; (4) provide training and guidance for health facilities that do not have obstetric health units; (5) collaborate with academic institutions that can provide regional expertise and research on access, outcomes, needs assessments, and other identified data; and (6) measure and address inequities in birth outcomes among rural residents, with an emphasis on Black and American Indians and Alaska Native residents, as such terms are defined in section 4 of the Indian Health Care Improvement Act. (c) Requirements (1) Establishment Not later than October 1, 2020, the Secretary shall establish rural obstetric health networks in at least 5 regions. (2) Definitions In this section: (A) Frontier area The term frontier area means a frontier county, as defined in section 1886(d)(3)(E)(iii)(III) of the Social Security Act. (B) Indian tribe The term Indian tribe has the meaning given such term in section 4 of the Indian Health Care Improvement Act. (C) Native Hawaiian health care system The term Native Hawaiian Health Care System has the meaning given such term in section 12 of the Native Hawaiian Health Care Improvement Act. (D) Region The term region means a State, Indian tribe, rural area, or frontier area. (E) Rural area The term rural area has the meaning given that term in section 1886(d)(2)(D) of the Social Security Act. (F) Tribal organization The term tribal organization has the meaning given such term in the Indian Self-Determination Act. (G) State The term State has the meaning given that term for purposes of title V of the Social Security Act. . (d) Telehealth network and telehealth resource centers grant programs Section 330I of the Public Health Service Act ( 42 U.S.C. 254c–14 ) is amended— (1) in subsection (f)(1)(B)(iii), by adding at the end the following: (XIII) Providers of maternal, including prenatal, labor and birth, and postpartum care services and entities operation obstetric care units. ; (2) in subsection (i)(1)(B), by inserting labor and birth, postpartum, before or prenatal