I 

113TH CONGRESS 

1ST SESSION H. R. 1976 

To amend title XIX of the Social Security Act to provide access to certified 

professional midwives for women enrolled in the Medicaid program. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 14, 2013 

Ms. PINGREE of Maine (for herself, Ms. MOORE, Ms. ROYBAL-ALLARD, Mr. 

MICHAUD, Ms. NORTON, Mr. ELLISON, Mr. GRIJALVA, and Mr. 

KEATING) 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 

access to certified professional midwives for women enrolled in the Medicaid program. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Access to Certified 

5 Professional Midwives Act of 2013’’. 


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1 SEC. 2. REQUIREMENTS FOR COVERAGE OF SERVICES PRO2 VIDED BY CERTIFIED PROFESSIONAL MID3 WIVES UNDER MEDICAID. 

4 (a) COVERAGE OF CERTIFIED PROFESSIONAL MID5 WIFE SERVICES.—Section 1905(a) of the Social Security 

6 Act (42 U.S.C. 1396d(a)) is amended— 

7 (1) in paragraph (28), by deleting ‘‘and’’ at the 

8 end; 

9 (2) by redesignating paragraph (29) as para10 graph (30); and 

11 (3) by inserting after paragraph (28) the fol12 lowing paragraph: 

13 ‘‘(29) services that— 

14 ‘‘(A) are furnished by a certified profes15 sional midwife (as defined by the Secretary); 

16 and 

17 ‘‘(B) the certified professional midwife is 

18 legally authorized to perform under State law 

19 (or the State regulatory mechanism provided by 

20 State law); and’’. 

21 (b) INCLUSION IN MANDATORY SERVICES.—Section 

22 1902(a)(10)(A) of the Social Security Act (42 U.S.C. 

23 1396a(a)(10)(A)) is amended, in the matter before clause 

24 (i)— 

25 (1) by striking ‘‘and’’ before ‘‘(28)’’; and 

26 (2) by inserting ‘‘, and (29)’’ after ‘‘(28)’’. 


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1 (c) EFFECTIVE DATE.— 

2 (1) IN GENERAL.—Except as provided in para3 graph (2), the amendments made by this section 

4 shall take effect on January 1, 2015. 

5 (2) RULE FOR CHANGES REQUIRING STATE

6 LEGISLATION.—In the case of a State plan for med7 ical assistance under title XIX of the Social Security 

8 Act which the Secretary of Health and Human Serv9 ices determines requires State legislation (other than 

10 legislation appropriating funds) in order for the plan 

11 to meet the additional requirements imposed by the 

12 amendments made by this section, the State plan 

13 shall not be regarded as failing to comply with the 

14 requirements of such title solely on the basis of its 

15 failure to meet these additional requirements before 

16 the later of the following dates: 

17 (A) The first day of the first calendar 

18 quarter beginning after the close of the first 

19 regular session of the State legislature that be20 gins after the date of the enactment of this Act. 

21 (B) The date in paragraph (1). 

22 For purposes of the previous sentence, in the case 

23 of a State that has a 2-year legislative session, each 


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1 year of such session shall be deemed to be a sepa2 rate regular session of the State legislature. 

Æ 


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