Kira Johnson Act

Full Title:
Kira Johnson Act

Summary#

The Kira Johnson Act would fund programs and training to reduce preventable maternal deaths and serious childbirth-related health problems and to close gaps in outcomes for groups with higher risk. It directs the Department of Health and Human Services (HHS) to give grants to community-based organizations that deliver evidence-based maternal health services. HHS must spend the first year doing outreach and technical help so groups can apply. The bill also creates grant programs for respectful maternity care training for all staff in maternity care settings and requires annual reporting on those grants. It asks HHS to contract with the National Academies to study programs that reduce bias, racism, and discrimination in maternity care and to report results to Congress in about 2 years. The bill would fund grants to hospitals and other birth settings to create respectful maternity care compliance programs that let patients and families report bias or racism, require follow-up, publish strategies to reduce bias, and collect and report data. The Comptroller General must report to Congress about the spread and effects of these compliance programs.

What it means for you#

  • Community organizations that run maternal health programs could apply for multi-year grants after a one-year outreach and technical assistance period.
  • Maternity care providers and all staff (including front desk workers, sonographers, emergency staff, and others) could receive ongoing training funded by grants focused on reducing bias and improving culturally and linguistically appropriate, trauma-informed care.
  • Hospitals and birth settings that receive grants would set up compliance programs where patients and families can report experiences of racism or bias and see public information about steps the hospital is taking.
  • There will be public studies and reports from the National Academies, HHS, and the Government Accountability Office about how programs are working and recommendations for future actions.

Expenses#

  • Community-based organization grants: authorized $100,000,000 for each fiscal year 2027 through 2031.
  • Respectful maternity care training grants: authorized $5,000,000 for each fiscal year 2027 through 2031.
  • Respectful maternity care compliance program grants for hospitals and birth settings: authorized "such sums as may be necessary" for fiscal years 2027 through 2032.
  • No publicly available information on total estimated costs, offsets, or detailed budgetary effects beyond these authorizations.

Proponents' View#

Supporters say the bill targets preventable maternal mortality and severe maternal morbidity and seeks to close disparities by funding community-based programs, training all maternity care staff to reduce bias and racism, supporting culturally and linguistically concordant care and midwifery, creating hospital compliance programs, and commissioning studies and reports to guide future work.

Opponents' View#

No publicly available information.