Congress funds maternal health workforce diversity to close care gaps
S. 4186 — Perinatal Workforce Act · Filed by Tammy Baldwin (D-WI) · 2 cosponsors · Introduced Mar 25, 2026 · Referred to committee
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What it does
This bill directs the Department of Health and Human Services to fund workforce development in maternal and perinatal health by establishing grants for training programs in midwifery, nursing, and related fields, with explicit focus on recruiting providers from racial and ethnic minority backgrounds and placing them in underserved areas. It also requires HHS to issue guidance to states on diverse care models and conduct studies on best practices in culturally competent maternal care.
Why we flagged it
The bill's operative mechanism is direct federal funding for training programs in maternal health professions, with explicit equity mandates. It is a public-health workforce investment, not a regulatory change or market intervention.
What the text implies
- Implicit bias training requirement may face resistance from some educational institutions; effectiveness depends on implementation quality and instructor training, which the bill does not specify.
- International Confederation of Midwives standards referenced in the bill are external to U.S. law; states may have different licensure requirements, creating potential friction between federal grant conditions and state regulation.
- GAO report requirement (every 5 years) creates ongoing accountability but does not mandate action; recommendations are advisory only.
- Scholarship funding may benefit schools of nursing and midwifery financially, but the primary beneficiary is the student workforce and ultimately patients in underserved areas.
Section numbers refer to the bill text the analysis read — linked under Primary records below.
Who it affects
Ordinary people, especially those in underserved and minority communities, gain access to a more diverse perinatal workforce trained in culturally competent care and implicit bias awareness. The bill addresses documented disparities in maternal health outcomes and mortality by directly funding workforce development in shortage areas, with no offsetting costs to citizens.
Who stands to gain
- schools of nursing and midwifery programs (grant recipients)
- students from underrepresented backgrounds (scholarship recipients)
- health professional shortage areas (workforce placement)
Named in the bill
Department of Health and Human Services (HHS), National Institutes of Health (NIH), Secretary of Health and Human Services, Comptroller General of the United States, International Confederation of Midwives, International Board of Lactation Consultant Examiners, schools of nursing, midwifery programs, freestanding birth centers, health professional shortage areas (HPSA)
Where it stands
2 cosponsors: 2 Democrats.
- Mar 25, 2026 — Introduced · Congress.gov: “Introduced in Senate”
- Mar 25, 2026 — Referred to Senate Committee on Health, Education, Labor, and Pensions · Congress.gov: “Read twice and referred to the Committee on Health, Education, Labor, and Pensions”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Money around this bill
2 lobbying clients named this bill on 2 disclosure filings across 1 quarter, Jun 2026 to Jun 2026. Those filings disclosed $99,067 in lobbying spend. A filing names 62 bills on average, so that figure is what each filing reported, not a share belonging to this bill.
More lobbying clients named this bill than 41% of bills with at least one filing.
Tammy Baldwin, the sponsor, reported $195,336 in PAC receipts in the 2026 cycle.
- Center for Reproductive Rights — $70,000 on 1 filing
- National League for Nursing — $29,067 on 1 filing
Lobbying Disclosure Act filings through Jul 22, 2026. A filing shows who paid to lobby on a bill it names, not what changed.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (17,218 characters) on Sep 5, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 16,222 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
Money — Senate Lobbying Disclosure Act filings whose specific-issue field names this bill for quarters ending Jun 2026 to Jun 2026. A filing's amount is reported whole beside the median number of bills a filing names; it is never divided across them. PAC receipts are FEC-reported contributions to the sponsor's candidate committee in the 2026 cycle.
As of — lobbying records through Jul 22, 2026 · page rendered 2026-10-20.
“Congress funds maternal health workforce diversity to close care gaps” QuorumCivic. https://share.quorumcivic.app/bill/119/s4186 Report an error
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