HR6238119th CongressWALLET

NIH IMPROVE Act

Sponsored By: Representative Underwood, Lauren [D-IL-14]

Introduced

Summary

NIH IMPROVE Initiative: a new federal research program would fund and coordinate research and community projects to reduce maternal mortality and severe maternal morbidity and to shrink racial and regional disparities in maternal health outcomes.

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  • Families: Pregnant and postpartum women would see research focused on preventing deaths and severe complications and on improving health before, during, and after pregnancy.
  • Researchers and health systems: The Director of the National Institutes of Health would be able to award grants, contracts, and cooperative agreements to build an evidence base and run region-specific studies and interventions.
  • Disproportionately affected communities: The program would fund and evaluate community-based interventions and study biological and other risk factors that drive higher rates of maternal mortality and severe maternal morbidity in some groups.

*Would authorize $73.4 million per year from 2026 through 2031 to carry out the initiative, increasing federal spending over that period.*

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

New NIH maternal health research program

If enacted, this bill would create the IMPROVE Initiative at the National Institutes of Health to improve maternal health. The NIH Director would be able to award grants, contracts, cooperative agreements, or other transactions to fund research and community programs. The program would focus on reducing preventable maternal deaths and severe maternal morbidity, shrinking health disparities, and improving care before, during, and after pregnancy. It would fund research on biological, behavioral, and community-based approaches and test interventions in specific U.S. regions. The bill would authorize $73.4 million each year for fiscal years 2026 through 2031. The provision would take effect upon enactment.

Sponsors & CoSponsors

Sponsor

Underwood, Lauren [D-IL-14]

IL • D

Cosponsors

  • Rep. Fitzpatrick, Brian K. [R-PA-1]

    PA • R

    Sponsored 11/20/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 4/15/2026

  • Rep. McClain Delaney, April [D-MD-6]

    MD • D

    Sponsored 4/29/2026

Roll Call Votes

No roll call votes available for this bill.

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