NIH IMPROVE Act

119 HR 6238 EH: NIH Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Act U.S. House of Representatives text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. IB 119th CONGRESS2d Session H. R. 6238

IN THE HOUSE OF REPRESENTATIVES AN ACT To establish the IMPROVE Initiative within the National Institutes of Health.

1.Short titleThis Act may be cited as the NIH Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Act or the NIH IMPROVE Act.

2.IMPROVE InitiativePart B of title IV of the Public Health Service Act (42 U.S.C. 284 et seq.) is amended by adding at the end the following: 409K.IMPROVE initiative (a)In generalThe Director of NIH shall continue to carry out a program to improve maternal health outcomes, to be known as the Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Initiative or the IMPROVE Initiative (referred to in this section as the Initiative). (b)ObjectivesThe Initiative shall— (1)advance research to— (A)reduce preventable causes of maternal mortality and severe maternal morbidity; (B)reduce health disparities related to maternal health outcomes, including such disparities associated with populations with disproportionately high rates of maternal mortality and severe maternal morbidity relative to the national rate; and (C)improve health for pregnant and postpartum women before, during, and after pregnancy; (2)use an integrated approach to understand the factors, including biological, behavioral, and other factors, that affect maternal mortality and severe maternal morbidity by building an evidence base for improved outcomes in specific regions of the United States; and (3)target health disparities associated with maternal mortality and severe maternal morbidity by— (A)implementing and evaluating community-based interventions for disproportionately affected women; and (B)identifying risk factors and the underlying biological mechanisms associated with leading causes of maternal mortality and severe maternal morbidity in the United States. (c)ImplementationThe Director of NIH may award grants or enter into contracts, cooperative agreements, or other transactions to carry out this section. (d)Authorization of appropriationsThere is authorized to be appropriated to carry out this section $63,400,000 for each of fiscal years 2026 through 2030.. Passed the House of Representatives July 20, 2026.Kevin F. McCumber,Clerk.

119 HR 6238 IH: NIH Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone U.S. House of Representatives 2025-11-20 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I119th CONGRESS1st SessionH. R. 6238IN THE HOUSE OF REPRESENTATIVESNovember 20, 2025Ms. Underwood (for herself and Mr. Fitzpatrick) introduced the following bill; which was referred to the Committee on Energy and CommerceA BILLTo establish the IMPROVE Initiative within the National Institutes of Health.1.Short titleThis Act may be cited as the NIH Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone or the NIH IMPROVE Act.2.IMPROVE InitiativePart B of title IV of the Public Health Service Act (42 U.S.C. 284 et seq.) is amended by adding at the end the following:409K.IMPROVE initiative(a)In generalThe Director of NIH shall continue to carry out a program to improve maternal health outcomes, to be known as the Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Initiative or the IMPROVE Initiative (referred to in this section as the Initiative).(b)ObjectivesThe Initiative shall—(1)advance research to—(A)reduce preventable causes of maternal mortality and severe maternal morbidity;(B)reduce health disparities related to maternal health outcomes, including such disparities associated with populations with disproportionately high rates of maternal mortality and severe maternal morbidity relative to the national rate; and(C)improve health for pregnant and postpartum women before, during, and after pregnancy;(2)use an integrated approach to understand the factors, including biological, behavioral, and other factors, that affect maternal mortality and severe maternal morbidity by building an evidence base for improved outcomes in specific regions of the United States; and(3)target health disparities associated with maternal mortality and severe maternal morbidity by—(A)implementing and evaluating community-based interventions for disproportionately affected women; and(B)identifying risk factors and the underlying biological mechanisms associated with leading causes of maternal mortality and severe maternal morbidity in the United States.(c)ImplementationThe Director of NIH may award grants or enter into contracts, cooperative agreements, or other transactions to carry out this section.(d)Authorization of appropriationsThere is authorized to be appropriated to carry out this section $73,400,000 for each of fiscal years 2026 through 2031..

119 HR 6238 : NIH Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Act U.S. House of Representatives 2026-07-21 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. IIB119th CONGRESS2d SessionH. R. 6238IN THE SENATE OF THE UNITED STATESJuly 21, 2026Received; read twice and referred to the Committee on Health, Education, Labor, and PensionsAN ACTTo establish the IMPROVE Initiative within the National Institutes of Health.1.Short titleThis Act may be cited as the NIH Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Act or the NIH IMPROVE Act.2.IMPROVE InitiativePart B of title IV of the Public Health Service Act (42 U.S.C. 284 et seq.) is amended by adding at the end the following:409K.IMPROVE initiative(a)In generalThe Director of NIH shall continue to carry out a program to improve maternal health outcomes, to be known as the Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Initiative or the IMPROVE Initiative (referred to in this section as the Initiative).(b)ObjectivesThe Initiative shall—(1)advance research to—(A)reduce preventable causes of maternal mortality and severe maternal morbidity;(B)reduce health disparities related to maternal health outcomes, including such disparities associated with populations with disproportionately high rates of maternal mortality and severe maternal morbidity relative to the national rate; and(C)improve health for pregnant and postpartum women before, during, and after pregnancy;(2)use an integrated approach to understand the factors, including biological, behavioral, and other factors, that affect maternal mortality and severe maternal morbidity by building an evidence base for improved outcomes in specific regions of the United States; and(3)target health disparities associated with maternal mortality and severe maternal morbidity by—(A)implementing and evaluating community-based interventions for disproportionately affected women; and(B)identifying risk factors and the underlying biological mechanisms associated with leading causes of maternal mortality and severe maternal morbidity in the United States.(c)ImplementationThe Director of NIH may award grants or enter into contracts, cooperative agreements, or other transactions to carry out this section.(d)Authorization of appropriationsThere is authorized to be appropriated to carry out this section $63,400,000 for each of fiscal years 2026 through 2030..Passed the House of Representatives July 20, 2026.Kevin F. McCumber,Clerk.

119 HR 6238 RH: NIH Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Act U.S. House of Representatives 2026-07-09 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. IBUnion Calendar No. 638119th CONGRESS2d SessionH. R. 6238[Report No. 119–734]IN THE HOUSE OF REPRESENTATIVESNovember 20, 2025Ms. Underwood (for herself and Mr. Fitzpatrick) introduced the following bill; which was referred to the Committee on Energy and CommerceJuly 9, 2026Additional sponsors: Ms. Norton, Mrs. McClain Delaney, and Mr. VindmanJuly 9, 2026Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printedStrike out all after the enacting clause and insert the part printed in italicFor text of introduced bill, see copy of bill as introduced on November 20, 2025A BILLTo establish the IMPROVE Initiative within the National Institutes of Health.1.Short titleThis Act may be cited as the NIH Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Act or the NIH IMPROVE Act.2.IMPROVE InitiativePart B of title IV of the Public Health Service Act (42 U.S.C. 284 et seq.) is amended by adding at the end the following:409K.IMPROVE initiative(a)In generalThe Director of NIH shall continue to carry out a program to improve maternal health outcomes, to be known as the Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Initiative or the IMPROVE Initiative (referred to in this section as the Initiative).(b)ObjectivesThe Initiative shall—(1)advance research to—(A)reduce preventable causes of maternal mortality and severe maternal morbidity;(B)reduce health disparities related to maternal health outcomes, including such disparities associated with populations with disproportionately high rates of maternal mortality and severe maternal morbidity relative to the national rate; and(C)improve health for pregnant and postpartum women before, during, and after pregnancy;(2)use an integrated approach to understand the factors, including biological, behavioral, and other factors, that affect maternal mortality and severe maternal morbidity by building an evidence base for improved outcomes in specific regions of the United States; and(3)target health disparities associated with maternal mortality and severe maternal morbidity by—(A)implementing and evaluating community-based interventions for disproportionately affected women; and(B)identifying risk factors and the underlying biological mechanisms associated with leading causes of maternal mortality and severe maternal morbidity in the United States.(c)ImplementationThe Director of NIH may award grants or enter into contracts, cooperative agreements, or other transactions to carry out this section.(d)Authorization of appropriationsThere is authorized to be appropriated to carry out this section $63,400,000 for each of fiscal years 2026 through 2030..July 9, 2026Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed