{
  "legislationId": "119_S_4195",
  "lastUpdate": "2026-04-13T14:54:26.488Z",
  "history": [
    {
      "timestamp": "2026-04-13T14:54:26.488Z",
      "source_url": "https://www.congress.gov/119/bills/s4195/BILLS-119s4195is.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. 4195 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4195 To prevent maternal mortality and severe maternal morbidity among Black pregnant and postpartum individuals and other underserved populations, to provide training in respectful maternity care, to reduce and prevent bias, racism, and discrimination in maternity care settings, and for other purposes. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 25, 2026 Mr. Warnock (for himself, Mr. Padilla, and Mr. Booker) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions _______________________________________________________________________ A BILL To prevent maternal mortality and severe maternal morbidity among Black pregnant and postpartum individuals and other underserved populations, to provide training in respectful maternity care, to reduce and prevent bias, racism, and discrimination in maternity care settings, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Kira Johnson Act''. SEC. 2. SUSTAINED FUNDING FOR COMMUNITY-BASED ORGANIZATIONS TO ADVANCE MATERNAL HEALTH EQUITY. (a) In General.--The Secretary of Health and Human Services (in this section referred to as the ``Secretary'') shall award grants to eligible entities to establish or expand programs to advance maternal health equity. (b) Timing.--Following the 1-year period described in subsection (d), the Secretary shall commence awarding the grants authorized by subsection (a). (c) Eligible Entities.--To be eligible to seek a grant under this section, an entity shall be a community-based organization offering programs and resources aligned with evidence-based practices for improving maternal health outcomes for demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (d) Outreach and Technical Assistance Period.--During the 1-year period beginning on the date of enactment of this Act, the Secretary shall-- (1) conduct outreach to encourage eligible entities to apply for grants under this section; and (2) provide technical assistance to eligible entities on best practices for applying for grants under this section. (e) Special Consideration.-- (1) Outreach.--In conducting outreach under subsection (d), the Secretary shall give special consideration to eligible entities that-- (A) are based in, and provide support for, communities with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; (B) are led by individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; and (C) offer programs and resources that are aligned with evidence-based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (2) Awards.--In awarding grants under this section, the Secretary shall give special consideration to eligible entities that-- (A) are described in subparagraphs (A), (B), and (C) of paragraph (1); (B) offer programs and resources designed in consultation with and intended for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (C) offer programs and resources in the communities in which the respective eligible entities are located that-- (i) promote maternal mental health and maternal substance use disorder treatments and supports that are aligned with evidence-based practices for improving maternal mental and behavioral health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (ii) address social determinants of maternal health; (iii) promote evidence-based health literacy and pregnancy, childbirth, and parenting education; (iv) provide support from perinatal health workers; (v) provide culturally and linguistically congruent training to perinatal health workers; (vi) conduct or support research on maternal health issues disproportionately impacting individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (vii) offer group prenatal care or group postpartum care; (viii) coordinate mutual aid efforts during infant formula shortages, including community milk depots, donor human milk banks and exchanges, and forums for community outreach and education; (ix) provide support to individuals or family members of individuals who suffered a pregnancy loss, pregnancy-associated death, or pregnancy-related death; or (x) operate midwifery practices that provide culturally and linguistically congruent maternal health care and support, including for the purposes of-- (I) supporting additional education, training, and certification programs, including support for distance learning; (II) providing financial support to current and future midwives to address education costs, debts, and other needs; (III) clinical site investments; (IV) supporting preceptor development trainings; (V) expanding the midwifery practice; or (VI) related needs identified by the midwifery practice and described in the practice's application; and (D) have developed other programs and resources that address community-specific needs for pregnant and postpartum individuals and are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (f) Technical Assistance.--The Secretary shall provide to grant recipients under this section technical assistance on-- (1) capacity building to establish or expand programs to advance maternal health equity; (2) best practices in data collection, measurement, evaluation, and reporting; and (3) planning for sustaining programs to advance maternal health equity after the period of the grant. (g) Evaluation.--Not later than the end of fiscal year 2031, the Secretary shall submit to the Congress an evaluation of the grant program under this section that-- (1) assesses the effectiveness of outreach efforts during the application process in diversifying the pool of grant recipients; (2) makes recommendations for future outreach efforts to diversify the pool of grant recipients for Department of Health and Human Services grant programs and funding opportunities related to maternal health; (3) assesses the effectiveness of programs funded by grants under this section in improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent practicable; and (4) makes recommendations for future Department of Health and Human Services grant programs and funding opportunities that deliver funding to community-based organizations that provide programs and resources that are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (h) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $100,000,000 for each of fiscal years 2027 through 2031. SEC. 3. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. Part B of title VII of the Public Health Service Act (42 U.S.C. 293 et seq.) is amended by adding at the end the following new section: ``SEC. 742. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. ``(a) Grants.--The Secretary shall award grants for programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care. ``(b) Special Consideration.--In awarding grants under subsection (a), the Secretary shall give special consideration to applications for programs that would-- ``(1) apply to all maternity care providers and any employees who interact with pregnant and postpartum individuals in the provider setting, including front desk employees, sonographers, schedulers, health care professionals, hospital or health system administrators, security staff, and other employees; ``(2) emphasize periodic, as opposed to one-time, trainings for all birthing professionals and employees described in paragraph (1); ``(3) address implicit bias, racism, and cultural humility; ``(4) be delivered in ongoing education settings for providers maintaining their licenses, with a preference for trainings that provide continuing education units; ``(5) include trauma-informed care best practices and an emphasis on shared decision making between providers and patients; ``(6) include antiracism training and programs; ``(7) be delivered in undergraduate programs that funnel into health professions schools; ``(8) be delivered in settings that apply to providers of the special supplemental nutrition program for women, infants, and children under section 17 of the Child Nutrition Act of 1966; ``(9) integrate bias training in obstetric emergency simulation trainings or related trainings; ``(10) include training for emergency department employees and emergency medical technicians on recognizing warning signs for severe pregnancy-related complications; ``(11) offer training to all maternity care providers on the value of racially, ethnically, and professionally diverse maternity care teams to provide culturally and linguistically congruent care; or ``(12) be based on one or more programs designed by a historically Black college or university or other minority- serving institution. ``(c) Application.--To seek a grant under subsection (a), an entity shall submit an application at such time, in such manner, and containing such information as the Secretary may require. ``(d) Reporting.--Each recipient of a grant under this section shall annually submit to the Secretary a report on the status of activities conducted using the grant, including, as applicable, a description of the impact of training provided through the grant on patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. ``(e) Best Practices.--Based on the annual reports submitted pursuant to subsection (d), the Secretary-- ``(1) shall produce an annual report on the findings resulting from programs funded through this section; ``(2) shall disseminate such report to all recipients of grants under this section and to the public; and ``(3) may include in such report findings on best practices for improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families in maternity care settings. ``(f) Definitions.--In this section: ``(1) The term `postpartum' means the 1-year period beginning on the last day of an individual's pregnancy. ``(2) The term `culturally and linguistically congruent' means in agreement with the preferred cultural values, beliefs, worldview, language, and practices of the health care consumer and other stakeholders. ``(3) The term `racial and ethnic minority group' has the meaning given such term in section 1707(g)(1). ``(g) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $5,000,000 for each of fiscal years 2027 through 2031.''. SEC. 4. STUDY ON REDUCING AND PREVENTING BIAS, RACISM, AND DISCRIMINATION IN MATERNITY CARE SETTINGS. (a) In General.--The Secretary of Health and Human Services shall seek to enter into an agreement, not later than 90 days after the date of enactment of this Act, with the National Academies of Sciences, Engineering, and Medicine (referred to in this section as the ``National Academies'') under which the National Academies agree to-- (1) conduct a study on the design and implementation of programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care; and (2) not later than 24 months after the date of enactment of this Act-- (A) complete the study; and (B) transmit a report on the results of the study to the Congress. (b) Possible Topics.--The agreement entered into pursuant to subsection (a) may provide for the study of any of the following: (1) The development of a scorecard or other evaluation standards for programs designed to reduce and prevent bias, racism, and discrimination in maternity care settings to assess the effectiveness of such programs in improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. (2) Determination of the types and frequency of training to reduce and prevent bias, racism, and discrimination in maternity care settings that are demonstrated to improve patient outcomes or patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. SEC. 5. RESPECTFUL MATERNITY CARE COMPLIANCE PROGRAM. (a) In General.--The Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall award grants to accredited hospitals, health systems, and other maternity care settings to establish as an integral part of quality implementation initiatives within one or more hospitals or other birth settings a respectful maternity care compliance program. (b) Program Requirements.--A respectful maternity care compliance program funded through a grant under this section shall-- (1) institutionalize mechanisms to allow patients receiving maternity care services, the families of such patients, or perinatal health workers supporting such patients to report instances of racism or evidence of bias on the basis of race, ethnicity, or another protected class; (2) institutionalize response mechanisms through which representatives of the program can directly follow up with the patient, if possible, and the patient's family in a timely manner; (3) prepare and make publicly available a hospital- or health system-wide strategy to reduce bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care that includes-- (A) information on the training programs to reduce and prevent bias, racism, and discrimination on the basis of race, ethnicity, or another protected class for all employees in maternity care settings; (B) information on the number of cases reported to the compliance program; and (C) the development of methods to routinely assess the extent to which bias, racism, or discrimination on the basis of race, ethnicity, or another protected class is present in the delivery of maternity care to patients from racial and ethnic minority groups; (4) develop mechanisms to routinely collect and publicly report hospital-level data related to patient-reported experience of care; and (5) provide annual reports to the Secretary with information about each case reported to the compliance program over the course of the year containing such information as the Secretary may require, such as-- (A) deidentified demographic information on the patient in the case, such as race, ethnicity, gender identity, and primary language; (B) the content of the report from the patient or the family of the patient to the compliance program; (C) the response from the compliance program; and (D) to the extent applicable, institutional changes made as a result of the case. (c) Secretary Requirements.-- (1) Processes.--Not later than 180 days after the date of enactment of this Act, the Secretary shall establish processes for-- (A) disseminating best practices for establishing and implementing a respectful maternity care compliance program within a hospital or other birth setting; (B) promoting coordination and collaboration between hospitals, health systems, and other maternity care delivery settings on the establishment and implementation of respectful maternity care compliance programs; and (C) evaluating the effectiveness of respectful maternity care compliance programs on maternal health outcomes and patient and family experiences, especially for patients from racial and ethnic minority groups and their families. (2) Study.-- (A) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary shall, through a contract with an independent research organization, conduct a study on strategies to address-- (i) racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services; and (ii) successful implementation of respectful care initiatives. (B) Components of study.--The study shall include the following: (i) An assessment of the reports submitted to the Secretary from the respectful maternity care compliance programs pursuant to subsection (b)(5). (ii) Based on such assessment, recommendations for potential accountability mechanisms related to cases of racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services at hospitals and other birth settings. Such recommendations shall take into consideration medical and nonmedical factors that contribute to adverse patient experiences and maternal health outcomes. (C) Report.--The Secretary shall submit to the Congress and make publicly available a report on the results of the study under this paragraph. (d) Authorization of Appropriations.--To carry out this section, there are authorized to be appropriated such sums as may be necessary for fiscal years 2027 through 2032. SEC. 6. GAO REPORT. (a) In General.--Not later than 2 years after the date of enactment of this Act and annually thereafter, the Comptroller General of the United States shall submit to the Congress and make publicly available a report on the establishment of respectful maternity care compliance programs within hospitals, health systems, and other maternity care settings. (b) Matters Included.--The report under subsection (a) shall include the following: (1) Information regarding the extent to which hospitals, health systems, and other maternity care settings have elected to establish respectful maternity care compliance programs, including-- (A) which hospitals and other birth settings elect to establish compliance programs and when such programs are established; (B) to the extent practicable, impacts of the establishment of such programs on maternal health outcomes and patient and family experiences in the hospitals and other birth settings that have established such programs, especially for patients from racial and ethnic minority groups and their families; (C) information on geographic areas, and types of hospitals or other birth settings, where respectful maternity care compliance programs are not being established and information on factors contributing to decisions to not establish such programs; and (D) recommendations for establishing respectful maternity care compliance programs in geographic areas, and types of hospitals or other birth settings, where such programs are not being established. (2) Whether the funding made available to carry out this section has been sufficient and, if applicable, recommendations for additional appropriations to carry out this section. (3) Such other information as the Comptroller General determines appropriate. <all>\n\nSUMMARY TO EVALUATE:\nTitle: Kira Johnson Act: Improving Maternal Health and Reducing Healthcare Bias\nSummary: This act provides funding to improve maternal health outcomes and eliminate discrimination in maternity care. It focuses on training healthcare staff and creating systems for patients to report unfair treatment.\nKey Points: Grants for community organizations to support pregnant and postpartum individuals., Training for all maternity ward employees to prevent bias and racism., New hospital programs for reporting and addressing instances of discrimination., Increased support for midwifery and mental health services for new mothers., Regular studies and reports on the effectiveness of anti-discrimination measures in healthcare.\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": "2026-04-13T14:21:41.949Z",
      "source_url": "https://www.congress.gov/119/bills/s4195/BILLS-119s4195is.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. 4195 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4195 To prevent maternal mortality and severe maternal morbidity among Black pregnant and postpartum individuals and other underserved populations, to provide training in respectful maternity care, to reduce and prevent bias, racism, and discrimination in maternity care settings, and for other purposes. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 25, 2026 Mr. Warnock (for himself, Mr. Padilla, and Mr. Booker) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions _______________________________________________________________________ A BILL To prevent maternal mortality and severe maternal morbidity among Black pregnant and postpartum individuals and other underserved populations, to provide training in respectful maternity care, to reduce and prevent bias, racism, and discrimination in maternity care settings, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Kira Johnson Act''. SEC. 2. SUSTAINED FUNDING FOR COMMUNITY-BASED ORGANIZATIONS TO ADVANCE MATERNAL HEALTH EQUITY. (a) In General.--The Secretary of Health and Human Services (in this section referred to as the ``Secretary'') shall award grants to eligible entities to establish or expand programs to advance maternal health equity. (b) Timing.--Following the 1-year period described in subsection (d), the Secretary shall commence awarding the grants authorized by subsection (a). (c) Eligible Entities.--To be eligible to seek a grant under this section, an entity shall be a community-based organization offering programs and resources aligned with evidence-based practices for improving maternal health outcomes for demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (d) Outreach and Technical Assistance Period.--During the 1-year period beginning on the date of enactment of this Act, the Secretary shall-- (1) conduct outreach to encourage eligible entities to apply for grants under this section; and (2) provide technical assistance to eligible entities on best practices for applying for grants under this section. (e) Special Consideration.-- (1) Outreach.--In conducting outreach under subsection (d), the Secretary shall give special consideration to eligible entities that-- (A) are based in, and provide support for, communities with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; (B) are led by individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; and (C) offer programs and resources that are aligned with evidence-based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (2) Awards.--In awarding grants under this section, the Secretary shall give special consideration to eligible entities that-- (A) are described in subparagraphs (A), (B), and (C) of paragraph (1); (B) offer programs and resources designed in consultation with and intended for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (C) offer programs and resources in the communities in which the respective eligible entities are located that-- (i) promote maternal mental health and maternal substance use disorder treatments and supports that are aligned with evidence-based practices for improving maternal mental and behavioral health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (ii) address social determinants of maternal health; (iii) promote evidence-based health literacy and pregnancy, childbirth, and parenting education; (iv) provide support from perinatal health workers; (v) provide culturally and linguistically congruent training to perinatal health workers; (vi) conduct or support research on maternal health issues disproportionately impacting individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (vii) offer group prenatal care or group postpartum care; (viii) coordinate mutual aid efforts during infant formula shortages, including community milk depots, donor human milk banks and exchanges, and forums for community outreach and education; (ix) provide support to individuals or family members of individuals who suffered a pregnancy loss, pregnancy-associated death, or pregnancy-related death; or (x) operate midwifery practices that provide culturally and linguistically congruent maternal health care and support, including for the purposes of-- (I) supporting additional education, training, and certification programs, including support for distance learning; (II) providing financial support to current and future midwives to address education costs, debts, and other needs; (III) clinical site investments; (IV) supporting preceptor development trainings; (V) expanding the midwifery practice; or (VI) related needs identified by the midwifery practice and described in the practice's application; and (D) have developed other programs and resources that address community-specific needs for pregnant and postpartum individuals and are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (f) Technical Assistance.--The Secretary shall provide to grant recipients under this section technical assistance on-- (1) capacity building to establish or expand programs to advance maternal health equity; (2) best practices in data collection, measurement, evaluation, and reporting; and (3) planning for sustaining programs to advance maternal health equity after the period of the grant. (g) Evaluation.--Not later than the end of fiscal year 2031, the Secretary shall submit to the Congress an evaluation of the grant program under this section that-- (1) assesses the effectiveness of outreach efforts during the application process in diversifying the pool of grant recipients; (2) makes recommendations for future outreach efforts to diversify the pool of grant recipients for Department of Health and Human Services grant programs and funding opportunities related to maternal health; (3) assesses the effectiveness of programs funded by grants under this section in improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent practicable; and (4) makes recommendations for future Department of Health and Human Services grant programs and funding opportunities that deliver funding to community-based organizations that provide programs and resources that are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (h) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $100,000,000 for each of fiscal years 2027 through 2031. SEC. 3. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. Part B of title VII of the Public Health Service Act (42 U.S.C. 293 et seq.) is amended by adding at the end the following new section: ``SEC. 742. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. ``(a) Grants.--The Secretary shall award grants for programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care. ``(b) Special Consideration.--In awarding grants under subsection (a), the Secretary shall give special consideration to applications for programs that would-- ``(1) apply to all maternity care providers and any employees who interact with pregnant and postpartum individuals in the provider setting, including front desk employees, sonographers, schedulers, health care professionals, hospital or health system administrators, security staff, and other employees; ``(2) emphasize periodic, as opposed to one-time, trainings for all birthing professionals and employees described in paragraph (1); ``(3) address implicit bias, racism, and cultural humility; ``(4) be delivered in ongoing education settings for providers maintaining their licenses, with a preference for trainings that provide continuing education units; ``(5) include trauma-informed care best practices and an emphasis on shared decision making between providers and patients; ``(6) include antiracism training and programs; ``(7) be delivered in undergraduate programs that funnel into health professions schools; ``(8) be delivered in settings that apply to providers of the special supplemental nutrition program for women, infants, and children under section 17 of the Child Nutrition Act of 1966; ``(9) integrate bias training in obstetric emergency simulation trainings or related trainings; ``(10) include training for emergency department employees and emergency medical technicians on recognizing warning signs for severe pregnancy-related complications; ``(11) offer training to all maternity care providers on the value of racially, ethnically, and professionally diverse maternity care teams to provide culturally and linguistically congruent care; or ``(12) be based on one or more programs designed by a historically Black college or university or other minority- serving institution. ``(c) Application.--To seek a grant under subsection (a), an entity shall submit an application at such time, in such manner, and containing such information as the Secretary may require. ``(d) Reporting.--Each recipient of a grant under this section shall annually submit to the Secretary a report on the status of activities conducted using the grant, including, as applicable, a description of the impact of training provided through the grant on patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. ``(e) Best Practices.--Based on the annual reports submitted pursuant to subsection (d), the Secretary-- ``(1) shall produce an annual report on the findings resulting from programs funded through this section; ``(2) shall disseminate such report to all recipients of grants under this section and to the public; and ``(3) may include in such report findings on best practices for improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families in maternity care settings. ``(f) Definitions.--In this section: ``(1) The term `postpartum' means the 1-year period beginning on the last day of an individual's pregnancy. ``(2) The term `culturally and linguistically congruent' means in agreement with the preferred cultural values, beliefs, worldview, language, and practices of the health care consumer and other stakeholders. ``(3) The term `racial and ethnic minority group' has the meaning given such term in section 1707(g)(1). ``(g) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $5,000,000 for each of fiscal years 2027 through 2031.''. SEC. 4. STUDY ON REDUCING AND PREVENTING BIAS, RACISM, AND DISCRIMINATION IN MATERNITY CARE SETTINGS. (a) In General.--The Secretary of Health and Human Services shall seek to enter into an agreement, not later than 90 days after the date of enactment of this Act, with the National Academies of Sciences, Engineering, and Medicine (referred to in this section as the ``National Academies'') under which the National Academies agree to-- (1) conduct a study on the design and implementation of programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care; and (2) not later than 24 months after the date of enactment of this Act-- (A) complete the study; and (B) transmit a report on the results of the study to the Congress. (b) Possible Topics.--The agreement entered into pursuant to subsection (a) may provide for the study of any of the following: (1) The development of a scorecard or other evaluation standards for programs designed to reduce and prevent bias, racism, and discrimination in maternity care settings to assess the effectiveness of such programs in improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. (2) Determination of the types and frequency of training to reduce and prevent bias, racism, and discrimination in maternity care settings that are demonstrated to improve patient outcomes or patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. SEC. 5. RESPECTFUL MATERNITY CARE COMPLIANCE PROGRAM. (a) In General.--The Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall award grants to accredited hospitals, health systems, and other maternity care settings to establish as an integral part of quality implementation initiatives within one or more hospitals or other birth settings a respectful maternity care compliance program. (b) Program Requirements.--A respectful maternity care compliance program funded through a grant under this section shall-- (1) institutionalize mechanisms to allow patients receiving maternity care services, the families of such patients, or perinatal health workers supporting such patients to report instances of racism or evidence of bias on the basis of race, ethnicity, or another protected class; (2) institutionalize response mechanisms through which representatives of the program can directly follow up with the patient, if possible, and the patient's family in a timely manner; (3) prepare and make publicly available a hospital- or health system-wide strategy to reduce bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care that includes-- (A) information on the training programs to reduce and prevent bias, racism, and discrimination on the basis of race, ethnicity, or another protected class for all employees in maternity care settings; (B) information on the number of cases reported to the compliance program; and (C) the development of methods to routinely assess the extent to which bias, racism, or discrimination on the basis of race, ethnicity, or another protected class is present in the delivery of maternity care to patients from racial and ethnic minority groups; (4) develop mechanisms to routinely collect and publicly report hospital-level data related to patient-reported experience of care; and (5) provide annual reports to the Secretary with information about each case reported to the compliance program over the course of the year containing such information as the Secretary may require, such as-- (A) deidentified demographic information on the patient in the case, such as race, ethnicity, gender identity, and primary language; (B) the content of the report from the patient or the family of the patient to the compliance program; (C) the response from the compliance program; and (D) to the extent applicable, institutional changes made as a result of the case. (c) Secretary Requirements.-- (1) Processes.--Not later than 180 days after the date of enactment of this Act, the Secretary shall establish processes for-- (A) disseminating best practices for establishing and implementing a respectful maternity care compliance program within a hospital or other birth setting; (B) promoting coordination and collaboration between hospitals, health systems, and other maternity care delivery settings on the establishment and implementation of respectful maternity care compliance programs; and (C) evaluating the effectiveness of respectful maternity care compliance programs on maternal health outcomes and patient and family experiences, especially for patients from racial and ethnic minority groups and their families. (2) Study.-- (A) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary shall, through a contract with an independent research organization, conduct a study on strategies to address-- (i) racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services; and (ii) successful implementation of respectful care initiatives. (B) Components of study.--The study shall include the following: (i) An assessment of the reports submitted to the Secretary from the respectful maternity care compliance programs pursuant to subsection (b)(5). (ii) Based on such assessment, recommendations for potential accountability mechanisms related to cases of racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services at hospitals and other birth settings. Such recommendations shall take into consideration medical and nonmedical factors that contribute to adverse patient experiences and maternal health outcomes. (C) Report.--The Secretary shall submit to the Congress and make publicly available a report on the results of the study under this paragraph. (d) Authorization of Appropriations.--To carry out this section, there are authorized to be appropriated such sums as may be necessary for fiscal years 2027 through 2032. SEC. 6. GAO REPORT. (a) In General.--Not later than 2 years after the date of enactment of this Act and annually thereafter, the Comptroller General of the United States shall submit to the Congress and make publicly available a report on the establishment of respectful maternity care compliance programs within hospitals, health systems, and other maternity care settings. (b) Matters Included.--The report under subsection (a) shall include the following: (1) Information regarding the extent to which hospitals, health systems, and other maternity care settings have elected to establish respectful maternity care compliance programs, including-- (A) which hospitals and other birth settings elect to establish compliance programs and when such programs are established; (B) to the extent practicable, impacts of the establishment of such programs on maternal health outcomes and patient and family experiences in the hospitals and other birth settings that have established such programs, especially for patients from racial and ethnic minority groups and their families; (C) information on geographic areas, and types of hospitals or other birth settings, where respectful maternity care compliance programs are not being established and information on factors contributing to decisions to not establish such programs; and (D) recommendations for establishing respectful maternity care compliance programs in geographic areas, and types of hospitals or other birth settings, where such programs are not being established. (2) Whether the funding made available to carry out this section has been sufficient and, if applicable, recommendations for additional appropriations to carry out this section. (3) Such other information as the Comptroller General determines appropriate. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa Kiry Johnson: Poprawa opieki okołoporodowej i walka z dyskryminacją\",\n  \"pl_summary\": \"Ustawa wprowadza fundusze na poprawę zdrowia matek i walkę z uprzedzeniami w opiece medycznej. Skupia się na zapewnieniu równego traktowania wszystkich pacjentek oraz wsparciu lokalnych organizacji pomagających kobietom w ciąży i po porodzie.\",\n  \"pl_key_points\": [\n    \"Wsparcie finansowe dla lokalnych organizacji pomagających kobietom w ciąży i po porodzie.\",\n    \"Obowiązkowe szkolenia dla całego personelu medycznego z zakresu szacunku i równego traktowania pacjentek.\",\n    \"Wprowadzenie w szpitalach systemów umożliwiających pacjentkom zgłaszanie przypadków rasizmu lub uprzedzeń.\",\n    \"Zwiększenie funduszy na usługi położnych oraz wsparcie zdrowia psychicznego dla młodych matek.\",\n    \"Regularne raporty i badania nad skutecznością walki z dyskryminacją w placówkach medycznych.\"\n  ],\n  \"eng_ai_title\": \"Kira Johnson Act: Improving Maternal Health and Reducing Healthcare Bias\",\n  \"eng_summary\": \"This act provides funding to improve maternal health outcomes and eliminate discrimination in maternity care. It focuses on training healthcare staff and creating systems for patients to report unfair treatment.\",\n  \"eng_key_points\": [\n    \"Grants for community organizations to support pregnant and postpartum individuals.\",\n    \"Training for all maternity ward employees to prevent bias and racism.\",\n    \"New hospital programs for reporting and addressing instances of discrimination.\",\n    \"Increased support for midwifery and mental health services for new mothers.\",\n    \"Regular studies and reports on the effectiveness of anti-discrimination measures in healthcare.\"\n  ],\n  \"de_ai_title\": \"Kira-Johnson-Gesetz: Verbesserung der Müttergesundheit und Bekämpfung von Diskriminierung\",\n  \"de_summary\": \"Dieses Gesetz stellt Mittel bereit, um die Gesundheit von Müttern zu verbessern und Diskriminierung in der Geburtshilfe zu verringern. Es konzentriert sich auf die Schulung des Personals und die Einrichtung von Meldesystemen für Patienten.\",\n  \"de_key_points\": [\n    \"Finanzielle Unterstützung für lokale Organisationen, die Schwangere und Wöchnerinnen begleiten.\",\n    \"Schulungen für alle Krankenhausmitarbeiter zur Vermeidung von Vorurteilen und Rassismus.\",\n    \"Einführung von Systemen in Krankenhäusern, um Diskriminierung direkt zu melden.\",\n    \"Förderung von Hebammenpraktiken und psychischer Gesundheit für Mütter.\",\n    \"Regelmäßige Berichte über die Wirksamkeit von Maßnahmen gegen Diskriminierung im Gesundheitswesen.\"\n  ],\n  \"fr_ai_title\": \"Loi Kira Johnson : Améliorer la santé maternelle et lutter contre les préjugés\",\n  \"fr_summary\": \"Cette loi finance des programmes pour améliorer la santé des mères et réduire les discriminations dans les soins de maternité. Elle prévoit la formation du personnel et la création de systèmes de signalement pour les patientes.\",\n  \"fr_key_points\": [\n    \"Subventions aux organisations locales soutenant les femmes enceintes et les nouvelles mères.\",\n    \"Formation de tout le personnel hospitalier pour prévenir le racisme et les préjugés.\",\n    \"Mise en place de programmes de conformité pour signaler les mauvais traitements à l'hôpital.\",\n    \"Soutien accru aux pratiques de sage-femme et à la santé mentale maternelle.\",\n    \"Études régulières sur l'efficacité des mesures de lutte contre la discrimination dans les soins.\"\n  ],\n  \"es_ai_title\": \"Ley Kira Johnson: Mejora de la salud materna y lucha contra la discriminación\",\n  \"es_summary\": \"Esta ley otorga fondos para mejorar la salud de las madres y eliminar el racismo en la atención de maternidad. Se centra en capacitar al personal médico y crear canales para denunciar el trato injusto.\",\n  \"es_key_points\": [\n    \"Ayudas económicas a organizaciones comunitarias que apoyan a embarazadas y puérperas.\",\n    \"Capacitación para todos los empleados de maternidad sobre respeto e igualdad de trato.\",\n    \"Nuevos sistemas en hospitales para que las pacientes denuncien casos de discriminación.\",\n    \"Apoyo a los servicios de partería y a la salud mental de las madres.\",\n    \"Informes periódicos sobre la eficacia de las medidas contra la discriminación en salud.\"\n  ],\n  \"it_ai_title\": \"Legge Kira Johnson: Migliorare la salute materna e combattere le discriminazioni\",\n  \"it_summary\": \"Questa legge stanzia fondi per migliorare la salute delle madri e ridurre i pregiudizi nelle cure ostetriche. Prevede la formazione del personale e sistemi per segnalare trattamenti discriminatori negli ospedali.\",\n  \"it_key_points\": [\n    \"Finanziamenti a organizzazioni locali che assistono donne in gravidanza e nel post-parto.\",\n    \"Formazione per tutto il personale sanitario per prevenire razzismo e pregiudizi.\",\n    \"Creazione di programmi ospedalieri per segnalare e gestire casi di discriminazione.\",\n    \"Sostegno alle pratiche di ostetricia e alla salute mentale delle neo-mamme.\",\n    \"Monitoraggio costante dell'efficacia delle misure anti-discriminazione nelle strutture sanitarie.\"\n  ],\n  \"nl_ai_title\": \"Kira Johnson Act: Verbetering van de moederzorg en bestrijding van discriminatie\",\n  \"nl_summary\": \"Deze wet biedt financiering om de gezondheid van moeders te verbeteren en discriminatie in de geboortezorg aan te pakken. Het richt zich op training van personeel en meldsystemen voor patiënten.\",\n  \"nl_key_points\": [\n    \"Subsidies voor lokale organisaties die zwangere vrouwen en jonge moeders ondersteunen.\",\n    \"Training voor alle medewerkers in de geboortezorg om vooroordelen en racisme te voorkomen.\",\n    \"Nieuwe systemen in ziekenhuizen om discriminatie direct te kunnen melden.\",\n    \"Extra steun voor verloskundige zorg en geestelijke gezondheid van moeders.\",\n    \"Regelmatige evaluatie van de effectiviteit van anti-discriminatiemaatregelen in de zorg.\"\n  ],\n  \"pt_ai_title\": \"Lei Kira Johnson: Melhorar a saúde materna e combater a discriminação\",\n  \"pt_summary\": \"Esta lei disponibiliza fundos para melhorar a saúde das mães e eliminar o preconceito nos cuidados de maternidade. Foca-se na formação do pessoal e na criação de sistemas de denúncia para as pacientes.\",\n  \"pt_key_points\": [\n    \"Subsídios para organizações locais que apoiam grávidas e mulheres no pós-parto.\",\n    \"Formação para todos os funcionários da maternidade sobre respeito e igualdade.\",\n    \"Criação de programas nos hospitais para denunciar casos de racismo ou discriminação.\",\n    \"Apoio a serviços de parteiras e cuidados de saúde mental materna.\",\n    \"Relatórios anuais sobre o impacto das medidas contra a discriminação na saúde.\"\n  ],\n  \"category\": [\"Health\", \"Family\"]\n}"
    },
    {
      "timestamp": "2026-04-13T14:21:38.474Z",
      "source_url": "https://www.congress.gov/119/bills/s4195/BILLS-119s4195is.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. 4195 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4195 To prevent maternal mortality and severe maternal morbidity among Black pregnant and postpartum individuals and other underserved populations, to provide training in respectful maternity care, to reduce and prevent bias, racism, and discrimination in maternity care settings, and for other purposes. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 25, 2026 Mr. Warnock (for himself, Mr. Padilla, and Mr. Booker) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions _______________________________________________________________________ A BILL To prevent maternal mortality and severe maternal morbidity among Black pregnant and postpartum individuals and other underserved populations, to provide training in respectful maternity care, to reduce and prevent bias, racism, and discrimination in maternity care settings, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Kira Johnson Act''. SEC. 2. SUSTAINED FUNDING FOR COMMUNITY-BASED ORGANIZATIONS TO ADVANCE MATERNAL HEALTH EQUITY. (a) In General.--The Secretary of Health and Human Services (in this section referred to as the ``Secretary'') shall award grants to eligible entities to establish or expand programs to advance maternal health equity. (b) Timing.--Following the 1-year period described in subsection (d), the Secretary shall commence awarding the grants authorized by subsection (a). (c) Eligible Entities.--To be eligible to seek a grant under this section, an entity shall be a community-based organization offering programs and resources aligned with evidence-based practices for improving maternal health outcomes for demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (d) Outreach and Technical Assistance Period.--During the 1-year period beginning on the date of enactment of this Act, the Secretary shall-- (1) conduct outreach to encourage eligible entities to apply for grants under this section; and (2) provide technical assistance to eligible entities on best practices for applying for grants under this section. (e) Special Consideration.-- (1) Outreach.--In conducting outreach under subsection (d), the Secretary shall give special consideration to eligible entities that-- (A) are based in, and provide support for, communities with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; (B) are led by individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; and (C) offer programs and resources that are aligned with evidence-based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (2) Awards.--In awarding grants under this section, the Secretary shall give special consideration to eligible entities that-- (A) are described in subparagraphs (A), (B), and (C) of paragraph (1); (B) offer programs and resources designed in consultation with and intended for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (C) offer programs and resources in the communities in which the respective eligible entities are located that-- (i) promote maternal mental health and maternal substance use disorder treatments and supports that are aligned with evidence-based practices for improving maternal mental and behavioral health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (ii) address social determinants of maternal health; (iii) promote evidence-based health literacy and pregnancy, childbirth, and parenting education; (iv) provide support from perinatal health workers; (v) provide culturally and linguistically congruent training to perinatal health workers; (vi) conduct or support research on maternal health issues disproportionately impacting individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (vii) offer group prenatal care or group postpartum care; (viii) coordinate mutual aid efforts during infant formula shortages, including community milk depots, donor human milk banks and exchanges, and forums for community outreach and education; (ix) provide support to individuals or family members of individuals who suffered a pregnancy loss, pregnancy-associated death, or pregnancy-related death; or (x) operate midwifery practices that provide culturally and linguistically congruent maternal health care and support, including for the purposes of-- (I) supporting additional education, training, and certification programs, including support for distance learning; (II) providing financial support to current and future midwives to address education costs, debts, and other needs; (III) clinical site investments; (IV) supporting preceptor development trainings; (V) expanding the midwifery practice; or (VI) related needs identified by the midwifery practice and described in the practice's application; and (D) have developed other programs and resources that address community-specific needs for pregnant and postpartum individuals and are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (f) Technical Assistance.--The Secretary shall provide to grant recipients under this section technical assistance on-- (1) capacity building to establish or expand programs to advance maternal health equity; (2) best practices in data collection, measurement, evaluation, and reporting; and (3) planning for sustaining programs to advance maternal health equity after the period of the grant. (g) Evaluation.--Not later than the end of fiscal year 2031, the Secretary shall submit to the Congress an evaluation of the grant program under this section that-- (1) assesses the effectiveness of outreach efforts during the application process in diversifying the pool of grant recipients; (2) makes recommendations for future outreach efforts to diversify the pool of grant recipients for Department of Health and Human Services grant programs and funding opportunities related to maternal health; (3) assesses the effectiveness of programs funded by grants under this section in improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent practicable; and (4) makes recommendations for future Department of Health and Human Services grant programs and funding opportunities that deliver funding to community-based organizations that provide programs and resources that are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (h) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $100,000,000 for each of fiscal years 2027 through 2031. SEC. 3. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. Part B of title VII of the Public Health Service Act (42 U.S.C. 293 et seq.) is amended by adding at the end the following new section: ``SEC. 742. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. ``(a) Grants.--The Secretary shall award grants for programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care. ``(b) Special Consideration.--In awarding grants under subsection (a), the Secretary shall give special consideration to applications for programs that would-- ``(1) apply to all maternity care providers and any employees who interact with pregnant and postpartum individuals in the provider setting, including front desk employees, sonographers, schedulers, health care professionals, hospital or health system administrators, security staff, and other employees; ``(2) emphasize periodic, as opposed to one-time, trainings for all birthing professionals and employees described in paragraph (1); ``(3) address implicit bias, racism, and cultural humility; ``(4) be delivered in ongoing education settings for providers maintaining their licenses, with a preference for trainings that provide continuing education units; ``(5) include trauma-informed care best practices and an emphasis on shared decision making between providers and patients; ``(6) include antiracism training and programs; ``(7) be delivered in undergraduate programs that funnel into health professions schools; ``(8) be delivered in settings that apply to providers of the special supplemental nutrition program for women, infants, and children under section 17 of the Child Nutrition Act of 1966; ``(9) integrate bias training in obstetric emergency simulation trainings or related trainings; ``(10) include training for emergency department employees and emergency medical technicians on recognizing warning signs for severe pregnancy-related complications; ``(11) offer training to all maternity care providers on the value of racially, ethnically, and professionally diverse maternity care teams to provide culturally and linguistically congruent care; or ``(12) be based on one or more programs designed by a historically Black college or university or other minority- serving institution. ``(c) Application.--To seek a grant under subsection (a), an entity shall submit an application at such time, in such manner, and containing such information as the Secretary may require. ``(d) Reporting.--Each recipient of a grant under this section shall annually submit to the Secretary a report on the status of activities conducted using the grant, including, as applicable, a description of the impact of training provided through the grant on patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. ``(e) Best Practices.--Based on the annual reports submitted pursuant to subsection (d), the Secretary-- ``(1) shall produce an annual report on the findings resulting from programs funded through this section; ``(2) shall disseminate such report to all recipients of grants under this section and to the public; and ``(3) may include in such report findings on best practices for improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families in maternity care settings. ``(f) Definitions.--In this section: ``(1) The term `postpartum' means the 1-year period beginning on the last day of an individual's pregnancy. ``(2) The term `culturally and linguistically congruent' means in agreement with the preferred cultural values, beliefs, worldview, language, and practices of the health care consumer and other stakeholders. ``(3) The term `racial and ethnic minority group' has the meaning given such term in section 1707(g)(1). ``(g) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $5,000,000 for each of fiscal years 2027 through 2031.''. SEC. 4. STUDY ON REDUCING AND PREVENTING BIAS, RACISM, AND DISCRIMINATION IN MATERNITY CARE SETTINGS. (a) In General.--The Secretary of Health and Human Services shall seek to enter into an agreement, not later than 90 days after the date of enactment of this Act, with the National Academies of Sciences, Engineering, and Medicine (referred to in this section as the ``National Academies'') under which the National Academies agree to-- (1) conduct a study on the design and implementation of programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care; and (2) not later than 24 months after the date of enactment of this Act-- (A) complete the study; and (B) transmit a report on the results of the study to the Congress. (b) Possible Topics.--The agreement entered into pursuant to subsection (a) may provide for the study of any of the following: (1) The development of a scorecard or other evaluation standards for programs designed to reduce and prevent bias, racism, and discrimination in maternity care settings to assess the effectiveness of such programs in improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. (2) Determination of the types and frequency of training to reduce and prevent bias, racism, and discrimination in maternity care settings that are demonstrated to improve patient outcomes or patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. SEC. 5. RESPECTFUL MATERNITY CARE COMPLIANCE PROGRAM. (a) In General.--The Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall award grants to accredited hospitals, health systems, and other maternity care settings to establish as an integral part of quality implementation initiatives within one or more hospitals or other birth settings a respectful maternity care compliance program. (b) Program Requirements.--A respectful maternity care compliance program funded through a grant under this section shall-- (1) institutionalize mechanisms to allow patients receiving maternity care services, the families of such patients, or perinatal health workers supporting such patients to report instances of racism or evidence of bias on the basis of race, ethnicity, or another protected class; (2) institutionalize response mechanisms through which representatives of the program can directly follow up with the patient, if possible, and the patient's family in a timely manner; (3) prepare and make publicly available a hospital- or health system-wide strategy to reduce bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care that includes-- (A) information on the training programs to reduce and prevent bias, racism, and discrimination on the basis of race, ethnicity, or another protected class for all employees in maternity care settings; (B) information on the number of cases reported to the compliance program; and (C) the development of methods to routinely assess the extent to which bias, racism, or discrimination on the basis of race, ethnicity, or another protected class is present in the delivery of maternity care to patients from racial and ethnic minority groups; (4) develop mechanisms to routinely collect and publicly report hospital-level data related to patient-reported experience of care; and (5) provide annual reports to the Secretary with information about each case reported to the compliance program over the course of the year containing such information as the Secretary may require, such as-- (A) deidentified demographic information on the patient in the case, such as race, ethnicity, gender identity, and primary language; (B) the content of the report from the patient or the family of the patient to the compliance program; (C) the response from the compliance program; and (D) to the extent applicable, institutional changes made as a result of the case. (c) Secretary Requirements.-- (1) Processes.--Not later than 180 days after the date of enactment of this Act, the Secretary shall establish processes for-- (A) disseminating best practices for establishing and implementing a respectful maternity care compliance program within a hospital or other birth setting; (B) promoting coordination and collaboration between hospitals, health systems, and other maternity care delivery settings on the establishment and implementation of respectful maternity care compliance programs; and (C) evaluating the effectiveness of respectful maternity care compliance programs on maternal health outcomes and patient and family experiences, especially for patients from racial and ethnic minority groups and their families. (2) Study.-- (A) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary shall, through a contract with an independent research organization, conduct a study on strategies to address-- (i) racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services; and (ii) successful implementation of respectful care initiatives. (B) Components of study.--The study shall include the following: (i) An assessment of the reports submitted to the Secretary from the respectful maternity care compliance programs pursuant to subsection (b)(5). (ii) Based on such assessment, recommendations for potential accountability mechanisms related to cases of racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services at hospitals and other birth settings. Such recommendations shall take into consideration medical and nonmedical factors that contribute to adverse patient experiences and maternal health outcomes. (C) Report.--The Secretary shall submit to the Congress and make publicly available a report on the results of the study under this paragraph. (d) Authorization of Appropriations.--To carry out this section, there are authorized to be appropriated such sums as may be necessary for fiscal years 2027 through 2032. SEC. 6. GAO REPORT. (a) In General.--Not later than 2 years after the date of enactment of this Act and annually thereafter, the Comptroller General of the United States shall submit to the Congress and make publicly available a report on the establishment of respectful maternity care compliance programs within hospitals, health systems, and other maternity care settings. (b) Matters Included.--The report under subsection (a) shall include the following: (1) Information regarding the extent to which hospitals, health systems, and other maternity care settings have elected to establish respectful maternity care compliance programs, including-- (A) which hospitals and other birth settings elect to establish compliance programs and when such programs are established; (B) to the extent practicable, impacts of the establishment of such programs on maternal health outcomes and patient and family experiences in the hospitals and other birth settings that have established such programs, especially for patients from racial and ethnic minority groups and their families; (C) information on geographic areas, and types of hospitals or other birth settings, where respectful maternity care compliance programs are not being established and information on factors contributing to decisions to not establish such programs; and (D) recommendations for establishing respectful maternity care compliance programs in geographic areas, and types of hospitals or other birth settings, where such programs are not being established. (2) Whether the funding made available to carry out this section has been sufficient and, if applicable, recommendations for additional appropriations to carry out this section. (3) Such other information as the Comptroller General determines appropriate. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa Kiry Johnson: Poprawa opieki okołoporodowej i walka z dyskryminacją\",\n  \"pl_summary\": \"Ustawa wprowadza fundusze na wsparcie kobiet w ciąży i po porodzie, szczególnie w grupach najbardziej narażonych na problemy zdrowotne. Szpitale otrzymają środki na szkolenia personelu z szacunku do pacjentek oraz stworzą systemy zgłaszania niewłaściwego traktowania.\",\n  \"pl_key_points\": [\n    \"Wsparcie finansowe dla organizacji lokalnych pomagających kobietom w ciąży.\",\n    \"Obowiązkowe szkolenia dla całego personelu medycznego z zakresu równego traktowania.\",\n    \"Nowe systemy w szpitalach do zgłaszania przypadków uprzedzeń i rasizmu.\",\n    \"Większy dostęp do opieki położnych i edukacji okołoporodowej.\"\n  ],\n  \"eng_ai_title\": \"Kira Johnson Act: Improving Maternal Health and Reducing Healthcare Bias\",\n  \"eng_summary\": \"This act provides funding to support pregnant and postpartum individuals, focusing on reducing health disparities and discrimination. It establishes training for hospital staff and creates systems for patients to report unfair treatment during maternity care.\",\n  \"eng_key_points\": [\n    \"Grants for community organizations to improve maternal health outcomes.\",\n    \"Training for all maternity care staff to prevent bias and racism.\",\n    \"New hospital programs to report and address instances of discrimination.\",\n    \"Increased support for midwifery, mental health, and parenting education.\"\n  ],\n  \"de_ai_title\": \"Kira Johnson Gesetz: Verbesserung der Müttergesundheit und Bekämpfung von Diskriminierung\",\n  \"de_summary\": \"Dieses Gesetz stellt Mittel zur Unterstützung von Schwangeren und Wöchnerinnen bereit, um gesundheitliche Ungleichheiten zu verringern. Krankenhäuser erhalten Gelder für Personalschulungen und Systeme zur Meldung von Diskriminierung.\",\n  \"de_key_points\": [\n    \"Finanzielle Hilfe für lokale Organisationen zur Unterstützung von Schwangeren.\",\n    \"Schulungen für das gesamte Krankenhauspersonal zu respektvoller Behandlung.\",\n    \"Einführung von Meldesystemen für Rassismus und Voreingenommenheit in Kliniken.\",\n    \"Förderung von Hebammenleistungen und psychischer Gesundheit für Mütter.\"\n  ],\n  \"fr_ai_title\": \"Loi Kira Johnson : Améliorer la santé maternelle et lutter contre les préjugés\",\n  \"fr_summary\": \"Cette loi finance le soutien aux femmes enceintes et en post-partum afin de réduire les inégalités de santé. Elle impose des formations au personnel hospitalier et crée des systèmes permettant aux patientes de signaler les mauvais traitements.\",\n  \"fr_key_points\": [\n    \"Subventions aux organisations locales pour améliorer le suivi des grossesses.\",\n    \"Formations obligatoires pour tout le personnel soignant sur le respect des patientes.\",\n    \"Création de programmes de signalement du racisme et des préjugés à l'hôpital.\",\n    \"Soutien accru aux sages-femmes et à l'éducation parentale.\"\n  ],\n  \"es_ai_title\": \"Ley Kira Johnson: Mejora de la salud materna y lucha contra la discriminación\",\n  \"es_summary\": \"Esta ley otorga fondos para apoyar a personas embarazadas y en posparto, buscando reducir las desigualdades en salud. Los hospitales recibirán recursos para capacitar al personal y crear sistemas de denuncia ante tratos injustos.\",\n  \"es_key_points\": [\n    \"Ayudas económicas a organizaciones comunitarias para la salud materna.\",\n    \"Capacitación para todo el personal de maternidad sobre trato respetuoso y sin prejuicios.\",\n    \"Nuevos mecanismos en hospitales para reportar casos de racismo o sesgos.\",\n    \"Mayor apoyo a servicios de partería y salud mental para madres.\"\n  ],\n  \"it_ai_title\": \"Legge Kira Johnson: Migliorare la salute materna e combattere le discriminazioni\",\n  \"it_summary\": \"Questa legge stanzia fondi per sostenere le donne in gravidanza e nel post-partum, puntando a ridurre le disparità sanitarie. Gli ospedali riceveranno risorse per formare il personale e creare sistemi di segnalazione dei maltrattamenti.\",\n  \"it_key_points\": [\n    \"Finanziamenti a organizzazioni locali per migliorare l'assistenza alla maternità.\",\n    \"Formazione per tutto il personale ospedaliero sul rispetto e l'equità.\",\n    \"Sistemi per segnalare casi di razzismo o pregiudizi nelle strutture sanitarie.\",\n    \"Potenziamento dei servizi di ostetricia e del supporto psicologico.\"\n  ],\n  \"nl_ai_title\": \"Kira Johnson Wet: Verbetering van de moederzorg en bestrijding van discriminatie\",\n  \"nl_summary\": \"Deze wet biedt financiering voor de ondersteuning van zwangere en pas bevallen vrouwen om gezondheidsverschillen te verkleinen. Ziekenhuizen krijgen middelen voor personeelstraining en systemen om discriminatie te melden.\",\n  \"nl_key_points\": [\n    \"Subsidies voor lokale organisaties die zwangere vrouwen ondersteunen.\",\n    \"Trainingen voor al het ziekenhuispersoneel over respectvolle zorg zonder vooroordelen.\",\n    \"Nieuwe meldpunten in ziekenhuizen voor racisme en ongelijke behandeling.\",\n    \"Meer steun voor verloskunde en geestelijke gezondheidszorg voor moeders.\"\n  ],\n  \"pt_ai_title\": \"Lei Kira Johnson: Melhorar a saúde materna e combater a discriminação\",\n  \"pt_summary\": \"Esta lei disponibiliza fundos para apoiar grávidas e puérperas, visando reduzir as desigualdades na saúde. Os hospitais receberão verbas para formar o pessoal e criar sistemas de denúncia de maus-tratos.\",\n  \"pt_key_points\": [\n    \"Subsídios para organizações locais que apoiam a saúde materna.\",\n    \"Formação para todos os funcionários de maternidades sobre respeito e igualdade.\",\n    \"Criação de mecanismos para reportar casos de racismo ou preconceito nos hospitais.\",\n    \"Maior apoio a serviços de parteiras e saúde mental para mães.\"\n  ],\n  \"category\": [\n    \"Health\",\n    \"Family\"\n  ]\n}"
    },
    {
      "timestamp": "2026-04-13T14:21:36.044Z",
      "source_url": "https://www.congress.gov/119/bills/s4195/BILLS-119s4195is.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. 4195 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4195 To prevent maternal mortality and severe maternal morbidity among Black pregnant and postpartum individuals and other underserved populations, to provide training in respectful maternity care, to reduce and prevent bias, racism, and discrimination in maternity care settings, and for other purposes. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 25, 2026 Mr. Warnock (for himself, Mr. Padilla, and Mr. Booker) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions _______________________________________________________________________ A BILL To prevent maternal mortality and severe maternal morbidity among Black pregnant and postpartum individuals and other underserved populations, to provide training in respectful maternity care, to reduce and prevent bias, racism, and discrimination in maternity care settings, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Kira Johnson Act''. SEC. 2. SUSTAINED FUNDING FOR COMMUNITY-BASED ORGANIZATIONS TO ADVANCE MATERNAL HEALTH EQUITY. (a) In General.--The Secretary of Health and Human Services (in this section referred to as the ``Secretary'') shall award grants to eligible entities to establish or expand programs to advance maternal health equity. (b) Timing.--Following the 1-year period described in subsection (d), the Secretary shall commence awarding the grants authorized by subsection (a). (c) Eligible Entities.--To be eligible to seek a grant under this section, an entity shall be a community-based organization offering programs and resources aligned with evidence-based practices for improving maternal health outcomes for demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (d) Outreach and Technical Assistance Period.--During the 1-year period beginning on the date of enactment of this Act, the Secretary shall-- (1) conduct outreach to encourage eligible entities to apply for grants under this section; and (2) provide technical assistance to eligible entities on best practices for applying for grants under this section. (e) Special Consideration.-- (1) Outreach.--In conducting outreach under subsection (d), the Secretary shall give special consideration to eligible entities that-- (A) are based in, and provide support for, communities with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent such data are available; (B) are led by individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; and (C) offer programs and resources that are aligned with evidence-based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (2) Awards.--In awarding grants under this section, the Secretary shall give special consideration to eligible entities that-- (A) are described in subparagraphs (A), (B), and (C) of paragraph (1); (B) offer programs and resources designed in consultation with and intended for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (C) offer programs and resources in the communities in which the respective eligible entities are located that-- (i) promote maternal mental health and maternal substance use disorder treatments and supports that are aligned with evidence-based practices for improving maternal mental and behavioral health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (ii) address social determinants of maternal health; (iii) promote evidence-based health literacy and pregnancy, childbirth, and parenting education; (iv) provide support from perinatal health workers; (v) provide culturally and linguistically congruent training to perinatal health workers; (vi) conduct or support research on maternal health issues disproportionately impacting individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; (vii) offer group prenatal care or group postpartum care; (viii) coordinate mutual aid efforts during infant formula shortages, including community milk depots, donor human milk banks and exchanges, and forums for community outreach and education; (ix) provide support to individuals or family members of individuals who suffered a pregnancy loss, pregnancy-associated death, or pregnancy-related death; or (x) operate midwifery practices that provide culturally and linguistically congruent maternal health care and support, including for the purposes of-- (I) supporting additional education, training, and certification programs, including support for distance learning; (II) providing financial support to current and future midwives to address education costs, debts, and other needs; (III) clinical site investments; (IV) supporting preceptor development trainings; (V) expanding the midwifery practice; or (VI) related needs identified by the midwifery practice and described in the practice's application; and (D) have developed other programs and resources that address community-specific needs for pregnant and postpartum individuals and are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (f) Technical Assistance.--The Secretary shall provide to grant recipients under this section technical assistance on-- (1) capacity building to establish or expand programs to advance maternal health equity; (2) best practices in data collection, measurement, evaluation, and reporting; and (3) planning for sustaining programs to advance maternal health equity after the period of the grant. (g) Evaluation.--Not later than the end of fiscal year 2031, the Secretary shall submit to the Congress an evaluation of the grant program under this section that-- (1) assesses the effectiveness of outreach efforts during the application process in diversifying the pool of grant recipients; (2) makes recommendations for future outreach efforts to diversify the pool of grant recipients for Department of Health and Human Services grant programs and funding opportunities related to maternal health; (3) assesses the effectiveness of programs funded by grants under this section in improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes, to the extent practicable; and (4) makes recommendations for future Department of Health and Human Services grant programs and funding opportunities that deliver funding to community-based organizations that provide programs and resources that are aligned with evidence- based practices for improving maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes. (h) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $100,000,000 for each of fiscal years 2027 through 2031. SEC. 3. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. Part B of title VII of the Public Health Service Act (42 U.S.C. 293 et seq.) is amended by adding at the end the following new section: ``SEC. 742. RESPECTFUL MATERNITY CARE TRAINING FOR ALL EMPLOYEES IN MATERNITY CARE SETTINGS. ``(a) Grants.--The Secretary shall award grants for programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care. ``(b) Special Consideration.--In awarding grants under subsection (a), the Secretary shall give special consideration to applications for programs that would-- ``(1) apply to all maternity care providers and any employees who interact with pregnant and postpartum individuals in the provider setting, including front desk employees, sonographers, schedulers, health care professionals, hospital or health system administrators, security staff, and other employees; ``(2) emphasize periodic, as opposed to one-time, trainings for all birthing professionals and employees described in paragraph (1); ``(3) address implicit bias, racism, and cultural humility; ``(4) be delivered in ongoing education settings for providers maintaining their licenses, with a preference for trainings that provide continuing education units; ``(5) include trauma-informed care best practices and an emphasis on shared decision making between providers and patients; ``(6) include antiracism training and programs; ``(7) be delivered in undergraduate programs that funnel into health professions schools; ``(8) be delivered in settings that apply to providers of the special supplemental nutrition program for women, infants, and children under section 17 of the Child Nutrition Act of 1966; ``(9) integrate bias training in obstetric emergency simulation trainings or related trainings; ``(10) include training for emergency department employees and emergency medical technicians on recognizing warning signs for severe pregnancy-related complications; ``(11) offer training to all maternity care providers on the value of racially, ethnically, and professionally diverse maternity care teams to provide culturally and linguistically congruent care; or ``(12) be based on one or more programs designed by a historically Black college or university or other minority- serving institution. ``(c) Application.--To seek a grant under subsection (a), an entity shall submit an application at such time, in such manner, and containing such information as the Secretary may require. ``(d) Reporting.--Each recipient of a grant under this section shall annually submit to the Secretary a report on the status of activities conducted using the grant, including, as applicable, a description of the impact of training provided through the grant on patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. ``(e) Best Practices.--Based on the annual reports submitted pursuant to subsection (d), the Secretary-- ``(1) shall produce an annual report on the findings resulting from programs funded through this section; ``(2) shall disseminate such report to all recipients of grants under this section and to the public; and ``(3) may include in such report findings on best practices for improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families in maternity care settings. ``(f) Definitions.--In this section: ``(1) The term `postpartum' means the 1-year period beginning on the last day of an individual's pregnancy. ``(2) The term `culturally and linguistically congruent' means in agreement with the preferred cultural values, beliefs, worldview, language, and practices of the health care consumer and other stakeholders. ``(3) The term `racial and ethnic minority group' has the meaning given such term in section 1707(g)(1). ``(g) Authorization of Appropriations.--To carry out this section, there is authorized to be appropriated $5,000,000 for each of fiscal years 2027 through 2031.''. SEC. 4. STUDY ON REDUCING AND PREVENTING BIAS, RACISM, AND DISCRIMINATION IN MATERNITY CARE SETTINGS. (a) In General.--The Secretary of Health and Human Services shall seek to enter into an agreement, not later than 90 days after the date of enactment of this Act, with the National Academies of Sciences, Engineering, and Medicine (referred to in this section as the ``National Academies'') under which the National Academies agree to-- (1) conduct a study on the design and implementation of programs to reduce and prevent bias, racism, and discrimination in maternity care settings and to advance respectful, culturally and linguistically congruent, trauma-informed care; and (2) not later than 24 months after the date of enactment of this Act-- (A) complete the study; and (B) transmit a report on the results of the study to the Congress. (b) Possible Topics.--The agreement entered into pursuant to subsection (a) may provide for the study of any of the following: (1) The development of a scorecard or other evaluation standards for programs designed to reduce and prevent bias, racism, and discrimination in maternity care settings to assess the effectiveness of such programs in improving patient outcomes and patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. (2) Determination of the types and frequency of training to reduce and prevent bias, racism, and discrimination in maternity care settings that are demonstrated to improve patient outcomes or patient experience for pregnant and postpartum individuals from racial and ethnic minority groups and their families. SEC. 5. RESPECTFUL MATERNITY CARE COMPLIANCE PROGRAM. (a) In General.--The Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall award grants to accredited hospitals, health systems, and other maternity care settings to establish as an integral part of quality implementation initiatives within one or more hospitals or other birth settings a respectful maternity care compliance program. (b) Program Requirements.--A respectful maternity care compliance program funded through a grant under this section shall-- (1) institutionalize mechanisms to allow patients receiving maternity care services, the families of such patients, or perinatal health workers supporting such patients to report instances of racism or evidence of bias on the basis of race, ethnicity, or another protected class; (2) institutionalize response mechanisms through which representatives of the program can directly follow up with the patient, if possible, and the patient's family in a timely manner; (3) prepare and make publicly available a hospital- or health system-wide strategy to reduce bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care that includes-- (A) information on the training programs to reduce and prevent bias, racism, and discrimination on the basis of race, ethnicity, or another protected class for all employees in maternity care settings; (B) information on the number of cases reported to the compliance program; and (C) the development of methods to routinely assess the extent to which bias, racism, or discrimination on the basis of race, ethnicity, or another protected class is present in the delivery of maternity care to patients from racial and ethnic minority groups; (4) develop mechanisms to routinely collect and publicly report hospital-level data related to patient-reported experience of care; and (5) provide annual reports to the Secretary with information about each case reported to the compliance program over the course of the year containing such information as the Secretary may require, such as-- (A) deidentified demographic information on the patient in the case, such as race, ethnicity, gender identity, and primary language; (B) the content of the report from the patient or the family of the patient to the compliance program; (C) the response from the compliance program; and (D) to the extent applicable, institutional changes made as a result of the case. (c) Secretary Requirements.-- (1) Processes.--Not later than 180 days after the date of enactment of this Act, the Secretary shall establish processes for-- (A) disseminating best practices for establishing and implementing a respectful maternity care compliance program within a hospital or other birth setting; (B) promoting coordination and collaboration between hospitals, health systems, and other maternity care delivery settings on the establishment and implementation of respectful maternity care compliance programs; and (C) evaluating the effectiveness of respectful maternity care compliance programs on maternal health outcomes and patient and family experiences, especially for patients from racial and ethnic minority groups and their families. (2) Study.-- (A) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary shall, through a contract with an independent research organization, conduct a study on strategies to address-- (i) racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services; and (ii) successful implementation of respectful care initiatives. (B) Components of study.--The study shall include the following: (i) An assessment of the reports submitted to the Secretary from the respectful maternity care compliance programs pursuant to subsection (b)(5). (ii) Based on such assessment, recommendations for potential accountability mechanisms related to cases of racism or bias on the basis of race, ethnicity, or another protected class in the delivery of maternity care services at hospitals and other birth settings. Such recommendations shall take into consideration medical and nonmedical factors that contribute to adverse patient experiences and maternal health outcomes. (C) Report.--The Secretary shall submit to the Congress and make publicly available a report on the results of the study under this paragraph. (d) Authorization of Appropriations.--To carry out this section, there are authorized to be appropriated such sums as may be necessary for fiscal years 2027 through 2032. SEC. 6. GAO REPORT. (a) In General.--Not later than 2 years after the date of enactment of this Act and annually thereafter, the Comptroller General of the United States shall submit to the Congress and make publicly available a report on the establishment of respectful maternity care compliance programs within hospitals, health systems, and other maternity care settings. (b) Matters Included.--The report under subsection (a) shall include the following: (1) Information regarding the extent to which hospitals, health systems, and other maternity care settings have elected to establish respectful maternity care compliance programs, including-- (A) which hospitals and other birth settings elect to establish compliance programs and when such programs are established; (B) to the extent practicable, impacts of the establishment of such programs on maternal health outcomes and patient and family experiences in the hospitals and other birth settings that have established such programs, especially for patients from racial and ethnic minority groups and their families; (C) information on geographic areas, and types of hospitals or other birth settings, where respectful maternity care compliance programs are not being established and information on factors contributing to decisions to not establish such programs; and (D) recommendations for establishing respectful maternity care compliance programs in geographic areas, and types of hospitals or other birth settings, where such programs are not being established. (2) Whether the funding made available to carry out this section has been sufficient and, if applicable, recommendations for additional appropriations to carry out this section. (3) Such other information as the Comptroller General determines appropriate. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa Kiry Johnson: Poprawa opieki okołoporodowej i walka z dyskryminacją\",\n  \"pl_summary\": \"Ustawa wprowadza fundusze na wsparcie kobiet w ciąży i po porodzie, szczególnie w grupach najbardziej narażonych na problemy zdrowotne. Szpitale otrzymają środki na szkolenia personelu z szacunku do pacjentek oraz stworzą systemy zgłaszania niewłaściwego traktowania.\",\n  \"pl_key_points\": [\n    \"Wsparcie finansowe dla organizacji lokalnych pomagających kobietom w ciąży.\",\n    \"Obowiązkowe szkolenia dla całego personelu medycznego z zakresu równego traktowania.\",\n    \"Nowe systemy w szpitalach do zgłaszania przypadków uprzedzeń i rasizmu.\",\n    \"Większy dostęp do opieki położnych i edukacji okołoporodowej.\"\n  ],\n  \"eng_ai_title\": \"Kira Johnson Act: Improving Maternal Health and Reducing Healthcare Bias\",\n  \"eng_summary\": \"This act provides funding to support pregnant and postpartum individuals, focusing on reducing health disparities and discrimination. It establishes training for hospital staff and creates systems for patients to report unfair treatment during maternity care.\",\n  \"eng_key_points\": [\n    \"Grants for community organizations to improve maternal health outcomes.\",\n    \"Training for all maternity care staff to prevent bias and racism.\",\n    \"New hospital programs to report and address instances of discrimination.\",\n    \"Increased support for midwifery, mental health, and parenting education.\"\n  ],\n  \"de_ai_title\": \"Kira Johnson Gesetz: Verbesserung der Müttergesundheit und Bekämpfung von Diskriminierung\",\n  \"de_summary\": \"Dieses Gesetz stellt Mittel zur Unterstützung von Schwangeren und Wöchnerinnen bereit, um gesundheitliche Ungleichheiten zu verringern. Krankenhäuser erhalten Gelder für Personalschulungen und Systeme zur Meldung von Diskriminierung.\",\n  \"de_key_points\": [\n    \"Finanzielle Hilfe für lokale Organisationen zur Unterstützung von Schwangeren.\",\n    \"Schulungen für das gesamte Krankenhauspersonal zu respektvoller Behandlung.\",\n    \"Einführung von Meldesystemen für Rassismus und Voreingenommenheit in Kliniken.\",\n    \"Förderung von Hebammenleistungen und psychischer Gesundheit für Mütter.\"\n  ],\n  \"fr_ai_title\": \"Loi Kira Johnson : Améliorer la santé maternelle et lutter contre les préjugés\",\n  \"fr_summary\": \"Cette loi finance le soutien aux femmes enceintes et en post-partum afin de réduire les inégalités de santé. Elle impose des formations au personnel hospitalier et crée des systèmes permettant aux patientes de signaler les mauvais traitements.\",\n  \"fr_key_points\": [\n    \"Subventions aux organisations locales pour améliorer le suivi des grossesses.\",\n    \"Formations obligatoires pour tout le personnel soignant sur le respect des patientes.\",\n    \"Création de programmes de signalement du racisme et des préjugés à l'hôpital.\",\n    \"Soutien accru aux sages-femmes et à l'éducation parentale.\"\n  ],\n  \"es_ai_title\": \"Ley Kira Johnson: Mejora de la salud materna y lucha contra la discriminación\",\n  \"es_summary\": \"Esta ley otorga fondos para apoyar a personas embarazadas y en posparto, buscando reducir las desigualdades en salud. Los hospitales recibirán recursos para capacitar al personal y crear sistemas de denuncia ante tratos injustos.\",\n  \"es_key_points\": [\n    \"Ayudas económicas a organizaciones comunitarias para la salud materna.\",\n    \"Capacitación para todo el personal de maternidad sobre trato respetuoso y sin prejuicios.\",\n    \"Nuevos mecanismos en hospitales para reportar casos de racismo o sesgos.\",\n    \"Mayor apoyo a servicios de partería y salud mental para madres.\"\n  ],\n  \"it_ai_title\": \"Legge Kira Johnson: Migliorare la salute materna e combattere le discriminazioni\",\n  \"it_summary\": \"Questa legge stanzia fondi per sostenere le donne in gravidanza e nel post-partum, puntando a ridurre le disparità sanitarie. Gli ospedali riceveranno risorse per formare il personale e creare sistemi di segnalazione dei maltrattamenti.\",\n  \"it_key_points\": [\n    \"Finanziamenti a organizzazioni locali per migliorare l'assistenza alla maternità.\",\n    \"Formazione per tutto il personale ospedaliero sul rispetto e l'equità.\",\n    \"Sistemi per segnalare casi di razzismo o pregiudizi nelle strutture sanitarie.\",\n    \"Potenziamento dei servizi di ostetricia e del supporto psicologico.\"\n  ],\n  \"nl_ai_title\": \"Kira Johnson Wet: Verbetering van de moederzorg en bestrijding van discriminatie\",\n  \"nl_summary\": \"Deze wet biedt financiering voor de ondersteuning van zwangere en pas bevallen vrouwen om gezondheidsverschillen te verkleinen. Ziekenhuizen krijgen middelen voor personeelstraining en systemen om discriminatie te melden.\",\n  \"nl_key_points\": [\n    \"Subsidies voor lokale organisaties die zwangere vrouwen ondersteunen.\",\n    \"Trainingen voor al het ziekenhuispersoneel over respectvolle zorg zonder vooroordelen.\",\n    \"Nieuwe meldpunten in ziekenhuizen voor racisme en ongelijke behandeling.\",\n    \"Meer steun voor verloskunde en geestelijke gezondheidszorg voor moeders.\"\n  ],\n  \"pt_ai_title\": \"Lei Kira Johnson: Melhorar a saúde materna e combater a discriminação\",\n  \"pt_summary\": \"Esta lei disponibiliza fundos para apoiar grávidas e puérperas, visando reduzir as desigualdades na saúde. Os hospitais receberão verbas para formar o pessoal e criar sistemas de denúncia de maus-tratos.\",\n  \"pt_key_points\": [\n    \"Subsídios para organizações locais que apoiam a saúde materna.\",\n    \"Formação para todos os funcionários de maternidades sobre respeito e igualdade.\",\n    \"Criação de mecanismos para reportar casos de racismo ou preconceito nos hospitais.\",\n    \"Maior apoio a serviços de parteiras e saúde mental para mães.\"\n  ],\n  \"category\": [\n    \"Health\",\n    \"Family\"\n  ]\n}"
    }
  ]
}