{
  "legislationId": "119_S_4186",
  "lastUpdate": "2026-04-03T11:30:46.662Z",
  "history": [
    {
      "timestamp": "2026-04-03T11:30:46.662Z",
      "source_url": "https://www.congress.gov/119/bills/s4186/BILLS-119s4186is.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] [S. 4186 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4186 To amend the Public Health Service Act to grow and diversify the perinatal workforce, and for other purposes. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 25, 2026 Ms. Baldwin (for herself, Mr. Merkley, and Mr. Booker) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions _______________________________________________________________________ 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 healthcare professionals available to support pregnant and postpartum individuals. It provides funding for training and scholarships to ensure families have access to respectful and skilled maternity care, especially in underserved areas.\nKey Points: New grants to establish and expand training programs for midwives, physician assistants, and perinatal workers., Scholarships for nursing students specializing in maternal and newborn health to reduce financial barriers to education., Prioritization of funding for programs that recruit students from diverse backgrounds and those planning to work in shortage areas., Mandatory training on implicit bias and racism for students in maternal health education programs., Increased support for non-clinical roles like doulas, lactation consultants, and community health workers.\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": "2026-04-03T11:20:14.873Z",
      "source_url": "https://www.congress.gov/119/bills/s4186/BILLS-119s4186is.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] [S. 4186 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4186 To amend the Public Health Service Act to grow and diversify the perinatal workforce, and for other purposes. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 25, 2026 Ms. Baldwin (for herself, Mr. Merkley, and Mr. Booker) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions _______________________________________________________________________ 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 wsparciu opieki okołoporodowej: więcej specjalistów i lepsza pomoc dla mam\",\n  \"pl_summary\": \"Ustawa ma na celu zwiększenie liczby i różnorodności personelu medycznego opiekującego się kobietami w ciąży i po porodzie. Dzięki nowym dotacjom i stypendiom, przyszłe mamy zyskają lepszy dostęp do wykwalifikowanych położnych, pielęgniarek i asystentów medycznych, szczególnie w regionach, gdzie brakuje lekarzy.\",\n  \"pl_key_points\": [\n    \"Więcej pieniędzy na kształcenie położnych, pielęgniarek i asystentów medycznych specjalizujących się w opiece nad matką i dzieckiem.\",\n    \"Nowe stypendia dla studentów medycyny i pielęgniarstwa, którzy zdecydują się pracować w regionach z utrudnionym dostępem do lekarzy.\",\n    \"Wsparcie dla zawodów wspierających, takich jak doule, doradcy laktacyjni, dietetycy i pracownicy środowiskowi.\",\n    \"Wprowadzenie obowiązkowych szkoleń dla personelu medycznego z zakresu równego traktowania i walki z uprzedzeniami.\",\n    \"Lepsze dopasowanie opieki do potrzeb kulturowych i językowych pacjentek z różnych środowisk.\"\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 healthcare professionals available to support pregnant and postpartum individuals. It provides funding for training and scholarships to ensure families have access to respectful and skilled maternity care, especially in underserved areas.\",\n  \"eng_key_points\": [\n    \"New grants to establish and expand training programs for midwives, physician assistants, and perinatal workers.\",\n    \"Scholarships for nursing students specializing in maternal and newborn health to reduce financial barriers to education.\",\n    \"Prioritization of funding for programs that recruit students from diverse backgrounds and those planning to work in shortage areas.\",\n    \"Mandatory training on implicit bias and racism for students in maternal health education programs.\",\n    \"Increased support for non-clinical roles like doulas, lactation consultants, and community health workers.\"\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 des medizinischen Personals in der Schwangerschafts- und Nachsorgebetreuung zu erhöhen. Durch neue Stipendien und Förderprogramme erhalten Familien einen besseren Zugang zu qualifizierten Hebammen und Pflegekräften, insbesondere in unterversorgten Regionen.\",\n  \"de_key_points\": [\n    \"Fördermittel für die Ausbildung von Hebammen, Pflegekräften und medizinischen Assistenten in der Geburtshilfe.\",\n    \"Stipendien für Studierende, die sich auf die Gesundheit von Müttern spezialisieren und in Mangelgebieten arbeiten möchten.\",\n    \"Unterstützung für ergänzende Berufe wie Doulas, Stillberaterinnen und Ernährungsfachkräfte.\",\n    \"Verpflichtende Schulungen für medizinisches Personal zum Abbau von Vorurteilen und Rassismus.\",\n    \"Verbesserung der kulturellen und sprachlichen Anpassung der medizinischen Versorgung.\"\n  ],\n  \"fr_ai_title\": \"Loi sur le personnel périnatal : renforcer et diversifier les soins maternels\",\n  \"fr_summary\": \"Cette loi vise à augmenter le nombre et la diversité des professionnels de santé accompagnant les femmes enceintes et les nouveaux parents. Elle finance la formation et des bourses pour garantir un accès équitable à des soins de maternité respectueux et de qualité.\",\n  \"fr_key_points\": [\n    \"Subventions pour former davantage de sages-femmes, d'infirmiers et d'assistants médicaux spécialisés.\",\n    \"Bourses d'études pour les étudiants s'engageant à travailler dans des zones manquant de personnel médical.\",\n    \"Soutien accru pour les professions d'accompagnement comme les doulas et les conseillers en lactation.\",\n    \"Formations obligatoires sur la lutte contre les préjugés et le racisme pour les futurs soignants.\",\n    \"Mesures pour garantir des soins adaptés à la culture et à la langue de chaque patiente.\"\n  ],\n  \"es_ai_title\": \"Ley del Personal Perinatal: Más especialistas y mejor atención para las madres\",\n  \"es_summary\": \"Esta ley busca aumentar la cantidad y diversidad del personal de salud que atiende a personas embarazadas y en el posparto. Ofrece becas y fondos para asegurar que todas las familias reciban una atención respetuosa, especialmente en zonas con pocos médicos.\",\n  \"es_key_points\": [\n    \"Fondos para capacitar a más parteras, enfermeros y asistentes médicos especializados en salud materna.\",\n    \"Becas para estudiantes que planeen trabajar en comunidades con escasez de servicios de salud.\",\n    \"Apoyo a trabajadores perinatales no clínicos, como doulas, asesores de lactancia y nutricionistas.\",\n    \"Capacitación obligatoria sobre sesgos y racismo para todos los estudiantes de programas de salud materna.\",\n    \"Promoción de una atención médica que respete los valores culturales y el idioma de las pacientes.\"\n  ],\n  \"it_ai_title\": \"Legge sul personale perinatale: potenziare e diversificare l'assistenza materna\",\n  \"it_summary\": \"Questa legge mira ad aumentare il numero di professionisti sanitari che assistono le donne durante la gravidanza e il post-partum. Finanzia la formazione e borse di studio per garantire un'assistenza rispettosa e accessibile, specialmente nelle aree più svantaggiate.\",\n  \"it_key_points\": [\n    \"Contributi per formare più ostetriche, infermieri e assistenti medici specializzati in cure materne.\",\n    \"Borse di studio per studenti che scelgono di lavorare in zone con carenza di personale sanitario.\",\n    \"Sostegno a figure di supporto come doule, consulenti per l'allattamento e assistenti sociali.\",\n    \"Corsi obbligatori contro i pregiudizi e il razzismo per il personale sanitario in formazione.\",\n    \"Miglioramento della comunicazione linguistica e del rispetto culturale nelle strutture ospedaliere.\"\n  ],\n  \"nl_ai_title\": \"Wet op het Perinataal Personeel: Meer en diversere zorgverleners voor moeders\",\n  \"nl_summary\": \"Deze wet is bedoeld om het aantal en de diversiteit van zorgverleners voor zwangeren en pasgeborenen te vergroten. Door middel van beurzen en subsidies krijgen gezinnen betere toegang tot respectvolle en deskundige kraamzorg, vooral in gebieden met tekorten.\",\n  \"nl_key_points\": [\n    \"Subsidies voor de opleiding van verloskundigen, verpleegkundigen en medisch assistenten.\",\n    \"Beurzen voor studenten die zich specialiseren in moederzorg en willen werken in achtergestelde regio's.\",\n    \"Extra ondersteuning voor beroepen zoals doula's, lactatiekundigen en voedingsdeskundigen.\",\n    \"Verplichte training over het voorkomen van vooroordelen en racisme in de zorgverlening.\",\n    \"Focus op zorg die aansluit bij de culturele achtergrond en taal van de patiënt.\"\n  ],\n  \"pt_ai_title\": \"Lei do Pessoal Perinatal: Ampliar e diversificar os cuidados maternos\",\n  \"pt_summary\": \"Esta lei visa aumentar o número e a diversidade de profissionais de saúde que apoiam grávidas e puérperas. Oferece financiamento para formação e bolsas de estudo para garantir cuidados de maternidade respeitosos e acessíveis a todas as famílias.\",\n  \"pt_key_points\": [\n    \"Subsídios para formar mais parteiras, enfermeiros e assistentes médicos especializados em saúde materna.\",\n    \"Bolsas de estudo para estudantes que pretendam trabalhar em áreas com falta de médicos.\",\n    \"Apoio a profissionais de apoio, como doulas, conselheiros de amamentação e nutricionistas.\",\n    \"Formação obrigatória sobre preconceitos e racismo para futuros profissionais de saúde materna.\",\n    \"Promoção de cuidados de saúde que respeitem a cultura e a língua de cada paciente.\"\n  ],\n  \"category\": [\"Health\", \"Education\"]\n}"
    }
  ]
}