This legislation seeks to comprehensively improve health outcomes for women during perimenopause, menopause, and postmenopause. It proposes a multi-faceted approach encompassing expanded research, public health initiatives, professional training, and specialized care centers. The bill addresses various aspects of mid-life women's health, aiming to reduce health disparities and enhance access to quality care. The bill mandates the National Institutes of Health (NIH) to coordinate and expand research into the impact of menopausal symptoms on physical, mental, and cognitive health, including prevention of adverse outcomes and health disparities. It authorizes grants for biomedical and public health research, new treatment development, and integrated care approaches. Additionally, the Secretary of Health and Human Services (HHS) will expand public health research, data collection, and establish a dashboard for reporting on menopausal symptoms and mid-life health outcomes. The Secretary of HHS is directed to expand public health promotion and prevention activities related to menopausal symptoms and chronic conditions, including grants to improve early detection, diagnosis, and treatment. Recommendations for mental health and substance use prevention services will also be developed. A national awareness, education, and outreach program will disseminate educational materials to patients, providers, and first responders, focusing on evidence-based information and addressing barriers to care. To improve professional capacity, the bill authorizes grants for training programs for various health professionals to enhance care and treatment of menopausal symptoms and related chronic conditions, including accredited residency programs and fellowships. Furthermore, the Secretary will designate and award grants to Centers of Excellence in Menopause Care and Mid-Life Women's Health to improve professional training resources and distribute evidence-based information, prioritizing underserved areas. The legislation requires the Secretary of HHS to submit annual reports to Congress detailing progress, identifying data gaps, and providing recommendations to expand access to integrated care. A separate report on known health disparities and barriers to care for mid-life women is also mandated. The bill authorizes specific appropriations for research, public health promotion, and awareness programs from fiscal years 2027 through 2031, and emphasizes coordination among federal agencies.