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HR8074119th CongressWALLET

Kira Johnson Act

Sponsored By: Representative Adams, Alma S. [D-NC-12]

Introduced

Summary

This bill would create federal programs to advance _maternal health equity_ by funding community-based services, bias-reduction training, and hospital compliance efforts for groups with higher pregnancy-related risks.

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  • Pregnant and postpartum people from racial and ethnic minority groups would get expanded community supports like maternal mental health and substance use services, group prenatal or postpartum care, perinatal health workers, midwifery supports, and help during infant formula shortages.
  • Community-based organizations would be eligible for a new HHS grant program that starts with a 1-year outreach and technical assistance phase and is authorized at $100 million per year for FY2027 through FY2031. The program must report an evaluation to Congress by FY2031.
  • Hospitals and health systems would be able to get grants to build Respectful Maternity Care compliance programs that track and publicly report bias complaints and responses. The bill also funds bias-reduction training grants at $5 million per year for FY2027 through FY2031 and requires studies and annual GAO reporting to measure progress.

*This bill would increase federal spending by at least $525 million through FY2031 and authorizes additional unspecified funding for the Respectful Maternity Care Compliance Program through FY2032.*

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 4 benefits, 0 costs, 0 mixed.

Clear maternal health definitions

If enacted, the bill would add clear definitions for key maternal health terms used in the programs. "Postpartum" would be the one-year period after pregnancy. "Maternal mortality" would include deaths during pregnancy or within one year, explicitly including suicide and overdose when linked to pregnancy. The bill would also define perinatal health workers to include doulas, lactation counselors, community health workers, and similar roles.

Grants for community maternal health

If enacted, the Secretary of HHS would award grants to community groups serving people with higher maternal health risks. Grants would begin after a 1-year outreach and technical assistance period starting at enactment. The bill would authorize $100 million per year for FY2027 through FY2031 and require an HHS evaluation by the end of FY2031.

Hospital grants for respectful maternity care

If enacted, HHS would award grants to hospitals and health systems to create respectful maternity care compliance programs. Funded programs would need reporting systems for patients, families, and perinatal workers. They would need a public bias-reduction plan and routine hospital-level patient experience reporting. HHS would set best-practice processes within 180 days and must commission an independent study within 2 years. The bill would authorize such sums as necessary for FY2027 through FY2032.

Training grants to reduce bias

If enacted, HHS would award grants to fund training that reduces bias and improves respectful, trauma-informed maternity care. HHS would favor ongoing periodic trainings, WIC provider inclusion, and programs designed by HBCUs or minority-serving institutions. The bill would authorize $5 million per year for FY2027 through FY2031. Grantees would report annually on activities and impacts.

Sponsors & CoSponsors

Sponsor

Adams, Alma S. [D-NC-12]

NC • D

Cosponsors

  • Rep. Underwood, Lauren [D-IL-14]

    IL • D

    Sponsored 3/25/2026

  • Rep. McIver, LaMonica [D-NJ-10]

    NJ • D

    Sponsored 3/25/2026

  • Rep. Tlaib, Rashida [D-MI-12]

    MI • D

    Sponsored 3/25/2026

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

    DC • D

    Sponsored 3/25/2026

  • Rep. Moore, Gwen [D-WI-4]

    WI • D

    Sponsored 3/25/2026

  • Rep. Watson Coleman, Bonnie [D-NJ-12]

    NJ • D

    Sponsored 3/25/2026

  • Rep. Kamlager-Dove, Sydney [D-CA-37]

    CA • D

    Sponsored 3/25/2026

  • Rep. Johnson, Henry C. "Hank" [D-GA-4]

    GA • D

    Sponsored 3/25/2026

  • Rep. Pressley, Ayanna [D-MA-7]

    MA • D

    Sponsored 3/25/2026

  • Rep. Ivey, Glenn [D-MD-4]

    MD • D

    Sponsored 3/25/2026

  • Rep. Krishnamoorthi, Raja [D-IL-8]

    IL • D

    Sponsored 3/25/2026

  • Rep. Cherfilus-McCormick, Sheila [D-FL-20]

    FL • D

    Sponsored 3/25/2026

  • Rep. Menefee, Christian D. [D-TX-18]

    TX • D

    Sponsored 3/25/2026

  • Rep. Bell, Wesley [D-MO-1]

    MO • D

    Sponsored 3/25/2026

  • Rep. Moulton, Seth [D-MA-6]

    MA • D

    Sponsored 3/25/2026

  • Rep. Clarke, Yvette D. [D-NY-9]

    NY • D

    Sponsored 3/25/2026

  • Rep. DelBene, Suzan K. [D-WA-1]

    WA • D

    Sponsored 3/25/2026

  • Rep. Garamendi, John [D-CA-8]

    CA • D

    Sponsored 3/25/2026

  • Rep. Cohen, Steve [D-TN-9]

    TN • D

    Sponsored 3/25/2026

  • Rep. Stansbury, Melanie A. [D-NM-1]

    NM • D

    Sponsored 3/25/2026

  • Rep. Dingell, Debbie [D-MI-6]

    MI • D

    Sponsored 3/25/2026

  • Rep. Jacobs, Sara [D-CA-51]

    CA • D

    Sponsored 3/25/2026

  • Rep. Figures, Shomari [D-AL-2]

    AL • D

    Sponsored 3/25/2026

  • Rep. Horsford, Steven [D-NV-4]

    NV • D

    Sponsored 3/25/2026

  • Rep. García, Jesús G. "Chuy" [D-IL-4]

    IL • D

    Sponsored 3/25/2026

  • Rep. Veasey, Marc A. [D-TX-33]

    TX • D

    Sponsored 3/25/2026

  • Rep. Beatty, Joyce [D-OH-3]

    OH • D

    Sponsored 3/25/2026

  • Rep. Smith, Adam [D-WA-9]

    WA • D

    Sponsored 3/25/2026

  • Rep. Sewell, Terri A. [D-AL-7]

    AL • D

    Sponsored 3/25/2026

  • Rep. Wilson, Frederica S. [D-FL-24]

    FL • D

    Sponsored 3/25/2026

  • Rep. Jackson, Jonathan L. [D-IL-1]

    IL • D

    Sponsored 3/25/2026

  • Rep. Conaway, Herbert C. [D-NJ-3]

    NJ • D

    Sponsored 3/25/2026

  • Rep. Scott, Robert C. "Bobby" [D-VA-3]

    VA • D

    Sponsored 3/25/2026

  • Rep. Hayes, Jahana [D-CT-5]

    CT • D

    Sponsored 3/25/2026

  • Rep. Craig, Angie [D-MN-2]

    MN • D

    Sponsored 3/25/2026

  • Rep. McGarvey, Morgan [D-KY-3]

    KY • D

    Sponsored 3/25/2026

  • Rep. Grijalva, Adelita S. [D-AZ-7]

    AZ • D

    Sponsored 3/25/2026

  • Rep. Carson, André [D-IN-7]

    IN • D

    Sponsored 3/25/2026

  • Rep. Takano, Mark [D-CA-39]

    CA • D

    Sponsored 3/25/2026

  • Rep. McBath, Lucy [D-GA-6]

    GA • D

    Sponsored 3/25/2026

  • Rep. Latimer, George [D-NY-16]

    NY • D

    Sponsored 3/25/2026

  • Rep. Johnson, Julie [D-TX-32]

    TX • D

    Sponsored 3/25/2026

  • Rep. Soto, Darren [D-FL-9]

    FL • D

    Sponsored 3/25/2026

  • Rep. Scott, David [D-GA-13]

    GA • D

    Sponsored 3/25/2026

  • Rep. Barragán, Nanette Diaz [D-CA-44]

    CA • D

    Sponsored 3/25/2026

  • Rep. McClellan, Jennifer L. [D-VA-4]

    VA • D

    Sponsored 3/25/2026

  • Rep. Schneider, Bradley Scott [D-IL-10]

    IL • D

    Sponsored 3/25/2026

  • Rep. Mullin, Kevin [D-CA-15]

    CA • D

    Sponsored 3/25/2026

  • Rep. Strickland, Marilyn [D-WA-10]

    WA • D

    Sponsored 3/25/2026

  • Rep. Tonko, Paul [D-NY-20]

    NY • D

    Sponsored 3/25/2026

  • Rep. Dean, Madeleine [D-PA-4]

    PA • D

    Sponsored 3/25/2026

  • Rep. Sykes, Emilia Strong [D-OH-13]

    OH • D

    Sponsored 3/25/2026

  • Rep. Salinas, Andrea [D-OR-6]

    OR • D

    Sponsored 3/25/2026

  • Rep. Lieu, Ted [D-CA-36]

    CA • D

    Sponsored 3/25/2026

  • Rep. Scanlon, Mary Gay [D-PA-5]

    PA • D

    Sponsored 3/25/2026

  • Rep. Gottheimer, Josh [D-NJ-5]

    NJ • D

    Sponsored 4/9/2026

  • Rep. Budzinski, Nikki [D-IL-13]

    IL • D

    Sponsored 4/9/2026

  • Rep. Vargas, Juan [D-CA-52]

    CA • D

    Sponsored 4/9/2026

  • Rep. Williams, Nikema [D-GA-5]

    GA • D

    Sponsored 4/9/2026

  • Rep. Green, Al [D-TX-9]

    TX • D

    Sponsored 4/9/2026

  • Rep. Vindman, Eugene Simon [D-VA-7]

    VA • D

    Sponsored 4/22/2026

  • Rep. Carter, Troy A. [D-LA-2]

    LA • D

    Sponsored 8/20/2026

Roll Call Votes

No roll call votes available for this bill.

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