Advancing Maternal Health Equity Under Medicaid Act
This bill provides a 90% federal matching rate for Medicaid maternal health care expenditures that exceed 2019 levels. Qualifying services must be provided by maternity care providers or perinatal health workers (e.g., doulas) and include prenatal and postpartum telehealth services, home visits, and behavioral health care.
[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4585 Introduced in House (IH)]
<DOC>
118th CONGRESS
1st Session
H. R. 4585
To amend title XIX of the Social Security Act to provide a higher
Federal matching rate for increased expenditures under Medicaid for
maternal health care services.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
July 12, 2023
Ms. Manning (for herself, Ms. Bonamici, Ms. Williams of Georgia, Ms.
Sewell, Ms. Chu, Ms. Scanlon, Ms. Clarke of New York, Ms. Lois Frankel
of Florida, Ms. Ross, and Mrs. McClellan) introduced the following
bill; which was referred to the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend title XIX of the Social Security Act to provide a higher
Federal matching rate for increased expenditures under Medicaid for
maternal health care services.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Advancing Maternal Health Equity
Under Medicaid Act''.
SEC. 2. HIGHER FMAP FOR INCREASED EXPENDITURES UNDER MEDICAID FOR
MATERNAL HEALTH SERVICES.
Section 1903 of the Social Security Act (42 U.S.C. 1396b) is
amended--
(1) in subsection (a)(5)--
(A) by striking ``an amount equal'' and inserting
``(A) an amount equal''; and
(B) by adding at the end the following: ``and
``(B) for calendar quarters beginning on or after
January 1 of the year beginning after one year after
the date of the enactment of this subparagraph, an
amount equal to 90 percent of the amounts by which--
``(i) the sum of the amounts expended which
are attributable to the offering, arranging,
and furnishing (directly or on a contract
basis) under the State plan (or waiver of the
plan) of maternal health care services (as
described in subsection (b)(6)(B)) for such
quarter, exceeds
``(ii) the sum of the amounts expended
which are attributable to the offering,
arranging, and furnishing (directly or on a
contract basis) under the State plan (or waiver
of the plan) of such services for the
corresponding quarter in the four-quarter
period ending on December 31, 2019, plus''; and
(2) in subsection (b), by adding at the end the following
new paragraph:
``(6) Accountability and maintenance of effort requirements
for additional federal funding for increased expenditures for
maternal health care services.--
``(A) In general.--As conditions for receiving the
funds the Secretary is otherwise obligated to pay to a
State under subsection (a)(5)(B), a State shall meet
the following requirements:
``(i) Supplement, not supplant.--The State
shall use the funds received under such
subsection to supplement, not supplant, the
level of State funds expended for the offering,
arranging, and furnishing (directly or on a
contract basis) under the State plan (or under
a waiver of the plan) of maternal health care
services (as described in subparagraph (B))
through programs and activities in effect as of
January 1, 2023.
``(ii) Use of funds for activities that
improve delivery of maternal health care
services.--The State shall use the funds
received under such subsection for activities
that increase the capacity, efficiency, and
quality in the provision of maternal health
care services.
``(B) Definitions.--For purposes of this paragraph
and subsection (a)(5)(B):
``(i) Maternal health care services.--
Maternal health care services described in this
subparagraph are services furnished by a
maternity care provider or perinatal health
worker, such as the following:
``(I) Prenatal, labor and delivery,
and postpartum health care services
that are furnished in a licensed and
accredited hospital, birth center,
midwifery practice, or other health
care practice that provides prenatal
services, labor and delivery services,
and postpartum services.
``(II) Telehealth services during
the prenatal and postpartum periods.
``(III) Home visiting services
during the prenatal and postpartum
periods.
``(IV) Mental or behavioral health
care services for individuals during
the prenatal and postpartum periods.
``(ii) Maternity care provider.--The term
`maternity care provider' means a health care
provider who--
``(I) is a physician, physician
assistant, midwife who meets at a
minimum the international definition of
the midwife and global standards for
midwifery education as established by
the International Confederation of
Midwives, nurse practitioner, or
clinical nurse specialist; and
``(II) has a focus on maternal or
perinatal health.
``(iii) Perinatal health worker.--The term
`perinatal health worker' means a doula,
community health worker, breastfeeding and
lactation educator or counselor, nutritionist
or dietitian, childbirth educator, social
worker, home visitor, or language interpreter.
``(iv) Postpartum and postpartum period.--
The terms `postpartum' and `postpartum period'
each refer to the 1-year period beginning on
the last day of the pregnancy of an
individual.''.
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
Sponsor introductory remarks on measure. (CR H3875)
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