The "Pathways to Health Careers Act" aims to provide low-income individuals with opportunities to enter and follow career pathways in various health professions. It amends the Social Security Act to establish a competitive grant program, administered by the Secretary of Health and Human Services in consultation with the Secretaries of Labor and Education, for eligible entities to conduct projects designed to train individuals for well-paying health occupations. The bill appropriates $435,000,000 annually for fiscal years 2026 through 2030 to fund these initiatives. Eligible entities applying for grants must describe their career pathways approach, including adult basic education, work readiness, training activities, and case management with career coaching. Preferences are given to applicants with prior grant experience, strong partnerships with government agencies, educational institutions, and healthcare employers, and those offering mentoring, cash stipends, or emergency funds. Projects serving rural areas are also prioritized in the selection process. The act outlines two types of demonstration projects: one for individuals with **arrest or conviction records** to enter health professions, and another for **maternal mortality career pathways**, focusing on training doulas and midwives. At least 25 percent of demonstration project funds are allocated to each of these specific types. Grant cycles are set for a minimum of five years, including a planning period. Projects receiving grants must provide comprehensive support services, including an assessment for **adult basic skill competency** and necessary education, guaranteed **child care**, and **transportation assistance**. **Case management plans** that incorporate career coaching, mentoring, and peer support are also mandatory. For demonstration projects involving individuals with arrest or conviction records, access to **legal assistance** to address workforce barriers is a required component. Additional allowed support includes cash stipends, emergency financial assistance, tuition, and training materials. All participants must earn a recognized postsecondary credential. The bill also mandates rigorous evaluations of demonstration projects and requires annual reports to Congress on participant outcomes, program effectiveness, and administrative details, ensuring accountability and continuous improvement of the health career pathways program.