; or (B) an obstetric provider. (5) Prenatal care The term prenatal care means medical care provided to maintain and improve fetal and maternal health during pregnancy. (6) Secretary The term Secretary means the Secretary of Defense. 3. Report on access to maternal health care within the military health system (a) In general Not later than 2 years after the date of the enactment of this Act, the Secretary shall submit to the Committee on Armed Services and the Committee on Appropriations of the Senate and the Committee on Armed Services and the Committee on Appropriations of the House of Representatives a report on access to maternal health care within the military health system for covered individuals, during the preceding 2 year period. (b) Contents The report required under subsection (a) shall include the following: (1) With respect to military medical treatment facilities: (A) An analysis of the availability of maternal health care for covered individuals who access the military health system through such facilities. (B) An identification of staffing shortages in positions relating to maternal health and childbirth, including obstetrician-gynecologists, certified nurse midwives, and labor and delivery nurses. (C) A description of specific challenges faced by covered individuals in accessing maternal health care at such facilities. (D) An analysis of the timeliness of access to maternal health care, including wait times for and travel times to appointments. (E) A description of how such facilities track patient satisfaction with maternal health services. (F) A process to establish continuity of prenatal care and postpartum care for covered individuals who experience a permanent change of station during a pregnancy. (G) An identification of barriers with regard to continuity of prenatal care and postpartum care during permanent changes of station. (H) A description of military-specific health challenges impacting covered individuals who receive maternal healthcare at military medical treatment facilities, and