Sponsors (38)
The bill aims to increase awareness, training, and state-level options to improve postpartum pelvic health care (benefiting postpartum women and providers) but relies on guidance and modest federal funding — which may leave impact uneven across states and create cost, administrative, privacy, and out-of-pocket trade-offs for governments and some patients.
Postpartum women (including Medicaid beneficiaries) gain clearer guidance, education, and outreach that increase awareness of and access to pelvic floor exams and pelvic health physical therapy.
Healthcare workers and hospital systems receive training on pelvic floor exams and pelvic health physical therapy, improving diagnosis, referral, and treatment for postpartum pelvic health conditions.
States receive recommended payment models, financing options (including use of CHIP HSI funds), and a GAO study identifying coverage gaps to help target policy or funding fixes to expand postpartum pelvic health services without new federal statutory changes.
State Medicaid programs that expand coverage or benefits based on the guidance could face higher program costs, forcing state budget trade-offs or increased state spending.
Increased emphasis on training, referrals, and awareness could raise demand for pelvic health physical therapy and lead to higher out-of-pocket costs for patients whose insurance (including some Medicaid programs) does not cover these services fully.
Guidance, recommended diagnosis codes, and new program requirements may create administrative and billing burdens for state agencies, providers, and health systems needing to update systems and workflows.
Based on analysis of 3 sections of legislative text.
Mandates HHS guidance and a GAO study on Medicaid/CHIP coverage of pelvic health services in prenatal/postpartum care and funds a CDC pelvic health education program ($2M/yr, 2026–2030).
Requires HHS to issue guidance within one year on Medicaid and CHIP coverage and payment options for pelvic health services provided during prenatal and postpartum care, and directs the GAO to report within one year on gaps in Medicaid coverage for postpartum services. Creates a new CDC-run postpartum pelvic health education and training program for clinicians and postpartum women, defines covered services and conditions, and authorizes $2 million per year for fiscal years 2026–2030 to support that program.
Introduced June 23, 2025 by Donald J. Bacon · Last progress June 23, 2025