HR6238
Referred to committee
NIH IMPROVE Act
- Federal
- House
- Introduced Nov 20, 2025
- Session 119
Bill Text
Version EHThis Act may be cited as the NIH Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Act or the NIH IMPROVE Act.
Part 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:
The 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).
The Initiative shall—
advance research to—
reduce preventable causes of maternal mortality and severe maternal morbidity;
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
improve health for pregnant and postpartum women before, during, and after pregnancy;
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
target health disparities associated with maternal mortality and severe maternal morbidity by—
implementing and evaluating community-based interventions for disproportionately affected women; and
identifying risk factors and the underlying biological mechanisms associated with leading causes of maternal mortality and severe maternal morbidity in the United States.
The Director of NIH may award grants or enter into contracts, cooperative agreements, or other transactions to carry out this section.
There is authorized to be appropriated to carry out this section $63,400,000 for each of fiscal years 2026 through 2030.
Part 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:
The 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).
The Initiative shall—
advance research to—
reduce preventable causes of maternal mortality and severe maternal morbidity;
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
improve health for pregnant and postpartum women before, during, and after pregnancy;
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
target health disparities associated with maternal mortality and severe maternal morbidity by—
implementing and evaluating community-based interventions for disproportionately affected women; and
identifying risk factors and the underlying biological mechanisms associated with leading causes of maternal mortality and severe maternal morbidity in the United States.
The Director of NIH may award grants or enter into contracts, cooperative agreements, or other transactions to carry out this section.
There is authorized to be appropriated to carry out this section $63,400,000 for each of fiscal years 2026 through 2030.
Legislative Timeline
15 actions-
Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
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Mr. Guthrie moved to suspend the rules and pass the bill, as amended.
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Considered under suspension of the rules. (consideration: CR H4651-4652)
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DEBATE - The House proceeded with forty minutes of debate on H.R. 6238.
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Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4651)
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On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4651)
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Motion to reconsider laid on the table Agreed to without objection.
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Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-734.
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Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-734.
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Placed on the Union Calendar, Calendar No. 638.
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Committee Consideration and Mark-up Session Held
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Ordered to be Reported (Amended) by the Yeas and Nays: 46 - 0.
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Introduced in House
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Introduced in House
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Referred to the House Committee on Energy and Commerce.