HR3302-119

Reported

Healthy Start Reauthorization Act of 2025

119th Congress Introduced May 8, 2025

Summary

What This Bill Does

The Healthy Start Reauthorization Act amends section 330H of the Public Health Service Act to continue the Healthy Start Initiative. It authorizes $145,000,000 for each of fiscal years 2026 through 2030. Healthy Start is the Federal grant program that supports community-based maternal and infant health work in areas with high infant mortality, including outreach, case management, prenatal and postpartum support, and links to health and social services. The bill is short, but the funding authorization is specific: it keeps the program authorized for five more fiscal years at $145 million per year.

Who Benefits and How

Healthy Start grantees benefit because the bill provides a five-year authorization signal for Federal grant funding. Community maternal health clinics benefit from continued program authority for outreach, case management, and patient support services. Pregnant patients in high-infant-mortality communities benefit from continued access to local Healthy Start services. Postpartum patients and infants benefit if grantees can maintain care coordination and infant-health interventions. The Health Resources and Services Administration Maternal and Child Health Bureau benefits from clear authority to continue administering the program through fiscal year 2030.

Who Bears the Burden and How

Federal taxpayers bear the authorized cost of $145,000,000 for each of fiscal years 2026 through 2030. HRSA grant administrators must continue competitions, awards, oversight, and reporting for Healthy Start grants. Community health providers that receive grants must comply with Federal grant terms and performance expectations. Congressional appropriators must decide whether to fund the authorization each year. States and local public health offices may need to coordinate with grantees serving high-risk communities.

Key Provisions

  • Amends section 330H(e)(1) of the Public Health Service Act.
  • Authorizes $145,000,000 for the Healthy Start Initiative for fiscal year 2026.
  • Extends the same $145,000,000 authorization for each fiscal year through 2030.
  • Provides continued authority for Healthy Start grants serving communities with high infant mortality.
  • Supports Federal maternal and infant health program administration by HRSA.

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

Reauthorizes the Public Health Service Act Healthy Start Initiative by authorizing $145,000,000 for each fiscal year 2026 through 2030 for grants and services aimed at communities with high infant mortality and maternal health risks.

Key Policy Areas

Maternal Health, Public Health, Appropriations

Primary Purpose

Reauthorizes the Public Health Service Act Healthy Start Initiative by authorizing $145,000,000 for each fiscal year 2026 through 2030 for grants and services aimed at communities with high infant mortality and maternal health risks.

Policy Domains

Maternal Health Public Health Appropriations

House resolution provisions

Identified Gains
  • Healthy Start grantees
  • Community maternal health clinics
  • Pregnant patients
  • Postpartum patients
  • Infants in high-risk communities
  • Health Resources and Services Administration
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: rh
Pregnant patients:
Postpartum patients:
Healthy Start grantees:
Infants in high-risk communities:
Community maternal health clinics:
Health Resources and Services Administration:
Identified Costs
  • Federal taxpayers
  • HRSA grant administrators
  • Community health providers
  • Congressional appropriators
  • State public health offices
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: rh
Federal taxpayers:
HRSA grant administrators:
Community health providers:
Congressional appropriators:
State public health offices:

Legislative Progress

Reported
Introduced Committee Passed
Oct 3, 2025

Additional sponsors: Mr. Fitzpatrick and Ms. Moore of Wisconsin

Oct 3, 2025

Committed to the Committee of the Whole House on the …

Oct 3, 2025

Placed on the Union Calendar, Calendar No. 284.

Oct 3, 2025

Reported by the Committee on Energy and Commerce. H. Rept. …

Sep 17, 2025

Committee Consideration and Mark-up Session Held

Sep 17, 2025

Ordered to be Reported by the Yeas and Nays: 49 …

Sep 10, 2025

Subcommittee Hearings Held

Sep 10, 2025

Forwarded by Subcommittee to Full Committee by Voice Vote.

Sep 10, 2025

Referred to the Subcommittee on Health.

May 8, 2025

Introduced in House

Stakeholder Effects

cui bono?

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

Healthcare
8 mentions across 2 clauses
+8 positive

Community maternal health clinics, Healthy Start grantees, Postpartum patients

Government
4 mentions across 2 clauses
-4 negative

Health Resources and Services Administration, Taxpayers

1/2
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Maternal Health Public Health Appropriations
Actor Mappings
"hrsa"
→ Health Resources and Services Administration
"healthy_start"
→ Healthy Start Initiative

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