I 

117TH CONGRESS 

2D SESSION H. R. 6612 

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 

FEBRUARY 4, 2022 

Ms. MANNING (for herself, Ms. ADAMS, Ms. UNDERWOOD, Ms. ROSS, Mrs. 

MCBATH, Ms. SCANLON, Ms. ROYBAL-ALLARD, Mrs. LAWRENCE, Ms. 

BASS, Ms. BARRAGA ́N, Ms. LEE of California, Ms. JACOBS of California, 

Ms. SEWELL, Ms. MENG, Ms. GARCIA of Texas, Mrs. HAYES, Ms. MOORE

of Wisconsin, and Ms. CLARKE 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. 

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 ‘‘Advancing Maternal 

5 Health Equity Under Medicaid Act’’. 


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1 SEC. 2. HIGHER FMAP FOR INCREASED EXPENDITURES 

2 UNDER MEDICAID FOR MATERNAL HEALTH 

3 SERVICES. 

4 Section 1903 of the Social Security Act (42 U.S.C. 

5 1396b) is amended— 

6 (1) in subsection (a)(5)— 

7 (A) by striking ‘‘an amount equal’’ and in8 serting ‘‘(A) an amount equal’’; and 

9 (B) by adding at the end the following: 

10 ‘‘and 

11 ‘‘(B) for calendar quarters beginning on or 

12 after January 1 of the year beginning after one 

13 year after the date of the enactment of this 

14 subparagraph, an amount equal to 90 percent 

15 of the amounts by which— 

16 ‘‘(i) the sum of the amounts expended 

17 which are attributable to the offering, ar18 ranging, and furnishing (directly or on a 

19 contract basis) under the State plan (or 

20 waiver of the plan) of maternal health care 

21 services (as described in subsection 

22 (b)(6)(B)) for such quarter, exceeds 

23 ‘‘(ii) the sum of the amounts ex24 pended which are attributable to the offer25 ing, arranging, and furnishing (directly or 

26 on a contract basis) under the State plan 


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1 (or waiver of the plan) of such services for 

2 the corresponding quarter in the four-quar3 ter period ending on December 31, 2021, 

4 plus’’; and 

5 (2) in subsection (b), by adding at the end the 

6 following new paragraph: 

7 ‘‘(6) ACCOUNTABILITY AND MAINTENANCE OF

8 EFFORT REQUIREMENTS FOR ADDITIONAL FEDERAL

9 FUNDING FOR INCREASED EXPENDITURES FOR MA10 TERNAL HEALTH CARE SERVICES.— 

11 ‘‘(A) IN GENERAL.—As conditions for re12 ceiving the funds the Secretary is otherwise ob13 ligated to pay to a State under subsection 

14 (a)(5)(B), a State shall meet the following re15 quirements: 

16 ‘‘(i) SUPPLEMENT, NOT SUPPLANT.— 

17 The State shall use the funds received 

18 under such subsection to supplement, not 

19 supplant, the level of State funds expended 

20 for the offering, arranging, and furnishing 

21 (directly or on a contract basis) under the 

22 State plan (or under a waiver of the plan) 

23 of maternal health care services (as de24 scribed in subparagraph (B)) through proVerDate Sep 11 2014 04:57 Feb 09, 2022 Jkt 029200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H6612.IH H6612

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1 grams and activities in effect as of Janu2 ary 1, 2022. 

3 ‘‘(ii) USE OF FUNDS FOR ACTIVITIES

4 THAT IMPROVE DELIVERY OF MATERNAL

5 HEALTH CARE SERVICES.—The State shall 

6 use the funds received under such sub7 section for activities that increase the ca8 pacity, efficiency, and quality in the provi9 sion of maternal health care services. 

10 ‘‘(B) DEFINITIONS.—For purposes of this 

11 paragraph and subsection (a)(5)(B): 

12 ‘‘(i) MATERNAL HEALTH CARE SERV13 ICES.—Maternal health care services de14 scribed in this subparagraph are services 

15 furnished by a maternity care provider or 

16 perinatal health worker, such as the fol17 lowing: 

18 ‘‘(I) Prenatal, labor and delivery, 

19 and postpartum health care services 

20 that are furnished in a licensed and 

21 accredited hospital, birth center, mid22 wifery practice, or other health care 

23 practice that provides prenatal serv24 ices, labor and delivery services, and 

25 postpartum services. 


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1 ‘‘(II) Telehealth services during 

2 the prenatal and postpartum periods. 

3 ‘‘(III) Home visiting services dur4 ing the prenatal and postpartum peri5 ods. 

6 ‘‘(IV) Mental or behavioral health 

7 care services for individuals during 

8 the prenatal and postpartum periods. 

9 ‘‘(ii) MATERNITY CARE PROVIDER.— 

10 The term ‘maternity care provider’ means 

11 a health care provider who— 

12 ‘‘(I) is a physician, physician as13 sistant, midwife who meets at a min14 imum the international definition of 

15 the midwife and global standards for 

16 midwifery education as established by 

17 the International Confederation of 

18 Midwives, nurse practitioner, or clin19 ical nurse specialist; and 

20 ‘‘(II) has a focus on maternal or 

21 perinatal health. 

22 ‘‘(iii) PERINATAL HEALTH WORKER.— 

23 The term ‘perinatal health worker’ means 

24 a doula, community health worker, 

25 breastfeeding and lactation educator or 


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1 counselor, nutritionist or dietitian, child2 birth educator, social worker, home visitor, 

3 or language interpreter. 

4 ‘‘(iv) POSTPARTUM AND POSTPARTUM

5 PERIOD.—The terms ‘postpartum’ and 

6 ‘postpartum period’ each refer to the 1- 

7 year period beginning on the last day of 

8 the pregnancy of an individual.’’. 

Æ 


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