; and (3) by adding at the end the following: (II) Postpartum women A State may elect to certify a postpartum woman for a period of 2 years. . (e) Definition of maternal mortality In this section, the term maternal mortality means death of a woman that occurs during pregnancy or within the one-year period following the end of such pregnancy. 4. Full spectrum doula workforce (a) In general The Secretary of Health and Human Services shall establish and implement a program to award grants or contracts to health professions schools, schools of public health, academic health centers, State or local governments, territories, Indian Tribes and Tribal organizations, Urban Indian organizations, Native Hawaiian organizations, community-based organizations, or other appropriate public or private nonprofit entities (or consortia of any such entities, including entities promoting multidisciplinary approaches), to establish or expand programs to grow and diversify the doula workforce, including through improving the capacity and supply of health care providers. (b) Use of funds Amounts made available by subsection (a) shall be used for the following activities: (1) Establishing programs that provide education and training to individuals seeking appropriate training or certification as full spectrum doulas. (2) Expanding the capacity of existing programs described in paragraph (1), for the purpose of increasing the number of students enrolled in such programs, including by awarding scholarships for students who agree to work in underserved communities after receiving such education and training. (3) Developing and implementing strategies to recruit and retain students from underserved communities, particularly from demographic groups experiencing high rates of maternal mortality and severe maternal morbidity, including racial and ethnic minority groups, into programs described in paragraphs (1) and (2). (c) Funding In addition to amounts otherwise available, there is appropriated to the Secretary for fiscal year 2024, out of