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The bill aims to improve postpartum pelvic health through guidance, training, and modest federal funding—potentially improving care for many women—while relying on voluntary state adoption and creating potential state budget, administrative, and out-of-pocket cost pressures.
Postpartum women—including Medicaid beneficiaries—will receive clearer information, referral pathways, and greater access to pelvic floor exams and pelvic health physical therapy, improving detection and treatment of postpartum pelvic conditions.
Healthcare professionals and health systems will get training and suggested coding/payment-model guidance, increasing clinician competence and helping build capacity to deliver pelvic health services.
States and programs will receive best practices, payment-model examples, and identified CHIP-funded options that can be used to expand coverage and enable eligible caregivers to access postpartum pelvic care.
Because the HHS guidance is nonbinding, many states may choose not to adopt the recommendations, so Medicaid beneficiaries in those states may see little or no improvement in access.
Expanding covered services and increasing referrals could raise Medicaid/CHIP program spending, putting pressure on state budgets and potentially forcing tradeoffs in other services or priorities.
States will likely face administrative and implementation costs to adopt new coding, payment models, and program changes to follow the guidance.
Introduced June 23, 2025 by Donald J. Bacon · Last progress June 23, 2025
Requires HHS to issue guidance to States on Medicaid and CHIP coverage for pelvic health services during the prenatal and postpartum period, commissions a GAO study on coverage gaps, and funds a federal education and training program for clinicians and postpartum people about pelvic floor exams and pelvic health physical therapy. The bill defines the postpartum period and covered services, and authorizes $2 million per year from FY2026–2030 to run the education and training program.