119-s2085

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 2085 Introduced in Senate

    (IS) ]

<DOC>

119th CONGRESS
 1st Session
 S. 2085

 To require 12-month continuous, full benefit coverage for pregnant 
 individuals under Medicaid and CHIP, and for other purposes.

_______________________________________________________________________

 IN THE SENATE OF THE UNITED STATES

 June 16, 2025

 Mr. Gallego introduced the following bill; which was read twice and 
 referred to the Committee on Finance

_______________________________________________________________________

 A BILL

 To require 12-month continuous, full benefit coverage for pregnant 
 individuals under Medicaid and CHIP, and for other purposes.

 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 ``Postpartum Lifeline Act''.

SEC. 2. REQUIRING 12-MONTH CONTINUOUS, FULL BENEFIT COVERAGE FOR 
 PREGNANT INDIVIDUALS UNDER MEDICAID AND CHIP.

    (a) Medicaid.--

Section 1902 of the Social Security Act (42 U.S.C. 
1396a) is amended--

    (1) in subsection

    (a) --
        (A) in paragraph

    (10) , in the matter following 
 subparagraph
        (G) , by striking ``
            (VII) the medical 
 assistance made available to an individual described in 
 subsection
            (l) (1)
        (A) who is eligible for medical 
 assistance only because of subparagraph
        (A)
            (i) 
            (IV) or
        (A)
            (ii) 
            (IX) shall be limited to medical assistance for 
 services related to pregnancy (including prenatal, 
 delivery, postpartum, and family planning services), 
 medical assistance for services related to other 
 conditions which may complicate pregnancy, and medical 
 assistance for vaccines described in 

section 1905

    (a)

    (4)
        (E) and the administration of such vaccines 
 during the period described in such section,'' and 
 inserting ``
            (VII) [Repealed],'';
        (B) in paragraph

    (86) , by striking ``and'' at the 
 end;
            (C) in paragraph

    (87)
            (D) , by striking the period at 
 the end and inserting ``; and''; and
            (D) by inserting after paragraph

    (87) the following 
 new paragraph:
 ``

    (88) provide that the State plan is in compliance with 
 subsection

    (e)

    (16) .''; and

    (2) in subsection

    (e)

    (16) --
        (A) in subparagraph
        (A) , by striking ``At the 
 option of the State, the State plan (or waiver of such 
 State plan) may provide'' and inserting ``A State plan 
 (or waiver of such State plan) shall provide'';
        (B) in subparagraph
        (B) , in the matter preceding 
 clause
            (i) , by striking ``by a State making an election 
 under this paragraph'' and inserting ``under a State 
 plan (or a waiver of such State plan)''; and
            (C) in subparagraph
            (C) --
            (i) by striking ``A State making an 
 election under this paragraph'' and inserting 
 ``In the case of a State''; and
            (ii) by striking ``shall also make the 
 election'' and inserting ``the State shall 
 provide coverage''.

    (b) CHIP.--

    (1) In general.--Subparagraph
        (J) of 

section 2107

    (e)

    (1) of 
 the Social Security Act (42 U.S.C. 1397gg

    (e)

    (1) ), as 
 redesignated by 

section 105, is amended to read as follows:
 ``
        (J) Paragraphs

    (5) and

    (16) of 

section 1902

    (e) (relating to the requirement to provide medical 
 assistance under the State plan or waiver consisting of 
 full benefits during pregnancy and throughout the 12-
 month period that begins on the last day of the 
 individual's pregnancy and ends on the last day of the 
 month in which such 12-month period ends).''.

    (2) Conforming amendment.--

Section 2112
            (d) (2)
        (A) of the 
 Social Security Act (42 U.S.C. 1397ll
            (d) (2)
        (A) ) is amended by 
 striking ``the month in which the 60-day period'' and all that 
 follows through ``pursuant to 

section 2107

    (e)

    (1) ,''.
            (c) Effective Date.--

    (1) In general.--Subject to paragraphs

    (2) and

    (3) , the 
 amendments made by subsections

    (a) and

    (b) shall take effect on 
 the 1st day of the 1st calendar quarter that begins on or after 
 the date that is 1 year after the date of enactment of this 
 Act.

    (2) Exception for state legislation.--In the case of a 
 State plan under title XIX of the Social Security Act or a 
 State child health plan under title XXI of such Act that the 
 Secretary of Health and Human Services determines requires 
 State legislation in order for the respective plan to meet any 
 requirement imposed by amendments made by this subsection, the 
 respective plan shall not be regarded as failing to comply with 
 the requirements of such title solely on the basis of its 
 failure to meet such an additional requirement before the 1st 
 day of the 1st calendar quarter beginning after the close of 
 the 1st regular session of the State legislature that begins 
 after the date of enactment of this Act. For purposes of the 
 previous sentence, in the case of a State that has a 2-year 
 legislative session, each year of the session shall be 
 considered to be a separate regular session of the State 
 legislature.

    (3) State option for earlier effective date.--A State may 
 elect to have subsection

    (e)

    (16) of 

section 1902 of the Social 
 Security Act (42 U.S.C. 1396a) and subparagraph
        (J) of 

section 2107

    (e)

    (1) of the Social Security Act (42 U.S.C. 1397gg

    (e)

    (1) ), 
 as amended by this section, take effect with respect to the 
 State on the 1st day of any fiscal quarter that begins before 
 the date described in paragraph

    (1) and apply to amounts 
 payable to the State for expenditures for medical assistance, 
 child health assistance, or pregnancy-related assistance to 
 pregnant or postpartum individuals furnished on or after such 
 day.
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