H.R. 6238 · 119th Congress

NIH IMPROVE Act

Introduced on Nov 20, 2025 by Lauren Underwood (D-IL-14). 4 cosponsors, 1 of them from another party. Latest action (Jul 21, 2026): Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Stage
Passed one chamber
Introduced
Nov 20, 2025
Cosponsors
4
1 from the other party
Policy area
Health
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Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. Reported by committee
  3. Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

To establish the IMPROVE Initiative within the National Institutes of Health.

Subjects

  • Health programs administration and funding
  • Medical research
  • National Institutes of Health (NIH)
  • Sex and reproductive health
  • Women's health

Summary

By the Congressional Research Service (Reported to House, Jul 9, 2026). Public domain.

NIH Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone Act or the NIH IMPROVE Act

This bill provides statutory authority for the National Institutes of Health to provide grants and other support for research on improving health outcomes for pregnant and postpartum women, especially in populations that are disproportionately affected.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Lauren UnderwoodD-IL-14Sponsor

Democrats · 3

Republicans · 1

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Nov 20, 2025Introduced in House
  2. Nov 20, 2025Introduced in House
  3. Nov 20, 2025 · HouseReferred to the House Committee on Energy and Commerce.
  4. May 21, 2026 · HouseCommittee Consideration and Mark-up Session Held
  5. May 21, 2026 · HouseOrdered to be Reported (Amended) by the Yeas and Nays: 46 - 0.
  6. Jul 9, 2026Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-734.
  7. Jul 9, 2026 · HouseReported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-734.
  8. Jul 9, 2026 · HousePlaced on the Union Calendar, Calendar No. 638.
  9. Jul 20, 2026 · HouseMr. Guthrie moved to suspend the rules and pass the bill, as amended.
  10. Jul 20, 2026 · HouseConsidered under suspension of the rules. (consideration: CR H4651-4652)
  11. Jul 20, 2026 · HouseDEBATE - The House proceeded with forty minutes of debate on H.R. 6238.
  12. Jul 20, 2026Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4651)
  13. Jul 20, 2026 · HouseOn motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4651)
  14. Jul 20, 2026 · HouseMotion to reconsider laid on the table Agreed to without objection.
  15. Jul 21, 2026 · SenateReceived in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. March of Dimes3 reports
    $170K reported (all issues)
  2. The Nemours Foundation - a Florida not-for-profit Corporation2 reports
    $290K reported (all issues)
  3. HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC.1 report
    $60K reported (all issues)

Reports filed in 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 10, 2026 · loaded Oct 10, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 10, 2026 · loaded Oct 10, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.