Federal Legislation

Active legislation

116th Congress

Bill name

The Maternal Health Quality Improvement Act

H.R. 4995

Sponsors

  • Representative Engle (D-NY-16)

This bill was also directly supported by March For Moms.

Read our letter to Congress

Status

Ordered to be reported

What it does (gist)

  • Establishes grants for rural obstetric networks to improve birth outcomes and improve access to care;
  • Extends telehealth resource grants to maternal care providers throughout pregnancy, birth and post-partum periods;
  • Establishes a provider training grant program to support maternal care providers to practice in rural areas;
  • Establishes an innovation in maternal health grant program;
  • Establishes a grant program to train health care providers in implicit and explicit bias;
  • Establishes a grant program to support integrated services for pregnant and postpartum women – and for the GAO to issue a report on best practices

Bill name

The Helping Medicaid Offer Maternity Care Services (MOMS) Act

H. R. 4996

Sponsors

  • Representative Kelly (D-IL-02)

This bill was also directly supported by March For Moms.

Read our letter to Congress

Status

Ordered to be reported

What it does (gist)

  • Gives states the option to extend Medicaid and CHIP coverage from 60 days to one year postpartum for women who have pregnancy-related Medicaid or CHIP coverage; as well as an increase in the state’s Federal matching rate of five % for one year;
  • Directs MACPAC to study state Medicaid policies around reimbursement for doula care

Bill name

The Mothers and Offspring Mortality and Morbidity Awareness (MOMMA’s) Act

H.R. 1897, S. 916

Sponsors

  • Representative Kelly (D-IL-02)
  • Senator Durbin (D-IL)

Status

Introduced – Hearing

What it does (gist)

  • Extends Medicaid and Children’s Health Insurance Program (CHIP) coverage to one year postpartum for women who have pregnancy- related Medicaid or CHIP coverage;
  • Authorizes funding to establish or support Regional Centers of Excellence for implicit bias and cultural competency education;
  • Standardizes maternal mortality and morbidity data collection across states;
  • Empowers the Centers for Disease Control and Prevention (CDC) to provide technical guidance and publish best practices for maternal mortality and morbidity prevention;
  • Authorizes funding for the Alliance for Innovation on Maternal Health grant program — a national data-driven maternal safety and quality improvement initiative to implement obstetric emergency protocols and best practices to save mothers’ lives.

Bill name

Modernizing Obstetric Medicine Standards (MOMS)Act

S. 116

Sponsors

  • Senator Gillibrand (D-NY)

Status

Introduced

What it does (gist)

  • Authorizes funding for the Alliance for Innovation on Maternal Health (AIM) grant program — a national data-driven maternal safety and quality improvement initiative to implement obstetric emergency protocols and best practices to save mothers’ lives;
  • Authorizes funding for a grant program to help states and hospitals implement the standardized maternal safety best practices developed by AIM;
  • Encourages the CDC to work with states to compile data from state maternal mortality review committees to improve national surveillance.

Bill name

Quality Care for Moms and Babies Act (QCMBA)

H.R. 1551

Sponsors

  • Representative Engel (D-NY-16)

  • Representative Stivers (R-OH-15)

Status

Introduced – Hearing

What it does (gist)

  • Directs U.S. Department of Health and Human Services (HHS) to work with relevant providers, specialty organizations, consumer organizations and other stakeholders to identify and publish a core set of maternity care quality measures for childbearing women and newborns;
  • Directs Agency for Health Care Research and Quality (AHRQ) to develop and use a Consumer Assessment of Healthcare Providers and Systems Maternity survey;
  • Authorizes the expansion or development of quality collaboratives that focus on maternal or perinatal care

Bill name

Maximizing Outcomes for Moms through Medicaid Improvement and Enhancement of Services (MOMMIES) Act

S. 1343

Sponsors

  • Senator Booker (D-NJ)

Status

Introduced

What it does (gist)

  • Extends Medicaid coverage to one year postpartum for women who have pregnancy-related Medicaid coverage;
  • Provides comprehensive benefits to women with pregnancy-related Medicaid coverage;
  • Establishes a maternity care home demonstration project;
  • Increases Medicaid payment to at least Medicare primary care rates;
  • Requires guidance and reports to increase access to doula services;
  • Requires U.S. Government Accountability Office (GAO) reports on maternal health care in the United States and on the use of telemedicine to increase access to maternity care.

Bill name

Maternal Care Access and Reducing Emergencies (CARE) Act

S. 1600, H.R. 2902

Sponsors

  • Senator Harris (D-CA)

  • Representative Adams (D-NC-12)

Status

Introduced – Hearing

What it does (gist)

  • Authorizes grant funding to health professional schools and training programs to support implicit bias training with priority given for training in obstetrics and gynecology;
  • Authorizes funding for a demonstration project to assist up to ten states to implement and sustain pregnancy medical home programs to incentivize integrated health care services; 
  • Directs the National Academy of Medicine to study and make recommendations for incorporating bias recognition in clinical skills testing for U.S. medical schools.

Bill name

Healthy Maternal and Obstetric Medicine (Healthy MOM) Act

H.R. 2778, S. 1481

Sponsors

  • Representative Watson Coleman (D-NJ-12)

  • Senator Brown (D-OH)

  • Senator Smith (D-MN)

Status

Introduced

What it does (gist)

  • Creates a special enrollment period for pregnancy in most private insurance plans
  • Ensures comprehensive maternity care for dependent children in most employment-based insurance
  • Guarantees 12-months of continuous Medicaid eligibility for postpartum women

Bill name

Rural Maternal and Obstetric Modernization of Services Act

S. 2373

Sponsors

  • Senator Smith (D-MN)

Status

Introduced

What it does (gist)

  • Directs the CDC to coordinate efforts with respect to maternal mortality and morbidity, to report on women’s health conditions according to sociocultural and geographic contexts, and to emphasize research on pregnancy-related deaths.
  • Rewards New Rural Obstetric Network Grants to establish regional innovation networks to improve maternal mortality and morbidity as well as birth outcomes.
  • Expands existing Federal Telehealth Grant Programs to include birth and postpartum services as part of telehealth networks and to allow federal funding to be used for ultrasound machines, fetal monitoring equipment, and other pregnancy-related technology.
  • Establishes a New Rural Maternal and Obstetric Care Training Demonstration to support training for family medicine physicians, obstetricians, nurse practitioners, physician assistants, midwives, doulas, and other professionals to provide maternal care services in rural community-based settings.
  • Reports on Maternal Care in Rural Areas to identify the locations of gaps in maternity care, recommendations to standardize data collection on maternal mortality and morbidity, and activities to improve maternal care in rural areas

Bill name

Healthy MOMMIES Act

H.R. 2602

Sponsors

  • Representative Pressley (D-MA-7)

Status

Introduced – Hearing

What it does (gist)

  • Extends coverage for Medicaid’s pregnancy pathway from 60 days to 365 days, and would ensure that eligible new mothers have access to full comprehensive care, rather than services only related to their pregnancy
  • Increases Medicaid minimum reimbursement rates for maternal and obstetric services for people in underserved areas
  • Establishes a maternity care home model demonstration project.
  • Directs Medicaid and the CHIP Payment and Access Commission to report on the coverage of doula care under state Medicaid programs and create strategies to improve access to pre- and postpartum doula care
  • Directs GAO to submit a report to Congress on state Medicaid’s use of telemedicine to increase access to maternity care

Bill name

Midwives for Maximizing Optimal Maternity Services Act of 2019

H.R. 3849

Sponsors

  • Representative Roybal-Allard (D-CA-40)

Status

Introduced

What it does (gist)

  • Establishes two new funding streams for midwifery education: one in the Title VII Health Professions Training Programs, and one in the Title VIII Nursing Workforce Development Programs. 
  • Special consideration for funding will be given to programs that demonstrate a focus on increasing racial and ethnic minority representation in nurse-midwifery education, and prioritize students that wish to practice in health professional shortage area

Bill name

Mamas First Act

H.R. 2751

Sponsors

  • Representative Moore (D-WI-4)

Status

Introduced

What it does (gist)

  • Requires state Medicaid programs to cover doula and midwife services, including prenatal, delivery, and postpartum services

Bill name

Baby Box and Maternal Assistance Act of 2019

H.R. 4201

Sponsors

  • Representative Veasey (D-TX-33) 

  • Representative Allred (D-TX-32)

Status

Introduced

What it does (gist)

  • Creates a grant program to provide states with services such as: funding for maternal and infant health classes, baby boxes containing essentials to assist new parents in caring for their newborn children, and the services of a certified Doula or Midwife

Passed Legislation

S.1112 – Maternal Health Accountability Act of 2017. Sen. H. Heitkamp [D-ND] / H.R.1318 – Preventing Maternal Deaths Act of 2017. Rep. J. Herrera Beutler [R-WA-3]

Preventing Maternal Deaths Act of 2018 was signed into law by President Trump on December 21st, 2018. The bill directs the Department of Health and Human Services (HHS) to establish a program under which HHS may make grants to states to review maternal deaths, establishing and sustaining a maternal mortality review committee (MMRC) to review relevant information, and ensure that the state department of health develops a plan for ongoing health care provider education in order to improve the quality of maternal care. HHS is providing a total of over 40 million dollars in grants to existing MMRCs for the 2019 fiscal year.

H.R.315/S.783 – Improving Access to Maternity Care Act. Rep. M.C. Burgess [R-TX-26]/Sen. T. Baldwin [D-WI]

Improving Access to Maternity Care amends the Public Health Service Act to require the Health Resources and Services Administration (HRSA) to identify maternity care health professional target areas, which are areas within health professional shortage areas that have a shortage of maternity care health professionals, for purposes of assigning maternity care health professionals to those areas. HRSA must collect and publish data comparing the availability of and need for maternity care health services in health professional shortage areas and areas within those areas.

H.R. 34 – 21st Century Cures Act. Bringing Postpartum Depression Out of the Shadows Act. Rep. K. Clark [D-MA-5]

The 21st Century Cures Act was signed into law by President Obama on December 13, 2016. Included in this Act was language that addressed maternal mental health by way of federal grants to develop and/or maintain state and community maternal mental health programs for education, screening and treatment of postpartum depression. The grants will be given over a five-year period, with a collective annual expenditure of 5 million dollars, to no less than three states, annually.