; and (B) not from accidental or incidental causes. (6) Severe maternal morbidity The term severe maternal morbidity means unexpected outcomes of labor and delivery resulting in significant short-term or long-term consequences to the health of a woman. (j) Authorization of appropriations There are authorized to be appropriated such sums as may be necessary to carry out this section for fiscal years 2021 through 2024. 5. Indian Health Service study on maternal mortality (a) In general The Director of the Indian Health Service (referred to in this section as the Director ) shall, in coordination with entities described in subsection (b)— (1) not later than 90 days after the enactment of this Act, enter into a contract with an independent research organization or Tribal Epidemiology Center to conduct a comprehensive study on maternal mortality and severe maternal morbidity in the populations of American Indian and Alaska Native women; and (2) not later than 3 years after the date of the enactment of this Act, submit to Congress a report on such study that contains recommendations for policies and practices that can be adopted to improve maternal health outcomes for such women. (b) Participating entities The entities described in this subsection shall consist of 12 members, selected by the Director from among individuals nominated by Indian tribes and tribal organizations (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 5304 )), and urban Indian organizations (as such term is defined in section 4 of the Indian Health Care Improvement Act ( 25 U.S.C. 1603 )). In selecting such members, the Director shall ensure that each of the 12 service areas of the Indian Health Service is represented. (c) Contents of study The study conducted pursuant to subsection (a) shall— (1) examine the causes of maternal mortality and severe maternal morbidity that are unique to American Indian and Alaska Native women