Sponsors (2)
The bill would expand Medicaid maternal coverage, care coordination, quality guidance, data collection, and support for telehealth and community-based services—measures likely to improve maternal outcomes and equity—while increasing state and federal costs, administrative burdens, data-privacy risks, and relying heavily on nonbinding guidance that may produce uneven adoption across states.
Pregnant and postpartum Medicaid enrollees gain continuous Medicaid coverage for up to 12 months postpartum, preserving access to primary, specialty, maternity, and behavioral health care regardless of short-term income changes.
Medicaid enrollees (pregnant people) and providers can access coordinated maternity care models and optional 'maternity health home' programs that integrate pregnancy through 365 days postpartum, improving continuity of care and comprehensive care planning.
Pregnant and postpartum patients (especially in rural/underserved areas) gain expanded telehealth and remote physiologic monitoring access (pulse oximeters, BP cuffs, glucose monitors, telehealth visits) and federal telehealth pilot support to improve access and early detection of complications.
States and federal taxpayers face substantial added costs from expanded postpartum eligibility, new covered services, grants, pilot programs, and reporting requirements, which could increase Medicaid spending and pressure state and federal budgets.
HHS, State Medicaid agencies, and providers will incur significant administrative and compliance burdens from new reports, toolkits, audits, quality measures, and data systems, increasing staff workload and operational costs.
Because many provisions are guidance, studies, or voluntary options rather than mandates, benefits may be adopted unevenly across states and providers, leaving geographic and programmatic gaps and perpetuating disparities for some pregnant people.
Based on analysis of 32 sections of legislative text.
Expands federal actions to improve maternal and perinatal care in Medicaid/CHIP through reports, guidance, quality measures, grants, demonstrations, data collection, and an optional maternity health‑home option.
Introduced July 15, 2025 by Charles Ernest Grassley · Last progress July 15, 2025
Requires HHS/CMS to expand federal work on maternal and perinatal care in Medicaid and CHIP by issuing multiple reports and State guidance, establishing advisory groups, funding targeted grants and demonstrations (including telehealth), and creating an optional maternity health home State-plan authority. It requires new data collection and public reporting on maternal quality measures (including cesarean rates), directs actions to address social determinants of health and workforce supports (doulas, community health workers, midwives), and strengthens oversight of improper payments and care coordination for pregnant and postpartum Medicaid enrollees.