HR1254-119

In Committee

Rural Obstetrics Readiness Act

119th Congress Introduced Feb 12, 2025

Summary

What This Bill Does

The Rural Obstetrics Readiness Act strengthens emergency obstetric care in rural facilities that lack dedicated obstetric units. It adds an evidence-based training program for practitioners to prepare for, identify, stabilize, and safely transfer patients experiencing labor, delivery, hemorrhage, severe hypertension, cardiac conditions, perinatal mental health conditions, substance use, sepsis, and other pregnancy or postpartum emergencies. It creates grants, contracts, or cooperative agreements to integrate obstetric readiness training into rural health settings, purchase equipment, build workforce capacity, hire personnel, establish transfer protocols, and train non-obstetric health professionals. It also creates HRSA-supported statewide or regional maternal telehealth networks for urgent support to rural facilities and requires HHS to study maternity ward closures, patient transport patterns, and regional partnership models.

Who Benefits and How

Pregnant patients in rural areas benefit because local facilities receive training, equipment, and telehealth support for obstetric emergencies. Rural hospitals without obstetric units benefit from grant funding for readiness equipment, transfer protocols, workforce capacity, and personnel. Non-obstetric rural clinicians benefit from training on stabilization and transfer of labor, hemorrhage, hypertension, sepsis, and related emergencies. States, Indian Tribes, and Tribal organizations benefit from grants to build regional maternal telehealth access programs.

Who Bears the Burden and How

HHS and HRSA must administer new grants, teleconsultation awards, training standards, and the rural obstetric unit study. CMS must consult on maternal telehealth access programs and rural urgent-care support. Grant recipients must integrate training, buy equipment, establish protocols, and manage reporting requirements. Federal taxpayers bear the cost of new rural obstetric readiness grants, telehealth pilots, and studies.

Key Provisions

  • Adds evidence-based emergency obstetric training for rural facilities without dedicated obstetric units.
  • Establishes grants for equipment, workforce capacity, training, personnel, transfer protocols, and network engagement.
  • Creates HRSA-supported rural maternal health teleconsultation pilot grants.
  • Requires HHS to study maternity ward closures, patient transport patterns, and regional partnership models.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

Builds rural obstetric emergency readiness through training, equipment grants, teleconsultation networks, workforce support, transfer protocols, and a rural obstetric unit study.

Key Policy Areas

Health Care, Maternal Health, Rural Health

Primary Purpose

Builds rural obstetric emergency readiness through training, equipment grants, teleconsultation networks, workforce support, transfer protocols, and a rural obstetric unit study.

Policy Domains

Health Care Maternal Health Rural Health

Resolution provisions

Identified Gains
  • Pregnant patients in rural areas
  • Rural hospitals
  • Non-obstetric rural clinicians
  • Indian Tribes
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Indian Tribes: , , ,
Rural hospitals: , , ,
Non-obstetric rural clinicians: , , ,
Pregnant patients in rural areas: , , ,
Identified Costs
  • HHS and HRSA
  • CMS
  • Grant recipients
  • Federal taxpayers
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
CMS: , , ,
HHS and HRSA: , , ,
Grant recipients: , , ,
Federal taxpayers: , , ,

Legislative Progress

In Committee
Introduced Committee Passed
Feb 12, 2025

Ms. Kelly of Illinois (for herself, Mrs. Kim, Ms. Schrier, …

Feb 12, 2025

Referred to the House Committee on Energy and Commerce.

Feb 12, 2025

Introduced in House

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Health Care
12 mentions across 6 clauses
+12 positive

Pregnant patients in rural areas, Rural hospitals

Government
6 mentions across 6 clauses
-6 negative

HHS and HRSA

Taxpayers
6 mentions across 6 clauses
-6 negative

Taxpayers

6/7
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Health Care Maternal Health Rural Health

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology