119-hr4150

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4150 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 4150

 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

 June 25, 2025

 Ms. Williams of Georgia (for herself, Ms. Bonamici, Ms. Chu, Ms. 
 Norton, Mr. Huffman, Ms. McClellan, Ms. Moore of Wisconsin, Ms. Ross, 
 Ms. Sewell, Ms. Stansbury, Ms. Tlaib, Ms. Wasserman Schultz, Ms. 
 Strickland, Mr. Morelle, and Mr. Kennedy of New York) 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.''.
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