Title 42, The Public Health and WelfareRelease 119-110

§280g–18 Maternal Mental Health Hotline

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER II — GENERAL POWERS AND DUTIES › Part P — Additional Programs › § 280g–18

Last updated Sep 22, 2026|Official source

Summary

The Secretary must run and fund a national maternal mental health hotline that gives emotional support, information, short-term help, and referrals for mental health and substance use problems to pregnant and postpartum women and to their families or household members. The hotline must be available 24/7 in real time, offer both voice and text help, and be staffed by certified peer specialists, licensed health care professionals, or licensed mental health professionals. Staff must be trained on maternal mental health and substance use disorder prevention, detection, and brief intervention, and on providing culturally and linguistically appropriate support. The service must meet the needs of underserved people, those with disabilities, and family or household members. The Secretary must also set up real-time connections with the Domestic Violence Hotline, the National Suicide Prevention Lifeline, and the Veterans Crisis Line when needed, run a public awareness campaign, and consult with federal agencies (including SAMHSA and the VA) and with State, local, and Tribal public health officials who serve low-income pregnant and postpartum people. The Secretary must send Congress an annual report with an evaluation, a referral directory, and other relevant information. Up to $10,000,000 is authorized each year for fiscal years 2023–2027.

Full Legal Text

Title 42, §280g–18

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

(a)In general
The Secretary shall maintain, by grant or contract, a national maternal mental health hotline to provide emotional support, information, brief intervention, and mental health and substance use disorder resources to pregnant and postpartum women at risk of, or affected by, maternal mental health and substance use disorders, and to their families or household members.
(b)Requirements for hotline
The hotline under subsection (a) shall—
(1)be a 24/7 real-time hotline;
(2)provide voice and text support;
(3)be staffed by certified peer specialists, licensed health care professionals, or licensed mental health professionals who are trained on—
(A)maternal mental health and substance use disorder prevention, identification, and intervention; and
(B)providing culturally and linguistically appropriate support; and
(4)provide maternal mental health and substance use disorder assistance and referral services to meet the needs of underserved populations, individuals with disabilities, and family and household members of pregnant or postpartum women at risk of experiencing maternal mental health and substance use disorders.
(c)Additional requirements
In maintaining the hotline under subsection (a), the Secretary shall—
(1)consult with the Domestic Violence Hotline, National Suicide Prevention Lifeline, and Veterans Crisis Line to ensure that pregnant and postpartum women are connected in real-time to the appropriate specialized hotline service, when applicable;
(2)conduct a public awareness campaign for the hotline;
(3)consult with Federal departments and agencies, including the Substance Abuse and Mental Health Services Administration and the Department of Veterans Affairs, to increase awareness regarding the hotline; and
(4)consult with appropriate State, local, and Tribal public health officials, including officials who administer programs that serve low-income pregnant and postpartum individuals.
(d)Annual report
The Secretary shall submit an annual report to the Congress on the hotline under subsection (a) and implementation of this section, including—
(1)an evaluation of the effectiveness of activities conducted or supported under subsection (a);
(2)a directory of entities or organizations to which staff maintaining the hotline funded under this section may make referrals; and
(3)such additional information as the Secretary determines appropriate.
(e)Authorization of appropriations
To carry out this section, there are authorized to be appropriated $10,000,000 for each of fiscal years 2023 through 2027.

Reference

Citations & Metadata

Citation

42 U.S.C. § 280g–18

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110