; ; and (C) in paragraph (5) (as so redesignated), by striking through (3) and inserting through (4) ; and (2) in subsection (d)(4)(A)(iv), by inserting , including maternal mortality and other maternal morbidity outcomes before the semicolon. 3. Collaborative improvement and innovation networks to improve obstetric health in rural areas Section 501 of the Social Security Act ( 42 U.S.C. 701 ) is amended— (1) in subsection (a)(2), by inserting and the establishment of collaborative improvement and innovation networks to improve obstetric health in rural areas by improving outcomes in birth and maternal morbidity and mortality after services development ; and (2) by adding at the end the following: (d) (1) (A) For the purpose of enabling the Secretary (through grants, contracts, or otherwise) to establish, as special projects of regional and national significance, collaborative improvement and innovation networks (referred to in this subsection as rural obstetric health CoIINs ) to improve obstetric health in rural areas by improving outcomes in birth and maternal morbidity and mortality, there is appropriated to the Secretary, out of any money in the Treasury not otherwise appropriated, $3,000,000 for each of fiscal years 2019 through 2023. (B) Funds appropriated under subparagraph (A) shall— (i) be in addition to amounts appropriated under subsection (a) and retained under section 502(a)(1) for the purpose of carrying out activities described in subsection (a)(2); and (ii) remain available until expended. (2) Rural obstetric health CoIINs established in accordance with this subsection shall— (A) assist pregnant women in rural areas connect with maternal, prenatal and postnatal, and obstetric care to improve outcomes in birth and maternal mortality and morbidity; (B) identify successful maternal, prenatal and postnatal, and obstetric health delivery models for women in rural areas