I
119th CONGRESS
2d Session
H. R. 7830
IN THE HOUSE OF REPRESENTATIVES
March 5, 2026
Ms. Kelly of Illinois (for herself, Mrs. Watson Coleman, Ms. Clarke of New York, Mrs. McIver, Ms. Norton, Ms. Sewell, Ms. Brown, Ms. Moore of Wisconsin, Mrs. Foushee, Ms. Wilson of Florida, Ms. Tlaib, Ms. Ansari, Mr. Tonko, Mr. Fields, Mrs. Cherfilus-McCormick, and Mr. Davis of Illinois) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned
A BILL
To amend title XVIII of the Social Security Act to require hospitals to develop discharge plans for pregnant individuals as a condition of participation under Medicare, and for other purposes.
Short title
This Act may be cited as the Women Expansion of Learning and Labor Safety Act
or the WELLS Act
.
Requiring hospitals participating in Medicare to develop discharge plans for pregnant individuals
Section 1866 of the Social Security Act (42 U.S.C. 1395cc) is amended—
in subsection (a)(1)—
in subparagraph (X), by striking and
at the end;
in subparagraph (Y), by striking the period at the end and inserting , and
; and
by adding at the end the following new subparagraph:
beginning January 1, 2027, in the case of a hospital, critical access hospital, or rural emergency hospital, to comply with the requirements described in subsection (l)(1).
; and
by adding at the end the following new subsection:
Discharge plan requirements for pregnant individuals
In general
For purposes of subsection (a)(1)(Z), the requirements described in this paragraph are, with respect to a hospital, critical access hospital, or rural emergency hospital, that the hospital—
provides for the development and implementation of a discharge plan meeting the standards under paragraph (2) with respect to any individual (whether or not eligible for benefits under this title) admitted to the hospital who—
is identified as pregnant;
is experiencing signs or symptoms consistent with labor, which may include contractions; and
is expected to be discharged from the hospital, critical access hospital, or rural emergency hospital prior to delivery, as determined based on the documented clinical judgment of the treating physician or practitioner at the time that such discharge is contemplated;
includes such discharge plan in the individual’s medical record; and
provides for such discharge plan to be discussed with the individual (or the individual’s representative) prior to discharge.
Discharge plan standards
A discharge plan for an individual described in paragraph (1)(A) meets the standards under this paragraph if such plan includes at least the following information:
A clinical justification for the discharge.
An assessment of travel distance and time between the primary residence of the individual and the hospital, critical access hospital, or rural emergency hospital.
Verification of reliable transportation between the primary residence of the individual and the hospital, critical access hospital, or rural emergency hospital.
Identification of a back-up hospital or facility at which such individual may obtain labor and delivery services.
Confirmation that the plan was reviewed and approved by a qualified medical professional (as defined by the Secretary through regulations).
Confirmation that the individual (or the individual’s representative) has received the information described in subparagraphs (A) through (D), that such information was provided in the primary language of such individual (or representative), and that such individual (or representative) confirmed their understanding of such information.
Rule of construction
Nothing in this subsection shall be construed as limiting or otherwise affecting the discharge planning requirements otherwise applicable to a hospital, critical access hospital, or rural emergency hospital under this title.
.
Rural maternal and obstetric care training demonstration grants
In general
The first section 764 of the Public Health Service Act (42 U.S.C. 294s; relating to rural maternal and obstetric care training demonstration) is amended—
in subsection (c)(1)—
in subparagraph (A), by striking and
at the end;
by redesignating subparagraph (B) as subparagraph (C); and
by inserting after subparagraph (A) the following:
shall use the grant funds to provide racial bias training as part of such training program; and
;
by redesignating subsections (d) and (e) as subsections (e) and (f), respectively;
by inserting after subsection (c) the following:
Minimum performance milestones
Establishment
Beginning with the grants awarded under this section for fiscal year 2027, the Secretary shall establish minimum performance milestones that grant recipients must meet during a fiscal year as a condition of remaining eligible for funding through such a grant for any subsequent fiscal year.
Milestones related to percent of staff trained
The minimum performance milestones referred to in paragraph (1) shall include milestones related to the percent of all staff of the grant recipient that are trained, or that receive refresher training, with support from a grant under this section.
; and
in subsection (e), as so redesignated—
in the subsection heading, by striking report
and inserting reports
;
in paragraph (1)(B), by striking the report described in paragraph (2)
and inserting the reports described in paragraphs (2) and (3)
; and
by adding at the end the following:
Subsequent reports
Not later than January 1, 2027, and annually thereafter, the Secretary shall submit to Congress, and make publicly available, a report that includes—
updates to the information described in subparagraphs (A) through (C) of paragraph (2); and
additional information regarding the grants under this section, including—
a list of the entities receiving such grants;
the number and amount of such grants;
whether training supported by such grants was delivered in-person, virtually, asynchronously, or through some other format; and
descriptions of the geographical coverage of such grants, the number of providers trained under such grants, and patient-level metrics linked to such training (such as changes in clinical outcomes, patient experience, and racial disparities).
.
Technical amendment
The second section 764 of the Public Health Service Act (42 U.S.C. 294t; relating to programs to promote mental health among the health professional workforce) is redesignated as section 764A.
Multi-center implementation science initiative for maternal health
The Secretary of Health and Human Services, in consultation with the Director of the Agency for Healthcare Research and Quality and the Director of the National Institutes of Health, shall establish a multi-center implementation science initiative for maternal health to rigorously evaluate different training models for health care professionals (including in-person, virtual, simulation, and cohort-based) and the impact of such models on provider behavior, patient outcomes, and maternal health disparities.
Maternal health dashboard
The Secretary of Health and Human Services shall develop, maintain, and make publicly available on the websites of the Department of Health and Human Services an interagency maternal health dashboard, which shall include maternal health outcome metrics from agencies within the Department of Health and Human Services and the data collected as part of the initiative under section 4, such as data related to maternal mortality and severe maternal morbidity, the number and outcomes of discharges of pregnant individuals prior to delivery from institutions, and data on Federal investments in maternal health research.