H.R. 4150

119th CONGRESS 1st Session

To amend title XIX of the Social Security Act to provide a higher Federal matching rate for increased expenditures under Medicaid for maternal health care services.

IN THE HOUSE OF REPRESENTATIVES · June 25, 2025 · Sponsor: Ms. Williams of Georgia · Committee: Committee on Energy and Commerce

Table of contents

• H.R. 4150
  • SEC. 1. Short title
  • SEC. 2. Higher FMAP for increased expenditures under medicaid for maternal health services

SEC. 1. Short title

• This Act may be cited as the Advancing Maternal Health Equity Under Medicaid Act.

SEC. 2. Higher FMAP for increased expenditures under medicaid for maternal health services

• Section 1903 of the Social Security Act () is amended— 42 U.S.C. 1396b
  • in subsection (a)(5)—
    • by striking an amount equaland inserting (A) an amount equal; and
      • and
        • for calendar quarters beginning on or after January 1 of the year beginning after one year after the date of the enactment of this subparagraph, an amount equal to 90 percent of the amounts by which—
          • (i) the sum of the amounts expended which are attributable to the offering, arranging, and furnishing (directly or on a contract basis) under the State plan (or waiver of the plan) of maternal health care services (as described in subsection (b)(6)(B)) for such quarter, exceeds
          • (ii) the sum of the amounts expended which are attributable to the offering, arranging, and furnishing (directly or on a contract basis) under the State plan (or waiver of the plan) of such services for the corresponding quarter in the four-quarter period ending on December 31, 2019, plus
    • by adding at the end the following:
    • (6) Accountability and maintenance of effort requirements for additional federal funding for increased expenditures for maternal health care services
      • (A) In general
        • As conditions for receiving the funds the Secretary is otherwise obligated to pay to a State under subsection (a)(5)(B), a State shall meet the following requirements:
          • (i) The State shall use the funds received under such subsection to supplement, not supplant, the level of State funds expended for the offering, arranging, and furnishing (directly or on a contract basis) under the State plan (or under a waiver of the plan) of maternal health care services (as described in subparagraph (B)) through programs and activities in effect as of January 1, 2023.
          • (ii) The State shall use the funds received under such subsection for activities that increase the capacity, efficiency, and quality in the provision of maternal health care services.
      • (B) Definitions
        • For purposes of this paragraph and subsection (a)(5)(B):
          • (i) Maternal health care services described in this subparagraph are services furnished by a maternity care provider or perinatal health worker, such as the following:
          • Prenatal, labor and delivery, and postpartum health care services that are furnished in a licensed and accredited hospital, birth center, midwifery practice, or other health care practice that provides prenatal services, labor and delivery services, and postpartum services.
          • Telehealth services during the prenatal and postpartum periods.
          • Home visiting services during the prenatal and postpartum periods.
          • Mental or behavioral health care services for individuals during the prenatal and postpartum periods.
          • (ii) The term means a health care provider who— maternity care provider
          • is a physician, physician assistant, midwife who meets at a minimum the international definition of the midwife and global standards for midwifery education as established by the International Confederation of Midwives, nurse practitioner, or clinical nurse specialist; and
          • has a focus on maternal or perinatal health.
          • (iii) The term means a doula, community health worker, breastfeeding and lactation educator or counselor, nutritionist or dietitian, childbirth educator, social worker, home visitor, or language interpreter. perinatal health worker
          • (iv) The terms and each refer to the 1-year period beginning on the last day of the pregnancy of an individual. postpartum postpartum period
  • in subsection (b), by adding at the end the following new paragraph: