I 
112TH CONGRESS 
1ST SESSION H. R. 1054 
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 
MARCH 11, 2011 
Ms. PINGREE of Maine (for herself, Mr. MCDERMOTT, and Ms. MOORE) intro-
duced 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 en-
rolled in the Medicaid program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Access to Certified 
Professional Midwives Act of 2011’’. 
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SEC. 2. REQUIREMENTS FOR COVERAGE OF SERVICES PRO-
VIDED BY CERTIFIED PROFESSIONAL MID-
WIVES UNDER MEDICAID. 
(a) COVERAGE OF CERTIFIED PROFESSIONAL MID-
WIFE SERVICES.—Section 1905(a) of the Social Security 
Act (42 U.S.C. 1396d(a)) is amended— 
(1) in paragraph (28), by deleting ‘‘and’’ at the 
end; 
(2) by redesignating paragraph (29) as para-
graph (30); and 
(3) by inserting after paragraph (28) the fol-
lowing paragraph: 
‘‘(29) services that— 
‘‘(A) are furnished by a certified profes-
sional midwife (as defined by the Secretary); 
and 
‘‘(B) the certified professional midwife is 
legally authorized to perform under State law 
(or the State regulatory mechanism provided by 
State law); and’’. 
(b) INCLUSION IN MANDATORY SERVICES.—Section 
1902(a)(10)(A) of the Social Security Act is amended, in 
the matter before clause (i)— 
(1) by striking ‘‘and’’ before ‘‘(28)’’; and 
(2) by inserting ‘‘, and (29)’’ after ‘‘(28)’’. 
(c) EFFECTIVE DATE.— 
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(1) IN GENERAL.—Except as provided in para-
graph (2), the amendments made by this section 
shall take effect on January 1, 2012. 
(2) RULE
FOR
CHANGES
REQUIRING
STATE 
LEGISLATION.—In the case of a State plan for med-
ical assistance under title XIX of the Social Security 
Act which the Secretary of Health and Human Serv-
ices determines requires State legislation (other than 
legislation appropriating funds) in order for the plan 
to meet the additional requirements imposed by the 
amendments made by this section, the State plan 
shall not be regarded as failing to comply with the 
requirements of such title solely on the basis of its 
failure to meet these additional requirements before 
the later of the following dates: 
(A) The first day of the first calendar 
quarter beginning after the close of the first 
regular session of the State legislature that be-
gins after the date of the enactment of this Act. 
(B) The date in paragraph (1). 
For purposes of the previous sentence, in the case 
of a State that has a 2-year legislative session, each 
year of such session shall be deemed to be a sepa-
rate regular session of the State legislature. 
Æ 
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