this section at-- ``(1) recruiting students from racial and ethnic minority groups and other underserved populations; ``(2) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health from racial and ethnic minority groups and other underserved populations; ``(3) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health working in health professional shortage areas designated under section 332; and ``(4) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health working in areas with significant racial and ethnic disparities in maternal health outcomes, to the extent such data are available. ``(i) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $15,000,000 for each of fiscal years 2027 through 2031.''. SEC. 5. GAO REPORT. (a) In General.--Not later than 2 years after the date of enactment of this Act and every 5 years thereafter, the Comptroller General of the United States shall submit to Congress a report on barriers to maternal health education and access to care in the United States. Such report shall include the information and recommendations described in subsection (b). (b) Content of Report.--The report under subsection (a) shall include-- (1) an assessment of current barriers to entering and successfully completing accredited midwifery education programs, and recommendations for addressing such barriers, particularly for low-income women and women from racial and ethnic minority groups; (2) an assessment of current barriers to entering and successfully completing accredited education programs for other health professional careers related to maternity care, including maternity care providers, mental and behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2))), particularly for low-income women and women from racial and ethnic minority groups; (3) an assessment of current barriers that prevent midwives from meeting the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives, and recommendations for addressing such barriers, particularly for low-income women and women from racial and ethnic minority groups; (4) an assessment of disparities in access to maternity care providers, mental or behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2))), and perinatal health workers, stratified by race, ethnicity, gender identity, primary language, geographic location, and insurance type and recommendations to promote greater access equity; and (5) recommendations to promote greater equity in compensation for perinatal health workers under public and private insurers, particularly for such individuals from racially and ethnically diverse backgrounds. SEC. 6. DEFINITIONS. In this Act: (1) Culturally and linguistically congruent.--The term ``culturally and linguistically congruent'', with respect to care or maternity care, means care that is in agreement with the preferred cultural values, beliefs, worldview, language, and practices of the health care consumer and other stakeholders. (2) Maternity care provider.--The term ``maternity care provider'' means a health care provider who-- (A) is a physician, a physician assistant, a midwife who meets at a minimum the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives, an advanced practice registered nurse, a doula accredited by a State to receive reimbursement for doula services under a State plan (or a waiver of such plan) under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), or a lactation consultant certified by the International Board of Lactation Consultant Examiners; and (B) has a focus on maternal or perinatal health. (3) Perinatal health worker.--The term ``perinatal health worker'' means a nonclinical health worker focused on maternal or perinatal health, such as a doula, community health worker, peer supporter, lactation educator or counselor, nutritionist or dietitian, childbirth educator, social worker, home visitor, patient navigator or coordinator, or language interpreter. (4) Postpartum.--The term ``postpartum'' refers to the 1- year period beginning on the last day of the pregnancy of an individual. (5) Racial and ethnic minority group.--The term ``racial and ethnic minority group'' has the meaning given such term in section 1707(g)(1) of the Public Health Service Act (42 U.S.C. 300u-6(g)(1)). <all>\n\nSUMMARY TO EVALUATE:\nTitle: Perinatal Workforce Act: Expanding and Diversifying Maternal Health Care\nSummary: This act aims to increase the number and diversity of professionals providing care during and after pregnancy. It provides funding for education and scholarships to ensure families have access to culturally respectful and specialized support.\nKey Points: New grants to train more midwives, physician assistants, and community health workers., Scholarships for nursing students focusing on maternal health, prioritizing diverse backgrounds., Mandatory training for health workers on addressing implicit bias and racism in care., Better integration of doulas, lactation consultants, and social workers into maternity care teams.\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": "2026-04-13T14:44:47.403Z",
      "source_url": "https://www.congress.gov/119/bills/hr8089/BILLS-119hr8089ih.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. 8089 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8089 To amend the Public Health Service Act to grow and diversify the perinatal workforce, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 25, 2026 Ms. Moore of Wisconsin (for herself, Ms. Underwood, Ms. Adams, Mrs. McIver, Ms. Tlaib, Ms. Norton, Mrs. Watson Coleman, Ms. Kamlager-Dove, Mr. Johnson of Georgia, Ms. Pressley, Mr. Ivey, Mr. Krishnamoorthi, Mrs. Cherfilus-McCormick, Mr. Menefee, Mr. Bell, Mr. Moulton, Ms. Clarke of New York, Ms. DelBene, Mr. Garamendi, Mr. Cohen, Ms. Stansbury, Mrs. Dingell, Ms. Jacobs, Mr. Figures, Mr. Horsford, Mr. Garcia of Illinois, Mr. Veasey, Mrs. Beatty, Mr. Smith of Washington, Ms. Sewell, Ms. Wilson of Florida, Mr. Conaway, Mr. Scott of Virginia, Mrs. Hayes, Ms. Craig, Mr. McGarvey, Mrs. Grijalva, Mr. Carson, Mr. Takano, Mrs. McBath, Mr. Latimer, Ms. Johnson of Texas, and Mr. Soto) introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To amend the Public Health Service Act to grow and diversify the perinatal workforce, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Perinatal Workforce Act''. SEC. 2. HHS AGENCY DIRECTIVES. (a) Guidance to States.-- (1) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary of Health and Human Services shall issue and disseminate guidance to States to educate providers, managed care entities, and other insurers about the value and process of delivering respectful maternal health care through diverse and multidisciplinary care provider models. (2) Contents.--The guidance required by paragraph (1) shall address how States can encourage and incentivize hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers-- (A) to recruit and retain maternity care providers, mental and behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2)))-- (i) from racially, ethnically, and linguistically diverse backgrounds; (ii) with experience practicing in racially and ethnically diverse communities; and (iii) who have undergone training on implicit bias and racism; (B) to incorporate into maternity care teams-- (i) midwives who meet, at a minimum, the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives; (ii) perinatal health workers; (iii) physician assistants; (iv) advanced practice registered nurses; and (v) lactation consultants certified by the International Board of Lactation Consultant Examiners; (C) to provide collaborative, culturally and linguistically congruent care; and (D) to provide opportunities for individuals enrolled in accredited midwifery education programs to participate in job shadowing with maternity care teams in hospitals, health systems, midwifery practices, and freestanding birth centers. (b) Study on Respectful and Culturally and Linguistically Congruent Maternity Care.-- (1) Study.--The Secretary of Health and Human Services acting through the Director of the National Institutes of Health (in this subsection referred to as the ``Secretary'') shall conduct a study on best practices in respectful and culturally and linguistically congruent maternity care. (2) Report.--Not later than 2 years after the date of enactment of this Act, the Secretary shall-- (A) complete the study required by paragraph (1); (B) submit to the Congress and make publicly available a report on the results of such study; and (C) include in such report-- (i) a compendium of examples of hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers that are delivering respectful and culturally and linguistically congruent maternal health care; (ii) a compendium of examples of hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers that have made progress in reducing disparities in maternal health outcomes and improving birthing experiences for pregnant and postpartum individuals from racial and ethnic minority groups; and (iii) recommendations to hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers, for best practices in respectful and culturally and linguistically congruent maternity care. SEC. 3. GRANTS TO GROW AND DIVERSIFY THE PERINATAL WORKFORCE. Title VII of the Public Health Service Act is amended by inserting after section 757 (42 U.S.C. 294f) the following: ``SEC. 758. PERINATAL WORKFORCE GRANTS. ``(a) In General.--The Secretary shall award grants to entities to establish or expand programs described in subsection (b) to grow and diversify the perinatal workforce. ``(b) Use of Funds.--Recipients of grants under this section shall use the grants to grow and diversify the perinatal workforce by-- ``(1) establishing accredited schools or programs that provide education and training to individuals seeking appropriate licensing and certification as-- ``(A) physician assistants who will complete clinical training in the field of maternal and perinatal health; ``(B) perinatal health workers; or ``(C) midwives who meet, at a minimum, the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives; and ``(2) expanding the capacity of existing accredited schools or programs described in paragraph (1), for the purposes of increasing the number of students enrolled in such accredited schools or programs, such as by awarding scholarships for students (including students from racially, ethnically, and linguistically diverse backgrounds). ``(c) Prioritization.--In awarding grants under this section, the Secretary shall give priority to a school or program described in subsection (b) that-- ``(1) has demonstrated a commitment to recruiting and retaining students and faculty from racial and ethnic minority groups; ``(2) has developed a strategy to recruit and retain a diverse pool of students into the school or program described in subsection (b) that is supported by funds received through the grant, particularly from racial and ethnic minority groups and other underserved populations; ``(3) has developed a strategy to recruit and retain students who plan to practice in a health professional shortage area designated under section 332; ``(4) has developed a strategy to recruit and retain students who plan to practice in an area with significant racial and ethnic disparities in maternal health outcomes, to the extent practicable; and ``(5) includes in the standard curriculum for all students within the school or program described in subsection (b) a bias, racism, or discrimination training program that includes training on implicit bias and racism. ``(d) Reporting.--As a condition on receipt of a grant under this section for a school or program described in subsection (b), an entity shall agree to submit to the Secretary an annual report on the activities conducted through the grant, including-- ``(1) the number and demographics of students participating in the school or program; ``(2) the extent to which students in the school or program are entering careers in-- ``(A) health professional shortage areas designated under section 332; and ``(B) areas with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; and ``(3) whether the school or program has included in the standard curriculum for all students a bias, racism, or discrimination training program that includes explicit and implicit bias, and if so the effectiveness of such training program. ``(e) Period of Grants.--The period of a grant under this section shall be up to 5 years. ``(f) Application.--To seek a grant under this section, an entity shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including any information necessary for prioritization under subsection (c). ``(g) Technical Assistance.--The Secretary shall provide, directly or by contract, technical assistance to entities seeking or receiving a grant under this section on the development, use, evaluation, and postgrant period sustainability of the school or program described in subsection (b) that is proposed to be, or is being, established or expanded through the grant. ``(h) Report by the Secretary.--Not later than 4 years after the date of enactment of this section, the Secretary shall prepare and submit to the Congress, and post on the internet website of the Department of Health and Human Services, a report on the effectiveness of the grant program under this section at-- ``(1) recruiting students from racial and ethnic minority groups; ``(2) increasing the number of health professionals described in subparagraphs (A), (B), and (C) of subsection (b)(1) from racial and ethnic minority groups and other underserved populations; ``(3) increasing the number of such health professionals working in health professional shortage areas designated under section 332; and ``(4) increasing the number of such health professionals working in areas with significant racial and ethnic disparities in maternal health outcomes, to the extent such data are available. ``(i) Definition.--In this section, the term `racial and ethnic minority group' has the meaning given such term in section 1707(g)(1). ``(j) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $15,000,000 for each of fiscal years 2027 through 2031.''. SEC. 4. GRANTS TO GROW AND DIVERSIFY THE NURSING WORKFORCE IN MATERNAL AND PERINATAL HEALTH. Title VIII of the Public Health Service Act is amended by inserting after section 811 (42 U.S.C. 296j) the following: ``SEC. 812. PERINATAL NURSING WORKFORCE GRANTS. ``(a) In General.--The Secretary shall award grants to schools of nursing to grow and diversify the perinatal nursing workforce. ``(b) Use of Funds.--Recipients of grants under this section shall use the grants to grow and diversify the perinatal nursing workforce by providing scholarships to students seeking to become-- ``(1) nurse practitioners whose education includes a focus on maternal and perinatal health; ``(2) certified nurse-midwives; or ``(3) clinical nurse specialists whose education includes a focus on maternal and perinatal health. ``(c) Prioritization.--In awarding grants under this section, the Secretary shall give priority to any school of nursing that-- ``(1) has developed a strategy to recruit and retain a diverse pool of students seeking to enter careers focused on maternal and perinatal health, particularly students from racial and ethnic minority groups and other underserved populations; ``(2) has developed a partnership with a practice setting in a health professional shortage area designated under section 332 for the clinical placements of the school's students; ``(3) has developed a strategy to recruit and retain students who plan to practice in an area with significant racial and ethnic disparities in maternal health outcomes, to the extent practicable; and ``(4) includes in the standard curriculum for all students seeking to enter careers focused on maternal and perinatal health a bias, racism, or discrimination training program that includes education on implicit bias and racism. ``(d) Reporting.--As a condition on receipt of a grant under this section, a school of nursing shall agree to submit to the Secretary an annual report on the activities conducted through the grant, including, to the extent practicable-- ``(1) the number and demographics of students in the school of nursing seeking to enter careers focused on maternal and perinatal health; ``(2) the extent to which such students are preparing to enter careers in-- ``(A) health professional shortage areas designated under section 332; and ``(B) areas with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; and ``(3) whether the standard curriculum for all students seeking to enter careers focused on maternal and perinatal health includes a bias, racism, or discrimination training program that includes education on implicit bias and racism. ``(e) Period of Grants.--The period of a grant under this section shall be up to 5 years. ``(f) Application.--To seek a grant under this section, an entity shall submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require, including any information necessary for prioritization under subsection (c). ``(g) Technical Assistance.--The Secretary shall provide, directly or by contract, technical assistance to schools of nursing seeking or receiving a grant under this section on the processes of awarding and evaluating scholarships through the grant. ``(h) Report by the Secretary.--Not later than 4 years after the date of enactment of this section, the Secretary shall prepare and submit to the Congress, and post on the internet website of the Department of Health and Human Services, a report on the effectiveness of the grant program under this section at-- ``(1) recruiting students from racial and ethnic minority groups and other underserved populations; ``(2) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health from racial and ethnic minority groups and other underserved populations; ``(3) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health working in health professional shortage areas designated under section 332; and ``(4) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health working in areas with significant racial and ethnic disparities in maternal health outcomes, to the extent such data are available. ``(i) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $15,000,000 for each of fiscal years 2027 through 2031.''. SEC. 5. GAO REPORT. (a) In General.--Not later than 2 years after the date of enactment of this Act and every 5 years thereafter, the Comptroller General of the United States shall submit to Congress a report on barriers to maternal health education and access to care in the United States. Such report shall include the information and recommendations described in subsection (b). (b) Content of Report.--The report under subsection (a) shall include-- (1) an assessment of current barriers to entering and successfully completing accredited midwifery education programs, and recommendations for addressing such barriers, particularly for low-income women and women from racial and ethnic minority groups; (2) an assessment of current barriers to entering and successfully completing accredited education programs for other health professional careers related to maternity care, including maternity care providers, mental and behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2))), particularly for low-income women and women from racial and ethnic minority groups; (3) an assessment of current barriers that prevent midwives from meeting the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives, and recommendations for addressing such barriers, particularly for low-income women and women from racial and ethnic minority groups; (4) an assessment of disparities in access to maternity care providers, mental or behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2))), and perinatal health workers, stratified by race, ethnicity, gender identity, primary language, geographic location, and insurance type and recommendations to promote greater access equity; and (5) recommendations to promote greater equity in compensation for perinatal health workers under public and private insurers, particularly for such individuals from racially and ethnically diverse backgrounds. SEC. 6. DEFINITIONS. In this Act: (1) Culturally and linguistically congruent.--The term ``culturally and linguistically congruent'', with respect to care or maternity care, means care that is in agreement with the preferred cultural values, beliefs, worldview, language, and practices of the health care consumer and other stakeholders. (2) Maternity care provider.--The term ``maternity care provider'' means a health care provider who-- (A) is a physician, a physician assistant, a midwife who meets at a minimum the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives, an advanced practice registered nurse, a doula accredited by a State to receive reimbursement for doula services under a State plan (or a waiver of such plan) under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), or a lactation consultant certified by the International Board of Lactation Consultant Examiners; and (B) has a focus on maternal or perinatal health. (3) Perinatal health worker.--The term ``perinatal health worker'' means a nonclinical health worker focused on maternal or perinatal health, such as a doula, community health worker, peer supporter, lactation educator or counselor, nutritionist or dietitian, childbirth educator, social worker, home visitor, patient navigator or coordinator, or language interpreter. (4) Postpartum.--The term ``postpartum'' refers to the 1- year period beginning on the last day of the pregnancy of an individual. (5) Racial and ethnic minority group.--The term ``racial and ethnic minority group'' has the meaning given such term in section 1707(g)(1) of the Public Health Service Act (42 U.S.C. 300u-6(g)(1)). <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 o personelu okołoporodowym: Większy dostęp do zróżnicowanej opieki macierzyńskiej\",\n  \"pl_summary\": \"Ustawa ma na celu zwiększenie liczby i różnorodności specjalistów zajmujących się opieką nad kobietami w ciąży i po porodzie. Dzięki nowym funduszom na edukację i stypendia, pacjentki zyskają lepszy dostęp do położnych, doul i lekarzy rozumiejących ich potrzeby kulturowe.\",\n  \"pl_key_points\": [\n    \"Więcej pieniędzy na kształcenie położnych, asystentów lekarzy i pracowników wspierających kobiety w ciąży.\",\n    \"Stypendia dla pielęgniarek i położnych, szczególnie z mniejszości etnicznych i obszarów z utrudnionym dostępem do lekarza.\",\n    \"Wprowadzenie obowiązkowych szkoleń z zakresu walki z uprzedzeniami i rasizmem dla personelu medycznego.\",\n    \"Wsparcie dla zróżnicowanych zespołów opieki, w tym doul, doradców laktacyjnych i pracowników środowiskowych.\"\n  ],\n  \"eng_ai_title\": \"Perinatal Workforce Act: Expanding and Diversifying Maternal Health Care\",\n  \"eng_summary\": \"This act aims to increase the number and diversity of professionals providing care during and after pregnancy. It provides funding for education and scholarships to ensure families have access to culturally respectful and specialized support.\",\n  \"eng_key_points\": [\n    \"New grants to train more midwives, physician assistants, and community health workers.\",\n    \"Scholarships for nursing students focusing on maternal health, prioritizing diverse backgrounds.\",\n    \"Mandatory training for health workers on addressing implicit bias and racism in care.\",\n    \"Better integration of doulas, lactation consultants, and social workers into maternity care teams.\"\n  ],\n  \"de_ai_title\": \"Gesetz zur Stärkung des geburtshilflichen Personals: Mehr Vielfalt in der Schwangerschaftsbetreuung\",\n  \"de_summary\": \"Dieses Gesetz zielt darauf ab, die Anzahl und Vielfalt der Fachkräfte in der Schwangerschafts- und Nachsorgebetreuung zu erhöhen. Durch neue Bildungsförderungen erhalten Familien besseren Zugang zu Hebammen und spezialisiertem Personal, das ihre kulturellen Bedürfnisse versteht.\",\n  \"de_key_points\": [\n    \"Zuschüsse für die Ausbildung von Hebammen, Arzthelfenden und perinatalem Fachpersonal.\",\n    \"Stipendien für Pflegekräfte mit Schwerpunkt Geburtshilfe, insbesondere für unterrepräsentierte Gruppen.\",\n    \"Schulungen für medizinisches Personal zum Abbau von Vorurteilen und Rassismus.\",\n    \"Einbeziehung von Doulas und Stillberaterinnen in die medizinischen Versorgungsteams.\"\n  ],\n  \"fr_ai_title\": \"Loi sur le personnel périnatal : Diversifier et renforcer les soins de maternité\",\n  \"fr_summary\": \"Cette loi vise à augmenter le nombre et la diversité des professionnels de santé accompagnant les femmes pendant et après la grossesse. Elle finance la formation et des bourses pour garantir un accès à des soins respectueux et adaptés à chaque culture.\",\n  \"fr_key_points\": [\n    \"Subventions pour former davantage de sages-femmes, d'assistants médicaux et d'agents de santé périnatale.\",\n    \"Bourses d'études pour les infirmières spécialisées en maternité, avec une priorité à la diversité.\",\n    \"Formations obligatoires pour le personnel soignant sur la lutte contre les préjugés et le racisme.\",\n    \"Meilleure intégration des doulas et des conseillères en lactation dans les équipes de soins.\"\n  ],\n  \"es_ai_title\": \"Ley del Personal Perinatal: Más diversidad y acceso en la atención materna\",\n  \"es_summary\": \"Esta ley busca aumentar el número y la diversidad de profesionales que atienden a las mujeres durante y después del embarazo. Ofrece fondos para educación y becas para asegurar que las familias reciban una atención respetuosa y adaptada a su cultura.\",\n  \"es_key_points\": [\n    \"Nuevas subvenciones para formar a más parteras, asistentes médicos y trabajadores de salud perinatal.\",\n    \"Becas para estudiantes de enfermería especializados en salud materna, priorizando a minorías.\",\n    \"Capacitación obligatoria para el personal de salud sobre cómo evitar prejuicios y racismo.\",\n    \"Integración de doulas y consultores de lactancia en los equipos de atención de maternidad.\"\n  ],\n  \"it_ai_title\": \"Legge sul personale perinatale: Più diversità e assistenza nella cura materna\",\n  \"it_summary\": \"Questa legge mira ad aumentare il numero e la diversità dei professionisti che assistono le donne durante e dopo la gravidanza. Finanzia l'istruzione e borse di studio per garantire alle famiglie un'assistenza rispettosa e culturalmente adeguata.\",\n  \"it_key_points\": [\n    \"Nuovi finanziamenti per formare più ostetriche, assistenti medici e operatori sanitari perinatali.\",\n    \"Borse di studio per infermieri specializzati in salute materna, con priorità alla diversità.\",\n    \"Formazione obbligatoria per il personale sanitario contro i pregiudizi e il razzismo.\",\n    \"Integrazione di doule e consulenti per l'allattamento nei team di assistenza alla maternità.\"\n  ],\n  \"nl_ai_title\": \"Wet op het Perinataal Personeel: Meer diversiteit in de moederzorg\",\n  \"nl_summary\": \"Deze wet is bedoeld om het aantal en de diversiteit van zorgverleners tijdens en na de zwangerschap te vergroten. Er komt geld voor opleidingen en beurzen zodat gezinnen toegang krijgen tot respectvolle zorg die aansluit bij hun cultuur.\",\n  \"nl_key_points\": [\n    \"Subsidies voor de opleiding van meer verloskundigen, arts-assistenten en perinataal werkers.\",\n    \"Studiebeurzen voor verpleegkundigen in de moederzorg, met aandacht voor minderheidsgroepen.\",\n    \"Verplichte training voor zorgpersoneel over het herkennen van vooroordelen en racisme.\",\n    \"Betere samenwerking met doula's, lactatiekundigen en maatschappelijk werkers in zorgteams.\"\n  ],\n  \"pt_ai_title\": \"Lei do Pessoal Perinatal: Diversificar e ampliar os cuidados de maternidade\",\n  \"pt_summary\": \"Esta lei visa aumentar o número e a diversidade de profissionais que apoiam as mulheres durante e após a gravidez. Oferece financiamento para educação e bolsas para garantir que as famílias tenham acesso a cuidados respeitosos e culturalmente adequados.\",\n  \"pt_key_points\": [\n    \"Novos subsídios para formar mais parteiras, assistentes médicos e agentes de saúde perinatal.\",\n    \"Bolsas de estudo para enfermeiros especializados em saúde materna, priorizando a diversidade.\",\n    \"Formação obrigatória para profissionais de saúde sobre o combate ao preconceito e racismo.\",\n    \"Integração de doulas e consultores de lactação nas equipas de cuidados de maternidade.\"\n  ],\n  \"category\": [\n    \"Health\",\n    \"Education\"\n  ]\n}"
    },
    {
      "timestamp": "2026-04-13T14:34:17.120Z",
      "source_url": "https://www.congress.gov/119/bills/hr8089/BILLS-119hr8089ih.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. 8089 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8089 To amend the Public Health Service Act to grow and diversify the perinatal workforce, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 25, 2026 Ms. Moore of Wisconsin (for herself, Ms. Underwood, Ms. Adams, Mrs. McIver, Ms. Tlaib, Ms. Norton, Mrs. Watson Coleman, Ms. Kamlager-Dove, Mr. Johnson of Georgia, Ms. Pressley, Mr. Ivey, Mr. Krishnamoorthi, Mrs. Cherfilus-McCormick, Mr. Menefee, Mr. Bell, Mr. Moulton, Ms. Clarke of New York, Ms. DelBene, Mr. Garamendi, Mr. Cohen, Ms. Stansbury, Mrs. Dingell, Ms. Jacobs, Mr. Figures, Mr. Horsford, Mr. Garcia of Illinois, Mr. Veasey, Mrs. Beatty, Mr. Smith of Washington, Ms. Sewell, Ms. Wilson of Florida, Mr. Conaway, Mr. Scott of Virginia, Mrs. Hayes, Ms. Craig, Mr. McGarvey, Mrs. Grijalva, Mr. Carson, Mr. Takano, Mrs. McBath, Mr. Latimer, Ms. Johnson of Texas, and Mr. Soto) introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To amend the Public Health Service Act to grow and diversify the perinatal workforce, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Perinatal Workforce Act''. SEC. 2. HHS AGENCY DIRECTIVES. (a) Guidance to States.-- (1) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary of Health and Human Services shall issue and disseminate guidance to States to educate providers, managed care entities, and other insurers about the value and process of delivering respectful maternal health care through diverse and multidisciplinary care provider models. (2) Contents.--The guidance required by paragraph (1) shall address how States can encourage and incentivize hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers-- (A) to recruit and retain maternity care providers, mental and behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2)))-- (i) from racially, ethnically, and linguistically diverse backgrounds; (ii) with experience practicing in racially and ethnically diverse communities; and (iii) who have undergone training on implicit bias and racism; (B) to incorporate into maternity care teams-- (i) midwives who meet, at a minimum, the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives; (ii) perinatal health workers; (iii) physician assistants; (iv) advanced practice registered nurses; and (v) lactation consultants certified by the International Board of Lactation Consultant Examiners; (C) to provide collaborative, culturally and linguistically congruent care; and (D) to provide opportunities for individuals enrolled in accredited midwifery education programs to participate in job shadowing with maternity care teams in hospitals, health systems, midwifery practices, and freestanding birth centers. (b) Study on Respectful and Culturally and Linguistically Congruent Maternity Care.-- (1) Study.--The Secretary of Health and Human Services acting through the Director of the National Institutes of Health (in this subsection referred to as the ``Secretary'') shall conduct a study on best practices in respectful and culturally and linguistically congruent maternity care. (2) Report.--Not later than 2 years after the date of enactment of this Act, the Secretary shall-- (A) complete the study required by paragraph (1); (B) submit to the Congress and make publicly available a report on the results of such study; and (C) include in such report-- (i) a compendium of examples of hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers that are delivering respectful and culturally and linguistically congruent maternal health care; (ii) a compendium of examples of hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers that have made progress in reducing disparities in maternal health outcomes and improving birthing experiences for pregnant and postpartum individuals from racial and ethnic minority groups; and (iii) recommendations to hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers, for best practices in respectful and culturally and linguistically congruent maternity care. SEC. 3. GRANTS TO GROW AND DIVERSIFY THE PERINATAL WORKFORCE. Title VII of the Public Health Service Act is amended by inserting after section 757 (42 U.S.C. 294f) the following: ``SEC. 758. PERINATAL WORKFORCE GRANTS. ``(a) In General.--The Secretary shall award grants to entities to establish or expand programs described in subsection (b) to grow and diversify the perinatal workforce. ``(b) Use of Funds.--Recipients of grants under this section shall use the grants to grow and diversify the perinatal workforce by-- ``(1) establishing accredited schools or programs that provide education and training to individuals seeking appropriate licensing and certification as-- ``(A) physician assistants who will complete clinical training in the field of maternal and perinatal health; ``(B) perinatal health workers; or ``(C) midwives who meet, at a minimum, the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives; and ``(2) expanding the capacity of existing accredited schools or programs described in paragraph (1), for the purposes of increasing the number of students enrolled in such accredited schools or programs, such as by awarding scholarships for students (including students from racially, ethnically, and linguistically diverse backgrounds). ``(c) Prioritization.--In awarding grants under this section, the Secretary shall give priority to a school or program described in subsection (b) that-- ``(1) has demonstrated a commitment to recruiting and retaining students and faculty from racial and ethnic minority groups; ``(2) has developed a strategy to recruit and retain a diverse pool of students into the school or program described in subsection (b) that is supported by funds received through the grant, particularly from racial and ethnic minority groups and other underserved populations; ``(3) has developed a strategy to recruit and retain students who plan to practice in a health professional shortage area designated under section 332; ``(4) has developed a strategy to recruit and retain students who plan to practice in an area with significant racial and ethnic disparities in maternal health outcomes, to the extent practicable; and ``(5) includes in the standard curriculum for all students within the school or program described in subsection (b) a bias, racism, or discrimination training program that includes training on implicit bias and racism. ``(d) Reporting.--As a condition on receipt of a grant under this section for a school or program described in subsection (b), an entity shall agree to submit to the Secretary an annual report on the activities conducted through the grant, including-- ``(1) the number and demographics of students participating in the school or program; ``(2) the extent to which students in the school or program are entering careers in-- ``(A) health professional shortage areas designated under section 332; and ``(B) areas with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; and ``(3) whether the school or program has included in the standard curriculum for all students a bias, racism, or discrimination training program that includes explicit and implicit bias, and if so the effectiveness of such training program. ``(e) Period of Grants.--The period of a grant under this section shall be up to 5 years. ``(f) Application.--To seek a grant under this section, an entity shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including any information necessary for prioritization under subsection (c). ``(g) Technical Assistance.--The Secretary shall provide, directly or by contract, technical assistance to entities seeking or receiving a grant under this section on the development, use, evaluation, and postgrant period sustainability of the school or program described in subsection (b) that is proposed to be, or is being, established or expanded through the grant. ``(h) Report by the Secretary.--Not later than 4 years after the date of enactment of this section, the Secretary shall prepare and submit to the Congress, and post on the internet website of the Department of Health and Human Services, a report on the effectiveness of the grant program under this section at-- ``(1) recruiting students from racial and ethnic minority groups; ``(2) increasing the number of health professionals described in subparagraphs (A), (B), and (C) of subsection (b)(1) from racial and ethnic minority groups and other underserved populations; ``(3) increasing the number of such health professionals working in health professional shortage areas designated under section 332; and ``(4) increasing the number of such health professionals working in areas with significant racial and ethnic disparities in maternal health outcomes, to the extent such data are available. ``(i) Definition.--In this section, the term `racial and ethnic minority group' has the meaning given such term in section 1707(g)(1). ``(j) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $15,000,000 for each of fiscal years 2027 through 2031.''. SEC. 4. GRANTS TO GROW AND DIVERSIFY THE NURSING WORKFORCE IN MATERNAL AND PERINATAL HEALTH. Title VIII of the Public Health Service Act is amended by inserting after section 811 (42 U.S.C. 296j) the following: ``SEC. 812. PERINATAL NURSING WORKFORCE GRANTS. ``(a) In General.--The Secretary shall award grants to schools of nursing to grow and diversify the perinatal nursing workforce. ``(b) Use of Funds.--Recipients of grants under this section shall use the grants to grow and diversify the perinatal nursing workforce by providing scholarships to students seeking to become-- ``(1) nurse practitioners whose education includes a focus on maternal and perinatal health; ``(2) certified nurse-midwives; or ``(3) clinical nurse specialists whose education includes a focus on maternal and perinatal health. ``(c) Prioritization.--In awarding grants under this section, the Secretary shall give priority to any school of nursing that-- ``(1) has developed a strategy to recruit and retain a diverse pool of students seeking to enter careers focused on maternal and perinatal health, particularly students from racial and ethnic minority groups and other underserved populations; ``(2) has developed a partnership with a practice setting in a health professional shortage area designated under section 332 for the clinical placements of the school's students; ``(3) has developed a strategy to recruit and retain students who plan to practice in an area with significant racial and ethnic disparities in maternal health outcomes, to the extent practicable; and ``(4) includes in the standard curriculum for all students seeking to enter careers focused on maternal and perinatal health a bias, racism, or discrimination training program that includes education on implicit bias and racism. ``(d) Reporting.--As a condition on receipt of a grant under this section, a school of nursing shall agree to submit to the Secretary an annual report on the activities conducted through the grant, including, to the extent practicable-- ``(1) the number and demographics of students in the school of nursing seeking to enter careers focused on maternal and perinatal health; ``(2) the extent to which such students are preparing to enter careers in-- ``(A) health professional shortage areas designated under section 332; and ``(B) areas with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; and ``(3) whether the standard curriculum for all students seeking to enter careers focused on maternal and perinatal health includes a bias, racism, or discrimination training program that includes education on implicit bias and racism. ``(e) Period of Grants.--The period of a grant under this section shall be up to 5 years. ``(f) Application.--To seek a grant under this section, an entity shall submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require, including any information necessary for prioritization under subsection (c). ``(g) Technical Assistance.--The Secretary shall provide, directly or by contract, technical assistance to schools of nursing seeking or receiving a grant under this section on the processes of awarding and evaluating scholarships through the grant. ``(h) Report by the Secretary.--Not later than 4 years after the date of enactment of this section, the Secretary shall prepare and submit to the Congress, and post on the internet website of the Department of Health and Human Services, a report on the effectiveness of the grant program under this section at-- ``(1) recruiting students from racial and ethnic minority groups and other underserved populations; ``(2) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health from racial and ethnic minority groups and other underserved populations; ``(3) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health working in health professional shortage areas designated under section 332; and ``(4) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health working in areas with significant racial and ethnic disparities in maternal health outcomes, to the extent such data are available. ``(i) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $15,000,000 for each of fiscal years 2027 through 2031.''. SEC. 5. GAO REPORT. (a) In General.--Not later than 2 years after the date of enactment of this Act and every 5 years thereafter, the Comptroller General of the United States shall submit to Congress a report on barriers to maternal health education and access to care in the United States. Such report shall include the information and recommendations described in subsection (b). (b) Content of Report.--The report under subsection (a) shall include-- (1) an assessment of current barriers to entering and successfully completing accredited midwifery education programs, and recommendations for addressing such barriers, particularly for low-income women and women from racial and ethnic minority groups; (2) an assessment of current barriers to entering and successfully completing accredited education programs for other health professional careers related to maternity care, including maternity care providers, mental and behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2))), particularly for low-income women and women from racial and ethnic minority groups; (3) an assessment of current barriers that prevent midwives from meeting the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives, and recommendations for addressing such barriers, particularly for low-income women and women from racial and ethnic minority groups; (4) an assessment of disparities in access to maternity care providers, mental or behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2))), and perinatal health workers, stratified by race, ethnicity, gender identity, primary language, geographic location, and insurance type and recommendations to promote greater access equity; and (5) recommendations to promote greater equity in compensation for perinatal health workers under public and private insurers, particularly for such individuals from racially and ethnically diverse backgrounds. SEC. 6. DEFINITIONS. In this Act: (1) Culturally and linguistically congruent.--The term ``culturally and linguistically congruent'', with respect to care or maternity care, means care that is in agreement with the preferred cultural values, beliefs, worldview, language, and practices of the health care consumer and other stakeholders. (2) Maternity care provider.--The term ``maternity care provider'' means a health care provider who-- (A) is a physician, a physician assistant, a midwife who meets at a minimum the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives, an advanced practice registered nurse, a doula accredited by a State to receive reimbursement for doula services under a State plan (or a waiver of such plan) under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), or a lactation consultant certified by the International Board of Lactation Consultant Examiners; and (B) has a focus on maternal or perinatal health. (3) Perinatal health worker.--The term ``perinatal health worker'' means a nonclinical health worker focused on maternal or perinatal health, such as a doula, community health worker, peer supporter, lactation educator or counselor, nutritionist or dietitian, childbirth educator, social worker, home visitor, patient navigator or coordinator, or language interpreter. (4) Postpartum.--The term ``postpartum'' refers to the 1- year period beginning on the last day of the pregnancy of an individual. (5) Racial and ethnic minority group.--The term ``racial and ethnic minority group'' has the meaning given such term in section 1707(g)(1) of the Public Health Service Act (42 U.S.C. 300u-6(g)(1)). <all>\n\nSUMMARY TO EVALUATE:\nTitle: Perinatal Workforce Act: Expanding and Diversifying Maternal Health Care Professionals\nSummary: This Act aims to increase the number and diversity of professionals caring for women during and after pregnancy. Through new grants for education and scholarships, expectant mothers will have better access to midwives, doulas, and nurses, especially in areas with doctor shortages.\nKey Points: More midwives and doulas: New funding to train specialists supporting women during and after pregnancy., Student scholarships: Financial aid for those pursuing careers in maternity care, especially from diverse backgrounds., Better access in underserved areas: Priority for programs training staff to work in regions with medical shortages., Culturally respectful care: Training for healthcare staff on bias prevention and respecting cultural differences., Financial support: Allocation of $30 million annually to grow the maternal health workforce.\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\": false,\n  \"issue\": \"fabricated_entity\"\n}"
    },
    {
      "timestamp": "2026-04-13T14:10:10.930Z",
      "source_url": "https://www.congress.gov/119/bills/hr8089/BILLS-119hr8089ih.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. 8089 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8089 To amend the Public Health Service Act to grow and diversify the perinatal workforce, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 25, 2026 Ms. Moore of Wisconsin (for herself, Ms. Underwood, Ms. Adams, Mrs. McIver, Ms. Tlaib, Ms. Norton, Mrs. Watson Coleman, Ms. Kamlager-Dove, Mr. Johnson of Georgia, Ms. Pressley, Mr. Ivey, Mr. Krishnamoorthi, Mrs. Cherfilus-McCormick, Mr. Menefee, Mr. Bell, Mr. Moulton, Ms. Clarke of New York, Ms. DelBene, Mr. Garamendi, Mr. Cohen, Ms. Stansbury, Mrs. Dingell, Ms. Jacobs, Mr. Figures, Mr. Horsford, Mr. Garcia of Illinois, Mr. Veasey, Mrs. Beatty, Mr. Smith of Washington, Ms. Sewell, Ms. Wilson of Florida, Mr. Conaway, Mr. Scott of Virginia, Mrs. Hayes, Ms. Craig, Mr. McGarvey, Mrs. Grijalva, Mr. Carson, Mr. Takano, Mrs. McBath, Mr. Latimer, Ms. Johnson of Texas, and Mr. Soto) introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To amend the Public Health Service Act to grow and diversify the perinatal workforce, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Perinatal Workforce Act''. SEC. 2. HHS AGENCY DIRECTIVES. (a) Guidance to States.-- (1) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary of Health and Human Services shall issue and disseminate guidance to States to educate providers, managed care entities, and other insurers about the value and process of delivering respectful maternal health care through diverse and multidisciplinary care provider models. (2) Contents.--The guidance required by paragraph (1) shall address how States can encourage and incentivize hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers-- (A) to recruit and retain maternity care providers, mental and behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2)))-- (i) from racially, ethnically, and linguistically diverse backgrounds; (ii) with experience practicing in racially and ethnically diverse communities; and (iii) who have undergone training on implicit bias and racism; (B) to incorporate into maternity care teams-- (i) midwives who meet, at a minimum, the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives; (ii) perinatal health workers; (iii) physician assistants; (iv) advanced practice registered nurses; and (v) lactation consultants certified by the International Board of Lactation Consultant Examiners; (C) to provide collaborative, culturally and linguistically congruent care; and (D) to provide opportunities for individuals enrolled in accredited midwifery education programs to participate in job shadowing with maternity care teams in hospitals, health systems, midwifery practices, and freestanding birth centers. (b) Study on Respectful and Culturally and Linguistically Congruent Maternity Care.-- (1) Study.--The Secretary of Health and Human Services acting through the Director of the National Institutes of Health (in this subsection referred to as the ``Secretary'') shall conduct a study on best practices in respectful and culturally and linguistically congruent maternity care. (2) Report.--Not later than 2 years after the date of enactment of this Act, the Secretary shall-- (A) complete the study required by paragraph (1); (B) submit to the Congress and make publicly available a report on the results of such study; and (C) include in such report-- (i) a compendium of examples of hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers that are delivering respectful and culturally and linguistically congruent maternal health care; (ii) a compendium of examples of hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers that have made progress in reducing disparities in maternal health outcomes and improving birthing experiences for pregnant and postpartum individuals from racial and ethnic minority groups; and (iii) recommendations to hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers, for best practices in respectful and culturally and linguistically congruent maternity care. SEC. 3. GRANTS TO GROW AND DIVERSIFY THE PERINATAL WORKFORCE. Title VII of the Public Health Service Act is amended by inserting after section 757 (42 U.S.C. 294f) the following: ``SEC. 758. PERINATAL WORKFORCE GRANTS. ``(a) In General.--The Secretary shall award grants to entities to establish or expand programs described in subsection (b) to grow and diversify the perinatal workforce. ``(b) Use of Funds.--Recipients of grants under this section shall use the grants to grow and diversify the perinatal workforce by-- ``(1) establishing accredited schools or programs that provide education and training to individuals seeking appropriate licensing and certification as-- ``(A) physician assistants who will complete clinical training in the field of maternal and perinatal health; ``(B) perinatal health workers; or ``(C) midwives who meet, at a minimum, the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives; and ``(2) expanding the capacity of existing accredited schools or programs described in paragraph (1), for the purposes of increasing the number of students enrolled in such accredited schools or programs, such as by awarding scholarships for students (including students from racially, ethnically, and linguistically diverse backgrounds). ``(c) Prioritization.--In awarding grants under this section, the Secretary shall give priority to a school or program described in subsection (b) that-- ``(1) has demonstrated a commitment to recruiting and retaining students and faculty from racial and ethnic minority groups; ``(2) has developed a strategy to recruit and retain a diverse pool of students into the school or program described in subsection (b) that is supported by funds received through the grant, particularly from racial and ethnic minority groups and other underserved populations; ``(3) has developed a strategy to recruit and retain students who plan to practice in a health professional shortage area designated under section 332; ``(4) has developed a strategy to recruit and retain students who plan to practice in an area with significant racial and ethnic disparities in maternal health outcomes, to the extent practicable; and ``(5) includes in the standard curriculum for all students within the school or program described in subsection (b) a bias, racism, or discrimination training program that includes training on implicit bias and racism. ``(d) Reporting.--As a condition on receipt of a grant under this section for a school or program described in subsection (b), an entity shall agree to submit to the Secretary an annual report on the activities conducted through the grant, including-- ``(1) the number and demographics of students participating in the school or program; ``(2) the extent to which students in the school or program are entering careers in-- ``(A) health professional shortage areas designated under section 332; and ``(B) areas with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; and ``(3) whether the school or program has included in the standard curriculum for all students a bias, racism, or discrimination training program that includes explicit and implicit bias, and if so the effectiveness of such training program. ``(e) Period of Grants.--The period of a grant under this section shall be up to 5 years. ``(f) Application.--To seek a grant under this section, an entity shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including any information necessary for prioritization under subsection (c). ``(g) Technical Assistance.--The Secretary shall provide, directly or by contract, technical assistance to entities seeking or receiving a grant under this section on the development, use, evaluation, and postgrant period sustainability of the school or program described in subsection (b) that is proposed to be, or is being, established or expanded through the grant. ``(h) Report by the Secretary.--Not later than 4 years after the date of enactment of this section, the Secretary shall prepare and submit to the Congress, and post on the internet website of the Department of Health and Human Services, a report on the effectiveness of the grant program under this section at-- ``(1) recruiting students from racial and ethnic minority groups; ``(2) increasing the number of health professionals described in subparagraphs (A), (B), and (C) of subsection (b)(1) from racial and ethnic minority groups and other underserved populations; ``(3) increasing the number of such health professionals working in health professional shortage areas designated under section 332; and ``(4) increasing the number of such health professionals working in areas with significant racial and ethnic disparities in maternal health outcomes, to the extent such data are available. ``(i) Definition.--In this section, the term `racial and ethnic minority group' has the meaning given such term in section 1707(g)(1). ``(j) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $15,000,000 for each of fiscal years 2027 through 2031.''. SEC. 4. GRANTS TO GROW AND DIVERSIFY THE NURSING WORKFORCE IN MATERNAL AND PERINATAL HEALTH. Title VIII of the Public Health Service Act is amended by inserting after section 811 (42 U.S.C. 296j) the following: ``SEC. 812. PERINATAL NURSING WORKFORCE GRANTS. ``(a) In General.--The Secretary shall award grants to schools of nursing to grow and diversify the perinatal nursing workforce. ``(b) Use of Funds.--Recipients of grants under this section shall use the grants to grow and diversify the perinatal nursing workforce by providing scholarships to students seeking to become-- ``(1) nurse practitioners whose education includes a focus on maternal and perinatal health; ``(2) certified nurse-midwives; or ``(3) clinical nurse specialists whose education includes a focus on maternal and perinatal health. ``(c) Prioritization.--In awarding grants under this section, the Secretary shall give priority to any school of nursing that-- ``(1) has developed a strategy to recruit and retain a diverse pool of students seeking to enter careers focused on maternal and perinatal health, particularly students from racial and ethnic minority groups and other underserved populations; ``(2) has developed a partnership with a practice setting in a health professional shortage area designated under section 332 for the clinical placements of the school's students; ``(3) has developed a strategy to recruit and retain students who plan to practice in an area with significant racial and ethnic disparities in maternal health outcomes, to the extent practicable; and ``(4) includes in the standard curriculum for all students seeking to enter careers focused on maternal and perinatal health a bias, racism, or discrimination training program that includes education on implicit bias and racism. ``(d) Reporting.--As a condition on receipt of a grant under this section, a school of nursing shall agree to submit to the Secretary an annual report on the activities conducted through the grant, including, to the extent practicable-- ``(1) the number and demographics of students in the school of nursing seeking to enter careers focused on maternal and perinatal health; ``(2) the extent to which such students are preparing to enter careers in-- ``(A) health professional shortage areas designated under section 332; and ``(B) areas with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; and ``(3) whether the standard curriculum for all students seeking to enter careers focused on maternal and perinatal health includes a bias, racism, or discrimination training program that includes education on implicit bias and racism. ``(e) Period of Grants.--The period of a grant under this section shall be up to 5 years. ``(f) Application.--To seek a grant under this section, an entity shall submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require, including any information necessary for prioritization under subsection (c). ``(g) Technical Assistance.--The Secretary shall provide, directly or by contract, technical assistance to schools of nursing seeking or receiving a grant under this section on the processes of awarding and evaluating scholarships through the grant. ``(h) Report by the Secretary.--Not later than 4 years after the date of enactment of this section, the Secretary shall prepare and submit to the Congress, and post on the internet website of the Department of Health and Human Services, a report on the effectiveness of the grant program under this section at-- ``(1) recruiting students from racial and ethnic minority groups and other underserved populations; ``(2) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health from racial and ethnic minority groups and other underserved populations; ``(3) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health working in health professional shortage areas designated under section 332; and ``(4) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health working in areas with significant racial and ethnic disparities in maternal health outcomes, to the extent such data are available. ``(i) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $15,000,000 for each of fiscal years 2027 through 2031.''. SEC. 5. GAO REPORT. (a) In General.--Not later than 2 years after the date of enactment of this Act and every 5 years thereafter, the Comptroller General of the United States shall submit to Congress a report on barriers to maternal health education and access to care in the United States. Such report shall include the information and recommendations described in subsection (b). (b) Content of Report.--The report under subsection (a) shall include-- (1) an assessment of current barriers to entering and successfully completing accredited midwifery education programs, and recommendations for addressing such barriers, particularly for low-income women and women from racial and ethnic minority groups; (2) an assessment of current barriers to entering and successfully completing accredited education programs for other health professional careers related to maternity care, including maternity care providers, mental and behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2))), particularly for low-income women and women from racial and ethnic minority groups; (3) an assessment of current barriers that prevent midwives from meeting the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives, and recommendations for addressing such barriers, particularly for low-income women and women from racial and ethnic minority groups; (4) an assessment of disparities in access to maternity care providers, mental or behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2))), and perinatal health workers, stratified by race, ethnicity, gender identity, primary language, geographic location, and insurance type and recommendations to promote greater access equity; and (5) recommendations to promote greater equity in compensation for perinatal health workers under public and private insurers, particularly for such individuals from racially and ethnically diverse backgrounds. SEC. 6. DEFINITIONS. In this Act: (1) Culturally and linguistically congruent.--The term ``culturally and linguistically congruent'', with respect to care or maternity care, means care that is in agreement with the preferred cultural values, beliefs, worldview, language, and practices of the health care consumer and other stakeholders. (2) Maternity care provider.--The term ``maternity care provider'' means a health care provider who-- (A) is a physician, a physician assistant, a midwife who meets at a minimum the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives, an advanced practice registered nurse, a doula accredited by a State to receive reimbursement for doula services under a State plan (or a waiver of such plan) under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), or a lactation consultant certified by the International Board of Lactation Consultant Examiners; and (B) has a focus on maternal or perinatal health. (3) Perinatal health worker.--The term ``perinatal health worker'' means a nonclinical health worker focused on maternal or perinatal health, such as a doula, community health worker, peer supporter, lactation educator or counselor, nutritionist or dietitian, childbirth educator, social worker, home visitor, patient navigator or coordinator, or language interpreter. (4) Postpartum.--The term ``postpartum'' refers to the 1- year period beginning on the last day of the pregnancy of an individual. (5) Racial and ethnic minority group.--The term ``racial and ethnic minority group'' has the meaning given such term in section 1707(g)(1) of the Public Health Service Act (42 U.S.C. 300u-6(g)(1)). <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 o personelu okołoporodowym: więcej specjalistów i lepsza opieka dla matek\",\n  \"pl_summary\": \"Ustawa ma na celu zwiększenie liczby i różnorodności specjalistów opiekujących się kobietami w ciąży i po porodzie. Dzięki nowym dotacjom na edukację i stypendia, przyszłe matki zyskają lepszy dostęp do położnych, doul i pielęgniarek, szczególnie w regionach, gdzie brakuje lekarzy.\",\n  \"pl_key_points\": [\n    \"Więcej położnych i doul: Nowe fundusze na kształcenie specjalistów wspierających kobiety w ciąży i po porodzie.\",\n    \"Stypendia dla studentów: Pieniądze na naukę dla osób chcących pracować w opiece macierzyńskiej, zwłaszcza z mniejszości etnicznych.\",\n    \"Lepszy dostęp w małych miastach: Priorytet dla szkół kształcących kadrę do pracy w miejscach, gdzie brakuje opieki medycznej.\",\n    \"Opieka dopasowana do potrzeb: Szkolenia dla personelu z zakresu równego traktowania i szacunku dla różnych kultur.\",\n    \"Wsparcie finansowe: Przeznaczenie 30 milionów dolarów rocznie na rozwój kadr medycznych zajmujących się zdrowiem matek.\"\n  ],\n  \"eng_ai_title\": \"Perinatal Workforce Act: Expanding and Diversifying Maternal Health Care Professionals\",\n  \"eng_summary\": \"This Act aims to increase the number and diversity of professionals caring for women during and after pregnancy. Through new grants for education and scholarships, expectant mothers will have better access to midwives, doulas, and nurses, especially in areas with doctor shortages.\",\n  \"eng_key_points\": [\n    \"More midwives and doulas: New funding to train specialists supporting women during and after pregnancy.\",\n    \"Student scholarships: Financial aid for those pursuing careers in maternity care, especially from diverse backgrounds.\",\n    \"Better access in underserved areas: Priority for programs training staff to work in regions with medical shortages.\",\n    \"Culturally respectful care: Training for healthcare staff on bias prevention and respecting cultural differences.\",\n    \"Financial support: Allocation of $30 million annually to grow the maternal health workforce.\"\n  ],\n  \"de_ai_title\": \"Gesetz zur Stärkung des geburtshilflichen Personals: Mehr Fachkräfte für Mütter\",\n  \"de_summary\": \"Dieses Gesetz zielt darauf ab, die Anzahl und Vielfalt der Fachkräfte zu erhöhen, die Frauen während und nach der Schwangerschaft betreuen. Durch neue Zuschüsse für Bildung und Stipendien erhalten werdende Mütter besseren Zugang zu Hebammen, Doulas und Pflegekräften, insbesondere in Regionen mit Ärztemangel.\",\n  \"de_key_points\": [\n    \"Mehr Hebammen und Doulas: Neue Mittel für die Ausbildung von Spezialisten zur Unterstützung von Frauen während und nach der Geburt.\",\n    \"Stipendien für Studierende: Finanzielle Unterstützung für Karrieren in der Mütterpflege, insbesondere für Menschen mit unterschiedlichem Hintergrund.\",\n    \"Besserer Zugang in unterversorgten Gebieten: Vorrang für Programme, die Personal für Regionen mit medizinischem Mangel ausbilden.\",\n    \"Kulturell respektvolle Pflege: Schulungen für medizinisches Personal zur Vermeidung von Vorurteilen und zur Achtung kultureller Unterschiede.\",\n    \"Finanzielle Förderung: Jährliche Bereitstellung von 30 Millionen Dollar für den Ausbau des Personals im Bereich Müttergesundheit.\"\n  ],\n  \"fr_ai_title\": \"Loi sur le personnel périnatal : diversifier et renforcer les soins maternels\",\n  \"fr_summary\": \"Cette loi vise à augmenter le nombre et la diversité des professionnels s'occupant des femmes pendant et après la grossesse. Grâce à de nouvelles subventions pour l'éducation et des bourses, les futures mères auront un meilleur accès aux sages-femmes, doulas et infirmières, surtout dans les zones manquant de médecins.\",\n  \"fr_key_points\": [\n    \"Plus de sages-femmes et de doulas : Nouveaux financements pour former des spécialistes de l'accompagnement à la naissance.\",\n    \"Bourses d'études : Aide financière pour ceux qui s'orientent vers les soins de maternité, en particulier pour les minorités.\",\n    \"Meilleur accès dans les zones isolées : Priorité aux écoles formant du personnel pour les régions en pénurie médicale.\",\n    \"Soins respectueux des cultures : Formation du personnel de santé sur la prévention des préjugés et le respect des différences culturelles.\",\n    \"Soutien financier : Allocation de 30 millions de dollars par an pour développer les effectifs de santé maternelle.\"\n  ],\n  \"es_ai_title\": \"Ley del Personal Perinatal: más especialistas y mejor atención materna\",\n  \"es_summary\": \"Esta ley busca aumentar el número y la diversidad de profesionales que atienden a las mujeres durante y después del embarazo. Mediante nuevas becas y fondos para educación, las futuras madres tendrán mejor acceso a parteras, doulas y enfermeras, especialmente en zonas con escasez de médicos.\",\n  \"es_key_points\": [\n    \"Más parteras y doulas: Nuevos fondos para capacitar a especialistas que apoyen a las mujeres durante y después del parto.\",\n    \"Becas para estudiantes: Ayuda económica para quienes busquen carreras en atención materna, especialmente de diversos orígenes.\",\n    \"Mejor acceso en zonas desatendidas: Prioridad para programas que formen personal para trabajar en regiones con escasez médica.\",\n    \"Atención culturalmente respetuosa: Capacitación para el personal de salud sobre prevención de prejuicios y respeto a las diferencias culturales.\",\n    \"Apoyo financiero: Asignación de 30 millones de dólares anuales para fortalecer el personal de salud materna.\"\n  ],\n  \"it_ai_title\": \"Legge sul personale perinatale: più specialisti e assistenza materna diversificata\",\n  \"it_summary\": \"Questa legge mira ad aumentare il numero e la diversità dei professionisti che assistono le donne durante e dopo la gravidanza. Grazie a nuovi finanziamenti per l'istruzione e borse di studio, le future madri avranno un migliore accesso a ostetriche, doule e infermieri, specialmente nelle zone con carenza di medici.\",\n  \"it_key_points\": [\n    \"Più ostetriche e doule: Nuovi fondi per formare specialisti che supportino le donne durante e dopo il parto.\",\n    \"Borse di studio per studenti: Aiuti finanziari per chi intraprende carriere nell'assistenza materna, specialmente per le minoranze.\",\n    \"Migliore accesso nelle aree svantaggiate: Priorità ai programmi che formano personale per lavorare in regioni con carenza di medici.\",\n    \"Assistenza rispettosa delle culture: Formazione per il personale sanitario sulla prevenzione dei pregiudizi e il rispetto delle differenze culturali.\",\n    \"Sostegno finanziario: Stanziamento di 30 milioni di dollari all'anno per potenziare il personale sanitario materno.\"\n  ],\n  \"nl_ai_title\": \"Wet op het perinataal personeel: meer specialisten voor moederzorg\",\n  \"nl_summary\": \"Deze wet is bedoeld om het aantal en de diversiteit van professionals die voor vrouwen zorgen tijdens en na de zwangerschap te vergroten. Door nieuwe subsidies voor onderwijs en beurzen krijgen aanstaande moeders betere toegang tot verloskundigen, doula's en verpleegkundigen, vooral in regio's met een tekort aan artsen.\",\n  \"nl_key_points\": [\n    \"Meer verloskundigen en doula's: Nieuwe financiering voor de opleiding van specialisten die vrouwen rond de bevalling ondersteunen.\",\n    \"Studiebeurzen: Financiële steun voor studenten die kiezen voor een carrière in de moederzorg, met name voor diverse achtergronden.\",\n    \"Betere toegang in achtergestelde gebieden: Prioriteit voor programma's die personeel opleiden voor regio's met medische tekorten.\",\n    \"Cultuurrespectvolle zorg: Training voor zorgpersoneel over het voorkomen van vooroordelen en respect voor culturele verschillen.\",\n    \"Financiële steun: Jaarlijkse toewijzing van 30 miljoen dollar om het personeelsbestand in de moederzorg te vergroten.\"\n  ],\n  \"pt_ai_title\": \"Lei do Pessoal Perinatal: expandindo e diversificando os profissionais de saúde materna\",\n  \"pt_summary\": \"Esta lei visa aumentar o número e a diversidade de profissionais que cuidam de mulheres durante e após a gravidez. Através de novos subsídios para educação e bolsas de estudo, as futuras mães terão melhor acesso a parteiras, doulas e enfermeiros, especialmente em áreas com falta de médicos.\",\n  \"pt_key_points\": [\n    \"Mais parteiras e doulas: Novos fundos para formar especialistas que apoiem as mulheres durante e após o parto.\",\n    \"Bolsas de estudo: Apoio financeiro para quem segue carreira na assistência materna, especialmente para minorias.\",\n    \"Melhor acesso em áreas carentes: Prioridade para programas que formem pessoal para trabalhar em regiões com escassez de médicos.\",\n    \"Cuidado culturalmente respeitoso: Formação para profissionais de saúde sobre prevenção de preconceitos e respeito pelas diferenças culturais.\",\n    \"Apoio financeiro: Alocação de 30 milhões de dólares anuais para expandir a força de trabalho na saúde materna.\"\n  ],\n  \"category\": [\n    \"Health\",\n    \"Education\"\n  ]\n}"
    },
    {
      "timestamp": "2026-04-13T14:10:08.355Z",
      "source_url": "https://www.congress.gov/119/bills/hr8089/BILLS-119hr8089ih.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. 8089 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8089 To amend the Public Health Service Act to grow and diversify the perinatal workforce, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 25, 2026 Ms. Moore of Wisconsin (for herself, Ms. Underwood, Ms. Adams, Mrs. McIver, Ms. Tlaib, Ms. Norton, Mrs. Watson Coleman, Ms. Kamlager-Dove, Mr. Johnson of Georgia, Ms. Pressley, Mr. Ivey, Mr. Krishnamoorthi, Mrs. Cherfilus-McCormick, Mr. Menefee, Mr. Bell, Mr. Moulton, Ms. Clarke of New York, Ms. DelBene, Mr. Garamendi, Mr. Cohen, Ms. Stansbury, Mrs. Dingell, Ms. Jacobs, Mr. Figures, Mr. Horsford, Mr. Garcia of Illinois, Mr. Veasey, Mrs. Beatty, Mr. Smith of Washington, Ms. Sewell, Ms. Wilson of Florida, Mr. Conaway, Mr. Scott of Virginia, Mrs. Hayes, Ms. Craig, Mr. McGarvey, Mrs. Grijalva, Mr. Carson, Mr. Takano, Mrs. McBath, Mr. Latimer, Ms. Johnson of Texas, and Mr. Soto) introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To amend the Public Health Service Act to grow and diversify the perinatal workforce, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Perinatal Workforce Act''. SEC. 2. HHS AGENCY DIRECTIVES. (a) Guidance to States.-- (1) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary of Health and Human Services shall issue and disseminate guidance to States to educate providers, managed care entities, and other insurers about the value and process of delivering respectful maternal health care through diverse and multidisciplinary care provider models. (2) Contents.--The guidance required by paragraph (1) shall address how States can encourage and incentivize hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers-- (A) to recruit and retain maternity care providers, mental and behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2)))-- (i) from racially, ethnically, and linguistically diverse backgrounds; (ii) with experience practicing in racially and ethnically diverse communities; and (iii) who have undergone training on implicit bias and racism; (B) to incorporate into maternity care teams-- (i) midwives who meet, at a minimum, the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives; (ii) perinatal health workers; (iii) physician assistants; (iv) advanced practice registered nurses; and (v) lactation consultants certified by the International Board of Lactation Consultant Examiners; (C) to provide collaborative, culturally and linguistically congruent care; and (D) to provide opportunities for individuals enrolled in accredited midwifery education programs to participate in job shadowing with maternity care teams in hospitals, health systems, midwifery practices, and freestanding birth centers. (b) Study on Respectful and Culturally and Linguistically Congruent Maternity Care.-- (1) Study.--The Secretary of Health and Human Services acting through the Director of the National Institutes of Health (in this subsection referred to as the ``Secretary'') shall conduct a study on best practices in respectful and culturally and linguistically congruent maternity care. (2) Report.--Not later than 2 years after the date of enactment of this Act, the Secretary shall-- (A) complete the study required by paragraph (1); (B) submit to the Congress and make publicly available a report on the results of such study; and (C) include in such report-- (i) a compendium of examples of hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers that are delivering respectful and culturally and linguistically congruent maternal health care; (ii) a compendium of examples of hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers that have made progress in reducing disparities in maternal health outcomes and improving birthing experiences for pregnant and postpartum individuals from racial and ethnic minority groups; and (iii) recommendations to hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers, for best practices in respectful and culturally and linguistically congruent maternity care. SEC. 3. GRANTS TO GROW AND DIVERSIFY THE PERINATAL WORKFORCE. Title VII of the Public Health Service Act is amended by inserting after section 757 (42 U.S.C. 294f) the following: ``SEC. 758. PERINATAL WORKFORCE GRANTS. ``(a) In General.--The Secretary shall award grants to entities to establish or expand programs described in subsection (b) to grow and diversify the perinatal workforce. ``(b) Use of Funds.--Recipients of grants under this section shall use the grants to grow and diversify the perinatal workforce by-- ``(1) establishing accredited schools or programs that provide education and training to individuals seeking appropriate licensing and certification as-- ``(A) physician assistants who will complete clinical training in the field of maternal and perinatal health; ``(B) perinatal health workers; or ``(C) midwives who meet, at a minimum, the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives; and ``(2) expanding the capacity of existing accredited schools or programs described in paragraph (1), for the purposes of increasing the number of students enrolled in such accredited schools or programs, such as by awarding scholarships for students (including students from racially, ethnically, and linguistically diverse backgrounds). ``(c) Prioritization.--In awarding grants under this section, the Secretary shall give priority to a school or program described in subsection (b) that-- ``(1) has demonstrated a commitment to recruiting and retaining students and faculty from racial and ethnic minority groups; ``(2) has developed a strategy to recruit and retain a diverse pool of students into the school or program described in subsection (b) that is supported by funds received through the grant, particularly from racial and ethnic minority groups and other underserved populations; ``(3) has developed a strategy to recruit and retain students who plan to practice in a health professional shortage area designated under section 332; ``(4) has developed a strategy to recruit and retain students who plan to practice in an area with significant racial and ethnic disparities in maternal health outcomes, to the extent practicable; and ``(5) includes in the standard curriculum for all students within the school or program described in subsection (b) a bias, racism, or discrimination training program that includes training on implicit bias and racism. ``(d) Reporting.--As a condition on receipt of a grant under this section for a school or program described in subsection (b), an entity shall agree to submit to the Secretary an annual report on the activities conducted through the grant, including-- ``(1) the number and demographics of students participating in the school or program; ``(2) the extent to which students in the school or program are entering careers in-- ``(A) health professional shortage areas designated under section 332; and ``(B) areas with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; and ``(3) whether the school or program has included in the standard curriculum for all students a bias, racism, or discrimination training program that includes explicit and implicit bias, and if so the effectiveness of such training program. ``(e) Period of Grants.--The period of a grant under this section shall be up to 5 years. ``(f) Application.--To seek a grant under this section, an entity shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including any information necessary for prioritization under subsection (c). ``(g) Technical Assistance.--The Secretary shall provide, directly or by contract, technical assistance to entities seeking or receiving a grant under this section on the development, use, evaluation, and postgrant period sustainability of the school or program described in subsection (b) that is proposed to be, or is being, established or expanded through the grant. ``(h) Report by the Secretary.--Not later than 4 years after the date of enactment of this section, the Secretary shall prepare and submit to the Congress, and post on the internet website of the Department of Health and Human Services, a report on the effectiveness of the grant program under this section at-- ``(1) recruiting students from racial and ethnic minority groups; ``(2) increasing the number of health professionals described in subparagraphs (A), (B), and (C) of subsection (b)(1) from racial and ethnic minority groups and other underserved populations; ``(3) increasing the number of such health professionals working in health professional shortage areas designated under section 332; and ``(4) increasing the number of such health professionals working in areas with significant racial and ethnic disparities in maternal health outcomes, to the extent such data are available. ``(i) Definition.--In this section, the term `racial and ethnic minority group' has the meaning given such term in section 1707(g)(1). ``(j) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $15,000,000 for each of fiscal years 2027 through 2031.''. SEC. 4. GRANTS TO GROW AND DIVERSIFY THE NURSING WORKFORCE IN MATERNAL AND PERINATAL HEALTH. Title VIII of the Public Health Service Act is amended by inserting after section 811 (42 U.S.C. 296j) the following: ``SEC. 812. PERINATAL NURSING WORKFORCE GRANTS. ``(a) In General.--The Secretary shall award grants to schools of nursing to grow and diversify the perinatal nursing workforce. ``(b) Use of Funds.--Recipients of grants under this section shall use the grants to grow and diversify the perinatal nursing workforce by providing scholarships to students seeking to become-- ``(1) nurse practitioners whose education includes a focus on maternal and perinatal health; ``(2) certified nurse-midwives; or ``(3) clinical nurse specialists whose education includes a focus on maternal and perinatal health. ``(c) Prioritization.--In awarding grants under this section, the Secretary shall give priority to any school of nursing that-- ``(1) has developed a strategy to recruit and retain a diverse pool of students seeking to enter careers focused on maternal and perinatal health, particularly students from racial and ethnic minority groups and other underserved populations; ``(2) has developed a partnership with a practice setting in a health professional shortage area designated under section 332 for the clinical placements of the school's students; ``(3) has developed a strategy to recruit and retain students who plan to practice in an area with significant racial and ethnic disparities in maternal health outcomes, to the extent practicable; and ``(4) includes in the standard curriculum for all students seeking to enter careers focused on maternal and perinatal health a bias, racism, or discrimination training program that includes education on implicit bias and racism. ``(d) Reporting.--As a condition on receipt of a grant under this section, a school of nursing shall agree to submit to the Secretary an annual report on the activities conducted through the grant, including, to the extent practicable-- ``(1) the number and demographics of students in the school of nursing seeking to enter careers focused on maternal and perinatal health; ``(2) the extent to which such students are preparing to enter careers in-- ``(A) health professional shortage areas designated under section 332; and ``(B) areas with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; and ``(3) whether the standard curriculum for all students seeking to enter careers focused on maternal and perinatal health includes a bias, racism, or discrimination training program that includes education on implicit bias and racism. ``(e) Period of Grants.--The period of a grant under this section shall be up to 5 years. ``(f) Application.--To seek a grant under this section, an entity shall submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require, including any information necessary for prioritization under subsection (c). ``(g) Technical Assistance.--The Secretary shall provide, directly or by contract, technical assistance to schools of nursing seeking or receiving a grant under this section on the processes of awarding and evaluating scholarships through the grant. ``(h) Report by the Secretary.--Not later than 4 years after the date of enactment of this section, the Secretary shall prepare and submit to the Congress, and post on the internet website of the Department of Health and Human Services, a report on the effectiveness of the grant program under this section at-- ``(1) recruiting students from racial and ethnic minority groups and other underserved populations; ``(2) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health from racial and ethnic minority groups and other underserved populations; ``(3) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health working in health professional shortage areas designated under section 332; and ``(4) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health working in areas with significant racial and ethnic disparities in maternal health outcomes, to the extent such data are available. ``(i) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $15,000,000 for each of fiscal years 2027 through 2031.''. SEC. 5. GAO REPORT. (a) In General.--Not later than 2 years after the date of enactment of this Act and every 5 years thereafter, the Comptroller General of the United States shall submit to Congress a report on barriers to maternal health education and access to care in the United States. Such report shall include the information and recommendations described in subsection (b). (b) Content of Report.--The report under subsection (a) shall include-- (1) an assessment of current barriers to entering and successfully completing accredited midwifery education programs, and recommendations for addressing such barriers, particularly for low-income women and women from racial and ethnic minority groups; (2) an assessment of current barriers to entering and successfully completing accredited education programs for other health professional careers related to maternity care, including maternity care providers, mental and behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2))), particularly for low-income women and women from racial and ethnic minority groups; (3) an assessment of current barriers that prevent midwives from meeting the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives, and recommendations for addressing such barriers, particularly for low-income women and women from racial and ethnic minority groups; (4) an assessment of disparities in access to maternity care providers, mental or behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2))), and perinatal health workers, stratified by race, ethnicity, gender identity, primary language, geographic location, and insurance type and recommendations to promote greater access equity; and (5) recommendations to promote greater equity in compensation for perinatal health workers under public and private insurers, particularly for such individuals from racially and ethnically diverse backgrounds. SEC. 6. DEFINITIONS. In this Act: (1) Culturally and linguistically congruent.--The term ``culturally and linguistically congruent'', with respect to care or maternity care, means care that is in agreement with the preferred cultural values, beliefs, worldview, language, and practices of the health care consumer and other stakeholders. (2) Maternity care provider.--The term ``maternity care provider'' means a health care provider who-- (A) is a physician, a physician assistant, a midwife who meets at a minimum the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives, an advanced practice registered nurse, a doula accredited by a State to receive reimbursement for doula services under a State plan (or a waiver of such plan) under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), or a lactation consultant certified by the International Board of Lactation Consultant Examiners; and (B) has a focus on maternal or perinatal health. (3) Perinatal health worker.--The term ``perinatal health worker'' means a nonclinical health worker focused on maternal or perinatal health, such as a doula, community health worker, peer supporter, lactation educator or counselor, nutritionist or dietitian, childbirth educator, social worker, home visitor, patient navigator or coordinator, or language interpreter. (4) Postpartum.--The term ``postpartum'' refers to the 1- year period beginning on the last day of the pregnancy of an individual. (5) Racial and ethnic minority group.--The term ``racial and ethnic minority group'' has the meaning given such term in section 1707(g)(1) of the Public Health Service Act (42 U.S.C. 300u-6(g)(1)). <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 o personelu okołoporodowym: Większy dostęp do zróżnicowanej opieki macierzyńskiej\",\n  \"pl_summary\": \"Ustawa ma na celu zwiększenie liczby i różnorodności specjalistów zajmujących się opieką nad kobietami w ciąży i po porodzie. Dzięki nowym funduszom na edukację i stypendia, pacjentki zyskają lepszy dostęp do położnych, doul i lekarzy rozumiejących ich potrzeby kulturowe.\",\n  \"pl_key_points\": [\n    \"Więcej pieniędzy na kształcenie położnych, asystentów lekarzy i pracowników wspierających kobiety w ciąży.\",\n    \"Stypendia dla pielęgniarek i położnych, szczególnie z mniejszości etnicznych i obszarów z utrudnionym dostępem do lekarza.\",\n    \"Wprowadzenie obowiązkowych szkoleń z zakresu walki z uprzedzeniami i rasizmem dla personelu medycznego.\",\n    \"Wsparcie dla zróżnicowanych zespołów opieki, w tym doul, doradców laktacyjnych i pracowników środowiskowych.\"\n  ],\n  \"eng_ai_title\": \"Perinatal Workforce Act: Expanding and Diversifying Maternal Health Care\",\n  \"eng_summary\": \"This act aims to increase the number and diversity of professionals providing care during and after pregnancy. It provides funding for education and scholarships to ensure families have access to culturally respectful and specialized support.\",\n  \"eng_key_points\": [\n    \"New grants to train more midwives, physician assistants, and community health workers.\",\n    \"Scholarships for nursing students focusing on maternal health, prioritizing diverse backgrounds.\",\n    \"Mandatory training for health workers on addressing implicit bias and racism in care.\",\n    \"Better integration of doulas, lactation consultants, and social workers into maternity care teams.\"\n  ],\n  \"de_ai_title\": \"Gesetz zur Stärkung des geburtshilflichen Personals: Mehr Vielfalt in der Schwangerschaftsbetreuung\",\n  \"de_summary\": \"Dieses Gesetz zielt darauf ab, die Anzahl und Vielfalt der Fachkräfte in der Schwangerschafts- und Nachsorgebetreuung zu erhöhen. Durch neue Bildungsförderungen erhalten Familien besseren Zugang zu Hebammen und spezialisiertem Personal, das ihre kulturellen Bedürfnisse versteht.\",\n  \"de_key_points\": [\n    \"Zuschüsse für die Ausbildung von Hebammen, Arzthelfenden und perinatalem Fachpersonal.\",\n    \"Stipendien für Pflegekräfte mit Schwerpunkt Geburtshilfe, insbesondere für unterrepräsentierte Gruppen.\",\n    \"Schulungen für medizinisches Personal zum Abbau von Vorurteilen und Rassismus.\",\n    \"Einbeziehung von Doulas und Stillberaterinnen in die medizinischen Versorgungsteams.\"\n  ],\n  \"fr_ai_title\": \"Loi sur le personnel périnatal : Diversifier et renforcer les soins de maternité\",\n  \"fr_summary\": \"Cette loi vise à augmenter le nombre et la diversité des professionnels de santé accompagnant les femmes pendant et après la grossesse. Elle finance la formation et des bourses pour garantir un accès à des soins respectueux et adaptés à chaque culture.\",\n  \"fr_key_points\": [\n    \"Subventions pour former davantage de sages-femmes, d'assistants médicaux et d'agents de santé périnatale.\",\n    \"Bourses d'études pour les infirmières spécialisées en maternité, avec une priorité à la diversité.\",\n    \"Formations obligatoires pour le personnel soignant sur la lutte contre les préjugés et le racisme.\",\n    \"Meilleure intégration des doulas et des conseillères en lactation dans les équipes de soins.\"\n  ],\n  \"es_ai_title\": \"Ley del Personal Perinatal: Más diversidad y acceso en la atención materna\",\n  \"es_summary\": \"Esta ley busca aumentar el número y la diversidad de profesionales que atienden a las mujeres durante y después del embarazo. Ofrece fondos para educación y becas para asegurar que las familias reciban una atención respetuosa y adaptada a su cultura.\",\n  \"es_key_points\": [\n    \"Nuevas subvenciones para formar a más parteras, asistentes médicos y trabajadores de salud perinatal.\",\n    \"Becas para estudiantes de enfermería especializados en salud materna, priorizando a minorías.\",\n    \"Capacitación obligatoria para el personal de salud sobre cómo evitar prejuicios y racismo.\",\n    \"Integración de doulas y consultores de lactancia en los equipos de atención de maternidad.\"\n  ],\n  \"it_ai_title\": \"Legge sul personale perinatale: Più diversità e assistenza nella cura materna\",\n  \"it_summary\": \"Questa legge mira ad aumentare il numero e la diversità dei professionisti che assistono le donne durante e dopo la gravidanza. Finanzia l'istruzione e borse di studio per garantire alle famiglie un'assistenza rispettosa e culturalmente adeguata.\",\n  \"it_key_points\": [\n    \"Nuovi finanziamenti per formare più ostetriche, assistenti medici e operatori sanitari perinatali.\",\n    \"Borse di studio per infermieri specializzati in salute materna, con priorità alla diversità.\",\n    \"Formazione obbligatoria per il personale sanitario contro i pregiudizi e il razzismo.\",\n    \"Integrazione di doule e consulenti per l'allattamento nei team di assistenza alla maternità.\"\n  ],\n  \"nl_ai_title\": \"Wet op het Perinataal Personeel: Meer diversiteit in de moederzorg\",\n  \"nl_summary\": \"Deze wet is bedoeld om het aantal en de diversiteit van zorgverleners tijdens en na de zwangerschap te vergroten. Er komt geld voor opleidingen en beurzen zodat gezinnen toegang krijgen tot respectvolle zorg die aansluit bij hun cultuur.\",\n  \"nl_key_points\": [\n    \"Subsidies voor de opleiding van meer verloskundigen, arts-assistenten en perinataal werkers.\",\n    \"Studiebeurzen voor verpleegkundigen in de moederzorg, met aandacht voor minderheidsgroepen.\",\n    \"Verplichte training voor zorgpersoneel over het herkennen van vooroordelen en racisme.\",\n    \"Betere samenwerking met doula's, lactatiekundigen en maatschappelijk werkers in zorgteams.\"\n  ],\n  \"pt_ai_title\": \"Lei do Pessoal Perinatal: Diversificar e ampliar os cuidados de maternidade\",\n  \"pt_summary\": \"Esta lei visa aumentar o número e a diversidade de profissionais que apoiam as mulheres durante e após a gravidez. Oferece financiamento para educação e bolsas para garantir que as famílias tenham acesso a cuidados respeitosos e culturalmente adequados.\",\n  \"pt_key_points\": [\n    \"Novos subsídios para formar mais parteiras, assistentes médicos e agentes de saúde perinatal.\",\n    \"Bolsas de estudo para enfermeiros especializados em saúde materna, priorizando a diversidade.\",\n    \"Formação obrigatória para profissionais de saúde sobre o combate ao preconceito e racismo.\",\n    \"Integração de doulas e consultores de lactação nas equipas de cuidados de maternidade.\"\n  ],\n  \"category\": [\n    \"Health\",\n    \"Education\"\n  ]\n}"
    },
    {
      "timestamp": "2026-04-13T14:09:50.041Z",
      "source_url": "https://www.congress.gov/119/bills/hr8089/BILLS-119hr8089ih.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. 8089 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8089 To amend the Public Health Service Act to grow and diversify the perinatal workforce, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 25, 2026 Ms. Moore of Wisconsin (for herself, Ms. Underwood, Ms. Adams, Mrs. McIver, Ms. Tlaib, Ms. Norton, Mrs. Watson Coleman, Ms. Kamlager-Dove, Mr. Johnson of Georgia, Ms. Pressley, Mr. Ivey, Mr. Krishnamoorthi, Mrs. Cherfilus-McCormick, Mr. Menefee, Mr. Bell, Mr. Moulton, Ms. Clarke of New York, Ms. DelBene, Mr. Garamendi, Mr. Cohen, Ms. Stansbury, Mrs. Dingell, Ms. Jacobs, Mr. Figures, Mr. Horsford, Mr. Garcia of Illinois, Mr. Veasey, Mrs. Beatty, Mr. Smith of Washington, Ms. Sewell, Ms. Wilson of Florida, Mr. Conaway, Mr. Scott of Virginia, Mrs. Hayes, Ms. Craig, Mr. McGarvey, Mrs. Grijalva, Mr. Carson, Mr. Takano, Mrs. McBath, Mr. Latimer, Ms. Johnson of Texas, and Mr. Soto) introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To amend the Public Health Service Act to grow and diversify the perinatal workforce, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Perinatal Workforce Act''. SEC. 2. HHS AGENCY DIRECTIVES. (a) Guidance to States.-- (1) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary of Health and Human Services shall issue and disseminate guidance to States to educate providers, managed care entities, and other insurers about the value and process of delivering respectful maternal health care through diverse and multidisciplinary care provider models. (2) Contents.--The guidance required by paragraph (1) shall address how States can encourage and incentivize hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers-- (A) to recruit and retain maternity care providers, mental and behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2)))-- (i) from racially, ethnically, and linguistically diverse backgrounds; (ii) with experience practicing in racially and ethnically diverse communities; and (iii) who have undergone training on implicit bias and racism; (B) to incorporate into maternity care teams-- (i) midwives who meet, at a minimum, the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives; (ii) perinatal health workers; (iii) physician assistants; (iv) advanced practice registered nurses; and (v) lactation consultants certified by the International Board of Lactation Consultant Examiners; (C) to provide collaborative, culturally and linguistically congruent care; and (D) to provide opportunities for individuals enrolled in accredited midwifery education programs to participate in job shadowing with maternity care teams in hospitals, health systems, midwifery practices, and freestanding birth centers. (b) Study on Respectful and Culturally and Linguistically Congruent Maternity Care.-- (1) Study.--The Secretary of Health and Human Services acting through the Director of the National Institutes of Health (in this subsection referred to as the ``Secretary'') shall conduct a study on best practices in respectful and culturally and linguistically congruent maternity care. (2) Report.--Not later than 2 years after the date of enactment of this Act, the Secretary shall-- (A) complete the study required by paragraph (1); (B) submit to the Congress and make publicly available a report on the results of such study; and (C) include in such report-- (i) a compendium of examples of hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers that are delivering respectful and culturally and linguistically congruent maternal health care; (ii) a compendium of examples of hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers that have made progress in reducing disparities in maternal health outcomes and improving birthing experiences for pregnant and postpartum individuals from racial and ethnic minority groups; and (iii) recommendations to hospitals, health systems, midwifery practices, freestanding birth centers, other maternity care provider groups, managed care entities, and other insurers, for best practices in respectful and culturally and linguistically congruent maternity care. SEC. 3. GRANTS TO GROW AND DIVERSIFY THE PERINATAL WORKFORCE. Title VII of the Public Health Service Act is amended by inserting after section 757 (42 U.S.C. 294f) the following: ``SEC. 758. PERINATAL WORKFORCE GRANTS. ``(a) In General.--The Secretary shall award grants to entities to establish or expand programs described in subsection (b) to grow and diversify the perinatal workforce. ``(b) Use of Funds.--Recipients of grants under this section shall use the grants to grow and diversify the perinatal workforce by-- ``(1) establishing accredited schools or programs that provide education and training to individuals seeking appropriate licensing and certification as-- ``(A) physician assistants who will complete clinical training in the field of maternal and perinatal health; ``(B) perinatal health workers; or ``(C) midwives who meet, at a minimum, the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives; and ``(2) expanding the capacity of existing accredited schools or programs described in paragraph (1), for the purposes of increasing the number of students enrolled in such accredited schools or programs, such as by awarding scholarships for students (including students from racially, ethnically, and linguistically diverse backgrounds). ``(c) Prioritization.--In awarding grants under this section, the Secretary shall give priority to a school or program described in subsection (b) that-- ``(1) has demonstrated a commitment to recruiting and retaining students and faculty from racial and ethnic minority groups; ``(2) has developed a strategy to recruit and retain a diverse pool of students into the school or program described in subsection (b) that is supported by funds received through the grant, particularly from racial and ethnic minority groups and other underserved populations; ``(3) has developed a strategy to recruit and retain students who plan to practice in a health professional shortage area designated under section 332; ``(4) has developed a strategy to recruit and retain students who plan to practice in an area with significant racial and ethnic disparities in maternal health outcomes, to the extent practicable; and ``(5) includes in the standard curriculum for all students within the school or program described in subsection (b) a bias, racism, or discrimination training program that includes training on implicit bias and racism. ``(d) Reporting.--As a condition on receipt of a grant under this section for a school or program described in subsection (b), an entity shall agree to submit to the Secretary an annual report on the activities conducted through the grant, including-- ``(1) the number and demographics of students participating in the school or program; ``(2) the extent to which students in the school or program are entering careers in-- ``(A) health professional shortage areas designated under section 332; and ``(B) areas with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; and ``(3) whether the school or program has included in the standard curriculum for all students a bias, racism, or discrimination training program that includes explicit and implicit bias, and if so the effectiveness of such training program. ``(e) Period of Grants.--The period of a grant under this section shall be up to 5 years. ``(f) Application.--To seek a grant under this section, an entity shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including any information necessary for prioritization under subsection (c). ``(g) Technical Assistance.--The Secretary shall provide, directly or by contract, technical assistance to entities seeking or receiving a grant under this section on the development, use, evaluation, and postgrant period sustainability of the school or program described in subsection (b) that is proposed to be, or is being, established or expanded through the grant. ``(h) Report by the Secretary.--Not later than 4 years after the date of enactment of this section, the Secretary shall prepare and submit to the Congress, and post on the internet website of the Department of Health and Human Services, a report on the effectiveness of the grant program under this section at-- ``(1) recruiting students from racial and ethnic minority groups; ``(2) increasing the number of health professionals described in subparagraphs (A), (B), and (C) of subsection (b)(1) from racial and ethnic minority groups and other underserved populations; ``(3) increasing the number of such health professionals working in health professional shortage areas designated under section 332; and ``(4) increasing the number of such health professionals working in areas with significant racial and ethnic disparities in maternal health outcomes, to the extent such data are available. ``(i) Definition.--In this section, the term `racial and ethnic minority group' has the meaning given such term in section 1707(g)(1). ``(j) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $15,000,000 for each of fiscal years 2027 through 2031.''. SEC. 4. GRANTS TO GROW AND DIVERSIFY THE NURSING WORKFORCE IN MATERNAL AND PERINATAL HEALTH. Title VIII of the Public Health Service Act is amended by inserting after section 811 (42 U.S.C. 296j) the following: ``SEC. 812. PERINATAL NURSING WORKFORCE GRANTS. ``(a) In General.--The Secretary shall award grants to schools of nursing to grow and diversify the perinatal nursing workforce. ``(b) Use of Funds.--Recipients of grants under this section shall use the grants to grow and diversify the perinatal nursing workforce by providing scholarships to students seeking to become-- ``(1) nurse practitioners whose education includes a focus on maternal and perinatal health; ``(2) certified nurse-midwives; or ``(3) clinical nurse specialists whose education includes a focus on maternal and perinatal health. ``(c) Prioritization.--In awarding grants under this section, the Secretary shall give priority to any school of nursing that-- ``(1) has developed a strategy to recruit and retain a diverse pool of students seeking to enter careers focused on maternal and perinatal health, particularly students from racial and ethnic minority groups and other underserved populations; ``(2) has developed a partnership with a practice setting in a health professional shortage area designated under section 332 for the clinical placements of the school's students; ``(3) has developed a strategy to recruit and retain students who plan to practice in an area with significant racial and ethnic disparities in maternal health outcomes, to the extent practicable; and ``(4) includes in the standard curriculum for all students seeking to enter careers focused on maternal and perinatal health a bias, racism, or discrimination training program that includes education on implicit bias and racism. ``(d) Reporting.--As a condition on receipt of a grant under this section, a school of nursing shall agree to submit to the Secretary an annual report on the activities conducted through the grant, including, to the extent practicable-- ``(1) the number and demographics of students in the school of nursing seeking to enter careers focused on maternal and perinatal health; ``(2) the extent to which such students are preparing to enter careers in-- ``(A) health professional shortage areas designated under section 332; and ``(B) areas with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; and ``(3) whether the standard curriculum for all students seeking to enter careers focused on maternal and perinatal health includes a bias, racism, or discrimination training program that includes education on implicit bias and racism. ``(e) Period of Grants.--The period of a grant under this section shall be up to 5 years. ``(f) Application.--To seek a grant under this section, an entity shall submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require, including any information necessary for prioritization under subsection (c). ``(g) Technical Assistance.--The Secretary shall provide, directly or by contract, technical assistance to schools of nursing seeking or receiving a grant under this section on the processes of awarding and evaluating scholarships through the grant. ``(h) Report by the Secretary.--Not later than 4 years after the date of enactment of this section, the Secretary shall prepare and submit to the Congress, and post on the internet website of the Department of Health and Human Services, a report on the effectiveness of the grant program under this section at-- ``(1) recruiting students from racial and ethnic minority groups and other underserved populations; ``(2) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health from racial and ethnic minority groups and other underserved populations; ``(3) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health working in health professional shortage areas designated under section 332; and ``(4) increasing the number of advanced practice registered nurses entering careers focused on maternal and perinatal health working in areas with significant racial and ethnic disparities in maternal health outcomes, to the extent such data are available. ``(i) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $15,000,000 for each of fiscal years 2027 through 2031.''. SEC. 5. GAO REPORT. (a) In General.--Not later than 2 years after the date of enactment of this Act and every 5 years thereafter, the Comptroller General of the United States shall submit to Congress a report on barriers to maternal health education and access to care in the United States. Such report shall include the information and recommendations described in subsection (b). (b) Content of Report.--The report under subsection (a) shall include-- (1) an assessment of current barriers to entering and successfully completing accredited midwifery education programs, and recommendations for addressing such barriers, particularly for low-income women and women from racial and ethnic minority groups; (2) an assessment of current barriers to entering and successfully completing accredited education programs for other health professional careers related to maternity care, including maternity care providers, mental and behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2))), particularly for low-income women and women from racial and ethnic minority groups; (3) an assessment of current barriers that prevent midwives from meeting the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives, and recommendations for addressing such barriers, particularly for low-income women and women from racial and ethnic minority groups; (4) an assessment of disparities in access to maternity care providers, mental or behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1861(vv)(2) of the Social Security Act (42 U.S.C. 1395x(vv)(2))), and perinatal health workers, stratified by race, ethnicity, gender identity, primary language, geographic location, and insurance type and recommendations to promote greater access equity; and (5) recommendations to promote greater equity in compensation for perinatal health workers under public and private insurers, particularly for such individuals from racially and ethnically diverse backgrounds. SEC. 6. DEFINITIONS. In this Act: (1) Culturally and linguistically congruent.--The term ``culturally and linguistically congruent'', with respect to care or maternity care, means care that is in agreement with the preferred cultural values, beliefs, worldview, language, and practices of the health care consumer and other stakeholders. (2) Maternity care provider.--The term ``maternity care provider'' means a health care provider who-- (A) is a physician, a physician assistant, a midwife who meets at a minimum the international definition of a midwife and global standards for midwifery education as established by the International Confederation of Midwives, an advanced practice registered nurse, a doula accredited by a State to receive reimbursement for doula services under a State plan (or a waiver of such plan) under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), or a lactation consultant certified by the International Board of Lactation Consultant Examiners; and (B) has a focus on maternal or perinatal health. (3) Perinatal health worker.--The term ``perinatal health worker'' means a nonclinical health worker focused on maternal or perinatal health, such as a doula, community health worker, peer supporter, lactation educator or counselor, nutritionist or dietitian, childbirth educator, social worker, home visitor, patient navigator or coordinator, or language interpreter. (4) Postpartum.--The term ``postpartum'' refers to the 1- year period beginning on the last day of the pregnancy of an individual. (5) Racial and ethnic minority group.--The term ``racial and ethnic minority group'' has the meaning given such term in section 1707(g)(1) of the Public Health Service Act (42 U.S.C. 300u-6(g)(1)). <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 o personelu okołoporodowym: Większy dostęp do zróżnicowanej opieki macierzyńskiej\",\n  \"pl_summary\": \"Ustawa ma na celu zwiększenie liczby i różnorodności specjalistów zajmujących się opieką nad kobietami w ciąży i po porodzie. Dzięki nowym funduszom na edukację i stypendia, pacjentki zyskają lepszy dostęp do położnych, doul i lekarzy rozumiejących ich potrzeby kulturowe.\",\n  \"pl_key_points\": [\n    \"Więcej pieniędzy na kształcenie położnych, asystentów lekarzy i pracowników wspierających kobiety w ciąży.\",\n    \"Stypendia dla pielęgniarek i położnych, szczególnie z mniejszości etnicznych i obszarów z utrudnionym dostępem do lekarza.\",\n    \"Wprowadzenie obowiązkowych szkoleń z zakresu walki z uprzedzeniami i rasizmem dla personelu medycznego.\",\n    \"Wsparcie dla zróżnicowanych zespołów opieki, w tym doul, doradców laktacyjnych i pracowników środowiskowych.\"\n  ],\n  \"eng_ai_title\": \"Perinatal Workforce Act: Expanding and Diversifying Maternal Health Care\",\n  \"eng_summary\": \"This act aims to increase the number and diversity of professionals providing care during and after pregnancy. It provides funding for education and scholarships to ensure families have access to culturally respectful and specialized support.\",\n  \"eng_key_points\": [\n    \"New grants to train more midwives, physician assistants, and community health workers.\",\n    \"Scholarships for nursing students focusing on maternal health, prioritizing diverse backgrounds.\",\n    \"Mandatory training for health workers on addressing implicit bias and racism in care.\",\n    \"Better integration of doulas, lactation consultants, and social workers into maternity care teams.\"\n  ],\n  \"de_ai_title\": \"Gesetz zur Stärkung des geburtshilflichen Personals: Mehr Vielfalt in der Schwangerschaftsbetreuung\",\n  \"de_summary\": \"Dieses Gesetz zielt darauf ab, die Anzahl und Vielfalt der Fachkräfte in der Schwangerschafts- und Nachsorgebetreuung zu erhöhen. Durch neue Bildungsförderungen erhalten Familien besseren Zugang zu Hebammen und spezialisiertem Personal, das ihre kulturellen Bedürfnisse versteht.\",\n  \"de_key_points\": [\n    \"Zuschüsse für die Ausbildung von Hebammen, Arzthelfenden und perinatalem Fachpersonal.\",\n    \"Stipendien für Pflegekräfte mit Schwerpunkt Geburtshilfe, insbesondere für unterrepräsentierte Gruppen.\",\n    \"Schulungen für medizinisches Personal zum Abbau von Vorurteilen und Rassismus.\",\n    \"Einbeziehung von Doulas und Stillberaterinnen in die medizinischen Versorgungsteams.\"\n  ],\n  \"fr_ai_title\": \"Loi sur le personnel périnatal : Diversifier et renforcer les soins de maternité\",\n  \"fr_summary\": \"Cette loi vise à augmenter le nombre et la diversité des professionnels de santé accompagnant les femmes pendant et après la grossesse. Elle finance la formation et des bourses pour garantir un accès à des soins respectueux et adaptés à chaque culture.\",\n  \"fr_key_points\": [\n    \"Subventions pour former davantage de sages-femmes, d'assistants médicaux et d'agents de santé périnatale.\",\n    \"Bourses d'études pour les infirmières spécialisées en maternité, avec une priorité à la diversité.\",\n    \"Formations obligatoires pour le personnel soignant sur la lutte contre les préjugés et le racisme.\",\n    \"Meilleure intégration des doulas et des conseillères en lactation dans les équipes de soins.\"\n  ],\n  \"es_ai_title\": \"Ley del Personal Perinatal: Más diversidad y acceso en la atención materna\",\n  \"es_summary\": \"Esta ley busca aumentar el número y la diversidad de profesionales que atienden a las mujeres durante y después del embarazo. Ofrece fondos para educación y becas para asegurar que las familias reciban una atención respetuosa y adaptada a su cultura.\",\n  \"es_key_points\": [\n    \"Nuevas subvenciones para formar a más parteras, asistentes médicos y trabajadores de salud perinatal.\",\n    \"Becas para estudiantes de enfermería especializados en salud materna, priorizando a minorías.\",\n    \"Capacitación obligatoria para el personal de salud sobre cómo evitar prejuicios y racismo.\",\n    \"Integración de doulas y consultores de lactancia en los equipos de atención de maternidad.\"\n  ],\n  \"it_ai_title\": \"Legge sul personale perinatale: Più diversità e assistenza nella cura materna\",\n  \"it_summary\": \"Questa legge mira ad aumentare il numero e la diversità dei professionisti che assistono le donne durante e dopo la gravidanza. Finanzia l'istruzione e borse di studio per garantire alle famiglie un'assistenza rispettosa e culturalmente adeguata.\",\n  \"it_key_points\": [\n    \"Nuovi finanziamenti per formare più ostetriche, assistenti medici e operatori sanitari perinatali.\",\n    \"Borse di studio per infermieri specializzati in salute materna, con priorità alla diversità.\",\n    \"Formazione obbligatoria per il personale sanitario contro i pregiudizi e il razzismo.\",\n    \"Integrazione di doule e consulenti per l'allattamento nei team di assistenza alla maternità.\"\n  ],\n  \"nl_ai_title\": \"Wet op het Perinataal Personeel: Meer diversiteit in de moederzorg\",\n  \"nl_summary\": \"Deze wet is bedoeld om het aantal en de diversiteit van zorgverleners tijdens en na de zwangerschap te vergroten. Er komt geld voor opleidingen en beurzen zodat gezinnen toegang krijgen tot respectvolle zorg die aansluit bij hun cultuur.\",\n  \"nl_key_points\": [\n    \"Subsidies voor de opleiding van meer verloskundigen, arts-assistenten en perinataal werkers.\",\n    \"Studiebeurzen voor verpleegkundigen in de moederzorg, met aandacht voor minderheidsgroepen.\",\n    \"Verplichte training voor zorgpersoneel over het herkennen van vooroordelen en racisme.\",\n    \"Betere samenwerking met doula's, lactatiekundigen en maatschappelijk werkers in zorgteams.\"\n  ],\n  \"pt_ai_title\": \"Lei do Pessoal Perinatal: Diversificar e ampliar os cuidados de maternidade\",\n  \"pt_summary\": \"Esta lei visa aumentar o número e a diversidade de profissionais que apoiam as mulheres durante e após a gravidez. Oferece financiamento para educação e bolsas para garantir que as famílias tenham acesso a cuidados respeitosos e culturalmente adequados.\",\n  \"pt_key_points\": [\n    \"Novos subsídios para formar mais parteiras, assistentes médicos e agentes de saúde perinatal.\",\n    \"Bolsas de estudo para enfermeiros especializados em saúde materna, priorizando a diversidade.\",\n    \"Formação obrigatória para profissionais de saúde sobre o combate ao preconceito e racismo.\",\n    \"Integração de doulas e consultores de lactação nas equipas de cuidados de maternidade.\"\n  ],\n  \"category\": [\n    \"Health\",\n    \"Education\"\n  ]\n}"
    }
  ]
}