{
  "legislationId": "119_S_4187",
  "lastUpdate": "2026-04-13T14:53:56.738Z",
  "history": [
    {
      "timestamp": "2026-04-13T14:53:56.738Z",
      "source_url": "https://www.congress.gov/119/bills/s4187/BILLS-119s4187is.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. 4187 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4187 To amend the Public Health Service Act to improve maternal health data collection processes and quality measures, and for other purposes. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 25, 2026 Ms. Smith (for herself, Mr. Booker, and Mr. Murphy) 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 improve maternal health data collection processes and quality measures, 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 ``Data to Save Moms Act''. SEC. 2. FUNDING FOR MATERNAL MORTALITY REVIEW COMMITTEES TO PROMOTE REPRESENTATIVE COMMUNITY ENGAGEMENT. (a) In General.--Section 317K(d) of the Public Health Service Act (42 U.S.C. 247b-12(d)) is amended by adding at the end the following: ``(9) Grants to promote representative community engagement in maternal mortality review committees.-- ``(A) In general.--The Secretary may, using funds made available pursuant to subparagraph (C), provide assistance to an applicable maternal mortality review committee of a State, Indian Tribe, Tribal organization, or Urban Indian organization (as such terms are defined in section 4 of the Indian Health Care Improvement Act)-- ``(i) to select for inclusion in the membership of such a committee community members from the State, Indian Tribe, Tribal organization, or Urban Indian organization by-- ``(I) prioritizing community members who can increase the diversity of the committee's membership with respect to race and ethnicity, location, personal or family experiences of maternal mortality or severe maternal morbidity, and professional background, including members with nonclinical experiences; and ``(II) to the extent applicable, using funds reserved under subsection (f), to address barriers to maternal mortality review committee participation for community members, including required training, transportation barriers, compensation, and other supports as may be necessary; ``(ii) to establish initiatives to conduct outreach and community engagement efforts within communities throughout the State or Tribe to seek input from community members on the work of such maternal mortality review committee, with a particular focus on outreach to women from racial and ethnic minority groups (as such term is defined in section 1707(g)(1)); and ``(iii) to release public reports assessing-- ``(I) the pregnancy-related death and pregnancy-associated death review processes of the maternal mortality review committee, with a particular focus on the maternal mortality review committee's sensitivity to the unique circumstances of pregnant and postpartum individuals from racial and ethnic minority groups (as such term is defined in section 1707(g)(1)) who have suffered pregnancy-related deaths; and ``(II) the impact of the use of funds made available pursuant to subparagraph (C) on increasing the diversity of the maternal mortality review committee membership and promoting community engagement efforts throughout the State or Tribe. ``(B) Technical assistance.--The Secretary shall provide (either directly through the Department of Health and Human Services or by contract) technical assistance to any maternal mortality review committee receiving a grant under this paragraph on best practices for increasing the diversity of the maternal mortality review committee's membership and for conducting effective community engagement throughout the State or Tribe. ``(C) Authorization of appropriations.--In addition to any funds made available under subsection (f), there is authorized to be appropriated to carry out this paragraph $10,000,000 for each of fiscal years 2027 through 2031.''. (b) Reservation of Funds.--Section 317K(f) of the Public Health Service Act (42 U.S.C. 247b-12(f)) is amended by adding at the end the following: ``Of the amount made available under the preceding sentence for a fiscal year, not less than $1,500,000 shall be reserved for grants to Indian Tribes, Tribal organizations, or Urban Indian organizations (as those terms are defined in section 4 of the Indian Health Care Improvement Act)''. SEC. 3. DATA COLLECTION AND REVIEW. Section 317K(d)(3)(A)(i) of the Public Health Service Act (42 U.S.C. 247b-12(d)(3)(A)(i)) is amended-- (1) by redesignating subclauses (II) and (III) as subclauses (V) and (VI), respectively; and (2) by inserting after subclause (I) the following: ``(II) to the extent practicable, reviewing cases of severe maternal morbidity, according to the most up-to- date indicators; ``(III) to the extent practicable, reviewing deaths during pregnancy or up to 1 year after the end of a pregnancy from suicide, overdose, or other death from a mental health condition or substance use disorder attributed to or aggravated by pregnancy or childbirth complications; ``(IV) to the extent practicable, consulting with local community-based organizations representing pregnant and postpartum individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes to ensure that, in addition to clinical factors, nonclinical factors that might have contributed to a pregnancy-related death are appropriately considered;''. SEC. 4. REVIEW OF MATERNAL HEALTH DATA COLLECTION PROCESSES AND QUALITY MEASURES. (a) In General.--The Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services and the Director of the Agency for Healthcare Research and Quality, shall consult with relevant stakeholders-- (1) to review existing maternal health data collection processes and quality measures; and (2) to make recommendations to improve such processes and measures, including topics described under subsection (c). (b) Collaboration.--In carrying out this section, the Secretary shall consult with a diverse group of maternal health stakeholders, which may include-- (1) pregnant and postpartum individuals and their family members, and nonprofit organizations representing such individuals, with a particular focus on patients from racial and ethnic minority groups; (2) community-based organizations that provide support for pregnant and postpartum individuals, with a particular focus on patients from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (3) membership organizations for maternity care providers; (4) organizations representing perinatal health workers; (5) organizations that focus on maternal mental or behavioral health; (6) organizations that focus on intimate partner violence; (7) institutions of higher education, with a particular focus on minority-serving institutions; (8) licensed and accredited hospitals, birth centers, midwifery practices, or other facilities that provide maternal health care services; (9) relevant State and local public agencies, including State maternal mortality review committees; and (10) the National Quality Forum, or such other standard- setting organizations specified by the Secretary. (c) Topics.--The review of maternal health data collection processes and recommendations to improve such processes and measures required under subsection (a) shall assess all available relevant information, including information from State-level sources, and shall consider at least the following: (1) Current State and Tribal practices for maternal health, maternal mortality, and severe maternal morbidity data collection and dissemination, including consideration of-- (A) the timeliness of processes for amending a death certificate when new information pertaining to the death becomes available to reflect whether the death was a pregnancy-related death; (B) relevant data collected with electronic health records, including data on race, ethnicity, primary language, socioeconomic status, geography, insurance type, and other relevant demographic information; (C) maternal health data collected and publicly reported by hospitals, health systems, midwifery practices, and birth centers; (D) the barriers preventing States from correlating maternal outcome data with data on race, ethnicity, and other demographic characteristics; (E) processes for determining the cause of a pregnancy-associated death in States that do not have a maternal mortality review committee; (F) whether maternal mortality review committees include multidisciplinary and diverse membership (as described in section 317K(d)(1)(A) of the Public Health Service Act (42 U.S.C. 247b-12(d)(1)(A))); (G) whether members of maternal mortality review committees participate in trainings on bias, racism, or discrimination, and the quality of such trainings; (H) the extent to which States have implemented systematic processes of listening to the stories of pregnant and postpartum individuals and their family members, with a particular focus on pregnant and postpartum individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, and their family members, to fully understand the causes of, and inform potential solutions to, the maternal mortality and severe maternal morbidity crisis within their respective States; (I) the extent to which maternal mortality review committees are considering social determinants of maternal health when examining the causes of pregnancy- associated and pregnancy-related deaths; (J) the extent to which maternal mortality review committees are making actionable recommendations based on their reviews of adverse maternal health outcomes and the extent to which such recommendations are being implemented by appropriate stakeholders; (K) the legal and administrative barriers preventing the collection, collation, and dissemination of State maternity care data; (L) the effectiveness of data collection and reporting processes in separating pregnancy-associated deaths from pregnancy-related deaths; and (M) the current Federal, State, local, and Tribal funding support for the activities referred to in subparagraphs (A) through (L). (2) Whether the funding support referred to in paragraph (1)(M) is adequate for States to carry out optimal data collection and dissemination processes with respect to maternal health, maternal mortality, and severe maternal morbidity. (3) Current quality measures for maternity care, including prenatal measures, labor and delivery measures, and postpartum measures, including topics such as-- (A) effective quality measures for maternity care used by hospitals, health systems, midwifery practices, birth centers, health plans, and other relevant entities; (B) the sufficiency of current outcome measures used to evaluate maternity care for driving improved care, experiences, and outcomes in maternity care payment and delivery system models; (C) maternal health quality measures that other countries effectively use; (D) validated measures that have been used for research purposes that could be tested, refined, and submitted for national endorsement; (E) barriers preventing maternity care providers and insurers from implementing quality measures that are aligned with best practices; (F) the frequency with which maternity care quality measures are reviewed and revised; (G) the strengths and weaknesses of the Prenatal and Postpartum Care measures of the Health Plan Employer Data and Information Set measures established by the National Committee for Quality Assurance; (H) the strengths and weaknesses of maternity care quality measures under the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) and the Children's Health Insurance Program under title XXI of such Act (42 U.S.C. 1397 et seq.), including the extent to which States voluntarily report relevant measures; (I) the extent to which maternity care quality measures are informed by patient experiences that include measures of patient-reported experience of care; (J) the current processes for collecting and making publicly available, to the extent practicable, stratified data on race, ethnicity, and other demographic characteristics of pregnant and postpartum individuals in hospitals, health systems, midwifery practices, and birth centers, and for incorporating such demographically stratified data in maternity care quality measures; (K) the extent to which maternity care quality measures account for the unique experiences of pregnant and postpartum individuals from racial and ethnic minority groups; and (L) the extent to which hospitals, health systems, midwifery practices, and birth centers are implementing existing maternity care quality measures. (4) Recommendations on authorizing additional funds and providing additional technical assistance to improve maternal mortality review committees and State and Tribal maternal health data collection and reporting processes. (5) Recommendations for new authorities that may be granted to maternal mortality review committees to be able to-- (A) access records from other Federal and State agencies and departments that may be necessary to identify causes of pregnancy-associated and pregnancy- related deaths that are unique to pregnant and postpartum individuals from specific populations, such as veterans and individuals who are incarcerated; and (B) work with relevant experts who are not members of the maternal mortality review committee to assist in the review of pregnancy-associated deaths of pregnant and postpartum individuals from specific populations, such as veterans and individuals who are incarcerated. (6) Recommendations to improve and standardize current quality measures for maternity care, with a particular focus on maternal health disparities. (7) Recommendations to improve the coordination by the Department of Health and Human Services of the efforts undertaken by the agencies and organizations within the Department related to maternal health data and quality measures. (d) Report.--Not later than 1 year after the enactment of this Act, the Secretary shall submit to the Congress and make publicly available a report on the results of the review of maternal health data collection processes and quality measures and recommendations to improve such processes and measures required under subsection (a). (e) Definition.--In this section, the term ``maternal mortality review committee'' means a maternal mortality review committee duly authorized by a State and receiving funding under section 317K(a)(2)(D) of the Public Health Service Act (42 U.S.C. 247b-12(a)(2)(D)). (f) Authorization of Appropriations.--There are authorized to be appropriated such sums as may be necessary to carry out this section for fiscal years 2027 through 2030. SEC. 5. STUDY ON MATERNAL HEALTH AMONG AMERICAN INDIAN AND ALASKA NATIVE INDIVIDUALS. (a) In General.--The Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall, in coordination with entities described in subsection (b)-- (1) not later than 90 days after the enactment of this Act, enter into a contract with an independent research organization or Tribal Epidemiology Center to conduct a comprehensive study on maternal mortality, severe maternal morbidity, and other adverse perinatal or childbirth outcomes in the populations of American Indian and Alaska Native individuals; and (2) not later than 3 years after the date of the enactment of this Act, submit to Congress a report on such study that contains recommendations for policies and practices that can be adopted to improve maternal health outcomes for American Indian and Alaska Native individuals. (b) Participating Entities.--The entities described in this subsection shall consist of 12 members, selected by the Secretary from among individuals nominated by Indian Tribes and Tribal organizations (as such terms are defined in section 4 of the Indian Self- Determination and Education Assistance Act (25 U.S.C. 5304)), and Urban Indian organizations (as such term is defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603)). In selecting such members, the Secretary shall ensure that each of the 12 service areas of the Indian Health Service is represented. (c) Contents of Study.--The study conducted pursuant to subsection (a) shall-- (1) examine the causes of maternal mortality and severe maternal morbidity that are unique to American Indian and Alaska Native individuals; (2) include a systematic process of listening to the stories of American Indian and Alaska Native individuals to fully understand the causes of, and inform potential solutions to, the maternal health crisis within their respective communities; (3) distinguish between the causes of, landscape of maternity care at, and recommendations to improve maternal health outcomes within, the different settings in which American Indian and Alaska Native individuals receive maternity care, such as-- (A) facilities operated by the Indian Health Service; (B) an Indian health program operated by an Indian Tribe or Tribal organization pursuant to a contract, grant, cooperative agreement, or compact with the Indian Health Service pursuant to the Indian Self- Determination Act; (C) an urban Indian health program operated by an Urban Indian organization pursuant to a grant or contract with the Indian Health Service pursuant to title V of the Indian Health Care Improvement Act; and (D) facilities outside of the Indian Health Service in which American Indian and Alaska Native individuals receive maternity care services; (4) review processes for coordinating programs of the Indian Health Service with social services provided through other programs administered by the Secretary of Health and Human Services (other than the Medicare Program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.), the Medicaid Program under title XIX of such Act (42 U.S.C. 1396 et seq.), and the Children's Health Insurance Program under title XXI of such Act (42 U.S.C. 1397 et seq.)); (5) review current data collection and quality measurement processes and practices; (6) assess causes and frequency of maternal mental health conditions and substance use disorders; (7) consider social determinants of health, including poverty, lack of health insurance, unemployment, sexual and domestic violence, and environmental conditions in Tribal areas; (8) consider the role that historical mistreatment of American Indian and Alaska Native women has played in causing currently elevated rates of maternal mortality, severe maternal morbidity, and other adverse perinatal or childbirth outcomes; (9) consider how current funding of the Indian Health Service affects the ability of the Service to deliver quality maternity care; (10) consider the extent to which the delivery of maternity care services is culturally appropriate for American Indian and Alaska Native individuals; (11) make recommendations to reduce misclassification of American Indian and Alaska Native individuals, including consideration of best practices in training for maternal mortality review committee members to be able to correctly classify American Indian and Alaska Native individuals; and (12) make recommendations informed by the stories shared by American Indian and Alaska Native individuals referred to in paragraph (2) to improve maternal health outcomes for such individuals. (d) Report.--The agreement entered into under subsection (a) with an independent research organization or Tribal Epidemiology Center shall require that the organization or Center transmit to Congress a report on the results of the study conducted pursuant to that agreement not later than 36 months after the date of the enactment of this Act. (e) Authorization of Appropriations.--There is authorized to be appropriated to carry out this section $2,000,000 for each of fiscal years 2027 through 2029. SEC. 6. GRANTS TO MINORITY-SERVING INSTITUTIONS TO STUDY MATERNAL MORTALITY, SEVERE MATERNAL MORBIDITY, AND OTHER ADVERSE MATERNAL HEALTH OUTCOMES. (a) In General.--The Secretary of Health and Human Services shall establish a program under which the Secretary shall award grants to research centers, health professions schools and programs, and other entities at minority-serving institutions to study specific aspects of the maternal health crisis among pregnant and postpartum individuals from racial and ethnic minority groups. Such research may-- (1) include the development and implementation of systematic processes of listening to the stories of pregnant and postpartum individuals from racial and ethnic minority groups, and perinatal health workers supporting such individuals, to fully understand the causes of, and inform potential solutions to, the maternal mortality and severe maternal morbidity crisis within their respective communities; (2) assess the potential causes of relatively low rates of maternal mortality among Hispanic individuals, including potential racial misclassification and other data collection and reporting issues that might be misrepresenting maternal mortality rates among Hispanic individuals in the United States; (3) assess differences in rates of adverse maternal health outcomes among subgroups identifying as Hispanic, including disparities in access to early prenatal care; and (4) include lactation education to promote racial and ethnic diversity within the workforce of health care professionals with breastfeeding and lactation expertise. (b) Application.--To be eligible to receive a grant under subsection (a), an entity described in such subsection shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require. (c) Technical Assistance.--The Secretary may use not more than 10 percent of the funds made available under subsection (g)-- (1) to conduct outreach to minority-serving institutions to raise awareness of the availability of grants under subsection (a); (2) to provide technical assistance in the application process for such a grant; and (3) to promote capacity building as needed to enable entities described in such subsection to submit such an application. (d) Reporting Requirement.--Each entity awarded a grant under this section shall periodically submit to the Secretary a report on the status of activities conducted using the grant. (e) Evaluation.--Beginning 1 year after the date on which the first grant is awarded under this section, the Secretary shall submit to Congress an annual report summarizing the findings of research conducted using funds made available under this section. (f) Minority-Serving Institutions Defined.--In this section, the term ``minority-serving institution'' has the meaning given the term in section 371(a) of the Higher Education Act of 1965 (20 U.S.C. 1067q(a)). (g) Authorization of Appropriations.--There is authorized to be appropriated to carry out this section $10,000,000 for each of fiscal years 2027 through 2031. SEC. 7. DEFINITIONS. In this Act: (1) 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. (2) 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. (3) Postpartum.--The term ``postpartum'' refers to the 1- year period beginning on the last day of the pregnancy of an individual. (4) Pregnancy-associated death.--The term ``pregnancy- associated death'' means a death of a pregnant or postpartum individual, by any cause, that occurs during, or within 1 year following, the individual's pregnancy, regardless of the outcome, duration, or site of the pregnancy. (5) Pregnancy-related death.--The term ``pregnancy-related death'' means a death of a pregnant or postpartum individual that occurs during, or within 1 year following, the individual's pregnancy, from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy. (6) 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)). (7) Severe maternal morbidity.--The term ``severe maternal morbidity'' means a health condition, including mental health conditions and substance use disorders, attributed to or aggravated by pregnancy or childbirth that results in significant short-term or long-term consequences to the health of the individual who was pregnant. (8) Social determinants of maternal health.--The term ``social determinants of maternal health'' means nonclinical factors that impact maternal health outcomes. <all>\n\nSUMMARY TO EVALUATE:\nTitle: Data to Save Moms Act: Improving Maternal Health and Safety\nSummary: This act aims to reduce maternal deaths and complications by improving how health data is collected and analyzed. It focuses on including community voices and addressing disparities to ensure safer pregnancies and postpartum care for all women.\nKey Points: Increased funding for committees that review maternal deaths to include more diverse community perspectives., New focus on tracking mental health issues and substance use disorders for up to one year after childbirth., Dedicated research and funding to improve maternal health outcomes for Native American and Alaska Native women., Grants for minority-serving institutions to study and find solutions for maternal health disparities., Recognition of doulas and lactation consultants as key parts of the maternal healthcare team.\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": "2026-04-13T14:21:14.406Z",
      "source_url": "https://www.congress.gov/119/bills/s4187/BILLS-119s4187is.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. 4187 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4187 To amend the Public Health Service Act to improve maternal health data collection processes and quality measures, and for other purposes. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 25, 2026 Ms. Smith (for herself, Mr. Booker, and Mr. Murphy) 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 improve maternal health data collection processes and quality measures, 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 ``Data to Save Moms Act''. SEC. 2. FUNDING FOR MATERNAL MORTALITY REVIEW COMMITTEES TO PROMOTE REPRESENTATIVE COMMUNITY ENGAGEMENT. (a) In General.--Section 317K(d) of the Public Health Service Act (42 U.S.C. 247b-12(d)) is amended by adding at the end the following: ``(9) Grants to promote representative community engagement in maternal mortality review committees.-- ``(A) In general.--The Secretary may, using funds made available pursuant to subparagraph (C), provide assistance to an applicable maternal mortality review committee of a State, Indian Tribe, Tribal organization, or Urban Indian organization (as such terms are defined in section 4 of the Indian Health Care Improvement Act)-- ``(i) to select for inclusion in the membership of such a committee community members from the State, Indian Tribe, Tribal organization, or Urban Indian organization by-- ``(I) prioritizing community members who can increase the diversity of the committee's membership with respect to race and ethnicity, location, personal or family experiences of maternal mortality or severe maternal morbidity, and professional background, including members with nonclinical experiences; and ``(II) to the extent applicable, using funds reserved under subsection (f), to address barriers to maternal mortality review committee participation for community members, including required training, transportation barriers, compensation, and other supports as may be necessary; ``(ii) to establish initiatives to conduct outreach and community engagement efforts within communities throughout the State or Tribe to seek input from community members on the work of such maternal mortality review committee, with a particular focus on outreach to women from racial and ethnic minority groups (as such term is defined in section 1707(g)(1)); and ``(iii) to release public reports assessing-- ``(I) the pregnancy-related death and pregnancy-associated death review processes of the maternal mortality review committee, with a particular focus on the maternal mortality review committee's sensitivity to the unique circumstances of pregnant and postpartum individuals from racial and ethnic minority groups (as such term is defined in section 1707(g)(1)) who have suffered pregnancy-related deaths; and ``(II) the impact of the use of funds made available pursuant to subparagraph (C) on increasing the diversity of the maternal mortality review committee membership and promoting community engagement efforts throughout the State or Tribe. ``(B) Technical assistance.--The Secretary shall provide (either directly through the Department of Health and Human Services or by contract) technical assistance to any maternal mortality review committee receiving a grant under this paragraph on best practices for increasing the diversity of the maternal mortality review committee's membership and for conducting effective community engagement throughout the State or Tribe. ``(C) Authorization of appropriations.--In addition to any funds made available under subsection (f), there is authorized to be appropriated to carry out this paragraph $10,000,000 for each of fiscal years 2027 through 2031.''. (b) Reservation of Funds.--Section 317K(f) of the Public Health Service Act (42 U.S.C. 247b-12(f)) is amended by adding at the end the following: ``Of the amount made available under the preceding sentence for a fiscal year, not less than $1,500,000 shall be reserved for grants to Indian Tribes, Tribal organizations, or Urban Indian organizations (as those terms are defined in section 4 of the Indian Health Care Improvement Act)''. SEC. 3. DATA COLLECTION AND REVIEW. Section 317K(d)(3)(A)(i) of the Public Health Service Act (42 U.S.C. 247b-12(d)(3)(A)(i)) is amended-- (1) by redesignating subclauses (II) and (III) as subclauses (V) and (VI), respectively; and (2) by inserting after subclause (I) the following: ``(II) to the extent practicable, reviewing cases of severe maternal morbidity, according to the most up-to- date indicators; ``(III) to the extent practicable, reviewing deaths during pregnancy or up to 1 year after the end of a pregnancy from suicide, overdose, or other death from a mental health condition or substance use disorder attributed to or aggravated by pregnancy or childbirth complications; ``(IV) to the extent practicable, consulting with local community-based organizations representing pregnant and postpartum individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes to ensure that, in addition to clinical factors, nonclinical factors that might have contributed to a pregnancy-related death are appropriately considered;''. SEC. 4. REVIEW OF MATERNAL HEALTH DATA COLLECTION PROCESSES AND QUALITY MEASURES. (a) In General.--The Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services and the Director of the Agency for Healthcare Research and Quality, shall consult with relevant stakeholders-- (1) to review existing maternal health data collection processes and quality measures; and (2) to make recommendations to improve such processes and measures, including topics described under subsection (c). (b) Collaboration.--In carrying out this section, the Secretary shall consult with a diverse group of maternal health stakeholders, which may include-- (1) pregnant and postpartum individuals and their family members, and nonprofit organizations representing such individuals, with a particular focus on patients from racial and ethnic minority groups; (2) community-based organizations that provide support for pregnant and postpartum individuals, with a particular focus on patients from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (3) membership organizations for maternity care providers; (4) organizations representing perinatal health workers; (5) organizations that focus on maternal mental or behavioral health; (6) organizations that focus on intimate partner violence; (7) institutions of higher education, with a particular focus on minority-serving institutions; (8) licensed and accredited hospitals, birth centers, midwifery practices, or other facilities that provide maternal health care services; (9) relevant State and local public agencies, including State maternal mortality review committees; and (10) the National Quality Forum, or such other standard- setting organizations specified by the Secretary. (c) Topics.--The review of maternal health data collection processes and recommendations to improve such processes and measures required under subsection (a) shall assess all available relevant information, including information from State-level sources, and shall consider at least the following: (1) Current State and Tribal practices for maternal health, maternal mortality, and severe maternal morbidity data collection and dissemination, including consideration of-- (A) the timeliness of processes for amending a death certificate when new information pertaining to the death becomes available to reflect whether the death was a pregnancy-related death; (B) relevant data collected with electronic health records, including data on race, ethnicity, primary language, socioeconomic status, geography, insurance type, and other relevant demographic information; (C) maternal health data collected and publicly reported by hospitals, health systems, midwifery practices, and birth centers; (D) the barriers preventing States from correlating maternal outcome data with data on race, ethnicity, and other demographic characteristics; (E) processes for determining the cause of a pregnancy-associated death in States that do not have a maternal mortality review committee; (F) whether maternal mortality review committees include multidisciplinary and diverse membership (as described in section 317K(d)(1)(A) of the Public Health Service Act (42 U.S.C. 247b-12(d)(1)(A))); (G) whether members of maternal mortality review committees participate in trainings on bias, racism, or discrimination, and the quality of such trainings; (H) the extent to which States have implemented systematic processes of listening to the stories of pregnant and postpartum individuals and their family members, with a particular focus on pregnant and postpartum individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, and their family members, to fully understand the causes of, and inform potential solutions to, the maternal mortality and severe maternal morbidity crisis within their respective States; (I) the extent to which maternal mortality review committees are considering social determinants of maternal health when examining the causes of pregnancy- associated and pregnancy-related deaths; (J) the extent to which maternal mortality review committees are making actionable recommendations based on their reviews of adverse maternal health outcomes and the extent to which such recommendations are being implemented by appropriate stakeholders; (K) the legal and administrative barriers preventing the collection, collation, and dissemination of State maternity care data; (L) the effectiveness of data collection and reporting processes in separating pregnancy-associated deaths from pregnancy-related deaths; and (M) the current Federal, State, local, and Tribal funding support for the activities referred to in subparagraphs (A) through (L). (2) Whether the funding support referred to in paragraph (1)(M) is adequate for States to carry out optimal data collection and dissemination processes with respect to maternal health, maternal mortality, and severe maternal morbidity. (3) Current quality measures for maternity care, including prenatal measures, labor and delivery measures, and postpartum measures, including topics such as-- (A) effective quality measures for maternity care used by hospitals, health systems, midwifery practices, birth centers, health plans, and other relevant entities; (B) the sufficiency of current outcome measures used to evaluate maternity care for driving improved care, experiences, and outcomes in maternity care payment and delivery system models; (C) maternal health quality measures that other countries effectively use; (D) validated measures that have been used for research purposes that could be tested, refined, and submitted for national endorsement; (E) barriers preventing maternity care providers and insurers from implementing quality measures that are aligned with best practices; (F) the frequency with which maternity care quality measures are reviewed and revised; (G) the strengths and weaknesses of the Prenatal and Postpartum Care measures of the Health Plan Employer Data and Information Set measures established by the National Committee for Quality Assurance; (H) the strengths and weaknesses of maternity care quality measures under the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) and the Children's Health Insurance Program under title XXI of such Act (42 U.S.C. 1397 et seq.), including the extent to which States voluntarily report relevant measures; (I) the extent to which maternity care quality measures are informed by patient experiences that include measures of patient-reported experience of care; (J) the current processes for collecting and making publicly available, to the extent practicable, stratified data on race, ethnicity, and other demographic characteristics of pregnant and postpartum individuals in hospitals, health systems, midwifery practices, and birth centers, and for incorporating such demographically stratified data in maternity care quality measures; (K) the extent to which maternity care quality measures account for the unique experiences of pregnant and postpartum individuals from racial and ethnic minority groups; and (L) the extent to which hospitals, health systems, midwifery practices, and birth centers are implementing existing maternity care quality measures. (4) Recommendations on authorizing additional funds and providing additional technical assistance to improve maternal mortality review committees and State and Tribal maternal health data collection and reporting processes. (5) Recommendations for new authorities that may be granted to maternal mortality review committees to be able to-- (A) access records from other Federal and State agencies and departments that may be necessary to identify causes of pregnancy-associated and pregnancy- related deaths that are unique to pregnant and postpartum individuals from specific populations, such as veterans and individuals who are incarcerated; and (B) work with relevant experts who are not members of the maternal mortality review committee to assist in the review of pregnancy-associated deaths of pregnant and postpartum individuals from specific populations, such as veterans and individuals who are incarcerated. (6) Recommendations to improve and standardize current quality measures for maternity care, with a particular focus on maternal health disparities. (7) Recommendations to improve the coordination by the Department of Health and Human Services of the efforts undertaken by the agencies and organizations within the Department related to maternal health data and quality measures. (d) Report.--Not later than 1 year after the enactment of this Act, the Secretary shall submit to the Congress and make publicly available a report on the results of the review of maternal health data collection processes and quality measures and recommendations to improve such processes and measures required under subsection (a). (e) Definition.--In this section, the term ``maternal mortality review committee'' means a maternal mortality review committee duly authorized by a State and receiving funding under section 317K(a)(2)(D) of the Public Health Service Act (42 U.S.C. 247b-12(a)(2)(D)). (f) Authorization of Appropriations.--There are authorized to be appropriated such sums as may be necessary to carry out this section for fiscal years 2027 through 2030. SEC. 5. STUDY ON MATERNAL HEALTH AMONG AMERICAN INDIAN AND ALASKA NATIVE INDIVIDUALS. (a) In General.--The Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall, in coordination with entities described in subsection (b)-- (1) not later than 90 days after the enactment of this Act, enter into a contract with an independent research organization or Tribal Epidemiology Center to conduct a comprehensive study on maternal mortality, severe maternal morbidity, and other adverse perinatal or childbirth outcomes in the populations of American Indian and Alaska Native individuals; and (2) not later than 3 years after the date of the enactment of this Act, submit to Congress a report on such study that contains recommendations for policies and practices that can be adopted to improve maternal health outcomes for American Indian and Alaska Native individuals. (b) Participating Entities.--The entities described in this subsection shall consist of 12 members, selected by the Secretary from among individuals nominated by Indian Tribes and Tribal organizations (as such terms are defined in section 4 of the Indian Self- Determination and Education Assistance Act (25 U.S.C. 5304)), and Urban Indian organizations (as such term is defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603)). In selecting such members, the Secretary shall ensure that each of the 12 service areas of the Indian Health Service is represented. (c) Contents of Study.--The study conducted pursuant to subsection (a) shall-- (1) examine the causes of maternal mortality and severe maternal morbidity that are unique to American Indian and Alaska Native individuals; (2) include a systematic process of listening to the stories of American Indian and Alaska Native individuals to fully understand the causes of, and inform potential solutions to, the maternal health crisis within their respective communities; (3) distinguish between the causes of, landscape of maternity care at, and recommendations to improve maternal health outcomes within, the different settings in which American Indian and Alaska Native individuals receive maternity care, such as-- (A) facilities operated by the Indian Health Service; (B) an Indian health program operated by an Indian Tribe or Tribal organization pursuant to a contract, grant, cooperative agreement, or compact with the Indian Health Service pursuant to the Indian Self- Determination Act; (C) an urban Indian health program operated by an Urban Indian organization pursuant to a grant or contract with the Indian Health Service pursuant to title V of the Indian Health Care Improvement Act; and (D) facilities outside of the Indian Health Service in which American Indian and Alaska Native individuals receive maternity care services; (4) review processes for coordinating programs of the Indian Health Service with social services provided through other programs administered by the Secretary of Health and Human Services (other than the Medicare Program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.), the Medicaid Program under title XIX of such Act (42 U.S.C. 1396 et seq.), and the Children's Health Insurance Program under title XXI of such Act (42 U.S.C. 1397 et seq.)); (5) review current data collection and quality measurement processes and practices; (6) assess causes and frequency of maternal mental health conditions and substance use disorders; (7) consider social determinants of health, including poverty, lack of health insurance, unemployment, sexual and domestic violence, and environmental conditions in Tribal areas; (8) consider the role that historical mistreatment of American Indian and Alaska Native women has played in causing currently elevated rates of maternal mortality, severe maternal morbidity, and other adverse perinatal or childbirth outcomes; (9) consider how current funding of the Indian Health Service affects the ability of the Service to deliver quality maternity care; (10) consider the extent to which the delivery of maternity care services is culturally appropriate for American Indian and Alaska Native individuals; (11) make recommendations to reduce misclassification of American Indian and Alaska Native individuals, including consideration of best practices in training for maternal mortality review committee members to be able to correctly classify American Indian and Alaska Native individuals; and (12) make recommendations informed by the stories shared by American Indian and Alaska Native individuals referred to in paragraph (2) to improve maternal health outcomes for such individuals. (d) Report.--The agreement entered into under subsection (a) with an independent research organization or Tribal Epidemiology Center shall require that the organization or Center transmit to Congress a report on the results of the study conducted pursuant to that agreement not later than 36 months after the date of the enactment of this Act. (e) Authorization of Appropriations.--There is authorized to be appropriated to carry out this section $2,000,000 for each of fiscal years 2027 through 2029. SEC. 6. GRANTS TO MINORITY-SERVING INSTITUTIONS TO STUDY MATERNAL MORTALITY, SEVERE MATERNAL MORBIDITY, AND OTHER ADVERSE MATERNAL HEALTH OUTCOMES. (a) In General.--The Secretary of Health and Human Services shall establish a program under which the Secretary shall award grants to research centers, health professions schools and programs, and other entities at minority-serving institutions to study specific aspects of the maternal health crisis among pregnant and postpartum individuals from racial and ethnic minority groups. Such research may-- (1) include the development and implementation of systematic processes of listening to the stories of pregnant and postpartum individuals from racial and ethnic minority groups, and perinatal health workers supporting such individuals, to fully understand the causes of, and inform potential solutions to, the maternal mortality and severe maternal morbidity crisis within their respective communities; (2) assess the potential causes of relatively low rates of maternal mortality among Hispanic individuals, including potential racial misclassification and other data collection and reporting issues that might be misrepresenting maternal mortality rates among Hispanic individuals in the United States; (3) assess differences in rates of adverse maternal health outcomes among subgroups identifying as Hispanic, including disparities in access to early prenatal care; and (4) include lactation education to promote racial and ethnic diversity within the workforce of health care professionals with breastfeeding and lactation expertise. (b) Application.--To be eligible to receive a grant under subsection (a), an entity described in such subsection shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require. (c) Technical Assistance.--The Secretary may use not more than 10 percent of the funds made available under subsection (g)-- (1) to conduct outreach to minority-serving institutions to raise awareness of the availability of grants under subsection (a); (2) to provide technical assistance in the application process for such a grant; and (3) to promote capacity building as needed to enable entities described in such subsection to submit such an application. (d) Reporting Requirement.--Each entity awarded a grant under this section shall periodically submit to the Secretary a report on the status of activities conducted using the grant. (e) Evaluation.--Beginning 1 year after the date on which the first grant is awarded under this section, the Secretary shall submit to Congress an annual report summarizing the findings of research conducted using funds made available under this section. (f) Minority-Serving Institutions Defined.--In this section, the term ``minority-serving institution'' has the meaning given the term in section 371(a) of the Higher Education Act of 1965 (20 U.S.C. 1067q(a)). (g) Authorization of Appropriations.--There is authorized to be appropriated to carry out this section $10,000,000 for each of fiscal years 2027 through 2031. SEC. 7. DEFINITIONS. In this Act: (1) 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. (2) 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. (3) Postpartum.--The term ``postpartum'' refers to the 1- year period beginning on the last day of the pregnancy of an individual. (4) Pregnancy-associated death.--The term ``pregnancy- associated death'' means a death of a pregnant or postpartum individual, by any cause, that occurs during, or within 1 year following, the individual's pregnancy, regardless of the outcome, duration, or site of the pregnancy. (5) Pregnancy-related death.--The term ``pregnancy-related death'' means a death of a pregnant or postpartum individual that occurs during, or within 1 year following, the individual's pregnancy, from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy. (6) 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)). (7) Severe maternal morbidity.--The term ``severe maternal morbidity'' means a health condition, including mental health conditions and substance use disorders, attributed to or aggravated by pregnancy or childbirth that results in significant short-term or long-term consequences to the health of the individual who was pregnant. (8) Social determinants of maternal health.--The term ``social determinants of maternal health'' means nonclinical factors that impact maternal health outcomes. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa o danych ratujących matki: lepsza opieka i bezpieczeństwo kobiet\",\n  \"pl_summary\": \"Ustawa ma na celu zmniejszenie liczby zgonów i powikłań okołoporodowych poprzez lepsze zbieranie danych i angażowanie lokalnych społeczności. Dzięki nowym funduszom szpitale i urzędy będą lepiej rozumieć przyczyny problemów zdrowotnych matek, szczególnie w grupach mniejszościowych.\",\n  \"pl_key_points\": [\n    \"Większe fundusze na komisje badające przyczyny zgonów matek, z naciskiem na różnorodność i głos lokalnych społeczności.\",\n    \"Rozszerzenie analiz o przypadki problemów ze zdrowiem psychicznym, przedawkowań i samobójstw do roku po porodzie.\",\n    \"Specjalne wsparcie finansowe i badania nad zdrowiem matek w społecznościach rdzennych Amerykanów.\",\n    \"Granty dla uczelni kształcących mniejszości na badania nad przyczynami kryzysu zdrowia macierzyńskiego.\",\n    \"Włączenie doul i konsultantek laktacyjnych do oficjalnych definicji personelu opieki okołoporodowej.\"\n  ],\n  \"eng_ai_title\": \"Data to Save Moms Act: Improving Maternal Health and Safety\",\n  \"eng_summary\": \"This act aims to reduce maternal deaths and complications by improving how health data is collected and analyzed. It focuses on including community voices and addressing disparities to ensure safer pregnancies and postpartum care for all women.\",\n  \"eng_key_points\": [\n    \"Increased funding for committees that review maternal deaths to include more diverse community perspectives.\",\n    \"New focus on tracking mental health issues and substance use disorders for up to one year after childbirth.\",\n    \"Dedicated research and funding to improve maternal health outcomes for Native American and Alaska Native women.\",\n    \"Grants for minority-serving institutions to study and find solutions for maternal health disparities.\",\n    \"Recognition of doulas and lactation consultants as key parts of the maternal healthcare team.\"\n  ],\n  \"de_ai_title\": \"Gesetz über Daten zur Rettung von Müttern: Bessere Gesundheitsvorsorge\",\n  \"de_summary\": \"Dieses Gesetz zielt darauf ab, die Müttersterblichkeit durch eine bessere Datenerfassung und die Einbeziehung lokaler Gemeinschaften zu senken. Es stellt Mittel bereit, um die Ursachen von Komplikationen während und nach der Schwangerschaft besser zu verstehen.\",\n  \"de_key_points\": [\n    \"Zusätzliche Gelder für Gremien, die Todesfälle bei Müttern untersuchen, unter Einbeziehung vielfältiger Erfahrungen.\",\n    \"Untersuchung von psychischen Problemen und Suchterkrankungen bis zu einem Jahr nach der Geburt.\",\n    \"Gezielte Forschung und Unterstützung für die Gesundheit von Müttern in indigenen Gemeinschaften.\",\n    \"Fördermittel für Bildungseinrichtungen zur Erforschung von Ungleichheiten in der Müttergesundheit.\",\n    \"Anerkennung von Doulas und Stillberaterinnen als Teil des Teams für die Mütterbetreuung.\"\n  ],\n  \"fr_ai_title\": \"Loi sur les données pour sauver les mères : améliorer la santé maternelle\",\n  \"fr_summary\": \"Cette loi vise à réduire la mortalité maternelle en améliorant la collecte de données et en impliquant davantage les communautés locales. Elle finance des recherches pour mieux comprendre et prévenir les complications liées à la grossesse.\",\n  \"fr_key_points\": [\n    \"Financement accru pour les comités examinant les décès maternels afin d'inclure des voix plus diverses.\",\n    \"Suivi des problèmes de santé mentale et des dépendances jusqu'à un an après l'accouchement.\",\n    \"Études spécifiques et fonds dédiés à la santé des mères au sein des populations autochtones.\",\n    \"Subventions aux institutions servant les minorités pour étudier les disparités en matière de soins maternels.\",\n    \"Reconnaissance des doulas et des conseillères en lactation comme membres clés de l'équipe de soins.\"\n  ],\n  \"es_ai_title\": \"Ley de Datos para Salvar a las Madres: Mejorando la Salud Materna\",\n  \"es_summary\": \"Esta ley busca reducir la mortalidad materna mediante una mejor recopilación de datos y la participación de las comunidades. Se enfoca en entender las causas de las complicaciones para ofrecer una atención más segura durante y después del embarazo.\",\n  \"es_key_points\": [\n    \"Más fondos para comités que investigan muertes maternas, priorizando la diversidad de sus miembros.\",\n    \"Análisis de muertes por salud mental o sobredosis hasta un año después del parto.\",\n    \"Investigación y apoyo específico para la salud materna en comunidades indígenas.\",\n    \"Becas para instituciones que sirven a minorías para estudiar la crisis de salud materna.\",\n    \"Inclusión de doulas y consultoras de lactancia en el equipo oficial de atención materna.\"\n  ],\n  \"it_ai_title\": \"Legge sui dati per salvare le madri: migliorare la sicurezza materna\",\n  \"it_summary\": \"Questa legge mira a ridurre la mortalità materna migliorando la raccolta dei dati e coinvolgendo le comunità locali. Finanzia ricerche per comprendere meglio le complicazioni durante la gravidanza e nel primo anno dopo il parto.\",\n  \"it_key_points\": [\n    \"Fondi per i comitati che analizzano i decessi materni, con maggiore spazio alla diversità e alle esperienze reali.\",\n    \"Monitoraggio della salute mentale e dei disturbi da uso di sostanze fino a un anno dopo la nascita.\",\n    \"Studi specifici e risorse per migliorare la salute delle madri nelle comunità indigene.\",\n    \"Contributi a istituti di ricerca per studiare le disparità nell'assistenza sanitaria materna.\",\n    \"Riconoscimento di doula e consulenti per l'allattamento come figure chiave dell'assistenza.\"\n  ],\n  \"nl_ai_title\": \"Wet Gegevens om Moeders te Redden: Betere Moederzorg en Veiligheid\",\n  \"nl_summary\": \"Deze wet is bedoeld om moedersterfte te verminderen door de verzameling van gezondheidsgegevens te verbeteren. Het richt zich op het betrekken van gemeenschappen om de zorg tijdens en na de zwangerschap veiliger te maken.\",\n  \"nl_key_points\": [\n    \"Extra budget voor commissies die moedersterfte onderzoeken, met meer aandacht voor diverse achtergronden.\",\n    \"Onderzoek naar mentale gezondheid en verslaving tot één jaar na de bevalling.\",\n    \"Specifieke studies en financiering voor de gezondheid van moeders in inheemse gemeenschappen.\",\n    \"Subsidies voor onderwijsinstellingen om ongelijkheid in de moederzorg aan te pakken.\",\n    \"Erkenning van doula's en lactatiekundigen als onderdeel van het zorgteam voor moeders.\"\n  ],\n  \"pt_ai_title\": \"Lei de Dados para Salvar Mães: Melhorando a Saúde Materna\",\n  \"pt_summary\": \"Esta lei visa reduzir a mortalidade materna através de uma melhor recolha de dados e do envolvimento das comunidades. O objetivo é compreender as causas das complicações para garantir uma gravidez e um pós-parto mais seguros.\",\n  \"pt_key_points\": [\n    \"Aumento do financiamento para comités que analisam mortes maternas, promovendo a diversidade de membros.\",\n    \"Acompanhamento de problemas de saúde mental e dependências até um ano após o parto.\",\n    \"Investigação e apoio específico para a saúde das mães em comunidades indígenas.\",\n    \"Subsídios para instituições que servem minorias para estudar a crise na saúde materna.\",\n    \"Inclusão de doulas e consultoras de lactação na definição oficial de prestadores de cuidados.\"\n  ],\n  \"category\": [\"Health\", \"Family\"]\n}"
    },
    {
      "timestamp": "2026-04-13T14:21:09.871Z",
      "source_url": "https://www.congress.gov/119/bills/s4187/BILLS-119s4187is.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. 4187 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4187 To amend the Public Health Service Act to improve maternal health data collection processes and quality measures, and for other purposes. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 25, 2026 Ms. Smith (for herself, Mr. Booker, and Mr. Murphy) 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 improve maternal health data collection processes and quality measures, 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 ``Data to Save Moms Act''. SEC. 2. FUNDING FOR MATERNAL MORTALITY REVIEW COMMITTEES TO PROMOTE REPRESENTATIVE COMMUNITY ENGAGEMENT. (a) In General.--Section 317K(d) of the Public Health Service Act (42 U.S.C. 247b-12(d)) is amended by adding at the end the following: ``(9) Grants to promote representative community engagement in maternal mortality review committees.-- ``(A) In general.--The Secretary may, using funds made available pursuant to subparagraph (C), provide assistance to an applicable maternal mortality review committee of a State, Indian Tribe, Tribal organization, or Urban Indian organization (as such terms are defined in section 4 of the Indian Health Care Improvement Act)-- ``(i) to select for inclusion in the membership of such a committee community members from the State, Indian Tribe, Tribal organization, or Urban Indian organization by-- ``(I) prioritizing community members who can increase the diversity of the committee's membership with respect to race and ethnicity, location, personal or family experiences of maternal mortality or severe maternal morbidity, and professional background, including members with nonclinical experiences; and ``(II) to the extent applicable, using funds reserved under subsection (f), to address barriers to maternal mortality review committee participation for community members, including required training, transportation barriers, compensation, and other supports as may be necessary; ``(ii) to establish initiatives to conduct outreach and community engagement efforts within communities throughout the State or Tribe to seek input from community members on the work of such maternal mortality review committee, with a particular focus on outreach to women from racial and ethnic minority groups (as such term is defined in section 1707(g)(1)); and ``(iii) to release public reports assessing-- ``(I) the pregnancy-related death and pregnancy-associated death review processes of the maternal mortality review committee, with a particular focus on the maternal mortality review committee's sensitivity to the unique circumstances of pregnant and postpartum individuals from racial and ethnic minority groups (as such term is defined in section 1707(g)(1)) who have suffered pregnancy-related deaths; and ``(II) the impact of the use of funds made available pursuant to subparagraph (C) on increasing the diversity of the maternal mortality review committee membership and promoting community engagement efforts throughout the State or Tribe. ``(B) Technical assistance.--The Secretary shall provide (either directly through the Department of Health and Human Services or by contract) technical assistance to any maternal mortality review committee receiving a grant under this paragraph on best practices for increasing the diversity of the maternal mortality review committee's membership and for conducting effective community engagement throughout the State or Tribe. ``(C) Authorization of appropriations.--In addition to any funds made available under subsection (f), there is authorized to be appropriated to carry out this paragraph $10,000,000 for each of fiscal years 2027 through 2031.''. (b) Reservation of Funds.--Section 317K(f) of the Public Health Service Act (42 U.S.C. 247b-12(f)) is amended by adding at the end the following: ``Of the amount made available under the preceding sentence for a fiscal year, not less than $1,500,000 shall be reserved for grants to Indian Tribes, Tribal organizations, or Urban Indian organizations (as those terms are defined in section 4 of the Indian Health Care Improvement Act)''. SEC. 3. DATA COLLECTION AND REVIEW. Section 317K(d)(3)(A)(i) of the Public Health Service Act (42 U.S.C. 247b-12(d)(3)(A)(i)) is amended-- (1) by redesignating subclauses (II) and (III) as subclauses (V) and (VI), respectively; and (2) by inserting after subclause (I) the following: ``(II) to the extent practicable, reviewing cases of severe maternal morbidity, according to the most up-to- date indicators; ``(III) to the extent practicable, reviewing deaths during pregnancy or up to 1 year after the end of a pregnancy from suicide, overdose, or other death from a mental health condition or substance use disorder attributed to or aggravated by pregnancy or childbirth complications; ``(IV) to the extent practicable, consulting with local community-based organizations representing pregnant and postpartum individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes to ensure that, in addition to clinical factors, nonclinical factors that might have contributed to a pregnancy-related death are appropriately considered;''. SEC. 4. REVIEW OF MATERNAL HEALTH DATA COLLECTION PROCESSES AND QUALITY MEASURES. (a) In General.--The Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services and the Director of the Agency for Healthcare Research and Quality, shall consult with relevant stakeholders-- (1) to review existing maternal health data collection processes and quality measures; and (2) to make recommendations to improve such processes and measures, including topics described under subsection (c). (b) Collaboration.--In carrying out this section, the Secretary shall consult with a diverse group of maternal health stakeholders, which may include-- (1) pregnant and postpartum individuals and their family members, and nonprofit organizations representing such individuals, with a particular focus on patients from racial and ethnic minority groups; (2) community-based organizations that provide support for pregnant and postpartum individuals, with a particular focus on patients from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (3) membership organizations for maternity care providers; (4) organizations representing perinatal health workers; (5) organizations that focus on maternal mental or behavioral health; (6) organizations that focus on intimate partner violence; (7) institutions of higher education, with a particular focus on minority-serving institutions; (8) licensed and accredited hospitals, birth centers, midwifery practices, or other facilities that provide maternal health care services; (9) relevant State and local public agencies, including State maternal mortality review committees; and (10) the National Quality Forum, or such other standard- setting organizations specified by the Secretary. (c) Topics.--The review of maternal health data collection processes and recommendations to improve such processes and measures required under subsection (a) shall assess all available relevant information, including information from State-level sources, and shall consider at least the following: (1) Current State and Tribal practices for maternal health, maternal mortality, and severe maternal morbidity data collection and dissemination, including consideration of-- (A) the timeliness of processes for amending a death certificate when new information pertaining to the death becomes available to reflect whether the death was a pregnancy-related death; (B) relevant data collected with electronic health records, including data on race, ethnicity, primary language, socioeconomic status, geography, insurance type, and other relevant demographic information; (C) maternal health data collected and publicly reported by hospitals, health systems, midwifery practices, and birth centers; (D) the barriers preventing States from correlating maternal outcome data with data on race, ethnicity, and other demographic characteristics; (E) processes for determining the cause of a pregnancy-associated death in States that do not have a maternal mortality review committee; (F) whether maternal mortality review committees include multidisciplinary and diverse membership (as described in section 317K(d)(1)(A) of the Public Health Service Act (42 U.S.C. 247b-12(d)(1)(A))); (G) whether members of maternal mortality review committees participate in trainings on bias, racism, or discrimination, and the quality of such trainings; (H) the extent to which States have implemented systematic processes of listening to the stories of pregnant and postpartum individuals and their family members, with a particular focus on pregnant and postpartum individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, and their family members, to fully understand the causes of, and inform potential solutions to, the maternal mortality and severe maternal morbidity crisis within their respective States; (I) the extent to which maternal mortality review committees are considering social determinants of maternal health when examining the causes of pregnancy- associated and pregnancy-related deaths; (J) the extent to which maternal mortality review committees are making actionable recommendations based on their reviews of adverse maternal health outcomes and the extent to which such recommendations are being implemented by appropriate stakeholders; (K) the legal and administrative barriers preventing the collection, collation, and dissemination of State maternity care data; (L) the effectiveness of data collection and reporting processes in separating pregnancy-associated deaths from pregnancy-related deaths; and (M) the current Federal, State, local, and Tribal funding support for the activities referred to in subparagraphs (A) through (L). (2) Whether the funding support referred to in paragraph (1)(M) is adequate for States to carry out optimal data collection and dissemination processes with respect to maternal health, maternal mortality, and severe maternal morbidity. (3) Current quality measures for maternity care, including prenatal measures, labor and delivery measures, and postpartum measures, including topics such as-- (A) effective quality measures for maternity care used by hospitals, health systems, midwifery practices, birth centers, health plans, and other relevant entities; (B) the sufficiency of current outcome measures used to evaluate maternity care for driving improved care, experiences, and outcomes in maternity care payment and delivery system models; (C) maternal health quality measures that other countries effectively use; (D) validated measures that have been used for research purposes that could be tested, refined, and submitted for national endorsement; (E) barriers preventing maternity care providers and insurers from implementing quality measures that are aligned with best practices; (F) the frequency with which maternity care quality measures are reviewed and revised; (G) the strengths and weaknesses of the Prenatal and Postpartum Care measures of the Health Plan Employer Data and Information Set measures established by the National Committee for Quality Assurance; (H) the strengths and weaknesses of maternity care quality measures under the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) and the Children's Health Insurance Program under title XXI of such Act (42 U.S.C. 1397 et seq.), including the extent to which States voluntarily report relevant measures; (I) the extent to which maternity care quality measures are informed by patient experiences that include measures of patient-reported experience of care; (J) the current processes for collecting and making publicly available, to the extent practicable, stratified data on race, ethnicity, and other demographic characteristics of pregnant and postpartum individuals in hospitals, health systems, midwifery practices, and birth centers, and for incorporating such demographically stratified data in maternity care quality measures; (K) the extent to which maternity care quality measures account for the unique experiences of pregnant and postpartum individuals from racial and ethnic minority groups; and (L) the extent to which hospitals, health systems, midwifery practices, and birth centers are implementing existing maternity care quality measures. (4) Recommendations on authorizing additional funds and providing additional technical assistance to improve maternal mortality review committees and State and Tribal maternal health data collection and reporting processes. (5) Recommendations for new authorities that may be granted to maternal mortality review committees to be able to-- (A) access records from other Federal and State agencies and departments that may be necessary to identify causes of pregnancy-associated and pregnancy- related deaths that are unique to pregnant and postpartum individuals from specific populations, such as veterans and individuals who are incarcerated; and (B) work with relevant experts who are not members of the maternal mortality review committee to assist in the review of pregnancy-associated deaths of pregnant and postpartum individuals from specific populations, such as veterans and individuals who are incarcerated. (6) Recommendations to improve and standardize current quality measures for maternity care, with a particular focus on maternal health disparities. (7) Recommendations to improve the coordination by the Department of Health and Human Services of the efforts undertaken by the agencies and organizations within the Department related to maternal health data and quality measures. (d) Report.--Not later than 1 year after the enactment of this Act, the Secretary shall submit to the Congress and make publicly available a report on the results of the review of maternal health data collection processes and quality measures and recommendations to improve such processes and measures required under subsection (a). (e) Definition.--In this section, the term ``maternal mortality review committee'' means a maternal mortality review committee duly authorized by a State and receiving funding under section 317K(a)(2)(D) of the Public Health Service Act (42 U.S.C. 247b-12(a)(2)(D)). (f) Authorization of Appropriations.--There are authorized to be appropriated such sums as may be necessary to carry out this section for fiscal years 2027 through 2030. SEC. 5. STUDY ON MATERNAL HEALTH AMONG AMERICAN INDIAN AND ALASKA NATIVE INDIVIDUALS. (a) In General.--The Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall, in coordination with entities described in subsection (b)-- (1) not later than 90 days after the enactment of this Act, enter into a contract with an independent research organization or Tribal Epidemiology Center to conduct a comprehensive study on maternal mortality, severe maternal morbidity, and other adverse perinatal or childbirth outcomes in the populations of American Indian and Alaska Native individuals; and (2) not later than 3 years after the date of the enactment of this Act, submit to Congress a report on such study that contains recommendations for policies and practices that can be adopted to improve maternal health outcomes for American Indian and Alaska Native individuals. (b) Participating Entities.--The entities described in this subsection shall consist of 12 members, selected by the Secretary from among individuals nominated by Indian Tribes and Tribal organizations (as such terms are defined in section 4 of the Indian Self- Determination and Education Assistance Act (25 U.S.C. 5304)), and Urban Indian organizations (as such term is defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603)). In selecting such members, the Secretary shall ensure that each of the 12 service areas of the Indian Health Service is represented. (c) Contents of Study.--The study conducted pursuant to subsection (a) shall-- (1) examine the causes of maternal mortality and severe maternal morbidity that are unique to American Indian and Alaska Native individuals; (2) include a systematic process of listening to the stories of American Indian and Alaska Native individuals to fully understand the causes of, and inform potential solutions to, the maternal health crisis within their respective communities; (3) distinguish between the causes of, landscape of maternity care at, and recommendations to improve maternal health outcomes within, the different settings in which American Indian and Alaska Native individuals receive maternity care, such as-- (A) facilities operated by the Indian Health Service; (B) an Indian health program operated by an Indian Tribe or Tribal organization pursuant to a contract, grant, cooperative agreement, or compact with the Indian Health Service pursuant to the Indian Self- Determination Act; (C) an urban Indian health program operated by an Urban Indian organization pursuant to a grant or contract with the Indian Health Service pursuant to title V of the Indian Health Care Improvement Act; and (D) facilities outside of the Indian Health Service in which American Indian and Alaska Native individuals receive maternity care services; (4) review processes for coordinating programs of the Indian Health Service with social services provided through other programs administered by the Secretary of Health and Human Services (other than the Medicare Program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.), the Medicaid Program under title XIX of such Act (42 U.S.C. 1396 et seq.), and the Children's Health Insurance Program under title XXI of such Act (42 U.S.C. 1397 et seq.)); (5) review current data collection and quality measurement processes and practices; (6) assess causes and frequency of maternal mental health conditions and substance use disorders; (7) consider social determinants of health, including poverty, lack of health insurance, unemployment, sexual and domestic violence, and environmental conditions in Tribal areas; (8) consider the role that historical mistreatment of American Indian and Alaska Native women has played in causing currently elevated rates of maternal mortality, severe maternal morbidity, and other adverse perinatal or childbirth outcomes; (9) consider how current funding of the Indian Health Service affects the ability of the Service to deliver quality maternity care; (10) consider the extent to which the delivery of maternity care services is culturally appropriate for American Indian and Alaska Native individuals; (11) make recommendations to reduce misclassification of American Indian and Alaska Native individuals, including consideration of best practices in training for maternal mortality review committee members to be able to correctly classify American Indian and Alaska Native individuals; and (12) make recommendations informed by the stories shared by American Indian and Alaska Native individuals referred to in paragraph (2) to improve maternal health outcomes for such individuals. (d) Report.--The agreement entered into under subsection (a) with an independent research organization or Tribal Epidemiology Center shall require that the organization or Center transmit to Congress a report on the results of the study conducted pursuant to that agreement not later than 36 months after the date of the enactment of this Act. (e) Authorization of Appropriations.--There is authorized to be appropriated to carry out this section $2,000,000 for each of fiscal years 2027 through 2029. SEC. 6. GRANTS TO MINORITY-SERVING INSTITUTIONS TO STUDY MATERNAL MORTALITY, SEVERE MATERNAL MORBIDITY, AND OTHER ADVERSE MATERNAL HEALTH OUTCOMES. (a) In General.--The Secretary of Health and Human Services shall establish a program under which the Secretary shall award grants to research centers, health professions schools and programs, and other entities at minority-serving institutions to study specific aspects of the maternal health crisis among pregnant and postpartum individuals from racial and ethnic minority groups. Such research may-- (1) include the development and implementation of systematic processes of listening to the stories of pregnant and postpartum individuals from racial and ethnic minority groups, and perinatal health workers supporting such individuals, to fully understand the causes of, and inform potential solutions to, the maternal mortality and severe maternal morbidity crisis within their respective communities; (2) assess the potential causes of relatively low rates of maternal mortality among Hispanic individuals, including potential racial misclassification and other data collection and reporting issues that might be misrepresenting maternal mortality rates among Hispanic individuals in the United States; (3) assess differences in rates of adverse maternal health outcomes among subgroups identifying as Hispanic, including disparities in access to early prenatal care; and (4) include lactation education to promote racial and ethnic diversity within the workforce of health care professionals with breastfeeding and lactation expertise. (b) Application.--To be eligible to receive a grant under subsection (a), an entity described in such subsection shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require. (c) Technical Assistance.--The Secretary may use not more than 10 percent of the funds made available under subsection (g)-- (1) to conduct outreach to minority-serving institutions to raise awareness of the availability of grants under subsection (a); (2) to provide technical assistance in the application process for such a grant; and (3) to promote capacity building as needed to enable entities described in such subsection to submit such an application. (d) Reporting Requirement.--Each entity awarded a grant under this section shall periodically submit to the Secretary a report on the status of activities conducted using the grant. (e) Evaluation.--Beginning 1 year after the date on which the first grant is awarded under this section, the Secretary shall submit to Congress an annual report summarizing the findings of research conducted using funds made available under this section. (f) Minority-Serving Institutions Defined.--In this section, the term ``minority-serving institution'' has the meaning given the term in section 371(a) of the Higher Education Act of 1965 (20 U.S.C. 1067q(a)). (g) Authorization of Appropriations.--There is authorized to be appropriated to carry out this section $10,000,000 for each of fiscal years 2027 through 2031. SEC. 7. DEFINITIONS. In this Act: (1) 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. (2) 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. (3) Postpartum.--The term ``postpartum'' refers to the 1- year period beginning on the last day of the pregnancy of an individual. (4) Pregnancy-associated death.--The term ``pregnancy- associated death'' means a death of a pregnant or postpartum individual, by any cause, that occurs during, or within 1 year following, the individual's pregnancy, regardless of the outcome, duration, or site of the pregnancy. (5) Pregnancy-related death.--The term ``pregnancy-related death'' means a death of a pregnant or postpartum individual that occurs during, or within 1 year following, the individual's pregnancy, from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy. (6) 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)). (7) Severe maternal morbidity.--The term ``severe maternal morbidity'' means a health condition, including mental health conditions and substance use disorders, attributed to or aggravated by pregnancy or childbirth that results in significant short-term or long-term consequences to the health of the individual who was pregnant. (8) Social determinants of maternal health.--The term ``social determinants of maternal health'' means nonclinical factors that impact maternal health outcomes. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa o danych ratujących matki: lepsza opieka i bezpieczeństwo kobiet\",\n  \"pl_summary\": \"Ustawa ma na celu zmniejszenie liczby zgonów i powikłań okołoporodowych poprzez lepsze zbieranie danych i angażowanie lokalnych społeczności. Dzięki nowym funduszom opieka zdrowotna ma stać się bardziej dopasowana do potrzeb kobiet z różnych grup etnicznych i społecznych.\",\n  \"pl_key_points\": [\n    \"Większe fundusze na komisje badające przyczyny zgonów matek w celu poprawy bezpieczeństwa.\",\n    \"Włączenie głosów pacjentek i ich rodzin do procesu oceny jakości opieki medycznej.\",\n    \"Szczególne wsparcie finansowe i badawcze dla społeczności rdzennych Amerykanów oraz mniejszości.\",\n    \"Analiza zgonów związanych ze zdrowiem psychicznym i uzależnieniami do roku po porodzie.\",\n    \"Nowe granty dla uczelni na badanie przyczyn kryzysu zdrowia macierzyńskiego.\"\n  ],\n  \"eng_ai_title\": \"Data to Save Moms Act: Improving Maternal Health and Safety\",\n  \"eng_summary\": \"This act aims to reduce maternal mortality and complications by improving how health data is collected and used. It focuses on including diverse community voices to ensure healthcare meets the needs of all mothers, especially those in high-risk groups.\",\n  \"eng_key_points\": [\n    \"New funding for committees to investigate maternal deaths with direct community input.\",\n    \"Expanded data collection to include mental health and substance use issues up to a year after birth.\",\n    \"Specific studies and financial support for Native American and Alaska Native communities.\",\n    \"Grants for minority-serving institutions to find solutions for maternal health disparities.\",\n    \"A requirement for a comprehensive report to Congress on improving maternity care quality.\"\n  ],\n  \"de_ai_title\": \"Gesetz zur Rettung von Müttern: Bessere Daten für sicherere Geburten\",\n  \"de_summary\": \"Dieses Gesetz zielt darauf ab, die Müttersterblichkeit durch eine bessere Datenerfassung und die Einbeziehung lokaler Gemeinschaften zu senken. Es stellt sicher, dass die Gesundheitsversorgung besser auf die Bedürfnisse aller Frauen zugeschnitten ist.\",\n  \"de_key_points\": [\n    \"Zusätzliche Mittel für Gremien zur Untersuchung von Todesfällen bei Müttern.\",\n    \"Einbeziehung von Patientenerfahrungen in die Verbesserung der medizinischen Versorgung.\",\n    \"Fokus auf die Gesundheit von indigenen Völkern und ethnischen Minderheiten.\",\n    \"Untersuchung von psychischen Problemen und Suchterkrankungen bis zu einem Jahr nach der Geburt.\",\n    \"Förderprogramme für Forschungseinrichtungen zur Bekämpfung von Ungleichheiten in der Versorgung.\"\n  ],\n  \"fr_ai_title\": \"Loi sur les données pour sauver les mères : améliorer la santé maternelle\",\n  \"fr_summary\": \"Cette loi vise à réduire la mortalité maternelle en améliorant la collecte de données et en impliquant davantage les communautés. Elle cherche à rendre les soins plus équitables pour toutes les femmes, peu importe leur origine.\",\n  \"fr_key_points\": [\n    \"Financement accru pour les comités examinant les causes des décès maternels.\",\n    \"Prise en compte de la santé mentale et des dépendances jusqu'à un an après l'accouchement.\",\n    \"Soutien spécifique pour les communautés autochtones et les minorités ethniques.\",\n    \"Subventions pour les institutions de recherche étudiant les disparités de santé maternelle.\",\n    \"Évaluation des pratiques actuelles pour standardiser la qualité des soins de maternité.\"\n  ],\n  \"es_ai_title\": \"Ley de Datos para Salvar Madres: Mejorando la Salud Materna\",\n  \"es_summary\": \"Esta ley busca reducir la mortalidad materna mediante una mejor recopilación de datos y la participación de la comunidad. El objetivo es que el sistema de salud responda mejor a las necesidades de todas las madres.\",\n  \"es_key_points\": [\n    \"Más fondos para investigar las causas de muertes maternas con apoyo de la comunidad.\",\n    \"Estudio de problemas de salud mental y adicciones hasta un año después del parto.\",\n    \"Apoyo especial y estudios dedicados a comunidades indígenas y minorías étnicas.\",\n    \"Becas para instituciones educativas que investiguen soluciones a la crisis de salud materna.\",\n    \"Revisión de la calidad de la atención para asegurar un trato justo y sin prejuicios.\"\n  ],\n  \"it_ai_title\": \"Legge sui dati per salvare le madri: migliorare la sicurezza materna\",\n  \"it_summary\": \"Questa legge mira a ridurre la mortalità materna migliorando la raccolta dei dati e coinvolgendo le comunità locali. L'obiettivo è garantire cure migliori e più eque per tutte le donne durante e dopo la gravidanza.\",\n  \"it_key_points\": [\n    \"Nuovi fondi per le commissioni che analizzano i decessi materni per prevenirli in futuro.\",\n    \"Inclusione delle storie delle pazienti per comprendere meglio le cause non cliniche dei decessi.\",\n    \"Focus specifico sulla salute delle donne nelle comunità indigene e minoritarie.\",\n    \"Monitoraggio della salute mentale e dell'uso di sostanze per un anno dopo il parto.\",\n    \"Finanziamenti alla ricerca per eliminare le disparità nel trattamento sanitario.\"\n  ],\n  \"nl_ai_title\": \"Wet op Gegevens om Moeders te Redden: Betere Geboortezorg\",\n  \"nl_summary\": \"Deze wet wil de moedersterfte verminderen door betere gegevensverzameling en betrokkenheid van de gemeenschap. Het zorgt ervoor dat de zorg beter aansluit op de behoeften van alle moeders.\",\n  \"nl_key_points\": [\n    \"Extra geld voor commissies die de oorzaken van moedersterfte onderzoeken met lokale input.\",\n    \"Aandacht voor mentale gezondheid en verslaving tot een jaar na de bevalling.\",\n    \"Specifieke steun en onderzoek voor inheemse gemeenschappen en minderheden.\",\n    \"Subsidies voor onderzoek naar ongelijkheid in de moederzorg.\",\n    \"Verbetering van de manier waarop ziekenhuizen gegevens over ras en etniciteit rapporteren.\"\n  ],\n  \"pt_ai_title\": \"Lei de Dados para Salvar Mães: Melhorando a Saúde Materna\",\n  \"pt_summary\": \"Esta lei visa reduzir a mortalidade materna através de uma melhor recolha de dados e do envolvimento das comunidades. O objetivo é tornar os cuidados de saúde mais seguros e adequados para todas as mulheres.\",\n  \"pt_key_points\": [\n    \"Mais financiamento para comissões que investigam mortes maternas com participação comunitária.\",\n    \"Inclusão de experiências de pacientes na melhoria dos cuidados de saúde.\",\n    \"Apoio direcionado e estudos para comunidades indígenas e minorias étnicas.\",\n    \"Análise de problemas de saúde mental e dependências no primeiro ano após o parto.\",\n    \"Subsídios para instituições de ensino estudarem disparidades na saúde materna.\"\n  ],\n  \"category\": [\"Health\"]\n}"
    },
    {
      "timestamp": "2026-04-13T14:21:09.627Z",
      "source_url": "https://www.congress.gov/119/bills/s4187/BILLS-119s4187is.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. 4187 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4187 To amend the Public Health Service Act to improve maternal health data collection processes and quality measures, and for other purposes. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 25, 2026 Ms. Smith (for herself, Mr. Booker, and Mr. Murphy) 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 improve maternal health data collection processes and quality measures, 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 ``Data to Save Moms Act''. SEC. 2. FUNDING FOR MATERNAL MORTALITY REVIEW COMMITTEES TO PROMOTE REPRESENTATIVE COMMUNITY ENGAGEMENT. (a) In General.--Section 317K(d) of the Public Health Service Act (42 U.S.C. 247b-12(d)) is amended by adding at the end the following: ``(9) Grants to promote representative community engagement in maternal mortality review committees.-- ``(A) In general.--The Secretary may, using funds made available pursuant to subparagraph (C), provide assistance to an applicable maternal mortality review committee of a State, Indian Tribe, Tribal organization, or Urban Indian organization (as such terms are defined in section 4 of the Indian Health Care Improvement Act)-- ``(i) to select for inclusion in the membership of such a committee community members from the State, Indian Tribe, Tribal organization, or Urban Indian organization by-- ``(I) prioritizing community members who can increase the diversity of the committee's membership with respect to race and ethnicity, location, personal or family experiences of maternal mortality or severe maternal morbidity, and professional background, including members with nonclinical experiences; and ``(II) to the extent applicable, using funds reserved under subsection (f), to address barriers to maternal mortality review committee participation for community members, including required training, transportation barriers, compensation, and other supports as may be necessary; ``(ii) to establish initiatives to conduct outreach and community engagement efforts within communities throughout the State or Tribe to seek input from community members on the work of such maternal mortality review committee, with a particular focus on outreach to women from racial and ethnic minority groups (as such term is defined in section 1707(g)(1)); and ``(iii) to release public reports assessing-- ``(I) the pregnancy-related death and pregnancy-associated death review processes of the maternal mortality review committee, with a particular focus on the maternal mortality review committee's sensitivity to the unique circumstances of pregnant and postpartum individuals from racial and ethnic minority groups (as such term is defined in section 1707(g)(1)) who have suffered pregnancy-related deaths; and ``(II) the impact of the use of funds made available pursuant to subparagraph (C) on increasing the diversity of the maternal mortality review committee membership and promoting community engagement efforts throughout the State or Tribe. ``(B) Technical assistance.--The Secretary shall provide (either directly through the Department of Health and Human Services or by contract) technical assistance to any maternal mortality review committee receiving a grant under this paragraph on best practices for increasing the diversity of the maternal mortality review committee's membership and for conducting effective community engagement throughout the State or Tribe. ``(C) Authorization of appropriations.--In addition to any funds made available under subsection (f), there is authorized to be appropriated to carry out this paragraph $10,000,000 for each of fiscal years 2027 through 2031.''. (b) Reservation of Funds.--Section 317K(f) of the Public Health Service Act (42 U.S.C. 247b-12(f)) is amended by adding at the end the following: ``Of the amount made available under the preceding sentence for a fiscal year, not less than $1,500,000 shall be reserved for grants to Indian Tribes, Tribal organizations, or Urban Indian organizations (as those terms are defined in section 4 of the Indian Health Care Improvement Act)''. SEC. 3. DATA COLLECTION AND REVIEW. Section 317K(d)(3)(A)(i) of the Public Health Service Act (42 U.S.C. 247b-12(d)(3)(A)(i)) is amended-- (1) by redesignating subclauses (II) and (III) as subclauses (V) and (VI), respectively; and (2) by inserting after subclause (I) the following: ``(II) to the extent practicable, reviewing cases of severe maternal morbidity, according to the most up-to- date indicators; ``(III) to the extent practicable, reviewing deaths during pregnancy or up to 1 year after the end of a pregnancy from suicide, overdose, or other death from a mental health condition or substance use disorder attributed to or aggravated by pregnancy or childbirth complications; ``(IV) to the extent practicable, consulting with local community-based organizations representing pregnant and postpartum individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes to ensure that, in addition to clinical factors, nonclinical factors that might have contributed to a pregnancy-related death are appropriately considered;''. SEC. 4. REVIEW OF MATERNAL HEALTH DATA COLLECTION PROCESSES AND QUALITY MEASURES. (a) In General.--The Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services and the Director of the Agency for Healthcare Research and Quality, shall consult with relevant stakeholders-- (1) to review existing maternal health data collection processes and quality measures; and (2) to make recommendations to improve such processes and measures, including topics described under subsection (c). (b) Collaboration.--In carrying out this section, the Secretary shall consult with a diverse group of maternal health stakeholders, which may include-- (1) pregnant and postpartum individuals and their family members, and nonprofit organizations representing such individuals, with a particular focus on patients from racial and ethnic minority groups; (2) community-based organizations that provide support for pregnant and postpartum individuals, with a particular focus on patients from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (3) membership organizations for maternity care providers; (4) organizations representing perinatal health workers; (5) organizations that focus on maternal mental or behavioral health; (6) organizations that focus on intimate partner violence; (7) institutions of higher education, with a particular focus on minority-serving institutions; (8) licensed and accredited hospitals, birth centers, midwifery practices, or other facilities that provide maternal health care services; (9) relevant State and local public agencies, including State maternal mortality review committees; and (10) the National Quality Forum, or such other standard- setting organizations specified by the Secretary. (c) Topics.--The review of maternal health data collection processes and recommendations to improve such processes and measures required under subsection (a) shall assess all available relevant information, including information from State-level sources, and shall consider at least the following: (1) Current State and Tribal practices for maternal health, maternal mortality, and severe maternal morbidity data collection and dissemination, including consideration of-- (A) the timeliness of processes for amending a death certificate when new information pertaining to the death becomes available to reflect whether the death was a pregnancy-related death; (B) relevant data collected with electronic health records, including data on race, ethnicity, primary language, socioeconomic status, geography, insurance type, and other relevant demographic information; (C) maternal health data collected and publicly reported by hospitals, health systems, midwifery practices, and birth centers; (D) the barriers preventing States from correlating maternal outcome data with data on race, ethnicity, and other demographic characteristics; (E) processes for determining the cause of a pregnancy-associated death in States that do not have a maternal mortality review committee; (F) whether maternal mortality review committees include multidisciplinary and diverse membership (as described in section 317K(d)(1)(A) of the Public Health Service Act (42 U.S.C. 247b-12(d)(1)(A))); (G) whether members of maternal mortality review committees participate in trainings on bias, racism, or discrimination, and the quality of such trainings; (H) the extent to which States have implemented systematic processes of listening to the stories of pregnant and postpartum individuals and their family members, with a particular focus on pregnant and postpartum individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, and their family members, to fully understand the causes of, and inform potential solutions to, the maternal mortality and severe maternal morbidity crisis within their respective States; (I) the extent to which maternal mortality review committees are considering social determinants of maternal health when examining the causes of pregnancy- associated and pregnancy-related deaths; (J) the extent to which maternal mortality review committees are making actionable recommendations based on their reviews of adverse maternal health outcomes and the extent to which such recommendations are being implemented by appropriate stakeholders; (K) the legal and administrative barriers preventing the collection, collation, and dissemination of State maternity care data; (L) the effectiveness of data collection and reporting processes in separating pregnancy-associated deaths from pregnancy-related deaths; and (M) the current Federal, State, local, and Tribal funding support for the activities referred to in subparagraphs (A) through (L). (2) Whether the funding support referred to in paragraph (1)(M) is adequate for States to carry out optimal data collection and dissemination processes with respect to maternal health, maternal mortality, and severe maternal morbidity. (3) Current quality measures for maternity care, including prenatal measures, labor and delivery measures, and postpartum measures, including topics such as-- (A) effective quality measures for maternity care used by hospitals, health systems, midwifery practices, birth centers, health plans, and other relevant entities; (B) the sufficiency of current outcome measures used to evaluate maternity care for driving improved care, experiences, and outcomes in maternity care payment and delivery system models; (C) maternal health quality measures that other countries effectively use; (D) validated measures that have been used for research purposes that could be tested, refined, and submitted for national endorsement; (E) barriers preventing maternity care providers and insurers from implementing quality measures that are aligned with best practices; (F) the frequency with which maternity care quality measures are reviewed and revised; (G) the strengths and weaknesses of the Prenatal and Postpartum Care measures of the Health Plan Employer Data and Information Set measures established by the National Committee for Quality Assurance; (H) the strengths and weaknesses of maternity care quality measures under the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) and the Children's Health Insurance Program under title XXI of such Act (42 U.S.C. 1397 et seq.), including the extent to which States voluntarily report relevant measures; (I) the extent to which maternity care quality measures are informed by patient experiences that include measures of patient-reported experience of care; (J) the current processes for collecting and making publicly available, to the extent practicable, stratified data on race, ethnicity, and other demographic characteristics of pregnant and postpartum individuals in hospitals, health systems, midwifery practices, and birth centers, and for incorporating such demographically stratified data in maternity care quality measures; (K) the extent to which maternity care quality measures account for the unique experiences of pregnant and postpartum individuals from racial and ethnic minority groups; and (L) the extent to which hospitals, health systems, midwifery practices, and birth centers are implementing existing maternity care quality measures. (4) Recommendations on authorizing additional funds and providing additional technical assistance to improve maternal mortality review committees and State and Tribal maternal health data collection and reporting processes. (5) Recommendations for new authorities that may be granted to maternal mortality review committees to be able to-- (A) access records from other Federal and State agencies and departments that may be necessary to identify causes of pregnancy-associated and pregnancy- related deaths that are unique to pregnant and postpartum individuals from specific populations, such as veterans and individuals who are incarcerated; and (B) work with relevant experts who are not members of the maternal mortality review committee to assist in the review of pregnancy-associated deaths of pregnant and postpartum individuals from specific populations, such as veterans and individuals who are incarcerated. (6) Recommendations to improve and standardize current quality measures for maternity care, with a particular focus on maternal health disparities. (7) Recommendations to improve the coordination by the Department of Health and Human Services of the efforts undertaken by the agencies and organizations within the Department related to maternal health data and quality measures. (d) Report.--Not later than 1 year after the enactment of this Act, the Secretary shall submit to the Congress and make publicly available a report on the results of the review of maternal health data collection processes and quality measures and recommendations to improve such processes and measures required under subsection (a). (e) Definition.--In this section, the term ``maternal mortality review committee'' means a maternal mortality review committee duly authorized by a State and receiving funding under section 317K(a)(2)(D) of the Public Health Service Act (42 U.S.C. 247b-12(a)(2)(D)). (f) Authorization of Appropriations.--There are authorized to be appropriated such sums as may be necessary to carry out this section for fiscal years 2027 through 2030. SEC. 5. STUDY ON MATERNAL HEALTH AMONG AMERICAN INDIAN AND ALASKA NATIVE INDIVIDUALS. (a) In General.--The Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall, in coordination with entities described in subsection (b)-- (1) not later than 90 days after the enactment of this Act, enter into a contract with an independent research organization or Tribal Epidemiology Center to conduct a comprehensive study on maternal mortality, severe maternal morbidity, and other adverse perinatal or childbirth outcomes in the populations of American Indian and Alaska Native individuals; and (2) not later than 3 years after the date of the enactment of this Act, submit to Congress a report on such study that contains recommendations for policies and practices that can be adopted to improve maternal health outcomes for American Indian and Alaska Native individuals. (b) Participating Entities.--The entities described in this subsection shall consist of 12 members, selected by the Secretary from among individuals nominated by Indian Tribes and Tribal organizations (as such terms are defined in section 4 of the Indian Self- Determination and Education Assistance Act (25 U.S.C. 5304)), and Urban Indian organizations (as such term is defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603)). In selecting such members, the Secretary shall ensure that each of the 12 service areas of the Indian Health Service is represented. (c) Contents of Study.--The study conducted pursuant to subsection (a) shall-- (1) examine the causes of maternal mortality and severe maternal morbidity that are unique to American Indian and Alaska Native individuals; (2) include a systematic process of listening to the stories of American Indian and Alaska Native individuals to fully understand the causes of, and inform potential solutions to, the maternal health crisis within their respective communities; (3) distinguish between the causes of, landscape of maternity care at, and recommendations to improve maternal health outcomes within, the different settings in which American Indian and Alaska Native individuals receive maternity care, such as-- (A) facilities operated by the Indian Health Service; (B) an Indian health program operated by an Indian Tribe or Tribal organization pursuant to a contract, grant, cooperative agreement, or compact with the Indian Health Service pursuant to the Indian Self- Determination Act; (C) an urban Indian health program operated by an Urban Indian organization pursuant to a grant or contract with the Indian Health Service pursuant to title V of the Indian Health Care Improvement Act; and (D) facilities outside of the Indian Health Service in which American Indian and Alaska Native individuals receive maternity care services; (4) review processes for coordinating programs of the Indian Health Service with social services provided through other programs administered by the Secretary of Health and Human Services (other than the Medicare Program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.), the Medicaid Program under title XIX of such Act (42 U.S.C. 1396 et seq.), and the Children's Health Insurance Program under title XXI of such Act (42 U.S.C. 1397 et seq.)); (5) review current data collection and quality measurement processes and practices; (6) assess causes and frequency of maternal mental health conditions and substance use disorders; (7) consider social determinants of health, including poverty, lack of health insurance, unemployment, sexual and domestic violence, and environmental conditions in Tribal areas; (8) consider the role that historical mistreatment of American Indian and Alaska Native women has played in causing currently elevated rates of maternal mortality, severe maternal morbidity, and other adverse perinatal or childbirth outcomes; (9) consider how current funding of the Indian Health Service affects the ability of the Service to deliver quality maternity care; (10) consider the extent to which the delivery of maternity care services is culturally appropriate for American Indian and Alaska Native individuals; (11) make recommendations to reduce misclassification of American Indian and Alaska Native individuals, including consideration of best practices in training for maternal mortality review committee members to be able to correctly classify American Indian and Alaska Native individuals; and (12) make recommendations informed by the stories shared by American Indian and Alaska Native individuals referred to in paragraph (2) to improve maternal health outcomes for such individuals. (d) Report.--The agreement entered into under subsection (a) with an independent research organization or Tribal Epidemiology Center shall require that the organization or Center transmit to Congress a report on the results of the study conducted pursuant to that agreement not later than 36 months after the date of the enactment of this Act. (e) Authorization of Appropriations.--There is authorized to be appropriated to carry out this section $2,000,000 for each of fiscal years 2027 through 2029. SEC. 6. GRANTS TO MINORITY-SERVING INSTITUTIONS TO STUDY MATERNAL MORTALITY, SEVERE MATERNAL MORBIDITY, AND OTHER ADVERSE MATERNAL HEALTH OUTCOMES. (a) In General.--The Secretary of Health and Human Services shall establish a program under which the Secretary shall award grants to research centers, health professions schools and programs, and other entities at minority-serving institutions to study specific aspects of the maternal health crisis among pregnant and postpartum individuals from racial and ethnic minority groups. Such research may-- (1) include the development and implementation of systematic processes of listening to the stories of pregnant and postpartum individuals from racial and ethnic minority groups, and perinatal health workers supporting such individuals, to fully understand the causes of, and inform potential solutions to, the maternal mortality and severe maternal morbidity crisis within their respective communities; (2) assess the potential causes of relatively low rates of maternal mortality among Hispanic individuals, including potential racial misclassification and other data collection and reporting issues that might be misrepresenting maternal mortality rates among Hispanic individuals in the United States; (3) assess differences in rates of adverse maternal health outcomes among subgroups identifying as Hispanic, including disparities in access to early prenatal care; and (4) include lactation education to promote racial and ethnic diversity within the workforce of health care professionals with breastfeeding and lactation expertise. (b) Application.--To be eligible to receive a grant under subsection (a), an entity described in such subsection shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require. (c) Technical Assistance.--The Secretary may use not more than 10 percent of the funds made available under subsection (g)-- (1) to conduct outreach to minority-serving institutions to raise awareness of the availability of grants under subsection (a); (2) to provide technical assistance in the application process for such a grant; and (3) to promote capacity building as needed to enable entities described in such subsection to submit such an application. (d) Reporting Requirement.--Each entity awarded a grant under this section shall periodically submit to the Secretary a report on the status of activities conducted using the grant. (e) Evaluation.--Beginning 1 year after the date on which the first grant is awarded under this section, the Secretary shall submit to Congress an annual report summarizing the findings of research conducted using funds made available under this section. (f) Minority-Serving Institutions Defined.--In this section, the term ``minority-serving institution'' has the meaning given the term in section 371(a) of the Higher Education Act of 1965 (20 U.S.C. 1067q(a)). (g) Authorization of Appropriations.--There is authorized to be appropriated to carry out this section $10,000,000 for each of fiscal years 2027 through 2031. SEC. 7. DEFINITIONS. In this Act: (1) 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. (2) 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. (3) Postpartum.--The term ``postpartum'' refers to the 1- year period beginning on the last day of the pregnancy of an individual. (4) Pregnancy-associated death.--The term ``pregnancy- associated death'' means a death of a pregnant or postpartum individual, by any cause, that occurs during, or within 1 year following, the individual's pregnancy, regardless of the outcome, duration, or site of the pregnancy. (5) Pregnancy-related death.--The term ``pregnancy-related death'' means a death of a pregnant or postpartum individual that occurs during, or within 1 year following, the individual's pregnancy, from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy. (6) 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)). (7) Severe maternal morbidity.--The term ``severe maternal morbidity'' means a health condition, including mental health conditions and substance use disorders, attributed to or aggravated by pregnancy or childbirth that results in significant short-term or long-term consequences to the health of the individual who was pregnant. (8) Social determinants of maternal health.--The term ``social determinants of maternal health'' means nonclinical factors that impact maternal health outcomes. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa o danych ratujących matki: lepsza opieka i bezpieczeństwo kobiet\",\n  \"pl_summary\": \"Ustawa ma na celu zmniejszenie liczby zgonów i powikłań okołoporodowych poprzez lepsze zbieranie danych i angażowanie lokalnych społeczności. Dzięki nowym funduszom szpitale i urzędy będą lepiej rozumieć przyczyny problemów zdrowotnych matek, szczególnie w grupach mniejszościowych.\",\n  \"pl_key_points\": [\n    \"Większe fundusze na komisje badające przyczyny zgonów matek, z naciskiem na różnorodność i głos lokalnych społeczności.\",\n    \"Rozszerzenie analiz o przypadki problemów ze zdrowiem psychicznym, przedawkowań i samobójstw do roku po porodzie.\",\n    \"Specjalne wsparcie finansowe i badania nad zdrowiem matek w społecznościach rdzennych Amerykanów.\",\n    \"Granty dla uczelni kształcących mniejszości na badania nad przyczynami kryzysu zdrowia macierzyńskiego.\",\n    \"Włączenie doul i konsultantek laktacyjnych do oficjalnych definicji personelu opieki okołoporodowej.\"\n  ],\n  \"eng_ai_title\": \"Data to Save Moms Act: Improving Maternal Health and Safety\",\n  \"eng_summary\": \"This act aims to reduce maternal deaths and complications by improving how health data is collected and analyzed. It focuses on including community voices and addressing disparities to ensure safer pregnancies and postpartum care for all women.\",\n  \"eng_key_points\": [\n    \"Increased funding for committees that review maternal deaths to include more diverse community perspectives.\",\n    \"New focus on tracking mental health issues and substance use disorders for up to one year after childbirth.\",\n    \"Dedicated research and funding to improve maternal health outcomes for Native American and Alaska Native women.\",\n    \"Grants for minority-serving institutions to study and find solutions for maternal health disparities.\",\n    \"Recognition of doulas and lactation consultants as key parts of the maternal healthcare team.\"\n  ],\n  \"de_ai_title\": \"Gesetz über Daten zur Rettung von Müttern: Bessere Gesundheitsvorsorge\",\n  \"de_summary\": \"Dieses Gesetz zielt darauf ab, die Müttersterblichkeit durch eine bessere Datenerfassung und die Einbeziehung lokaler Gemeinschaften zu senken. Es stellt Mittel bereit, um die Ursachen von Komplikationen während und nach der Schwangerschaft besser zu verstehen.\",\n  \"de_key_points\": [\n    \"Zusätzliche Gelder für Gremien, die Todesfälle bei Müttern untersuchen, unter Einbeziehung vielfältiger Erfahrungen.\",\n    \"Untersuchung von psychischen Problemen und Suchterkrankungen bis zu einem Jahr nach der Geburt.\",\n    \"Gezielte Forschung und Unterstützung für die Gesundheit von Müttern in indigenen Gemeinschaften.\",\n    \"Fördermittel für Bildungseinrichtungen zur Erforschung von Ungleichheiten in der Müttergesundheit.\",\n    \"Anerkennung von Doulas und Stillberaterinnen als Teil des Teams für die Mütterbetreuung.\"\n  ],\n  \"fr_ai_title\": \"Loi sur les données pour sauver les mères : améliorer la santé maternelle\",\n  \"fr_summary\": \"Cette loi vise à réduire la mortalité maternelle en améliorant la collecte de données et en impliquant davantage les communautés locales. Elle finance des recherches pour mieux comprendre et prévenir les complications liées à la grossesse.\",\n  \"fr_key_points\": [\n    \"Financement accru pour les comités examinant les décès maternels afin d'inclure des voix plus diverses.\",\n    \"Suivi des problèmes de santé mentale et des dépendances jusqu'à un an après l'accouchement.\",\n    \"Études spécifiques et fonds dédiés à la santé des mères au sein des populations autochtones.\",\n    \"Subventions aux institutions servant les minorités pour étudier les disparités en matière de soins maternels.\",\n    \"Reconnaissance des doulas et des conseillères en lactation comme membres clés de l'équipe de soins.\"\n  ],\n  \"es_ai_title\": \"Ley de Datos para Salvar a las Madres: Mejorando la Salud Materna\",\n  \"es_summary\": \"Esta ley busca reducir la mortalidad materna mediante una mejor recopilación de datos y la participación de las comunidades. Se enfoca en entender las causas de las complicaciones para ofrecer una atención más segura durante y después del embarazo.\",\n  \"es_key_points\": [\n    \"Más fondos para comités que investigan muertes maternas, priorizando la diversidad de sus miembros.\",\n    \"Análisis de muertes por salud mental o sobredosis hasta un año después del parto.\",\n    \"Investigación y apoyo específico para la salud materna en comunidades indígenas.\",\n    \"Becas para instituciones que sirven a minorías para estudiar la crisis de salud materna.\",\n    \"Inclusión de doulas y consultoras de lactancia en el equipo oficial de atención materna.\"\n  ],\n  \"it_ai_title\": \"Legge sui dati per salvare le madri: migliorare la sicurezza materna\",\n  \"it_summary\": \"Questa legge mira a ridurre la mortalità materna migliorando la raccolta dei dati e coinvolgendo le comunità locali. Finanzia ricerche per comprendere meglio le complicazioni durante la gravidanza e nel primo anno dopo il parto.\",\n  \"it_key_points\": [\n    \"Fondi per i comitati che analizzano i decessi materni, con maggiore spazio alla diversità e alle esperienze reali.\",\n    \"Monitoraggio della salute mentale e dei disturbi da uso di sostanze fino a un anno dopo la nascita.\",\n    \"Studi specifici e risorse per migliorare la salute delle madri nelle comunità indigene.\",\n    \"Contributi a istituti di ricerca per studiare le disparità nell'assistenza sanitaria materna.\",\n    \"Riconoscimento di doula e consulenti per l'allattamento come figure chiave dell'assistenza.\"\n  ],\n  \"nl_ai_title\": \"Wet Gegevens om Moeders te Redden: Betere Moederzorg en Veiligheid\",\n  \"nl_summary\": \"Deze wet is bedoeld om moedersterfte te verminderen door de verzameling van gezondheidsgegevens te verbeteren. Het richt zich op het betrekken van gemeenschappen om de zorg tijdens en na de zwangerschap veiliger te maken.\",\n  \"nl_key_points\": [\n    \"Extra budget voor commissies die moedersterfte onderzoeken, met meer aandacht voor diverse achtergronden.\",\n    \"Onderzoek naar mentale gezondheid en verslaving tot één jaar na de bevalling.\",\n    \"Specifieke studies en financiering voor de gezondheid van moeders in inheemse gemeenschappen.\",\n    \"Subsidies voor onderwijsinstellingen om ongelijkheid in de moederzorg aan te pakken.\",\n    \"Erkenning van doula's en lactatiekundigen als onderdeel van het zorgteam voor moeders.\"\n  ],\n  \"pt_ai_title\": \"Lei de Dados para Salvar Mães: Melhorando a Saúde Materna\",\n  \"pt_summary\": \"Esta lei visa reduzir a mortalidade materna através de uma melhor recolha de dados e do envolvimento das comunidades. O objetivo é compreender as causas das complicações para garantir uma gravidez e um pós-parto mais seguros.\",\n  \"pt_key_points\": [\n    \"Aumento do financiamento para comités que analisam mortes maternas, promovendo a diversidade de membros.\",\n    \"Acompanhamento de problemas de saúde mental e dependências até um ano após o parto.\",\n    \"Investigação e apoio específico para a saúde das mães em comunidades indígenas.\",\n    \"Subsídios para instituições que servem minorias para estudar a crise na saúde materna.\",\n    \"Inclusão de doulas e consultoras de lactação na definição oficial de prestadores de cuidados.\"\n  ],\n  \"category\": [\"Health\", \"Family\"]\n}"
    }
  ]
}