HR1254119th CongressWALLET

Rural Obstetrics Readiness Act

Sponsored By: Representative Kelly (IL)

Introduced

Summary

Rural obstetric emergency readiness: This bill would create a federally supported program to train and support clinicians in rural facilities without obstetric units so they can manage pregnancy and childbirth emergencies and arrange safe transfers. It centers on evidence-based training, a needs assessment, interprofessional consultation, and regional technical assistance.

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Grants to prepare rural hospitals for births

If enacted, the government would award grants to rural hospitals and consortia to bolster obstetric emergency readiness. Funds could pay for equipment, staff time, and training to prepare, stabilize, and safely transfer patients. Uses could include buying supplies, setting transfer protocols and networks, and running cross-training or simulation drills. Recipients would coordinate with local maternal and child health programs. $15 million is authorized for fiscal years 2026 through 2029.

Maternal telehealth help for rural clinics

If enacted, HHS would fund a pilot so States and Tribes can build maternal telehealth teams for urgent care in rural sites without obstetric units. Programs would ensure consulting doctors are credentialed, meet State rules, and can advise on labor, hemorrhage, hypertension, heart issues, mental health, substance use, and sepsis. They would offer rapid phone or video consults and help with referrals. Programs must report results within 18 months. $5 million is authorized for fiscal years 2026 through 2029.

Training rural clinics for pregnancy emergencies

If enacted, HHS would fund evidence-based training for practitioners in rural facilities without obstetric units. Training would cover labor, hemorrhage, severe hypertension, heart issues, mental health, substance use, sepsis, and more. Grantees would assess needs, consult national experts in four specialties, and deliver training through regional partners and technical help. $5 million is authorized for fiscal years 2026 through 2028.

Sponsors & CoSponsors

Sponsor

Kelly (IL)

IL • D

Cosponsors

  • Kim

    CA • R

    Sponsored 2/12/2025

  • Schrier

    WA • D

    Sponsored 2/12/2025

  • Meuser

    PA • R

    Sponsored 2/12/2025

  • Fitzpatrick

    PA • R

    Sponsored 3/6/2025

  • Adams

    NC • D

    Sponsored 3/11/2025

  • Carbajal

    CA • D

    Sponsored 3/11/2025

  • Bishop

    GA • D

    Sponsored 3/11/2025

  • Wilson (SC)

    SC • R

    Sponsored 3/11/2025

  • Houlahan

    PA • D

    Sponsored 3/11/2025

  • Budzinski

    IL • D

    Sponsored 3/18/2025

  • Smith (WA)

    WA • D

    Sponsored 3/18/2025

  • Ross

    NC • D

    Sponsored 3/18/2025

  • Moulton

    MA • D

    Sponsored 3/21/2025

  • Leger Fernandez

    NM • D

    Sponsored 3/21/2025

  • Obernolte

    CA • R

    Sponsored 3/21/2025

  • Pettersen

    CO • D

    Sponsored 3/21/2025

  • Khanna

    CA • D

    Sponsored 3/21/2025

  • Trahan

    MA • D

    Sponsored 3/24/2025

  • McClellan

    VA • D

    Sponsored 3/24/2025

  • Tlaib

    MI • D

    Sponsored 3/24/2025

  • Sykes

    OH • D

    Sponsored 3/27/2025

  • Gillen

    NY • D

    Sponsored 3/27/2025

  • Figures

    AL • D

    Sponsored 4/1/2025

  • McBride

    DE • D

    Sponsored 4/1/2025

  • Latimer

    NY • D

    Sponsored 4/1/2025

  • Davids (KS)

    KS • D

    Sponsored 4/1/2025

  • Dexter

    OR • D

    Sponsored 4/7/2025

  • Wied

    WI • R

    Sponsored 4/7/2025

  • Yakym

    IN • R

    Sponsored 4/14/2025

  • Nunn (IA)

    IA • R

    Sponsored 4/21/2025

  • Thompson (PA)

    PA • R

    Sponsored 5/5/2025

  • Pappas

    NH • D

    Sponsored 5/19/2025

  • Pocan

    WI • D

    Sponsored 6/23/2025

  • Miller (WV)

    WV • R

    Sponsored 7/17/2025

  • Ryan

    NY • D

    Sponsored 7/29/2025

  • Bergman

    MI • R

    Sponsored 9/9/2025

  • Pingree

    ME • D

    Sponsored 12/16/2025

  • McDonald Rivet

    MI • D

    Sponsored 12/18/2025

  • Bresnahan

    PA • R

    Sponsored 12/19/2025

  • Thompson (CA)

    CA • D

    Sponsored 1/8/2026

  • Golden (ME)

    ME • D

    Sponsored 1/12/2026

  • Lawler

    NY • R

    Sponsored 1/13/2026

  • Del. Moylan, James C. [R-GU-At Large]

    GU • R

    Sponsored 2/23/2026

Roll Call Votes

No roll call votes available for this bill.

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