Title 42, The Public Health and WelfareRelease 119-110

§254c–1b Rural Obstetric Network Grants

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER II — GENERAL POWERS AND DUTIES › Part D — Primary Health Care › subpart i — health centers › § 254c–1b

Last updated Sep 22, 2026|Official source

Summary

The Secretary must give grants or cooperative agreements to eligible groups to create collaborative networks called rural obstetric networks. These networks must work to improve maternal and baby health and to cut preventable maternal deaths and serious pregnancy-related problems by improving prenatal, labor, birth, and postpartum care and access in rural areas, frontier areas, maternity care target areas, and Tribal jurisdictions. Grants can pay for networks that coordinate care, help pregnant people get services, try proven care models (including home visits and culturally appropriate care), use telehealth, train staff where there is no specialty maternity care, work with colleges to find and fix barriers, and address health gaps for racial, ethnic, and other underserved groups. Eligible entities are those who provide prenatal, labor, birth, and postpartum care in the covered areas or to Tribal groups. The Secretary must report to Congress by September 30, 2026, about what was done and the impact. Up to $3,000,000 is authorized for each fiscal year 2023 through 2027.

Full Legal Text

Title 42, §254c–1b

The Public Health and Welfare, Source: USLM XML via OLRC

(a)Program established
The Secretary shall award grants or cooperative agreements to eligible entities to establish collaborative improvement and innovation networks (referred to in this section as “rural obstetric networks”) to improve maternal and infant health outcomes and reduce preventable maternal mortality and severe maternal morbidity by improving maternity care and access to care in rural areas, frontier areas, maternity care health professional target areas, or jurisdictions of Indian Tribes and Tribal organizations.
(b)Use of funds
Grants or cooperative agreements awarded pursuant to this section shall be used for the establishment or continuation of collaborative improvement and innovation networks to improve maternal and infant health outcomes and reduce preventable maternal mortality and severe maternal morbidity by improving prenatal care, labor care, birthing, and postpartum care services in rural areas. Rural obstetric networks established in accordance with this section may—
(1)develop a network to improve coordination and increase access to maternal health care and assist pregnant women in the areas described in subsection (a) with accessing and utilizing prenatal care, labor care, birthing, and postpartum care services to improve outcomes in birth and maternal mortality and morbidity;
(2)identify and implement evidence-based and sustainable delivery models for providing prenatal care, labor care, birthing, and postpartum care services, including home visiting programs and culturally appropriate care models that reduce health disparities;
(3)develop a model for maternal health care collaboration between health care settings to improve access to care in areas described in subsection (a), which may include the use of telehealth;
(4)provide training for professionals in health care settings that do not have specialty maternity care;
(5)collaborate with academic institutions that can provide regional expertise and help identify barriers to providing maternal health care, including strategies for addressing such barriers; and
(6)assess and address disparities in infant and maternal health outcomes, including among racial and ethnic minority populations and underserved populations in such areas described in subsection (a).
(c)Definitions
In this section: (1) Eligible entities
(2)Frontier area
The term “frontier area” means a frontier county, as defined in section 1395ww(d)(3)(E)(iii)(III) of this title.
(3)Indian Tribes; Tribal organization
The terms “Indian Tribe” and “Tribal organization” have the meanings given the terms “Indian tribe” and “tribal organization” in section 5304 of title 25.
(4)Maternity care health professional target area
The term “maternity care health professional target area” has the meaning described in section 254e(k)(2) of this title.
(d)Report to Congress
Not later than September 30, 2026, the Secretary shall submit to Congress a report on activities supported by grants awarded under this section, including—
(1)a description of activities conducted pursuant to paragraphs (1) through (6) of subsection (b); and
(2)an analysis of the effects of rural obstetric networks on improving maternal and infant health outcomes.
(e)Authorization of appropriations
There are authorized to be appropriated to carry out this section $3,000,000 for each of fiscal years 2023 through 2027.

Reference

Citations & Metadata

Citation

42 U.S.C. § 254c–1b

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110