S. 4149

119 S4149 IS: Social Determinants for Moms Act
 U.S. Senate
 2026-03-19
 text/xml
 EN
 Pursuant 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  2d Session  S. 4149  IN THE SENATE OF THE UNITED STATES   March 19, 2026   Mr. Blumenthal  (for himself,  Ms. Alsobrooks , 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 require the Secretary of Health and Human Services to convene a task force to develop strategies and coordinate efforts to eliminate preventable maternal mortality, and for other purposes.
1.
Short title
This Act may be cited as the   Social Determinants for Moms Act  .
2.
Task force to address the United States maternal health crisis
(a)
In general
The Secretary of Health and Human Services (referred to in this Act as the  Secretary ) shall convene a task force (referred to in this section as the  Task Force ) to develop strategies and coordinate efforts between Federal agencies and other stakeholders to eliminate preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, including actions to address clinical and nonclinical causes of maternal mortality, severe maternal morbidity, and maternal health disparities.
(b)
Ex officio members
The Task Force shall consist of the following ex officio members (or a designee thereof):
(1)
The Secretary.
(2)
The Secretary of Housing and Urban Development.
(3)
The Secretary of Transportation.
(4)
The Secretary of Agriculture.
(5)
The Secretary of Labor.
(6)
The Administrator of the Environmental Protection Agency.
(7)
The Assistant Secretary for the Administration for Children and Families.
(8)
The Administrator of the Centers for Medicare & Medicaid Services.
(9)
The Director of the Indian Health Service.
(10)
The Director of the National Institutes of Health.
(11)
The Director of the Eunice Kennedy Shriver National Institute of Child Health and Human Development.
(12)
The Director of the Tribal Health Research Office at the National Institutes of Health.
(13)
The Administrator of the Health Resources and Services Administration.
(14)
The Deputy Assistant Secretary for Minority Health of the Department of Health and Human Services.
(15)
The Deputy Assistant Secretary for Women’s Health of the Department of Health and Human Services.
(16)
The Director of the Centers for Disease Control and Prevention.
(17)
The Director of the Office on Violence Against Women at the Department of Justice.
(c)
Appointed members
In addition to the ex officio members of the Task Force, the Secretary may appoint the following members of the Task Force:
(1)
Representatives of patients, including—
(A)
a representative of patients who have suffered from severe maternal morbidity; or
(B)
a representative of patients who is a family member of an individual who suffered a pregnancy-related death.
(2)
Leaders of community-based organizations that address maternal mortality, severe maternal morbidity, and maternal health with a specific focus on racial and ethnic disparities. In appointing such leaders under this paragraph, the Secretary shall give priority to individuals who are leaders of organizations 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.
(3)
Leaders from the Indian health care system, including leaders from Tribal Epidemiology Centers.
(4)
Perinatal health workers.
(5)
A professionally and geographically diverse panel of maternity care providers.
(6)
Other maternal health stakeholders outside of the Federal Government with expertise in maternal health, including social determinants of maternal health.
(d)
Chair
The Secretary shall select the chair of the Task Force from among the members of the Task Force.
(e)
Topics
In developing strategies and coordinating efforts between Federal agencies and other stakeholders to eliminate preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States under this section, the Task Force may address topics such as—
(1)
addressing barriers that prevent individuals from attending prenatal and postpartum appointments, accessing maternal health care services, or accessing services and resources related to social determinants of maternal health;
(2)
increasing access to safe, stable, affordable, and adequate housing for pregnant and postpartum individuals and their families;
(3)
delivering healthy food, infant formula, clean water, diapers, or other perinatal necessities to pregnant and postpartum individuals located in areas that are food deserts;
(4)
addressing the impacts of water and air quality, exposure to extreme temperatures, environmental chemicals, environmental risks in the workplace and the home, and pollution levels, on maternal and infant health outcomes;
(5)
offering free and accessible drop-in childcare services during prenatal and postpartum appointments;
(6)
addressing the clinical and nonclinical needs of postpartum individuals and their families for the duration of the postpartum period;
(7)
engaging with nongovernmental entities to address social determinants of maternal health, including through public-private partnerships;
(8)
addressing the impact of domestic or intimate partner violence on maternal health outcomes; and
(9)
other topics determined by the chair of the Task Force.
(f)
Report
Not later than 2 years after the date of enactment of this Act, and annually thereafter, the Task Force shall submit to Congress and make publicly available on the website of the Department of Health and Human Services a report that—
(1)
describes the efforts of the Task Force to develop strategies and coordinate efforts between Federal agencies and other stakeholders to eliminate preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States;
(2)
provides an overview of actions taken by each member of the Task Force described in subsection (b) to eliminate preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States;
(3)
provides recommendations on Federal funding amounts and authorities needed to implement strategies developed by the Task Force to eliminate preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States;
(4)
provides recommendations on actions that stakeholders outside of the Federal Government can take to eliminate preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States; and
(5)
addresses other topics, as determined by the chair of the Task Force.
(g)
Termination
Section 1013 of title 5, United States Code, shall not apply to the Task Force with respect to termination.
3.
Sustained funding to address social determinants of maternal health
(a)
In general
The Secretary shall award grants to eligible entities to address social determinants of maternal health to eliminate maternal mortality, severe maternal morbidity, and maternal health disparities.
(b)
Eligible entities
To be eligible to receive a grant under this section, an entity shall be—
(1)
a community-based organization, Indian Tribe or Tribal organization, or Urban Indian organization;
(2)
a public health department or nonprofit organization working with an entity described in paragraph (1); or
(3)
a consortium of entities described in paragraph (1) or (2) that includes at minimum one entity described in paragraph (1).
(c)
Application
An eligible entity desiring a grant under this section shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.
(d)
Prioritization
In awarding grants under this section, the Secretary shall give priority to an eligible entity that is operating in an area with—
(1)
high rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes; and
(2)
a high poverty rate.
(e)
Activities
An eligible entity that receives a grant under this section may use the grant to address social determinants of maternal health such as—
(1)
housing;
(2)
transportation;
(3)
nutrition;
(4)
employment, workplace conditions, and other economic factors;
(5)
environmental conditions;
(6)
intimate partner violence; and
(7)
other nonclinical factors that impact maternal health outcomes.
(f)
Technical assistance
The Secretary shall provide to grant recipients under this section technical assistance to plan for sustaining programs to address social determinants of maternal health after the period of the grant.
(g)
Reporting
(1)
Grantees
Not later than 1 year after an eligible entity first receives a grant under this section, and annually thereafter, the eligible entity shall submit to the Secretary, and make publicly available, a report that describes the status of activities conducted using the grant. Each such report shall include data on the effects of such activities, disaggregated by race, ethnicity, gender, primary language, geography, socioeconomic status, and other relevant factors.
(2)
Secretary
Not later than the end of fiscal year 2031, the Secretary shall submit to Congress a report that includes—
(A)
a summary of the reports under paragraph (1); and
(B)
recommendations for future Federal grant allocations to address social determinants of maternal health.
(h)
Authorization of appropriations
There is authorized to be appropriated to carry out this section $100,000,000 for each of fiscal years 2027 through 2031.