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Amends section 1902 of the Social Security Act (42 U.S.C. 1396a): (1) modifies subsection (a) to add a new paragraph requiring the State plan to provide that it is in compliance with subsection (e)(16); and (2) amends subsection (e)(16) by changing the text that previously made the provision optional for States into a mandatory requirement, modifying the wording in subparagraph (B) to reference State plans (or waivers of such State plans), and striking subparagraph (C).
Amends section 2107(e)(1)(K) of the Social Security Act (42 U.S.C. 1397gg(e)(1)(K)) to require that paragraphs (5) and (16) of section 1902(e) apply to State child health plans or waivers so that provision of assistance under the State child health plan or waiver for targeted low-income children or targeted low-income pregnant women during pregnancy and the 12-month postpartum period is required and shall include coverage of all items or services provided to a targeted low-income child or targeted low-income pregnant woman (as applicable) under the State child health plan or waiver.
Amends section 2112(d)(2)(A) of the Social Security Act (42 U.S.C. 1397ll(d)(2)(A)) by striking language beginning with 'and' and continuing through the indicated endpoint (as specified in the amendment instruction).
Amends 42 U.S.C. 1396a(l)(2)(A) by adding a new subclause (III) to clause (ii) identifying January 1, 2027 as the percentage provided under a new clause (v), and by adding a new clause (v) that establishes a minimum percentage for medical assistance provided on or after January 1, 2027 for pregnant individuals and infants, tied to specified State plan amendments or State law/appropriations as of January 1, 2025.
Adds subsection (j) to deem any services by an officer or employee under chapter 89 relating to enrolling individuals in a health benefits plan, or changing enrollment due to an event described in section 5(a)(1) of the Healthy MOM Act, to be services for emergencies involving the safety of human life or the protection of property for purposes of section 1342 of title 31.
Adds a new subsection (d) requiring group health plans and health insurance issuers that provide dependent coverage to include maternity care (pregnancy, childbirth, postpartum care, including labor and delivery) for all participants, beneficiaries, and enrollees, and to provide such coverage to all pregnant dependents regardless of age.
Adds a new subsection (d) requiring group health plans and health insurance issuers that provide dependent coverage to include maternity care (pregnancy, childbirth, postpartum care, including labor and delivery) for all participants, beneficiaries, and enrollees, and to provide such coverage to all pregnant dependents regardless of age.
Adds a new subsection (d) requiring group health plans that provide dependent coverage to include maternity care (pregnancy, childbirth, postpartum care, including labor and delivery) for all participants and beneficiaries, including dependents, and to provide such coverage to all pregnant dependents regardless of age.
Amends Public Health Service Act section 2702(b)(2) by inserting additional language immediately before the final period of the subsection.
Modifies the list of specified special enrollment periods in 42 U.S.C. 18031(c)(6) by inserting a new subparagraph (D) establishing a special enrollment period for pregnant individuals, striking the terminal "and" in (C), and redesignating existing subparagraph (D) as (E).
And 2 more affected sections...
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Workforce, and Oversight and Government Reform, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced November 20, 2025 by Bonnie Watson Coleman · Last progress November 20, 2025
Healthy MOM Act
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Workforce, and Oversight and Government Reform, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House