Sponsors (21)
Introduced June 12, 2025 by Ronald Lee Wyden · Last progress June 12, 2025
The bill expands and coordinates maternal coverage, payments, workforce support, and transparency to improve access and outcomes for pregnant people—particularly in underserved areas—while imposing significant new federal/state costs, reporting requirements, and potential financial and administrative burdens on states and providers, some of which are temporary.
Pregnant people on Medicaid/CHIP will get continuous full-benefit coverage through pregnancy and 12 months postpartum, improving access to maternal and postpartum care for millions of low‑income birthing people.
States can raise minimum payments to hospitals (including anchor payments and revenue floors) with substantial federal matching, helping eligible rural and low‑volume hospitals remain open or financially viable and preserving local maternity services.
Presumptive eligibility and mandated ambulatory prenatal services enable immediate temporary coverage and faster access to prenatal care at hospitals and qualified entities, reducing delays in getting early pregnancy care.
The package increases federal and state Medicaid/CHIP spending (including enhanced FMAPs and Corps funding), raising long‑term fiscal pressure on taxpayers and state budgets and potentially crowding out other priorities.
States face substantial administrative and implementation burdens (recurring cost studies, plan amendments, new reporting systems, provider enrollment changes) that require legislative/regulatory work and staff time.
Hospitals and providers will incur added operational and reporting costs (data collection, IT, care coordination, community-impact reports, expanded Medicare reporting), which can strain already thin margins—especially for smaller and rural hospitals.
Based on analysis of 8 sections of legislative text.
Mandates state maternity-cost studies; requires full Medicaid/CHIP coverage during pregnancy and 12 months postpartum; requires obstetric-unit closure reporting; expands Commissioned Corps deployment and Medicare hospital reporting.
Requires states to study and report the costs of providing maternity, labor, and delivery services and to give the HHS Secretary recurring results; makes 12 months of full Medicaid/CHIP postpartum coverage mandatory; expands federal public‑health deployment authority to respond to urgent maternal‑health workforce or facility shortages; and requires hospitals to give advance public notice before obstetric unit closures and to report detailed labor‑and‑delivery data in Medicare cost reports.