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S 5283

Momnibus Act

119th Congress Introduced by Angela Alsobrooks and 28 co-sponsors

S. 5283 expands supports, data, and equity, funding workforce diversification, respectful care, and nonclinical factors to reduce maternal mortality and disparities.

Introduced in Senate
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Bill Summary · S 5283

Bill at a glance

  • Bill: S. 5283, Momnibus Act (119th Congress)
  • Purpose: To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and to advance a broad set of supports, programs, and data-driven efforts across federal agencies.

Main purpose and intent

  • Establish a comprehensive, multi-title framework to address clinical and nonclinical determinants of maternal health.
  • Promote health equity, statewide and community-based interventions, workforce development, data improvements, and accountability.
  • Include specific protections and programs for vulnerable populations, including American Indian/Alaska Native communities, racial and ethnic minorities, veterans, incarcerated individuals, and families experiencing pregnancy loss.

Key provisions and changes

  • Title I – Social Determinants for Moms

    • Creates a Task Force to address the U.S. maternal health crisis, with extensive federal agency participation.
    • Task Force to develop strategies addressing nonclinical factors (housing, transportation, nutrition, environment, violence, childcare, etc.) affecting maternal health.
    • Requires annual/biannual reporting to Congress and publicly accessible updates.

  • Title II – Extending WIC for New Moms

    • Extends WIC postpartum eligibility and breastfeeding support from six months and 1 year to 24 months.
    • Requires a congressionally-mandated evaluation of impacts on maternal/infant health, breastfeeding rates, and related outcomes within 2 years.

  • Title III – Honoring Kira Johnson (maternal health equity)

    • Sustained funding for community-based organizations to advance maternal health equity.
    • Grants for respectful maternity care training across maternity care settings; emphasis on culturally and linguistically congruent care.
    • Study on reducing bias, racism, and discrimination in maternity care; development of a respectful care compliance program; GAO reporting.

  • Title IV – Maternal Health for Veterans

    • Required VA reporting on maternity care programs and outcomes; funding for VA maternity care coordination and related programs (authorized appropriations).

  • Title V – Perinatal Workforce

    • HHS guidance to states on delivering respectful, multidisciplinary maternity care.
    • Grants to grow/diversify the perinatal workforce (including midwives, nurse practitioners, and perinatal health workers).
    • Focus on diversity, training on implicit bias, and integration of culturally congruent care.
    • Technical assistance and performance reporting.

  • Title VI – Data to Save Moms

    • Funding to support maternal mortality review committees with efforts to diversify membership and community engagement.
    • Grants and technical assistance; GAO/Secretary reporting requirements.
    • Data collection improvements and evaluation of data processes; emphasis on race/ethnicity and social determinants.

  • Title VII – Moms Matter (Mental health)

    • Maternal mental health equity grant program and funding to grow/diversify the maternal mental/behavioral health workforce.

  • Title VIII – Justice for Incarcerated Moms

    • End pregnancy shackling; model programs for prenatal/postpartum care in corrections; grant program to improve outcomes in prisons/jails; GAO reporting.

  • Title IX – Tech to Save Moms

    • Integrated telehealth maternity care models; grants to expand digital learning/capacity; equity-focused digital tools; reporting on tech use.

  • Title X–XIV (broader innovations)

    • Perinatal care payment model demonstrations, pandemic/maternal health data response, climate-change-related protections, NIH IMPROVE initiative, and maternal vaccination outreach.

Who would be affected

  • Pregnant and postpartum individuals, especially those in high-risk or underserved groups.
  • Healthcare providers and hospitals, maternity care settings, midwives, doulas, and perinatal health workers.
  • Federal, state, and tribal health agencies; VA; Indian Health Service.
  • Community-based organizations and minority-serving institutions; nursing and teaching programs.
  • Maternal mortality review committees and publicly funded data systems.

Timelines and fiscal notes

  • Authorization of appropriations generally ranges in the tens of millions annually across titles (e.g., $100 million/year for social determinants programs; $5 million/year for respectful maternity care training; several other 5-year grant windows).
  • Several sections require annual/biannual reporting and evaluations.
  • Key studies/assessments due within 2 years or by 2031 as specified in various sections.

Overall, the Momnibus Act seeks a multi-pronged, data-informed approach to improve maternal health outcomes and equity through housing, nutrition, workforce diversification, respectful care, data improvements, and targeted support for vulnerable populations.

Compiled from official sources — confirm details with the bill’s official record.

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