Sponsors (23)
Introduced June 12, 2025 by Ronald Lee Wyden · Last progress June 12, 2025
The bill expands maternal coverage, data transparency, and federal supports to keep maternity services available and improve care coordination—benefiting pregnant people and communities—but it does so with significant new federal/state spending, added administrative and reporting burdens, and some risk of short‑term fixes rather than permanent solutions.
Pregnant people on Medicaid and CHIP will get continuous full-benefit coverage through pregnancy and 12 months postpartum and faster temporary coverage via presumptive eligibility and ambulatory prenatal services, improving access to prenatal and postpartum care.
Hospitals—particularly rural and low-volume facilities—will benefit from standardized state cost studies plus policy options (anchor payments, revenue floors) and enhanced federal matching that can raise minimum maternity payment rates and make it more feasible to keep obstetric services open.
Federal Commissioned Corps detailing, expanded maternal health readiness, and dedicated funding give communities facing hospital closures access to clinicians and surge capacity to maintain prenatal, delivery, and postpartum services.
Taxpayers and state budgets will face substantially higher federal and state spending (expanded FMAPs, payment floors, coverage mandates, Corps funding, and program expansions), increasing fiscal pressure on federal and state budgets.
States will incur significant administrative and implementation burdens—recurring, detailed cost studies; statutory and plan changes; new reporting systems; and provider enrollment updates—within tight timelines.
Hospitals and private payers must comply with expanded reporting and public disclosure of cost and negotiated‑rate data, creating added administrative costs and raising competitive and privacy concerns for institutions and staff.
Based on analysis of 8 sections of legislative text.
Makes 12-month postpartum Medicaid/CHIP coverage mandatory, requires state maternity cost studies, mandates hospital closure notices and Medicare reporting, and enables federal maternal health deployments.
Requires states to study and report the costs of providing maternity, labor, and delivery services, and makes 12-month postpartum full Medicaid/CHIP coverage mandatory for people enrolled through those programs. It also requires hospitals to give advance public notice before closing obstetric units and to include detailed labor-and-delivery data in Medicare cost reports, and it lets the Public Health Service Commissioned Corps be deployed to areas with urgent maternal health care needs caused by closures or workforce loss. The bill creates new recurring state study and reporting duties, changes Medicaid/CHIP rules so postpartum coverage through 12 months is required rather than optional, expands federal authority to deploy Commissioned Corps personnel for maternal health emergencies, and imposes hospital notification and reporting requirements with specified timelines (including a July 1, 2026 start date for certain Medicare reporting).