To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes.
Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.
Summary
What This Bill Does
The Black Maternal Health Momnibus Act is a comprehensive package to address the maternal mortality crisis, particularly the disproportionate rates of death and complications affecting Black women and other racial/ethnic minorities during and after pregnancy. It creates a coordinated federal task force, funds community-based programs, expands postpartum nutrition support, and invests in diversifying the healthcare workforce.
Who Benefits and How
Community-based organizations serving minority populations receive substantial grant funding ($100M/year each for two major programs). Midwives, doulas, and perinatal health workers gain new training programs and scholarships ($15M/year across multiple workforce grants). Nursing and medical schools focused on maternal health receive expansion funding. Pregnant and postpartum individuals from racial/ethnic minority groups benefit from extended WIC eligibility (24 months vs. 6 months) and culturally competent care programs. Veterans gain dedicated maternity care coordination services ($15M/year).
Who Bears the Burden and How
Hospitals and health systems must establish respectful maternity care compliance programs with reporting requirements for bias incidents. Maternity care providers and staff must undergo periodic training on implicit bias, racism, and cultural competency. Healthcare institutions face new accountability mechanisms for addressing racism in care delivery.
Key Provisions
- Creates federal task force coordinating 16+ agencies to address maternal mortality
- Authorizes $100M/year for grants to address social determinants of maternal health
- Authorizes $100M/year for community-based organizations advancing maternal health equity
- Extends WIC eligibility for postpartum individuals from 6 months to 24 months
- Authorizes $45M/year combined for perinatal workforce training grants
- Requires bias and racism training for all maternity care staff
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.
At a Glance
What This Bill Does
Addresses the maternal mortality and severe maternal morbidity crisis in the United States, with particular focus on eliminating racial and ethnic disparities in maternal health outcomes.
Key Policy Areas
Healthcare, Public Health, Social Services, Workforce Development, Veterans Affairs, Nutrition
Primary Purpose
Addresses the maternal mortality and severe maternal morbidity crisis in the United States, with particular focus on eliminating racial and ethnic disparities in maternal health outcomes.
Policy Domains
Title I - Maternal Mortality Task Force and Social Determinants
Identified Gains
Contextual inference, no direct clause citation- Community-based organizations serving minority populations
- Indian Tribes and Tribal organizations
- Pregnant and postpartum individuals from racial/ethnic minority groups
Contextual inference, no direct clause citation
Identified Costs
Contextual inference, no direct clause citation- Federal agencies coordinating on task force
Contextual inference, no direct clause citation
Title V - Workforce Development and Diversity
Identified Gains
Contextual inference, no direct clause citation- Nursing schools
- Midwifery education programs
- Physician assistant programs
- Students from minority groups
- Perinatal health worker training programs
Contextual inference, no direct clause citation
Identified Costs
Contextual inference, no direct clause citation- Grant recipients
Contextual inference, no direct clause citation
Title II - WIC Extension
Identified Gains
Contextual inference, no direct clause citation- Postpartum individuals eligible for WIC
- Infants and children in WIC-eligible families
Contextual inference, no direct clause citation
Identified Costs
Contextual inference, no direct clause citation- Federal WIC program budget
- State WIC agencies
Contextual inference, no direct clause citation
Title IV - Veterans Affairs Maternity Care
Identified Gains
Contextual inference, no direct clause citation- Veterans receiving VA maternity care
- VA maternity care coordination programs
Contextual inference, no direct clause citation
Identified Costs
Contextual inference, no direct clause citation- Department of Veterans Affairs
Contextual inference, no direct clause citation
Title III - Community Organizations and Respectful Care
Identified Gains
Contextual inference, no direct clause citation- Community-based organizations
- Midwifery practices
- Perinatal health workers
- Training program providers
- HBCUs
Contextual inference, no direct clause citation
Identified Costs
Contextual inference, no direct clause citation- Hospitals and health systems
- Maternity care providers and staff
Contextual inference, no direct clause citation
Sponsors
Legislative Progress
IntroducedMs. Underwood (for herself, Ms. Adams, Mr. Aguilar, Mr. Allred, …
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
Accredited midwifery education programs, Community-based organizations addressing maternal mental health, Community-based organizations advancing maternal health equity
Positive-direction: Accredited midwifery education programs, Community-based organizations addressing maternal mental health, Community-based organizations advancing maternal health equity, Community-based organizations consulted on reviews, Community-based organizations partnering on guidance, Community-based organizations providing stakeholder input, Community-based organizations serving maternal health populations, Existing mental health programs expanding maternal specialization, Health profession schools developing climate health curricula, Healthcare facilities in underserved areas implementing digital tools, Healthcare providers in rural and underserved areas, Hospitals and health systems establishing compliance programs, Maternal health providers in professional shortage areas, Maternity care providers under Medicaid, Medical and nursing schools adding environmental health training, Mental health and substance use treatment providers in underserved areas, Midwives, doulas, and perinatal health workers, Organizations serving demographic groups with elevated maternal mortality rates, Perinatal health worker training programs, Physician assistant training programs with maternal health focus, Prenatal and obstetric care providers promoting vaccination, Schools and programs training perinatal workforce, Schools establishing maternal mental health training programs, Students entering perinatal nursing from minority groups, Students from racial/ethnic minority groups entering mental health field, Students from racial/ethnic minority groups entering nursing, Students from racially/ethnically diverse backgrounds, Students seeking midwifery or perinatal health worker certification, Training program providers for maternity care settings, VA healthcare providers and contractors
Negative-direction: Hospitals and health systems (compliance burden), Hospitals and health systems implementing training programs, Hospitals and health systems recruiting diverse providers, Hospitals subject to reporting, Maternity care providers and staff receiving training, Maternity care providers implementing emergency protocols, Maternity care staff required to undergo training
Agency for Healthcare Research and Quality, Bureau of Prisons, CDC Surveillance for Emerging Threats to Mothers and Babies program
Positive-direction: CDC Surveillance for Emerging Threats to Mothers and Babies program, CDC immunization and vaccination programs, Department of Veterans Affairs maternity care programs, NIH institutes and centers participating in consortium
Negative-direction: Agency for Healthcare Research and Quality, Bureau of Prisons, CDC and HRSA coordinating task force, Centers for Disease Control and Prevention, Centers for Medicare & Medicaid Services, Federal agencies (HHS, HUD, DOT, USDA, EPA, DOL, CMS, CDC, etc.), Government Accountability Office
Patients receiving maternity care from racial/ethnic minority groups, Postpartum individuals eligible for WIC, Pregnant and postpartum individuals from racial/ethnic minority groups
State Medicaid programs implementing telehealth, State Medicaid programs testing alternative payment models, State WIC agencies
Positive-direction: State Medicaid programs implementing telehealth, State Medicaid programs testing alternative payment models, States establishing prison maternal health programs, States with anti-shackling laws for pregnant inmates
Negative-direction: State WIC agencies, State health departments and Medicaid agencies, States without anti-shackling laws for pregnant inmates
AI health technology developers, Clinical decision support system vendors, Digital health tool developers for maternal care
Certified nurse-midwife training programs, HBCUs and other minority-serving institutions with health programs, HBCUs with health professions programs
Indian Tribes and Urban Indian organizations, Indian Tribes, Tribal organizations, and Urban Indian organizations, Tribal Epidemiology Centers
Independent research organizations studying tribal health, National Academies of Sciences, Engineering, and Medicine, Research centers studying maternal health disparities
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "the_secretary"
- → Secretary of Health and Human Services
- "the_secretary"
- → Secretary of Agriculture
- "the_secretary"
- → Secretary of Health and Human Services
- "the_secretary"
- → Secretary of Veterans Affairs
- "the_secretary"
- → Secretary of Health and Human Services
Note: The Secretary refers to different cabinet officials depending on title: HHS Secretary in Titles I, III, V; Secretary of Agriculture in Title II (WIC); Secretary of Veterans Affairs in Title IV.
Key Definitions
Terms defined in this bill
A death occurring during or within a 1-year period after pregnancy, caused by pregnancy-related or childbirth complications.
A health condition attributed to or aggravated by pregnancy or childbirth that results in significant consequences to the health of the individual.
A physician, physician assistant, midwife, advanced practice registered nurse, or lactation consultant with a focus on maternal or perinatal health.
A nonclinical health worker focused on maternal or perinatal health, such as a doula, community health worker, or peer supporter.
The 1-year period beginning on the last day of the pregnancy of an individual.
Nonclinical factors that impact maternal health outcomes.
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