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S. 3254
U.S. Senate•In Senate Committee
Summary
S. 3254, the NIH IMPROVE Act, was introduced in the Senate on Nov 20, 2025 by Sen. Katie Boyd Britt (R) with 4 co-sponsors. It was referred to Health, Education, Labor, And Pensions, and last saw action on Nov 20, 2025: Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Record
Text
S. 3254 has 4 co-sponsors.
sb3254/introduced-in-senate.txt119 S3254 IS: NIH Implementing a Maternal health and PRegnancy Outcomes Vision for EveryoneU.S. Senate2025-11-20text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.II 119th CONGRESS 1st Session S. 3254 IN THE SENATE OF THE UNITED STATES November 20, 2025 Mrs. Britt (for herself and Mr. Booker ) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILLTo establish the IMPROVE Initiative within the National Institutes of Health.1.Short titleThis Act may be cited as the NIH Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone or the NIH IMPROVE Act .2.IMPROVE InitiativePart B of title IV of the Public Health Service Act ( 42 U.S.C. 284 et seq. ) is amended by adding at the end the following:409K.IMPROVE initiative(a)In generalThe Director of NIH shall continue to carry out a program to improve maternal health outcomes, to be known as the Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Initiative or the IMPROVE Initiative (referred to in this section as the Initiative ).(b)ObjectivesThe Initiative shall—(1)advance research to—(A)reduce preventable causes of maternal mortality and severe maternal morbidity;(B)reduce health disparities related to maternal health outcomes, including such disparities associated with populations with disproportionately high rates of maternal mortality and severe maternal morbidity relative to the national rate; and(C)improve health for pregnant and postpartum women before, during, and after pregnancy;(2)use an integrated approach to understand the factors, including biological, behavioral, and other factors, that affect maternal mortality and severe maternal morbidity by building an evidence base for improved outcomes in specific regions of the United States; and(3)target health disparities associated with maternal mortality and severe maternal morbidity by—(A)implementing and evaluating community-based interventions for disproportionately affected women; and(B)identifying risk factors and the underlying biological mechanisms associated with leading causes of maternal mortality and severe maternal morbidity in the United States.(c)ImplementationThe Director of NIH may award grants or enter into contracts, cooperative agreements, or other transactions to carry out this section.(d)Authorization of appropriationsThere is authorized to be appropriated to carry out this section $73,400,000 for each of fiscal years 2026 through 2031..
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-11-20
- Passed Senate
- Passed House
- Conference
- To President
- Became Law
A bill to establish the IMPROVE Initiative within the National Institutes of Health.
Sponsors
Sen. Katie Boyd Britt (R) sponsors S. 3254, and 4 members have co-sponsored it, 1 of them from the day it was introduced.
Committees
S. 3254 went before 1 committee: Health, Education, Labor, and Pensions.

Actions
S. 3254 has taken 2 actions since Nov 20, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Nov 20, 2025 | Senate | Read twice and referred to the Committee on Health, Education, Labor, and Pensions.Health, Education, Labor, and Pensions Committee | ||
Nov 20, 2025 | — | Introduced in Senate |
Votes
S. 3254 has not gone to a roll call.
Related bills
3 bills are related to S. 3254.
HR 6238NIH IMPROVE ActJul 21, 2026 · Received in the Senate and Read twice and referred to the Committee on Health,… · Related bill
HR 7973Momnibus ActApr 20, 2026 · Referred to the Subcommittee on Health. · Related bill
S 5283Momnibus ActAug 6, 2026 · Read twice and referred to the Committee on Health, Education, Labor, and Pensi… · Related billTitles
S. 3254 goes by 4 titles, 2 of them short titles.
- NIH IMPROVE Act — Display Title
- NIH IMPROVE Act — Short Title(s) as Introduced
- NIH Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone — Short Title(s) as Introduced
- A bill to establish the IMPROVE Initiative within the National Institutes of Health. — Official Title as Introduced
Lobbying
4 clients hired 4 firms and 14 registered lobbyists who named S. 3254 in 10 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Budget/Appropriations, Health Issues, Taxation/Internal Revenue Code, Civil Rights/Civil Liberties, Medicare/Medicaid, Insurance, Retirement, Transportation.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AARP | nonprofit, nonpartisan membership organization for people 50 and over | District of Columbia | 1 | 4 | $160K |
| MARCH OF DIMES | — | Virginia | 1 | 3 | — |
| NEMOURS FOUNDATION - A FLORIDA NOT-FOR-PROFIT CORPORATION | — | District of Columbia | 1 | 2 | — |
| HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC. | — | New York | 1 | 1 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| ALIGNMENT GOVERNMENT STRATEGIES | 1 | 4 | $160K |
| MARCH OF DIMES | 1 | 3 | — |
| THE NEMOURS FOUNDATION - A FLORIDA NOT-FOR-PROFIT CORPORATION | 1 | 2 | — |
| HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC. | 1 | 1 | — |
Lobbyists
Named on the filings that cite the bill.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| BERT CARP | 1 | 1 | 4 |
| DAVID RUDD | 1 | 1 | 4 |
| JENNY DIJAMES | 1 | 1 | 4 |
| LEO JARDOT | 1 | 1 | 4 |
| MICHAEL BEER | 1 | 1 | 4 |
| REBECCA ANDERSON | 1 | 1 | 4 |
| TRACY TAYLOR | 1 | 1 | 4 |
| ANDREW FULLERTON | 1 | 1 | 3 |
| KENNETH HERTZ | 1 | 1 | 3 |
| DANIELLA GRATALE | 1 | 1 | 2 |
| KATHLEEN OSGOOD | 1 | 1 | 2 |
| ELIZABETH CULLEN | 1 | 1 | 1 |
| LAUREN KATZ | 1 | 1 | 1 |
| SAMANTHA GURSKY | 1 | 1 | 1 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| NEMOURS FOUNDATION - A FLORIDA NOT-FOR-PROFIT CORPORATION | THE NEMOURS FOUNDATION - A FLORIDA NOT-FOR-PROFIT CORPORATION | 2026 first_quarter | $150K | 1st Quarter - Report |
| NEMOURS FOUNDATION - A FLORIDA NOT-FOR-PROFIT CORPORATION | THE NEMOURS FOUNDATION - A FLORIDA NOT-FOR-PROFIT CORPORATION | 2026 second_quarter | $140K | 2nd Quarter - Report |
| MARCH OF DIMES | MARCH OF DIMES | 2026 second_quarter | $60K | 2nd Quarter - Report |
| HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC. | HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC. | 2026 second_quarter | $60K | 2nd Quarter - Report |
| MARCH OF DIMES | MARCH OF DIMES | 2025 fourth_quarter | $60K | 4th Quarter - Report |
| MARCH OF DIMES | MARCH OF DIMES | 2026 first_quarter | $50K | 1st Quarter - Report |
| AARP | ALIGNMENT GOVERNMENT STRATEGIES | 2025 fourth_quarter | $40K | 4th Quarter - Termina… |
| AARP | ALIGNMENT GOVERNMENT STRATEGIES | 2025 third_quarter | $40K | 3rd Quarter - Report |
| AARP | ALIGNMENT GOVERNMENT STRATEGIES | 2025 second_quarter | $40K | 2nd Quarter - Report |
| AARP | ALIGNMENT GOVERNMENT STRATEGIES | 2025 first_quarter | $40K | 1st Quarter - Report |
Classification
The Congressional Research Service files S. 3254 under Health, one of its 31 policy areas, and gives it 5 legislative subjects.
CRS Subjects
CRS assigns every bill one policy area from its 31; S. 3254’s is Health.
s3254/policy-areas.txtLegislative Subjects
S. 3254 carries 5 of CRS’s legislative subjects, from Health programs administration and funding to Women's health.
s3254/subjects.txtSource: congress.gov · legiscan.com