(b) REQUIRING FULL BENEFITS
FOR PREGNANT 
AND POSTPARTUM INDIVIDUALS.— 
(1) IN
GENERAL.—Paragraph (5) of section 
1902(e) of the Social Security Act (24 U.S.C. 
1396a(e)) is amended to read as follows: 
‘‘(5) COVERAGE OF FULL BENEFITS FOR AT 
LEAST 1 YEAR FOR PREGNANT AND POSTPARTUM IN-
DIVIDUALS.— 
‘‘(A) IN GENERAL.—Any individual who, 
while pregnant, is eligible for and has received 
medical assistance under the State plan ap-
proved under this title or a waiver of such plan 
(including during a period of retroactive eligi-
bility under subsection (a)(34)) shall continue 
to be eligible under the plan or waiver for med-
ical assistance through the end of the month in 
which the 1-year period beginning on the last 
day of the pregnancy, or such longer period be-
ginning on such day as the State may elect, 
ends, regardless of the basis for the individual’s 
eligibility for medical assistance, including if the 
individual’s eligibility for medical assistance is 
on the basis of being pregnant. 
‘‘(B) SCOPE OF BENEFITS.—The medical 
assistance 
provided 
for 
a 
pregnant 
or 
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postpartum individual described in subpara-
graph (A) shall— 
‘‘(i) include all items and services cov-
ered under the State plan (or waiver) that 
are not less in amount, duration, or scope, 
or are determined by the Secretary to be 
substantially equivalent, to the medical as-
sistance available for an individual de-
scribed in subsection (a)(10)(A)(i); and 
‘‘(ii) be provided for the individual 
while pregnant and during the 1-year pe-
riod that begins on the last day of the 
pregnancy, or such longer period beginning 
on such day as the State may elect, and 
ends on the last day of the month in which 
such period ends.’’. 
(2) CONFORMING AMENDMENTS.— 
(A) Section 1902(a)(10) of the Social Se-
curity Act (42 U.S.C. 1396a(a)(10)) is amend-
ed in the matter following subparagraph (G) by 
striking ‘‘(VII) the medical assistance’’ and all 
that follows through ‘‘during the period de-
scribed in such section,’’. 
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(B) Section 2107(e)(1)(J) of the Social Se-
curity Act (42 U.S.C. 1397gg(e)(1)(J)) is 
amended— 
(i) by striking ‘‘Paragraphs (5) and 
(16)’’ and inserting ‘‘Paragraph (5)’’; and 
(ii) by striking ‘‘(relating to’’ and all 
that follows through the period and insert-
ing ‘‘(relating to the provision of medical 
assistance to pregnant individuals during 
and 
following 
pregnancy 
under 
title 
XIX).’’. 
(c) REQUIRING COVERAGE OF ORAL HEALTH SERV-
ICES FOR PREGNANT AND POSTPARTUM INDIVIDUALS.— 
(1) MEDICAID.—Section 1905 of the Social Se-
curity Act (42 U.S.C. 1396d) is amended— 
(A) in subsection (a)(4)— 
(i) by striking ‘‘; and (D)’’ and insert-
ing ‘‘; (D)’’; 
(ii) by striking ‘‘; and (E)’’ and in-
serting ‘‘; (E)’’; 
(iii) by striking ‘‘; and (F)’’ and in-
serting ‘‘; (F)’’; and 
(iv) by inserting ‘‘; and (G) oral 
health 
services 
for 
pregnant 
and 
postpartum individuals (as defined in sub-
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section (jj))’’ after ‘‘(or waiver of such 
plan)’’; and 
(B) by adding at the end the following new 
subsection: 
‘‘(jj) ORAL HEALTH SERVICES FOR PREGNANT AND 
POSTPARTUM INDIVIDUALS.— 
‘‘(1) IN GENERAL.—For purposes of this title, 
the term ‘oral health services for pregnant and 
postpartum individuals’ means dental services nec-
essary to prevent disease and promote oral health, 
restore oral structures to health and function, and 
treat emergency conditions that are furnished to an 
individual during pregnancy (or during the 1 year 
period that begins on the last day of the pregnancy, 
or such longer period beginning on such day as the 
State may elect). 
‘‘(2) COVERAGE
REQUIREMENTS.—To satisfy 
the requirement to provide oral health services for 
pregnant and postpartum individuals, a State shall, 
at a minimum, provide coverage for preventive, diag-
nostic, periodontal, and restorative care consistent 
with recommendations for comprehensive perinatal 
oral health services and dental services during preg-
nancy from the American Academy of Pediatric 
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Dentistry and the American College of Obstetricians 
and Gynecologists.’’. 
(2) CHIP.—Section 2103(c)(6)(A) of the Social 
Security Act (42 U.S.C. 1397cc(c)(6)(A)) is amend-
ed by inserting ‘‘or a targeted low-income pregnant 
individual’’ after ‘‘targeted low-income child’’. 
(3) 
TECHNICAL
AMENDMENT.—Section 
2112(d)(2) of the Social Security Act (42 U.S.C. 
1397ll(d)(2)) is amended— 
(A) in the paragraph header, by inserting 
‘‘; TARGETED
LOW-INCOME
PREGNANT
INDI-
VIDUAL’’ after ‘‘WOMAN’’; and 
(B) by striking ‘‘the term ‘targeted low-in-
come pregnant woman’ means’’ and inserting 
‘‘the terms ‘targeted low-income pregnant 
woman’ and ‘targeted low-income pregnant indi-
vidual’ mean’’. 
(d) MAINTENANCE OF EFFORT.— 
(1) MEDICAID.—Section 1902 of the Social Se-
curity Act (42 U.S.C. 1396a) is amended— 
(A) in paragraph (74), by striking ‘‘sub-
section (gg); and’’ and inserting ‘‘subsections 
(gg) and (uu);’’; and 
(B) by adding at the end the following new 
subsection: 
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‘‘(uu) MAINTENANCE OF EFFORT RELATED TO LOW- 
INCOME PREGNANT INDIVIDUALS.—For calendar quar-
ters beginning on or after the date of enactment of this 
subsection, and before January 1, 2025, no Federal pay-
ment shall be made to a State under section 1903(a) for 
amounts expended under a State plan under this title or 
a waiver of such plan if the State— 
‘‘(1) has in effect under such plan eligibility 
standards, methodologies, or procedures (including 
any enrollment cap or other numerical limitation on 
enrollment, any waiting list, any procedures designed 
to delay the consideration of applications for enroll-
ment, any income counting rules, or similar limita-
tion with respect to enrollment) for individuals de-
scribed in subsection (l)(1) who are eligible for med-
ical assistance under the State plan or waiver under 
subsection (a)(10)(A)(ii)(IX) that are more restric-
tive than the eligibility standards, methodologies, or 
procedures, respectively, for such individuals under 
such plan or waiver that are in effect on the date 
of the enactment of the Maximizing Outcomes for 
Moms through Medicaid Improvement and Enhance-
ment of Services Act; or 
‘‘(2) reduces the amount, duration, or scope of 
medical assistance available to individuals described 
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in subsection (l)(1) who are eligible for medical as-
sistance under such plan or waiver under subsection 
(a)(10)(A)(ii)(IX) from what the State provided to 
such individuals under such plan or waiver on the 
date of the enactment of the Maximizing Outcomes 
for Moms through Medicaid Improvement and En-
hancement of Services Act.’’. 
(2) CHIP.—Section 2112 of the Social Security 
Act (42 U.S.C. 1397ll), as amended by subsection 
(a), is further amended by adding at the end the fol-
lowing subsection: 
‘‘(g) MAINTENANCE
OF
EFFORT.—For calendar 
quarters beginning on or after January 1, 2024, and be-
fore January 1, 2028, no payment may be made under 
section 2105(a) with respect to a State child health plan 
if the State— 
‘‘(1) has in effect under such plan eligibility 
standards, methodologies, or procedures (including 
any enrollment cap or other numerical limitation on 
enrollment, any waiting list, any procedures designed 
to delay the consideration of applications for enroll-
ment, or similar limitation with respect to enroll-
ment) for targeted low-income pregnant individuals 
that are more restrictive than the eligibility stand-
ards, methodologies, or procedures, respectively, 
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under such plan that are in effect on the date of the 
enactment of the Maximizing Outcomes for Moms 
through Medicaid Improvement and Enhancement of 
Services Act; or 
‘‘(2) provides pregnancy-related assistance to 
targeted low-income pregnant individuals under such 
plan at a level that is less than the level at which 
the State provides such assistance to such individ-
uals under such plan on the date of the enactment 
of the Maximizing Outcomes for Moms through 
Medicaid Improvement and Enhancement of Services 
Act.’’. 
(e) ENHANCED FMAP.—Section 1905 of the Social 
Security Act (42 U.S.C. 1396d), as amended by sub-
section (c), is further amended— 
(1) in subsection (b), by striking ‘‘and (ii)’’ and 
inserting ‘‘(ii), and (kk)’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(kk) INCREASED FMAP FOR ADDITIONAL EXPEND-
ITURES
FOR LOW-INCOME PREGNANT INDIVIDUALS.— 
For calendar quarters beginning on or after January 1, 
2024, notwithstanding subsection (b), the Federal medical 
assistance percentage for a State, with respect to the addi-
tional amounts expended by such State for medical assist-
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ance under the State plan under this title or a waiver of 
such plan that are attributable to requirements imposed 
by the amendments made by the Maximizing Outcomes 
for Moms through Medicaid Improvement and Enhance-
ment of Services Act (as determined by the Secretary), 
shall be equal to 100 percent.’’. 
(f) GAO STUDY AND REPORT.— 
(1) IN GENERAL.—Not later than 1 year after 
the date of the enactment of this Act, the Comp-
troller General of the United States shall submit to 
Congress a report on the gaps in coverage for— 
(A) pregnant individuals under the Med-
icaid program under title XIX of the Social Se-
curity Act (42 U.S.C. 1396 et seq.) and the 
Children’s Health Insurance Program under 
title XXI of the Social Security Act (42 U.S.C. 
1397aa et seq.); 
(B) postpartum individuals under the Med-
icaid program and the Children’s Health Insur-
ance Program who received assistance under ei-
ther such program during their pregnancy; and 
(C) birthing people between the ages of 15 
and 49 under the Medicaid program. 
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(2) CONTENT
OF
REPORT.—The report re-
quired under this subsection shall include the fol-
lowing: 
(A) Information about the abilities and 
successes of State Medicaid agencies in deter-
mining whether pregnant and postpartum indi-
viduals are eligible under another insurance af-
fordability program, and in transitioning any 
such individuals who are so eligible to coverage 
under such a program at the end of their period 
of eligibility for medical assistance, pursuant to 
section 435.1200 of the title 42, Code of Fed-
eral Regulations (as in effect on September 1, 
2018). 
(B) Information on factors contributing to 
gaps in coverage that disproportionately impact 
underserved populations, including low-income 
individuals, Black, Indigenous, and other indi-
viduals of color, individuals who reside in a 
health professional shortage area (as defined in 
section 332(a)(1)(A) of the Public Health Serv-
ice Act (42 U.S.C. 254e(a)(1)(A))) or individ-
uals who are members of a medically under-
served population (as defined by section 
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330(b)(3) 
of 
such 
Act 
(42 
U.S.C. 
254b(b)(3)(A))). 
(C) Recommendations for addressing and 
reducing such gaps in coverage. 
(D) Such other information as the Comp-
troller General deems necessary. 
(3) DATA DISAGGREGATION.—To the greatest 
extent possible, the Comptroller General shall 
dissagregate data presented in the report, including 
by age, gender identity, race, ethnicity, income level, 
and other demographic factors. 
(g) EFFECTIVE DATE.—The amendments made by 
subsections (a) and (b) shall take effect on January 1, 
2024. 
SEC. 
3. 
MATERNITY 
CARE 
HOME 
DEMONSTRATION 
PROJECT. 
Title XIX of the Social Security Act (42 U.S.C. 1396 
et seq.) is amended by inserting the following new section 
after section 1947: 
‘‘SEC. 1948. MATERNITY CARE HOME DEMONSTRATION 
PROJECT. 
‘‘(a) IN GENERAL.—Not later than 1 year after the 
date of the enactment of this section, the Secretary shall 
establish a demonstration project (in this section referred 
to as the ‘demonstration project’) under which the Sec-
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