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NIH IMPROVE Act

To establish the IMPROVE Initiative within the National Institutes of Health.

Introduced Nov 20, 2025

Latest action (Nov 20, 2025) Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Referred to
Health, Education, Labor, and Pensions Committee
Policy area
Health
Issues
Healthcare

Summary

This bill establishes the IMPROVE Initiative within the National Institutes of Health to improve maternal health outcomes and reduce maternal mortality and severe maternal morbidity. The initiative will advance research to reduce preventable causes of maternal death and illness, particularly among populations with disproportionately high rates, and improve health for pregnant and postpartum women. The initiative will use an integrated approach to understand the biological, behavioral, and other factors affecting maternal health and will implement community-based interventions targeting disproportionately affected women. The NIH Director may award grants and enter into contracts to carry out the initiative. The bill authorizes $73.4 million annually for fiscal years 2026 through 2031.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)
4 cosponsors

Actions (2)
  1. Nov 20, 2025 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. · senate
  2. Nov 20, 2025 Introduced in Senate

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

  • HR 6238 — NIH IMPROVE Act · Passed House Jul 21, 2026 · Cong. 119 88%
  • S 3564 — NIH Clinical Trial Integrity Act · Introduced Dec 18, 2025 · Cong. 119 72%
  • HR 9090 — Advancing Menopause Care and Mid-Life Women’s Health Act · Introduced Jun 2, 2026 · Cong. 119 68%
  • S 4187 — Data to Save Moms Act · Introduced Mar 25, 2026 · Cong. 119 64%
  • S 4195 — Kira Johnson Act · Introduced Mar 25, 2026 · Cong. 119 63%
  • HR 6089 — Biomanufacturing Excellence Act of 2025 · Introduced Nov 18, 2025 · Cong. 119 63%

Full text

IN THE SENATE OF THE UNITED STATES

November 20, 2025

Mrs. Britt (for herself and Mr. Booker) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions

A BILL

To establish the IMPROVE Initiative within the National Institutes of Health.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “NIH Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone” or the “NIH IMPROVE Act”.

SEC. 2. IMPROVE INITIATIVE.

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:

“SEC. 409K. IMPROVE INITIATIVE.

“(a) In General.—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’).

“(b) Objectives.—The 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) Implementation.—The Director of NIH may award grants or enter into contracts, cooperative agreements, or other transactions to carry out this section.

“(d) Authorization of Appropriations.—There is authorized to be appropriated to carry out this section $73,400,000 for each of fiscal years 2026 through 2031.”. <all>

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