NIH Implementing a Maternal Health and Pregnancy Outcomes Vision for Everyone Act
The House considered H.R. 6238, the NIH IMPROVE Act, which puts into law the National Institutes of Health’s IMPROVE Initiative, providing grants and support for research on improving health outcomes for pregnant and postpartum women, especially in disproportionately affected populations. Supporters from both parties, including Representatives Underwood, Fitzpatrick, DeGette, Adams, and Guthrie, said the U.S. has the highest maternal mortality rate among high-income countries, that deaths among Black women and women in rural areas are especially high, and that most pregnancy-related deaths are preventable, so continued research funding is needed. Members said the bill would ensure consistent funding for that research. The debate was largely supportive, with no notable opposition discussed.Written by AI from the debate. Updated .
“I want the House to pass this bill. It funds research to improve health care for pregnant women and new mothers.”
“Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 6238) to establish the IMPROVE Initiative within the National Institutes of Health, as amended. The Clerk read the title of the bill. The text of the bill is as follows:”
Official Congressional Record
Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 6238) to establish the IMPROVE Initiative within the National Institutes of Health, as amended. The Clerk read the title of the bill. The text of the bill is as follows:
“I support this bill. Most deaths related to pregnancy can be prevented. This bill funds research to find out why mothers die and how to stop it.”
“Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise today in strong support of H.R. 6238, led by my colleagues Representatives Underwood and Fitzpatrick, which authorizes the Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Initiative within the National Institutes of Health. According to CDC estimates, more than 80 percent of the pregnancy- related deaths and roughly half of the severe maternal morbidity events could be prevented. That is why it is so essential for us to advance the IMPROVE Initiative, which supports research into identifying and reducing preventable causes of maternal death and ways to improve maternal health outcomes. Mr. Speaker, I encourage my colleagues to support this bill, and I reserve the balance of my time.”
Official Congressional Record
Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise today in strong support of H.R. 6238, led by my colleagues Representatives Underwood and Fitzpatrick, which authorizes the Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Initiative within the National Institutes of Health. According to CDC estimates, more than 80 percent of the pregnancy- related deaths and roughly half of the severe maternal morbidity events could be prevented. That is why it is so essential for us to advance the IMPROVE Initiative, which supports research into identifying and reducing preventable causes of maternal death and ways to improve maternal health outcomes. Mr. Speaker, I encourage my colleagues to support this bill, and I reserve the balance of my time.
“I want the House to pass this bill. Too many women in our country die from pregnancy, especially Black women. Most of these deaths can be prevented. This bill keeps a research program going so we can find ways to save mothers' lives.”
“Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, shockingly, the U.S. has the highest rate of maternal mortality among developed nations in this entire world. What is worse is that the mortality rates for women of color are exponentially higher than those of the general population. Black women die from pregnancy- related causes at rates at least three times those of White women, and that is irrespective of socioeconomic status or income. It is appalling that this statistic has emerged from data collection by State maternal mortality review committees. Congress affirmed its support for these committees in February by reauthorizing my bill, the Preventing Maternal Deaths Act. Thanks to this enduring bipartisan commitment, we have identified the problem, that 649 women died of maternal causes in the U.S. in 2024. Now that we have identified the problem, we need to work together to solve it. Mr. Speaker, 80 to 84 percent of pregnancy-related deaths are preventable. The IMPROVE Initiative at NIH investigates the leading cause of these deaths, supports the development of interventions to prevent them, and importantly identifies factors that contribute to disparities in maternal health. We must not let this critical program lapse. I thank Representatives Underwood and Fitzpatrick for their undying and wonderful leadership on this bill, as well as my friend and colleague Robin Kelly, who has been a leader on this issue for more than a decade. Mr. Speaker, I urge my colleagues to join us in passing the bill today because no pregnancy-related death is acceptable in the richest nation in the world. I reserve the balance of my time.”
Official Congressional Record
Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, shockingly, the U.S. has the highest rate of maternal mortality among developed nations in this entire world. What is worse is that the mortality rates for women of color are exponentially higher than those of the general population. Black women die from pregnancy- related causes at rates at least three times those of White women, and that is irrespective of socioeconomic status or income. It is appalling that this statistic has emerged from data collection by State maternal mortality review committees. Congress affirmed its support for these committees in February by reauthorizing my bill, the Preventing Maternal Deaths Act. Thanks to this enduring bipartisan commitment, we have identified the problem, that 649 women died of maternal causes in the U.S. in 2024. Now that we have identified the problem, we need to work together to solve it. Mr. Speaker, 80 to 84 percent of pregnancy-related deaths are preventable. The IMPROVE Initiative at NIH investigates the leading cause of these deaths, supports the development of interventions to prevent them, and importantly identifies factors that contribute to disparities in maternal health. We must not let this critical program lapse. I thank Representatives Underwood and Fitzpatrick for their undying and wonderful leadership on this bill, as well as my friend and colleague Robin Kelly, who has been a leader on this issue for more than a decade. Mr. Speaker, I urge my colleagues to join us in passing the bill today because no pregnancy-related death is acceptable in the richest nation in the world. I reserve the balance of my time.
“We must fix this problem. I am giving the representative from Pennsylvania five minutes to speak.”
“Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I yield 5 minutes to the gentleman from Pennsylvania (Mr. Fitzpatrick), my good friend. He is a member of the Ways and Means and Intel Committees and is really passionate about these issues. My friend from Colorado has touched on this. It is something that we absolutely have to get to the bottom of. I am very thankful for the leadership of the gentlewoman from Illinois and the gentleman from Pennsylvania.”
Official Congressional Record
Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I yield 5 minutes to the gentleman from Pennsylvania (Mr. Fitzpatrick), my good friend. He is a member of the Ways and Means and Intel Committees and is really passionate about these issues. My friend from Colorado has touched on this. It is something that we absolutely have to get to the bottom of. I am very thankful for the leadership of the gentlewoman from Illinois and the gentleman from Pennsylvania.
“I want the House to pass this bill. It funds research to stop pregnancy-related deaths and improve health care for mothers.”
“Mr. Speaker, I rise today in strong support of our legislation, H.R. 6238, the NIH IMPROVE Act. Mr. Speaker, this critical legislation will ensure consistent funding for research on maternal care and mortality. So many maternal deaths in America are preventable. Addressing that reality demands research that is stable, long term, and grounded in measurable outcomes. The NIH IMPROVE Act locks in the dedicated funding that NIH’s maternal health portfolio so desperately needs to track outcomes over time, evaluate what works in high-risk settings, and direct resources to the communities facing the greatest challenges. This bipartisan legislation strengthens a proven NIH initiative and ensures that mothers across our Nation will benefit from research that saves lives and improves care through the entire pregnancy journey. Mr. Speaker, I thank my colleague Representative Underwood for her leadership on this critical piece of legislation to ensure that improvements to maternal health across our Nation continue and are strengthened. Mr. Speaker, I urge all of my colleagues to support this legislation, H.R. 6238.”
Official Congressional Record
Mr. Speaker, I rise today in strong support of our legislation, H.R. 6238, the NIH IMPROVE Act. Mr. Speaker, this critical legislation will ensure consistent funding for research on maternal care and mortality. So many maternal deaths in America are preventable. Addressing that reality demands research that is stable, long term, and grounded in measurable outcomes. The NIH IMPROVE Act locks in the dedicated funding that NIH’s maternal health portfolio so desperately needs to track outcomes over time, evaluate what works in high-risk settings, and direct resources to the communities facing the greatest challenges. This bipartisan legislation strengthens a proven NIH initiative and ensures that mothers across our Nation will benefit from research that saves lives and improves care through the entire pregnancy journey. Mr. Speaker, I thank my colleague Representative Underwood for her leadership on this critical piece of legislation to ensure that improvements to maternal health across our Nation continue and are strengthened. Mr. Speaker, I urge all of my colleagues to support this legislation, H.R. 6238.
“I want the House to pass this bill. It funds research to stop women from dying from pregnancy and childbirth. The United States has the highest rate of pregnancy-related deaths among wealthy countries, especially for Black women, and most of these deaths can be prevented.”
“Mr. Speaker, I rise today in support of my bill, the NIH IMPROVE Act. This bipartisan bill, co-led by Congressman Fitzpatrick, will provide consistent funding for research on maternal mortality. The United States has the highest pregnancy-related death rate of any high-income country, and Black women are dying at the highest rate of all. The crisis is only getting worse. Over the past two decades, maternal mortality rates have more than doubled, and disparities have worsened. What is both frustrating and promising is that over 80 percent of these deaths are preventable. That is why in 2019 I worked with NIH to start the IMPROVE initiative, which stands for Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone. Through IMPROVE, we are making smart investments in evidence-based solutions that save moms’ lives and advance birth equity. Over the past 7 years, IMPROVE has invested more than $200 million in lifesaving research that will help end our Nation’s maternal health crisis. These investments have already been made all across the country, from Utah to Alabama, Mississippi to Pennsylvania, and to my home State of Illinois. It is already allowing more moms to survive and thrive, and my bill will ensure that this funding keeps flowing to the communities that need it the most. The NIH IMPROVE Act is one of the 14 bills that make up the momnibus, a comprehensive package of evidence-based, data-driven bills that address every driver of maternal mortality, morbidity, and disparities in the United States. I know all my colleagues agree that no mom should feel fear or uncertainty about her pregnancy. So, today, I urge them to pass the NIH IMPROVE Act. After that, we are going to keep it going until the entire momnibus is signed into law. Together, we can end this crisis and keep moms alive. Mr. Speaker, I thank Chairman Guthrie and Mr. Pallone for their support for this legislation.”
Official Congressional Record
Mr. Speaker, I rise today in support of my bill, the NIH IMPROVE Act. This bipartisan bill, co-led by Congressman Fitzpatrick, will provide consistent funding for research on maternal mortality. The United States has the highest pregnancy-related death rate of any high-income country, and Black women are dying at the highest rate of all. The crisis is only getting worse. Over the past two decades, maternal mortality rates have more than doubled, and disparities have worsened. What is both frustrating and promising is that over 80 percent of these deaths are preventable. That is why in 2019 I worked with NIH to start the IMPROVE initiative, which stands for Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone. Through IMPROVE, we are making smart investments in evidence-based solutions that save moms’ lives and advance birth equity. Over the past 7 years, IMPROVE has invested more than $200 million in lifesaving research that will help end our Nation’s maternal health crisis. These investments have already been made all across the country, from Utah to Alabama, Mississippi to Pennsylvania, and to my home State of Illinois. It is already allowing more moms to survive and thrive, and my bill will ensure that this funding keeps flowing to the communities that need it the most. The NIH IMPROVE Act is one of the 14 bills that make up the momnibus, a comprehensive package of evidence-based, data-driven bills that address every driver of maternal mortality, morbidity, and disparities in the United States. I know all my colleagues agree that no mom should feel fear or uncertainty about her pregnancy. So, today, I urge them to pass the NIH IMPROVE Act. After that, we are going to keep it going until the entire momnibus is signed into law. Together, we can end this crisis and keep moms alive. Mr. Speaker, I thank Chairman Guthrie and Mr. Pallone for their support for this legislation.
“I want the House to pass this bill. Too many women in our country die from pregnancy, especially Black women and women in rural areas, and most of these deaths can be prevented. This bill permanently funds research to find ways to keep mothers safe and healthy.”
“Mr. Speaker, I rise to speak in favor of the NIH IMPROVE Act. One of my core beliefs that has led to my work in Congress is that health care is our most basic human right. Yet, in our country, we see some of the worst disparities in health care access and outcomes. The maternal health crisis is no exception. Black women are two to three times more likely to die from pregnancy- related causes than other women. Women living in rural areas are losing access to local labor and delivery units, as more rural hospitals close their maternity wards. This has not only delayed care but has led to worsening outcomes. Our country’s maternal mortality rate is higher than any other high-income country in the world. Over 80 percent of these deaths are preventable. We can and must do better. We have made substantial progress in understanding and addressing this crisis through the NIH IMPROVE Initiative. In early 2019, Congresswoman Underwood and I met with then-Director of the National Institutes of Health to urge the agency to do more to address the maternal health crisis. In response, the NIH launched the IMPROVE Initiative later that year, which stands for Implementing a Maternal Health and Pregnancy Outcomes Vision for Everyone. The IMPROVE Initiative supports research to reduce preventable causes of maternal deaths and improve health for women before, during, and after pregnancy. It includes a special emphasis on health disparities and populations that are disproportionately affected, such as racial and ethnic minorities, very young women and women of advanced maternal age, women living in rural areas, and people with disabilities. THE IMPROVE Initiative has funded: Maternal Health Research Centers of Excellence--two of which are housed at HBCUs; Research projects on social determinants of maternal health, the impact of community violence on maternal health outcomes, and structural racism and discrimination; and The development of new home-based and point-of-care diagnostic devices for postpartum care. Through the federal appropriations process, Congress has quintupled funding for the Initiative since it was first launched. However, it has not yet been put into statute, which would ensure the longevity of the program and maintain consistent funding to address maternal mortality. The bill would authorize $53.4 million every year for seven years. With that funding, the program will continue to investigate disparities in maternal health care, and develop ways to improve care and outcomes, including in our underserved maternal care deserts. For too long, families in our country have faced the devastating losses of mothers to pregnancy-related causes. And too often these deaths have been completely preventable. This is personal to me. My daughter, Jeanelle, almost lost her life to this crisis. Her doctor dismissed her pain and concerns, and by the time her medical team finally responded, it was almost too late. That dismissal and delay in care is a story I hear far too often from other mothers, especially Black mothers. Jeanelle is one of the tens of thousands of women who’ve experience ``near misses’’ with pregnancy- related complications. That experience made me think about what it means to be a mom. Jeanelle is my daughter, a sister, and the mother of two amazing chiidren--she’s also a dedicated contributor to her community. Mothers everywhere, like Jeanelle, are calling on Congress to do everything we can to better understand this crisis, so we can fix this crisis. Dedicated research funding is the way to do that. This bill was reported out of the Energy and Commerce Committee with unanimous support. It is bipartisan and bicameral. Passing the NIH IMPROVE Act today signifies Congress’s united commitment to all mothers across our country that we can and will do better. We will deliver for our moms--because our moms can’t wait. I urge my colleagues to vote in favor of this bill.”
Official Congressional Record
Mr. Speaker, I rise to speak in favor of the NIH IMPROVE Act. One of my core beliefs that has led to my work in Congress is that health care is our most basic human right. Yet, in our country, we see some of the worst disparities in health care access and outcomes. The maternal health crisis is no exception. Black women are two to three times more likely to die from pregnancy- related causes than other women. Women living in rural areas are losing access to local labor and delivery units, as more rural hospitals close their maternity wards. This has not only delayed care but has led to worsening outcomes. Our country’s maternal mortality rate is higher than any other high-income country in the world. Over 80 percent of these deaths are preventable. We can and must do better. We have made substantial progress in understanding and addressing this crisis through the NIH IMPROVE Initiative. In early 2019, Congresswoman Underwood and I met with then-Director of the National Institutes of Health to urge the agency to do more to address the maternal health crisis. In response, the NIH launched the IMPROVE Initiative later that year, which stands for Implementing a Maternal Health and Pregnancy Outcomes Vision for Everyone. The IMPROVE Initiative supports research to reduce preventable causes of maternal deaths and improve health for women before, during, and after pregnancy. It includes a special emphasis on health disparities and populations that are disproportionately affected, such as racial and ethnic minorities, very young women and women of advanced maternal age, women living in rural areas, and people with disabilities. THE IMPROVE Initiative has funded: Maternal Health Research Centers of Excellence--two of which are housed at HBCUs; Research projects on social determinants of maternal health, the impact of community violence on maternal health outcomes, and structural racism and discrimination; and The development of new home-based and point-of-care diagnostic devices for postpartum care. Through the federal appropriations process, Congress has quintupled funding for the Initiative since it was first launched. However, it has not yet been put into statute, which would ensure the longevity of the program and maintain consistent funding to address maternal mortality. The bill would authorize $53.4 million every year for seven years. With that funding, the program will continue to investigate disparities in maternal health care, and develop ways to improve care and outcomes, including in our underserved maternal care deserts. For too long, families in our country have faced the devastating losses of mothers to pregnancy-related causes. And too often these deaths have been completely preventable. This is personal to me. My daughter, Jeanelle, almost lost her life to this crisis. Her doctor dismissed her pain and concerns, and by the time her medical team finally responded, it was almost too late. That dismissal and delay in care is a story I hear far too often from other mothers, especially Black mothers. Jeanelle is one of the tens of thousands of women who’ve experience ``near misses’’ with pregnancy- related complications. That experience made me think about what it means to be a mom. Jeanelle is my daughter, a sister, and the mother of two amazing chiidren--she’s also a dedicated contributor to her community. Mothers everywhere, like Jeanelle, are calling on Congress to do everything we can to better understand this crisis, so we can fix this crisis. Dedicated research funding is the way to do that. This bill was reported out of the Energy and Commerce Committee with unanimous support. It is bipartisan and bicameral. Passing the NIH IMPROVE Act today signifies Congress’s united commitment to all mothers across our country that we can and will do better. We will deliver for our moms--because our moms can’t wait. I urge my colleagues to vote in favor of this bill.
