I 

117TH CONGRESS 

1ST SESSION H. R. 3063 

To amend titles XIX and XXI of the Social Security Act to improve Medicaid 

and the Children’s Health Insurance Program for low-income mothers. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 7, 2021 

Ms. PRESSLEY (for herself, Ms. BUSH, Ms. NORTON, Mr. COHEN, Ms. JACKSON LEE, Ms. ROYBAL-ALLARD, Ms. TLAIB, Mr. WELCH, Mr. JONES, 

Mr. JOHNSON of Georgia, Ms. UNDERWOOD, Ms. KELLY of Illinois, Ms. 

MATSUI, Ms. ESCOBAR, Mr. CARSON, Mr. FOSTER, Mrs. CAROLYN B. 

MALONEY of New York, Ms. ADAMS, Ms. BLUNT ROCHESTER, Ms. 

VELA ́ZQUEZ, Mrs. HAYES, Ms. CLARKE of New York, Mrs. WATSON

COLEMAN, Ms. LEE of California, Ms. KAPTUR, and Ms. WILSON of Florida) introduced the following bill; which was referred to the Committee 

on Energy and Commerce 

A BILL 

To amend titles XIX and XXI of the Social Security Act 

to improve Medicaid and the Children’s Health Insurance 

Program for low-income mothers. 

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 ‘‘Maximizing Outcomes 

5 for Moms through Medicaid Improvement and Enhance6 ment of Services Act’’ or the ‘‘MOMMIES Act’’. 


pbinns on DSKJLVW7X2PROD with BILLS
2 

•HR 3063 IH

1 SEC. 2. ENHANCING MEDICAID AND CHIP BENEFITS FOR 

2 LOW-INCOME PREGNANT INDIVIDUALS. 

3 (a) EXTENDING CONTINUOUS MEDICAID AND CHIP 

4 COVERAGE FOR PREGNANT AND POSTPARTUM INDIVID5 UALS.— 

6 (1) MEDICAID.—Title XIX of the Social Secu7 rity Act (42 U.S.C. 1396 et seq.) is amended— 

8 (A) in section 1902(e)— 

9 (i) in paragraph (6), by striking ‘‘60- 

10 day period (beginning on the last day of 

11 her pregnancy)’’ and inserting ‘‘1-year pe12 riod beginning on the last day of the preg13 nancy (or such longer period beginning on 

14 such day as the State may elect)’’; and 

15 (ii) by striking paragraph (16); 

16 (B) in section 1902(l)(1)(A), by striking 

17 ‘‘60-day period beginning on the last day of the 

18 pregnancy’’ and inserting ‘‘1-year period begin19 ning on the last day of the pregnancy or such 

20 longer period beginning on such day as the 

21 State may elect’’; 

22 (C) in section 1903(v)(4)(A)(i), by striking 

23 ‘‘60-day period beginning on the last day of the 

24 pregnancy’’ and inserting ‘‘1-year period begin25 ning on the last day of the pregnancy or such 


pbinns on DSKJLVW7X2PROD with BILLS
3 

•HR 3063 IH

1 longer period beginning on such day as the 

2 State may elect’’; and 

3 (D) in section 1905(a), in the 4th sentence 

4 in the matter following paragraph (30), by 

5 striking ‘‘60-day period beginning on the last 

6 day of her pregnancy’’ and inserting ‘‘1-year 

7 period beginning on the last day of the preg8 nancy, or such longer period beginning on such 

9 day as the State may elect,’’. 

10 (2) CHIP.—Title XXI of the Social Security 

11 Act (42 U.S.C. 1397 et seq.) is amended— 

12 (A) in section 2107(e)(1)(J)— 

13 (i) by striking ‘‘Paragraphs (5) and 

14 (16)’’; and 

15 (ii) by striking ‘‘(relating to’’ and all 

16 that follows through the period and insert17 ing ‘‘(relating to the provision of medical 

18 assistance to pregnant individuals during 

19 and following pregnancy under title 

20 XIX).’’; and 

21 (B) in section 2112— 

22 (i) in subsection (d)(2)(A), by striking 

23 ‘‘60-day period’’ and all that follows 

24 through the semicolon and inserting ‘‘1- 

25 year period beginning on the last day of 


pbinns on DSKJLVW7X2PROD with BILLS
4 

•HR 3063 IH

1 the pregnancy, or such longer period begin2 ning on such day as the State may elect, 

3 ends;’’; 

4 (ii) in subsection (f)(2)— 

5 (I) by striking ‘‘60-day period 

6 (beginning on the last day of the 

7 pregnancy)’’ and inserting ‘‘1-year pe8 riod beginning on the last day of the 

9 pregnancy, or such longer period be10 ginning on such day as the State may 

11 elect,’’. 

12 (b) REQUIRING FULL BENEFITS FOR PREGNANT

13 AND POSTPARTUM INDIVIDUALS.— 

14 (1) IN GENERAL.—Paragraph (5) of section 

15 1902(e) of the Social Security Act (24 U.S.C. 

16 1396a(e)) is amended to read as follows: 

17 ‘‘(5) COVERAGE OF FULL BENEFITS FOR AT

18 LEAST 1 YEAR FOR PREGNANT AND POSTPARTUM IN19 DIVIDUALS.— 

20 ‘‘(A) IN GENERAL.—Any individual who, 

21 while pregnant, is eligible for and has received 

22 medical assistance under the State plan ap23 proved under this title or a waiver of such plan 

24 (including during a period of retroactive eligi25 bility under subsection (a)(34)) shall continue 


pbinns on DSKJLVW7X2PROD with BILLS
5 

•HR 3063 IH

1 to be eligible under the plan or waiver for med2 ical assistance through the end of the month in 

3 which the 1-year period beginning on the last 

4 day of the pregnancy, or such longer period be5 ginning on such day as the State may elect, 

6 ends, regardless of the basis for the individual’s 

7 eligibility for medical assistance, including if the 

8 individual’s eligibility for medical assistance is 

9 on the basis of being pregnant. 

10 ‘‘(B) SCOPE OF BENEFITS.—The medical 

11 assistance provided for a pregnant or 

12 postpartum individual described in subpara13 graph (A) shall— 

14 ‘‘(i) include all items and services cov15 ered under the State plan (or waiver) that 

16 are not less in amount, duration, or scope, 

17 or are determined by the Secretary to be 

18 substantially equivalent, to the medical as19 sistance available for an individual de20 scribed in subsection (a)(10)(A)(i); and 

21 ‘‘(ii) be provided for the individual 

22 while pregnant and during the 1-year pe23 riod that begins on the last day of the 

24 pregnancy, or such longer period beginning 

25 on such day as the State may elect, and 


pbinns on DSKJLVW7X2PROD with BILLS
6 

•HR 3063 IH

1 ends on the last day of the month in which 

2 such period ends.’’. 

3 (2) CONFORMING AMENDMENT.—Section 

4 1902(a)(10) of the Social Security Act (42 U.S.C. 

5 1396a(a)(10)) is amended in the matter following 

6 subparagraph (G) by striking ‘‘(VII) the medical as7 sistance’’ and all that follows through ‘‘during the 

8 period described in such section,’’. 

9 (c) REQUIRING COVERAGE OF ORAL HEALTH SERV10 ICES FOR PREGNANT AND POSTPARTUM INDIVIDUALS.— 

11 (1) MEDICAID.—Section 1905 of the Social Se12 curity Act (42 U.S.C. 1396d) is amended— 

13 (A) in subsection (a)(4)— 

14 (i) by striking ‘‘; and (D)’’ and insert15 ing ‘‘; (D)’’; 

16 (ii) by striking ‘‘; and (E)’’ and in17 serting ‘‘; (E)’’; 

18 (iii) by striking ‘‘; and (F)’’ and in19 serting ‘‘; (F)’’; and 

20 (iv) by inserting ‘‘; and (G) oral 

21 health services for pregnant and 

22 postpartum individuals (as defined in sub23 section (jj))’’ after ‘‘(or waiver of such 

24 plan)’’; and 


pbinns on DSKJLVW7X2PROD with BILLS
7 

•HR 3063 IH

1 (B) by adding at the end the following new 

2 subsection: 

3 ‘‘(jj) ORAL HEALTH SERVICES FOR PREGNANT AND

4 POSTPARTUM INDIVIDUALS.— 

5 ‘‘(1) IN GENERAL.—For purposes of this title, 

6 the term ‘oral health services for pregnant and 

7 postpartum individuals’ means dental services nec8 essary to prevent disease and promote oral health, 

9 restore oral structures to health and function, and 

10 treat emergency conditions that are furnished to an 

11 individual during pregnancy (or during the 1 year 

12 period that begins on the last day of the pregnancy, 

13 or such longer period beginning on such day as the 

14 State may elect). 

15 ‘‘(2) COVERAGE REQUIREMENTS.—To satisfy 

16 the requirement to provide oral health services for 

17 pregnant and postpartum individuals, a State shall, 

18 at a minimum, provide coverage for preventive, diag19 nostic, periodontal, and restorative care consistent 

20 with recommendations for comprehensive perinatal 

21 oral health services and dental services during preg22 nancy from the American Academy of Pediatric 

23 Dentistry and the American College of Obstetricians 

24 and Gynecologists.’’. 


pbinns on DSKJLVW7X2PROD with BILLS
8 

•HR 3063 IH

1 (2) CHIP.—Section 2103(c)(6)(A) of the Social 

2 Security Act (42 U.S.C. 1397cc(c)(6)(A)) is amend3 ed by inserting ‘‘or a targeted low-income pregnant 

4 individual’’ after ‘‘targeted low-income child’’. 

5 (3) TECHNICAL AMENDMENT.—Section 

6 2112(d)(2) of the Social Security Act (42 U.S.C. 

7 1397ll(d)(2)) is amended— 

8 (A) in the paragraph header, by inserting 

9 ‘‘; TARGETED LOW-INCOME PREGNANT INDI10 VIDUAL’’ after ‘‘WOMAN’’; and 

11 (B) by striking ‘‘the term ‘targeted low-in12 come pregnant woman’ means’’ and inserting 

13 ‘‘the terms ‘targeted low-income pregnant 

14 woman’ and ‘targeted low-income pregnant indi15 vidual’ mean’’. 

16 (d) MAINTENANCE OF EFFORT.— 

17 (1) MEDICAID.—Section 1902 of the Social Se18 curity Act (42 U.S.C. 1396a) is amended— 

19 (A) in paragraph (74), by striking ‘‘sub20 section (gg); and’’ and inserting ‘‘subsections 

21 (gg) and (tt);’’; and 

22 (B) by adding at the end the following new 

23 subsection: 

24 ‘‘(tt) MAINTENANCE OF EFFORT RELATED TO LOW25 INCOME PREGNANT INDIVIDUALS.—For calendar quarVerDate Sep 11 2014 06:14 Jun 22, 2021 Jkt 019200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\H3063.IH H3063

pbinns on DSKJLVW7X2PROD with BILLS
9 

•HR 3063 IH

1 ters beginning on or after the date of enactment of this 

2 subsection, and before January 1, 2025, no Federal pay3 ment shall be made to a State under section 1903(a) for 

4 amounts expended under a State plan under this title or 

5 a waiver of such plan if the State— 

6 ‘‘(1) has in effect under such plan eligibility 

7 standards, methodologies, or procedures (including 

8 any enrollment cap or other numerical limitation on 

9 enrollment, any waiting list, any procedures designed 

10 to delay the consideration of applications for enroll11 ment, any income counting rules, or similar limita12 tion with respect to enrollment) for individuals de13 scribed in subsection (l)(1) who are eligible for med14 ical assistance under the State plan or waiver under 

15 subsection (a)(10)(A)(ii)(IX) that are more restric16 tive than the eligibility standards, methodologies, or 

17 procedures, respectively, for such individuals under 

18 such plan or waiver that are in effect on the date 

19 of the enactment of the Maximizing Outcomes for 

20 Moms through Medicaid Improvement and Enhance21 ment of Services Act; or 

22 ‘‘(2) reduces the amount, duration, or scope of 

23 medical assistance available to individuals described 

24 in subsection (l)(1) who are eligible for medical as25 sistance under such plan or waiver under subsection 


pbinns on DSKJLVW7X2PROD with BILLS
10 

•HR 3063 IH

1 (a)(10)(A)(ii)(IX) from what the State provided to 

2 such individuals under such plan or waiver on the 

3 date of the enactment of the Maximizing Outcomes 

4 for Moms through Medicaid Improvement and En5 hancement of Services Act.’’. 

6 (2) CHIP.—Section 2112 of the Social Security 

7 Act (42 U.S.C. 1397ll), as amended by subsection 

8 (a), is further amended by adding at the end the fol9 lowing subsection: 

10 ‘‘(g) MAINTENANCE OF EFFORT.—For calendar 

11 quarters beginning on or after January 1, 2022, and be12 fore January 1, 2025, no payment may be made under 

13 section 2105(a) with respect to a State child health plan 

14 if the State— 

15 ‘‘(1) has in effect under such plan eligibility 

16 standards, methodologies, or procedures (including 

17 any enrollment cap or other numerical limitation on 

18 enrollment, any waiting list, any procedures designed 

19 to delay the consideration of applications for enroll20 ment, or similar limitation with respect to enroll21 ment) for targeted low-income pregnant individuals 

22 that are more restrictive than the eligibility stand23 ards, methodologies, or procedures, respectively, 

24 under such plan that are in effect on the date of the 

25 enactment of the Maximizing Outcomes for Moms 


pbinns on DSKJLVW7X2PROD with BILLS
11 

•HR 3063 IH

1 through Medicaid Improvement and Enhancement of 

2 Services Act; or 

3 ‘‘(2) provides pregnancy-related assistance to 

4 targeted low-income pregnant individuals under such 

5 plan at a level that is less than the level at which 

6 the State provides such assistance to such individ7 uals under such plan on the date of the enactment 

8 of the Maximizing Outcomes for Moms through 

9 Medicaid Improvement and Enhancement of Services 

10 Act.’’. 

11 (e) ENHANCED FMAP.—Section 1905 of the Social 

12 Security Act (42 U.S.C. 1396d), as amended by sub13 section (c), is further amended— 

14 (1) in subsection (b), by striking ‘‘and (ii)’’ and 

15 inserting ‘‘(ii), and (kk)’’; and 

16 (2) by adding at the end the following new sub17 section: 

18 ‘‘(kk) INCREASED FMAP FOR ADDITIONAL EXPEND19 ITURES FOR LOW-INCOME PREGNANT INDIVIDUALS.— 

20 For calendar quarters beginning on or after January 1, 

21 2021, notwithstanding subsection (b), the Federal medical 

22 assistance percentage for a State, with respect to the addi23 tional amounts expended by such State for medical assist24 ance under the State plan under this title or a waiver of 

25 such plan that are attributable to requirements imposed 


pbinns on DSKJLVW7X2PROD with BILLS
12 

•HR 3063 IH

1 by the amendments made by the Maximizing Outcomes 

2 for Moms through Medicaid Improvement and Enhance3 ment of Services Act (as determined by the Secretary), 

4 shall be equal to 100 percent.’’. 

5 (f) GAO STUDY AND REPORT.— 

6 (1) IN GENERAL.—Not later than 1 year after 

7 the date of the enactment of this Act, the Comp8 troller General of the United States shall submit to 

9 Congress a report on the gaps in coverage for— 

10 (A) pregnant individuals under the Med11 icaid program under title XIX of the Social Se12 curity Act (42 U.S.C. 1396 et seq.) and the 

13 Children’s Health Insurance Program under 

14 title XXI of the Social Security Act (42 U.S.C. 

15 1397aa et seq.); and 

16 (B) postpartum individuals under the Med17 icaid program and the Children’s Health Insur18 ance Program who received assistance under ei19 ther such program during their pregnancy. 

20 (2) CONTENT OF REPORT.—The report re21 quired under this subsection shall include the fol22 lowing: 

23 (A) Information about the abilities and 

24 successes of State Medicaid agencies in deter25 mining whether pregnant and postpartum indiVerDate Sep 11 2014 06:14 Jun 22, 2021 Jkt 019200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6201 E:\BILLS\H3063.IH H3063

pbinns on DSKJLVW7X2PROD with BILLS
13 

•HR 3063 IH

1 viduals are eligible under another insurance af2 fordability program, and in transitioning any 

3 such individuals who are so eligible to coverage 

4 under such a program at the end of their period 

5 of eligibility for medical assistance, pursuant to 

6 section 435.1200 of the title 42, Code of Fed7 eral Regulations (as in effect on September 1, 

8 2018). 

9 (B) Information on factors contributing to 

10 gaps in coverage that disproportionately impact 

11 underserved populations, including low-income 

12 individuals, Black, Indigenous, and other indi13 viduals of color, individuals who reside in a 

14 health professional shortage area (as defined in 

15 section 332(a)(1)(A) of the Public Health Serv16 ice Act (42 U.S.C. 254e(a)(1)(A))) or individ17 uals who are members of a medically under18 served population (as defined by section 

19 330(b)(3) of such Act (42 U.S.C. 

20 254b(b)(3)(A))). 

21 (C) Recommendations for addressing and 

22 reducing such gaps in coverage. 

23 (D) Such other information as the Comp24 troller General deems necessary. 


pbinns on DSKJLVW7X2PROD with BILLS
14 

•HR 3063 IH

1 (3) DATA DISAGGREGATION.—To the greatest 

2 extent possible, the Comptroller General shall 

3 dissagregate data presented in the report, including 

4 by age, gender identity, race, ethnicity, income level, 

5 and other demographic factors. 

6 (g) EFFECTIVE DATE.—The amendments made by 

7 subsections (a) and (b) shall take effect January 1, 2021. 

8 SEC. 3. MATERNITY CARE HOME DEMONSTRATION 

9 PROJECT. 

10 Title XIX of the Social Security Act (42 U.S.C. 1396 

11 et seq.) is amended by inserting the following new section 

12 after section 1947: 

13 ‘‘SEC. 1948. MATERNITY CARE HOME DEMONSTRATION 

14 PROJECT. 

15 ‘‘(a) IN GENERAL.—Not later than 1 year after the 

16 date of the enactment of this section, the Secretary shall 

17 establish a demonstration project (in this section referred 

18 to as the ‘demonstration project’) under which the Sec19 retary shall provide grants to States to enter into arrange20 ments with eligible entities to implement or expand a ma21 ternity care home model for eligible individuals. 

22 ‘‘(b) DEFINITIONS.—In this section: 

23 ‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible en24 tity’ means an entity or organization that provides 

25 medically accurate, comprehensive maternity services 


pbinns on DSKJLVW7X2PROD with BILLS
15 

•HR 3063 IH

1 to individuals who are eligible for medical assistance 

2 under a State plan under this title or a waiver of 

3 such a plan, and may include: 

4 ‘‘(A) A freestanding birth center. 

5 ‘‘(B) An entity or organization receiving 

6 assistance under section 330 of the Public 

7 Health Service Act. 

8 ‘‘(C) A federally qualified health center. 

9 ‘‘(D) A rural health clinic. 

10 ‘‘(E) A health facility operated by an In11 dian tribe or tribal organization (as those terms 

12 are defined in section 4 of the Indian Health 

13 Care Improvement Act). 

14 ‘‘(2) ELIGIBLE INDIVIDUAL.—The term ‘eligible 

15 individual’ means a pregnant individual or a for16 merly pregnant individual during the 1-year period 

17 beginning on the last day of the pregnancy, or such 

18 longer period beginning on such day as a State may 

19 elect, who is— 

20 ‘‘(A) enrolled in a State plan under this 

21 title, a waiver of such a plan, or a State child 

22 health plan under title XXI; and 

23 ‘‘(B) a patient of an eligible entity which 

24 has entered into an arrangement with a State 

25 under subsection (g). 


pbinns on DSKJLVW7X2PROD with BILLS
16 

•HR 3063 IH

1 ‘‘(c) GOALS OF DEMONSTRATION PROJECT.—The 

2 goals of the demonstration project are the following: 

3 ‘‘(1) To improve— 

4 ‘‘(A) maternity and infant care outcomes; 

5 ‘‘(B) birth equity; 

6 ‘‘(C) health equity for— 

7 ‘‘(i) Black, Indigenous, and other peo8 ple of color; 

9 ‘‘(ii) lesbian, gay, bisexual, 

10 transgender, queer, non-binary, and gender 

11 nonconfirming individuals; 

12 ‘‘(iii) people with disabilities; and 

13 ‘‘(iv) other underserved populations; 

14 ‘‘(D) communication by maternity, infant 

15 care, and social services providers; 

16 ‘‘(E) integration of perinatal support serv17 ices, including community health workers, 

18 doulas, social workers, public health nurses, 

19 peer lactation counselors, lactation consultants, 

20 childbirth educators, peer mental health work21 ers, and others, into health care entities and or22 ganizations; 

23 ‘‘(F) care coordination between maternity, 

24 infant care, oral health services, and social serv25 ices providers within the community; 


pbinns on DSKJLVW7X2PROD with BILLS
17 

•HR 3063 IH

1 ‘‘(G) the quality and safety of maternity 

2 and infant care; 

3 ‘‘(H) the experience of individuals receiv4 ing maternity care, including by increasing the 

5 ability of an individual to develop and follow 

6 their own birthing plans; and 

7 ‘‘(I) access to adequate prenatal and 

8 postpartum care, including— 

9 ‘‘(i) prenatal care that is initiated in 

10 a timely manner; 

11 ‘‘(ii) not fewer than 5 post-pregnancy 

12 visits to a maternity care provider; and 

13 ‘‘(iii) interpregnancy care. 

14 ‘‘(2) To provide coordinated, evidence-based, re15 spectful, culturally and linguistically appropriate, 

16 and person-centered maternity care management. 

17 ‘‘(3) To decrease— 

18 ‘‘(A) severe and preventable maternal mor19 bidity and maternal mortality; 

20 ‘‘(B) overall health care spending; 

21 ‘‘(C) unnecessary emergency department 

22 visits; 

23 ‘‘(D) disparities in maternal and infant 

24 care outcomes, including racial, economic, disVerDate Sep 11 2014 06:14 Jun 22, 2021 Jkt 019200 PO 00000 Frm 00017 Fmt 6652 Sfmt 6201 E:\BILLS\H3063.IH H3063

pbinns on DSKJLVW7X2PROD with BILLS
18 

•HR 3063 IH

1 ability, gender-based, and geographical dispari2 ties; 

3 ‘‘(E) racial, gender, economic, and other 

4 discrimination among health care professionals; 

5 ‘‘(F) racism, discrimination, disrespect, 

6 and abuse in maternity care settings; 

7 ‘‘(G) the rate of cesarean deliveries for 

8 low-risk pregnancies; 

9 ‘‘(H) the rate of preterm births and in10 fants born with low birth weight; and 

11 ‘‘(I) the rate of avoidable maternal and 

12 newborn hospitalizations and admissions to in13 tensive care units. 

14 ‘‘(d) CONSULTATION.—In designing and imple15 menting the demonstration project the Secretary shall 

16 consult with stakeholders, including— 

17 ‘‘(1) States; 

18 ‘‘(2) organizations representing relevant health 

19 care professionals, including oral health services pro20 fessionals; 

21 ‘‘(3) organizations, particularly reproductive 

22 justice and birth justice organizations led by people 

23 of color, that represent consumers of maternal 

24 health care, including consumers of maternal health 


pbinns on DSKJLVW7X2PROD with BILLS
19 

•HR 3063 IH

1 care who are disproportionately impacted by poor 

2 maternal health outcomes; 

3 ‘‘(4) representatives with experience imple4 menting other maternity care home models, includ5 ing representatives from the Center for Medicare 

6 and Medicaid Innovation; 

7 ‘‘(5) community-based health care professionals, 

8 including doulas, lactation consultants, and other 

9 stakeholders; 

10 ‘‘(6) experts in promoting health equity and 

11 combating racial bias in health care settings; and 

12 ‘‘(7) Black, Indigenous, and other maternal 

13 health care consumers of color who have experienced 

14 severe maternal morbidity. 

15 ‘‘(e) APPLICATION AND SELECTION OF STATES.— 

16 ‘‘(1) IN GENERAL.—A State seeking to partici17 pate in the demonstration project shall submit an 

18 application to the Secretary at such time and in 

19 such manner as the Secretary shall require. 

20 ‘‘(2) SELECTION OF STATES.— 

21 ‘‘(A) IN GENERAL.—The Secretary shall 

22 select at least 10 States to participate in the 

23 demonstration project. 


pbinns on DSKJLVW7X2PROD with BILLS
20 

•HR 3063 IH

1 ‘‘(B) SELECTION REQUIREMENTS.—In se2 lecting States to participate in the demonstra3 tion project, the Secretary shall— 

4 ‘‘(i) ensure that there is geographic 

5 and regional diversity in the areas in which 

6 activities will be carried out under the 

7 project; 

8 ‘‘(ii) ensure that States with signifi9 cant disparities in maternal and infant 

10 health outcomes, including severe maternal 

11 morbidity, and other disparities based on 

12 race, income, or access to maternity care, 

13 are included; and 

14 ‘‘(iii) ensure that at least 1 territory 

15 is included. 

16 ‘‘(f) GRANTS.— 

17 ‘‘(1) IN GENERAL.—From amounts appro18 priated under subsection (l), the Secretary shall 

19 award 1 grant for each year of the demonstration 

20 project to each State that is selected to participate 

21 in the demonstration project. 

22 ‘‘(2) USE OF GRANT FUNDS.—A State may use 

23 funds received under this section to— 


pbinns on DSKJLVW7X2PROD with BILLS
21 

•HR 3063 IH

1 ‘‘(A) award grants or make payments to 

2 eligible entities as part of an arrangement de3 scribed in subsection (g)(2); 

4 ‘‘(B) provide financial incentives to health 

5 care professionals, including community-based 

6 health care workers and community-based 

7 doulas, who participate in the State’s maternity 

8 care home model; 

9 ‘‘(C) provide adequate training for health 

10 care professionals, including community-based 

11 health care workers, doulas, and care coordina12 tors, who participate in the State’s maternity 

13 care home model, which may include training 

14 for cultural humility and antiracism, racial bias, 

15 health equity, reproductive and birth justice, 

16 trauma-informed care, home visiting skills, and 

17 respectful communication and listening skills, 

18 particularly in regards to maternal health; 

19 ‘‘(D) pay for personnel and administrative 

20 expenses associated with designing, imple21 menting, and operating the State’s maternity 

22 care home model; 

23 ‘‘(E) pay for items and services that are 

24 furnished under the State’s maternity care 


pbinns on DSKJLVW7X2PROD with BILLS
22 

•HR 3063 IH

1 home model and for which payment is otherwise 

2 unavailable under this title; 

3 ‘‘(F) pay for services and materials to en4 sure culturally and linguistically appropriate 

5 communication, including— 

6 ‘‘(i) language services such as inter7 preters and translation of written mate8 rials; and 

9 ‘‘(ii) development of culturally and lin10 guistically appropriate materials; and aux11 iliary aids and services; and 

12 ‘‘(G) pay for other costs related to the 

13 State’s maternity care home model, as deter14 mined by the Secretary. 

15 ‘‘(3) GRANT FOR NATIONAL INDEPENDENT

16 EVALUATOR.— 

17 ‘‘(A) IN GENERAL.—From the amounts 

18 appropriated under subsection (l), prior to 

19 awarding any grants under paragraph (1), the 

20 Secretary shall enter into a contract with a na21 tional external entity to create a single, uniform 

22 process to— 

23 ‘‘(i) ensure that States that receive 

24 grants under paragraph (1) comply with 

25 the requirements of this section; and 


pbinns on DSKJLVW7X2PROD with BILLS
23 

•HR 3063 IH

1 ‘‘(ii) evaluate the outcomes of the 

2 demonstration project in each participating 

3 State. 

4 ‘‘(B) ANNUAL REPORT.—The contract de5 scribed in subparagraph (A) shall require the 

6 national external entity to submit to the Sec7 retary— 

8 ‘‘(i) a yearly evaluation report for 

9 each year of the demonstration project; 

10 and 

11 ‘‘(ii) a final impact report after the 

12 demonstration project has concluded. 

13 ‘‘(C) SECRETARY’S AUTHORITY.—Nothing 

14 in this paragraph shall prevent the Secretary 

15 from making a determination that a State is 

16 not in compliance with the requirements of this 

17 section without the national external entity 

18 making such a determination. 

19 ‘‘(g) PARTNERSHIP WITH ELIGIBLE ENTITIES.— 

20 ‘‘(1) IN GENERAL.—As a condition of receiving 

21 a grant under this section, a State shall enter into 

22 an arrangement with one or more eligible entities 

23 that meets the requirements of paragraph (2). 

24 ‘‘(2) ARRANGEMENTS WITH ELIGIBLE ENTI25 TIES.—Under an arrangement between a State and 


pbinns on DSKJLVW7X2PROD with BILLS
24 

•HR 3063 IH

1 an eligible entity under this subsection, the eligible 

2 entity shall perform the following functions, with re3 spect to eligible individuals enrolled with the entity 

4 under the State’s maternity care home model— 

5 ‘‘(A) provide culturally and linguistically 

6 appropriate congruent care, which may include 

7 prenatal care, family planning services, medical 

8 care, mental and behavioral care, postpartum 

9 care, and oral health services to such eligible in10 dividuals through a team of health care profes11 sionals, which may include obstetrician-gyne12 cologists, maternal-fetal medicine specialists, 

13 family physicians, primary care providers, oral 

14 health providers, physician assistants, advanced 

15 practice registered nurses such as nurse practi16 tioners and certified nurse midwives, certified 

17 midwives, certified professional midwives, phys18 ical therapists, social workers, traditional and 

19 community-based doulas, lactation consultants, 

20 childbirth educators, community health workers, 

21 peer mental health supporters, and other health 

22 care professionals; 

23 ‘‘(B) conduct a risk assessment of each 

24 such eligible individual to determine if their 

25 pregnancy is high or low risk, and establish a 


pbinns on DSKJLVW7X2PROD with BILLS
25 

•HR 3063 IH

1 tailored pregnancy care plan, which takes into 

2 consideration the individual’s own preferences 

3 and pregnancy care and birthing plans and de4 termines the appropriate support services to re5 duce the individual’s medical, social, and envi6 ronmental risk factors, for each such eligible in7 dividual based on the results of such risk as8 sessment; 

9 ‘‘(C) assign each such eligible individual to 

10 a culturally and linguistically appropriate care 

11 coordinator, which may be a nurse, social work12 er, traditional or community-based doula, com13 munity health worker, midwife, or other health 

14 care provider, who is responsible for ensuring 

15 that such eligible individual receives the nec16 essary medical care and connections to essential 

17 support services; 

18 ‘‘(D) provide, or arrange for the provision 

19 of, essential support services, such as services 

20 that address— 

21 ‘‘(i) food access, nutrition, and exer22 cise; 

23 ‘‘(ii) smoking cessation; 

24 ‘‘(iii) substance use disorder and ad25 diction treatment; 


pbinns on DSKJLVW7X2PROD with BILLS
26 

•HR 3063 IH

1 ‘‘(iv) anxiety, depression, trauma, and 

2 other mental and behavioral health issues; 

3 ‘‘(v) breast feeding, chestfeeding, or 

4 other infant feeding options supports, initi5 ation, continuation, and duration; 

6 ‘‘(vi) stable, affordable, safe, and 

7 healthy housing; 

8 ‘‘(vii) transportation; 

9 ‘‘(viii) intimate partner violence; 

10 ‘‘(ix) community and police violence; 

11 ‘‘(x) home visiting services; 

12 ‘‘(xi) childbirth and newborn care edu13 cation; 

14 ‘‘(xii) oral health education; 

15 ‘‘(xiii) continuous labor support; 

16 ‘‘(xiv) group prenatal care; 

17 ‘‘(xv) family planning and contracep18 tive care and supplies; and 

19 ‘‘(xvi) affordable child care; 

20 ‘‘(E) as appropriate, facilitate connections 

21 to a usual primary care provider, which may be 

22 a reproductive health care provider; 

23 ‘‘(F) refer to guidelines and opinions of 

24 medical associations when determining whether 


pbinns on DSKJLVW7X2PROD with BILLS
27 

•HR 3063 IH

1 an elective delivery should be performed on an 

2 eligible individual before 39 weeks of gestation; 

3 ‘‘(G) provide such eligible individual with 

4 evidence-based and culturally and linguistically 

5 appropriate education and resources to identify 

6 potential warning signs of pregnancy and 

7 postpartum complications and when and how to 

8 obtain medical attention; 

9 ‘‘(H) provide, or arrange for the provision 

10 of, culturally and linguistically appropriate 

11 pregnancy and postpartum health services, in12 cluding family planning counseling and services, 

13 to eligible individuals; 

14 ‘‘(I) track and report postpartum health 

15 and birth outcomes of such eligible individuals 

16 and their children; 

17 ‘‘(J) ensure that care is person-centered, 

18 culturally and linguistically appropriate, and 

19 patient-led, including by engaging eligible indi20 viduals in their own care, including through 

21 communication and education; and 

22 ‘‘(K) ensure adequate training for appro23 priately serving the population of individuals el24 igible for medical assistance under the State 

25 plan or waiver of such plan, including through 


pbinns on DSKJLVW7X2PROD with BILLS
28 

•HR 3063 IH

1 reproductive justice, birth justice, birth equity, 

2 and anti-racist frameworks, home visiting skills, 

3 and knowledge of social services. 

4 ‘‘(h) TERM OF DEMONSTRATION PROJECT.—The 

5 Secretary shall conduct the demonstration project for a 

6 period of 5 years. 

7 ‘‘(i) WAIVER AUTHORITY.—To the extent that the 

8 Secretary determines necessary in order to carry out the 

9 demonstration project, the Secretary may waive section 

10 1902(a)(1) (relating to statewideness) and section 

11 1902(a)(10)(B) (relating to comparability). 

12 ‘‘(j) TECHNICAL ASSISTANCE.—The Secretary shall 

13 establish a process to provide technical assistance to 

14 States that are awarded grants under this section and to 

15 eligible entities and other providers participating in a 

16 State maternity care home model funded by such a grant. 

17 ‘‘(k) REPORT.— 

18 ‘‘(1) IN GENERAL.—Not later than 18 months 

19 after the date of the enactment of this section and 

20 annually thereafter for each year of the demonstra21 tion project term, the Secretary shall submit a re22 port to Congress on the results of the demonstration 

23 project. 


pbinns on DSKJLVW7X2PROD with BILLS
29 

•HR 3063 IH

1 ‘‘(2) FINAL REPORT.—As part of the final re2 port required under paragraph (1), the Secretary 

3 shall include— 

4 ‘‘(A) the results of the final report of the 

5 national external entity required under sub6 section (f)(3)(B)(ii); and 

7 ‘‘(B) recommendations on whether the 

8 model studied in the demonstration project 

9 should be continued or more widely adopted, in10 cluding by private health plans. 

11 ‘‘(l) AUTHORIZATION OF APPROPRIATIONS.—There 

12 are authorized to be appropriated to the Secretary, for 

13 each of fiscal years 2022 through 2029, such sums as may 

14 be necessary to carry out this section.’’. 

15 SEC. 4. REAPPLICATION OF MEDICARE PAYMENT RATE 

16 FLOOR TO PRIMARY CARE SERVICES FUR17 NISHED UNDER MEDICAID AND INCLUSION 

18 OF ADDITIONAL PROVIDERS. 

19 (a) REAPPLICATION OF PAYMENT FLOOR; ADDI20 TIONAL PROVIDERS.— 

21 (1) IN GENERAL.—Section 1902(a)(13) of the 

22 Social Security Act (42 U.S.C. 1396a(a)(13)) is 

23 amended— 

24 (A) in subparagraph (B), by striking ‘‘; 

25 and’’ and inserting a semicolon; 


pbinns on DSKJLVW7X2PROD with BILLS
30 

•HR 3063 IH

1 (B) in subparagraph (C), by striking the 

2 semicolon and inserting ‘‘; and’’; and 

3 (C) by adding at the end the following new 

4 subparagraph: 

5 ‘‘(D) payment for primary care services (as 

6 defined in subsection (jj)(1)) furnished in the 

7 period that begins on the first day of the first 

8 month that begins after the date of enactment 

9 of the Maximizing Outcomes for Moms through 

10 Medicaid Improvement and Enhancement of 

11 Services Act by a provider described in sub12 section (jj)(2)— 

13 ‘‘(i) at a rate that is not less than 100 

14 percent of the payment rate that applies to 

15 such services and the provider of such 

16 services under part B of title XVIII (or, if 

17 greater, the payment rate that would be 

18 applicable under such part if the conver19 sion factor under section 1848(d) for the 

20 year were the conversion factor under such 

21 section for 2009); 

22 ‘‘(ii) in the case of items and services 

23 that are not items and services provided 

24 under such part, at a rate to be established 

25 by the Secretary; and 


pbinns on DSKJLVW7X2PROD with BILLS
31 

•HR 3063 IH

1 ‘‘(iii) in the case of items and services 

2 that are furnished in rural areas (as de3 fined in section 1886(d)(2)(D)), health 

4 professional shortage areas (as defined in 

5 section 332(a)(1)(A) of the Public Health 

6 Service Act (42 U.S.C. 254e(a)(1)(A))), or 

7 medically underserved areas (according to 

8 a designation under section 330(b)(3)(A) 

9 of the Public Health Service Act (42 

10 U.S.C. 254b(b)(3)(A))), at the rate other11 wise applicable to such items or services 

12 under clause (i) or (ii) increased, at the 

13 Secretary’s discretion, by not more than 25 

14 percent;’’. 

15 (2) CONFORMING AMENDMENTS.— 

16 (A) Section 1902(a)(13)(C) of the Social 

17 Security Act (42 U.S.C. 1396a(a)(13)(C)) is 

18 amended by striking ‘‘subsection (jj)’’ and in19 serting ‘‘subsection (jj)(1)’’. 

20 (B) Section 1905(dd) of the Social Secu21 rity Act (42 U.S.C. 1396d(dd)) is amended— 

22 (i) by striking ‘‘Notwithstanding’’ and 

23 inserting the following: 

24 ‘‘(1) IN GENERAL.—Notwithstanding’’; 


pbinns on DSKJLVW7X2PROD with BILLS
32 

•HR 3063 IH

1 (ii) by striking ‘‘section 

2 1902(a)(13)(C)’’ and inserting ‘‘subpara3 graph (C) of section 1902(a)(13)’’; 

4 (iii) by inserting ‘‘or for services de5 scribed in subparagraph (D) of section 

6 1902(a)(13) furnished during an additional 

7 period specified in paragraph (2),’’ after 

8 ‘‘2015,’’; 

9 (iv) by striking ‘‘under such section’’ 

10 and inserting ‘‘under subparagraph (C) or 

11 (D) of section 1902(a)(13), as applicable’’; 

12 and 

13 (v) by adding at the end the following: 

14 ‘‘(2) ADDITIONAL PERIODS.—For purposes of 

15 paragraph (1), the following are additional periods: 

16 ‘‘(A) The period that begins on the first 

17 day of the first month that begins after the 

18 date of enactment of the Maximizing Outcomes 

19 for Moms through Medicaid Improvement and 

20 Enhancement of Services Act.’’. 

21 (b) IMPROVED TARGETING OF PRIMARY CARE.—Sec22 tion 1902(jj) of the Social Security Act (42 U.S.C. 

23 1396a(jj)) is amended— 


pbinns on DSKJLVW7X2PROD with BILLS
33 

•HR 3063 IH

1 (1) by redesignating paragraphs (1) and (2) as 

2 clauses (i) and (ii), respectively and realigning the 

3 left margins accordingly; 

4 (2) by striking ‘‘For purposes of subsection 

5 (a)(13)(C)’’ and inserting the following: 

6 ‘‘(1) IN GENERAL.— 

7 ‘‘(A) DEFINITION.—For purposes of sub8 paragraphs (C) and (D) of subsection (a)(13)’’; 

9 and 

10 (3) by inserting after clause (ii) (as so redesig11 nated) the following: 

12 ‘‘(B) EXCLUSIONS.—Such term does not 

13 include any services described in subparagraph 

14 (A) or (B) of paragraph (1) if such services are 

15 provided in an emergency department of a hos16 pital. 

17 ‘‘(2) ADDITIONAL PROVIDERS.—For purposes 

18 of subparagraph (D) of subsection (a)(13), a pro19 vider described in this paragraph is any of the fol20 lowing: 

21 ‘‘(A) A physician with a primary specialty 

22 designation of family medicine, general internal 

23 medicine, or pediatric medicine, or obstetrics 

24 and gynecology. 


pbinns on DSKJLVW7X2PROD with BILLS
34 

•HR 3063 IH

1 ‘‘(B) An advanced practice clinician, as de2 fined by the Secretary, that works under the 

3 supervision of— 

4 ‘‘(i) a physician that satisfies the cri5 teria specified in subparagraph (A); 

6 ‘‘(ii) a nurse practitioner or a physi7 cian assistant (as such terms are defined 

8 in section 1861(aa)(5)(A)) who is working 

9 in accordance with State law; or 

10 ‘‘(iii) or a certified nurse-midwife (as 

11 defined in section 1861(gg)) or a certified 

12 professional midwife who is working in ac13 cordance with State law. 

14 ‘‘(C) A rural health clinic, federally quali15 fied health center, health center that receives 

16 funding under title X of the Public Health 

17 Service Act, or other health clinic that receives 

18 reimbursement on a fee schedule applicable to 

19 a physician. 

20 ‘‘(D) An advanced practice clinician super21 vised by a physician described in subparagraph 

22 (A), another advanced practice clinician, or a 

23 certified nurse-midwife. 

24 ‘‘(E) A midwife who is working in accord25 ance with State law.’’. 


pbinns on DSKJLVW7X2PROD with BILLS
35 

•HR 3063 IH

1 (c) ENSURING PAYMENT BY MANAGED CARE ENTI2 TIES.— 

3 (1) IN GENERAL.—Section 1903(m)(2)(A) of 

4 the Social Security Act (42 U.S.C. 1396b(m)(2)(A)) 

5 is amended— 

6 (A) in clause (xii), by striking ‘‘and’’ after 

7 the semicolon; 

8 (B) by realigning the left margin of clause 

9 (xiii) so as to align with the left margin of 

10 clause (xii) and by striking the period at the 

11 end of clause (xiii) and inserting ‘‘; and’’; and 

12 (C) by inserting after clause (xiii) the fol13 lowing: 

14 ‘‘(xiv) such contract provides that (I) payments 

15 to providers specified in section 1902(a)(13)(D) for 

16 primary care services defined in section 1902(jj) 

17 that are furnished during a year or period specified 

18 in section 1902(a)(13)(D) and section 1905(dd) are 

19 at least equal to the amounts set forth and required 

20 by the Secretary by regulation, (II) the entity shall, 

21 upon request, provide documentation to the State, 

22 sufficient to enable the State and the Secretary to 

23 ensure compliance with subclause (I), and (III) the 

24 Secretary shall approve payments described in sub25 clause (I) that are furnished through an agreed 


pbinns on DSKJLVW7X2PROD with BILLS
36 

•HR 3063 IH

1 upon capitation, partial capitation, or other value2 based payment arrangement if the capitation, partial 

3 capitation, or other value-based payment arrange4 ment is based on a reasonable methodology and the 

5 entity provides documentation to the State sufficient 

6 to enable the State and the Secretary to ensure com7 pliance with subclause (I).’’. 

8 (2) CONFORMING AMENDMENT.—Section 

9 1932(f) of the Social Security Act (42 U.S.C. 

10 1396u–2(f)) is amended— 

11 (A) by striking ‘‘section 1902(a)(13)(C)’’ 

12 and inserting ‘‘subsections (C) and (D) of sec13 tion 1902(a)(13)’’; and 

14 (B) by inserting ‘‘and clause (xiv) of sec15 tion 1903(m)(2)(A)’’ before the period. 

16 SEC. 5. MACPAC REPORT AND CMS GUIDANCE ON INCREAS17 ING ACCESS TO DOULA SERVICES FOR MED18 ICAID BENEFICIARIES. 

19 (a) MACPAC REPORT.— 

20 (1) IN GENERAL.—Not later than 1 year after 

21 the date of the enactment of this Act, the Medicaid 

22 and CHIP Payment and Access Commission (re23 ferred to in this section as ‘‘MACPAC’’) shall pub24 lish a report on the coverage of doula services under 


pbinns on DSKJLVW7X2PROD with BILLS
37 

•HR 3063 IH

1 State Medicaid programs, which shall at a minimum 

2 include the following: 

3 (A) Information about coverage for doula 

4 services under State Medicaid programs that 

5 currently provide coverage for such care, includ6 ing the type of doula services offered (such as 

7 prenatal, labor and delivery, postpartum sup8 port, and also community-based and traditional 

9 doula services). 

10 (B) An analysis of barriers to covering 

11 doula services under State Medicaid programs. 

12 (C) An identification of effective strategies 

13 to increase the use of doula services in order to 

14 provide better care and achieve better maternal 

15 and infant health outcomes, including strategies 

16 that States may use to recruit, train, and cer17 tify a diverse doula workforce, particularly from 

18 underserved communities, communities of color, 

19 and communities facing linguistic or cultural 

20 barriers. 

21 (D) Recommendations for legislative and 

22 administrative actions to increase access to 

23 doula services in State Medicaid programs, in24 cluding actions that ensure doulas may earn a 

25 living wage that accounts for their time and 


pbinns on DSKJLVW7X2PROD with BILLS
38 

•HR 3063 IH

1 costs associated with providing care and com2 munity-based doula program administration 

3 and operation. 

4 (2) STAKEHOLDER CONSULTATION.—In devel5 oping the report required under paragraph (1), 

6 MACPAC shall consult with relevant stakeholders, 

7 including— 

8 (A) States; 

9 (B) organizations, especially reproductive 

10 justice and birth justice organizations led by 

11 people of color, representing consumers of ma12 ternal health care, including those that are dis13 proportionately impacted by poor maternal 

14 health outcomes; 

15 (C) organizations and individuals rep16 resenting doulas, including community-based 

17 doula programs and those who serve under18 served communities, including communities of 

19 color, and communities facing linguistic or cul20 tural barriers; 

21 (D) organizations representing health care 

22 providers; and 

23 (E) Black, Indigenous, and other maternal 

24 health care consumers of color who have experi25 enced severe maternal morbidity. 


pbinns on DSKJLVW7X2PROD with BILLS
39 

•HR 3063 IH

1 (b) CMS GUIDANCE.— 

2 (1) IN GENERAL.—Not later than 1 year after 

3 the date that MACPAC publishes the report re4 quired under subsection (a)(1), the Administrator of 

5 the Centers for Medicare & Medicaid Services shall 

6 issue guidance to States on increasing access to 

7 doula services under Medicaid. Such guidance shall 

8 at a minimum include— 

9 (A) options for States to provide medical 

10 assistance for doula services under State Med11 icaid programs; 

12 (B) best practices for ensuring that doulas, 

13 including community-based doulas, receive reim14 bursement for doula services provided under a 

15 State Medicaid program, at a level that allows 

16 doulas to earn a living wage that accounts for 

17 their time and costs associated with providing 

18 care and community-based doula program ad19 ministration; and 

20 (C) best practices for increasing access to 

21 doula services, including services provided by 

22 community-based doulas, under State Medicaid 

23 programs. 

24 (2) STAKEHOLDER CONSULTATION.—In devel25 oping the guidance required under paragraph (1), 


pbinns on DSKJLVW7X2PROD with BILLS
40 

•HR 3063 IH

1 the Administrator of the Centers for Medicare & 

2 Medicaid Services shall consult with MACPAC and 

3 other relevant stakeholders, including— 

4 (A) State Medicaid officials; 

5 (B) organizations representing consumers 

6 of maternal health care, including those that 

7 are disproportionately impacted by poor mater8 nal health outcomes; 

9 (C) organizations representing doulas, in10 cluding community-based doulas and those who 

11 serve underserved communities, such as com12 munities of color and communities facing lin13 guistic or cultural barriers; and 

14 (D) organizations representing medical 

15 professionals. 

16 SEC. 6. GAO REPORT ON STATE MEDICAID PROGRAMS’ USE 

17 OF TELEHEALTH TO INCREASE ACCESS TO 

18 MATERNITY CARE. 

19 Not later than 1 year after the date of the enactment 

20 of this Act, the Comptroller General of the United States 

21 shall submit a report to Congress on State Medicaid pro22 grams’ use of telehealth to increase access to maternity 

23 care. Such report shall include the following: 


pbinns on DSKJLVW7X2PROD with BILLS
41 

•HR 3063 IH

1 (1) The number of State Medicaid programs 

2 that utilize telehealth that increases access to mater3 nity care. 

4 (2) With respect to State Medicaid programs 

5 that utilize telehealth that increases access to mater6 nity care, information about— 

7 (A) common characteristics of such pro8 grams’ approaches to utilizing telehealth that 

9 increases access to maternity care; 

10 (B) differences in States’ approaches to 

11 utilizing telehealth to improve access to mater12 nity care, and the resulting differences in State 

13 maternal health outcomes, as determined by 

14 factors described in subsection (C); and 

15 (C) when compared to patients who receive 

16 maternity care in-person, what is known 

17 about— 

18 (i) the demographic characteristics, 

19 such as race, ethnicity, sex, sexual orienta20 tion, gender identity, disability status, age, 

21 and preferred language of the individuals 

22 enrolled in such programs who use tele23 health to access maternity care; 

24 (ii) health outcomes for such individ25 uals, including frequency of mortality and 


pbinns on DSKJLVW7X2PROD with BILLS
42 

•HR 3063 IH

1 severe morbidity, as compared to individ2 uals with similar characteristics who did 

3 not use telehealth to access maternity care; 

4 (iii) the services provided to individ5 uals through telehealth, including family 

6 planning services, mental health care serv7 ices, and oral health services; 

8 (iv) the devices and equipment pro9 vided to individuals for remote patient 

10 monitoring and telehealth, including blood 

11 pressure monitors and blood glucose mon12 itors; 

13 (v) the quality of maternity care pro14 vided through telehealth, including whether 

15 maternity care provided through telehealth 

16 is culturally and linguistically appropriate; 

17 (vi) the level of patient satisfaction 

18 with maternity care provided through tele19 health to individuals enrolled in State Med20 icaid programs; 

21 (vii) the impact of utilizing telehealth 

22 to increase access to maternity care on 

23 spending, cost savings, access to care, and 

24 utilization of care under State Medicaid 

25 programs; and 


pbinns on DSKJLVW7X2PROD with BILLS
43 

•HR 3063 IH

1 (viii) the accessibility and effectiveness 

2 of telehealth for maternity care during the 

3 COVID–19 pandemic. 

4 (3) An identification and analysis of the bar5 riers to using telehealth to increase access to mater6 nity care under State Medicaid programs. 

7 (4) Recommendations for such legislative and 

8 administrative actions related to increasing access to 

9 telehealth maternity services under Medicaid as the 

10 Comptroller General deems appropriate. 

Æ 


pbinns on DSKJLVW7X2PROD with BILLS