; (B) low-income populations, including medically underserved populations (as defined in section 330(b)); (C) populations residing in health professional shortage areas (as defined in section 332(a)); (D) populations residing in maternity care health professional target areas identified under section 332(k); or (E) rural or traditionally underserved populations; (2) demonstrate a plan for providing services, to the maximum extent practicable, in the language and cultural context more appropriate to individuals expected to be served by the program; and (3) have a documented collective bargaining agreement with 1 or more labor organizations representing employees of the applicant or have an explicit policy not to interfere with the rights of employees of the applicant under section 7 of the National Labor Relations Act. (d) Maintenance of effort The recipient of a grant under subsection (a) shall agree to maintain expenditures of non-Federal amounts for activities described in subsection (b) at a level that is not less than the level of such expenditures maintained by the recipient for the fiscal year preceding the fiscal year for which the recipient receives such a grant (e) Authorization of appropriations There is authorized to be appropriated to the Secretary to carry out this section $5,000,000,000 for each of fiscal years 2024 through 2033. .