health home on the basis of documentation evidenc-
ing that the entity or provider has the systems, ex-
pertise, and infrastructure in place to provide preg-
nancy and postpartum coordinated care services. 
Such term may include providers who are employed 
by, or affiliated with, a hospital. 
‘‘(2) HEALTH TEAM.—The term ‘health team’ 
has the meaning given such term for purposes of 
section 3502 of Public Law 111–148. 
‘‘(3) MATERNITY
HEALTH
HOME.—The term 
‘maternity health home’ means a designated provider 
(including a provider that operates in coordination 
with a team of health care professionals) or a health 
team that is selected by an eligible individual to pro-
vide pregnancy and postpartum coordinated care 
services. 
‘‘(4) PREGNANCY
AND
POSTPARTUM
COORDI-
NATED CARE SERVICES.— 
‘‘(A) IN GENERAL.—The term ‘pregnancy 
and postpartum coordinated care services’ 
means items and services related to the coordi-
nation of care for comprehensive and timely 
high-quality, culturally and linguistically appro-
priate, services described in subparagraph (B) 
that are provided by a designated provider, a 
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team of health care professionals operating with 
such a provider, or a health team designated as 
a maternity health home. 
‘‘(B) SERVICES DESCRIBED.— 
‘‘(i) IN GENERAL.—The services de-
scribed in this subparagraph shall include 
with respect to a State electing the State 
plan amendment option under this section, 
any medical assistance for items and serv-
ices for which payment is available under 
the State plan or under a waiver of such 
plan. 
‘‘(ii) OTHER ITEMS AND SERVICES.— 
In addition to medical assistance described 
in clause (i), the services described in this 
subparagraph shall include the following: 
‘‘(I) Any item or service for 
which medical assistance is otherwise 
available under the State plan (or a 
waiver of such plan) related to the 
treatment of an individual during the 
individual’s pregnancy and the 1-year 
period beginning on the last day of 
such pregnancy, including mental 
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health and substance use disorder 
services. 
‘‘(II) Comprehensive care man-
agement. 
‘‘(III) Care coordination (includ-
ing with pediatricians as appropriate), 
health promotion, and providing ac-
cess to the full range of maternal, ob-
stetric, and gynecologic services, in-
cluding services from out-of-State pro-
viders. 
‘‘(IV) Comprehensive transitional 
care, including appropriate follow-up, 
from inpatient to other settings. 
‘‘(V) Patient and family support 
(including authorized representatives). 
‘‘(VI) Referrals to community 
and social support services, if rel-
evant. 
‘‘(VII) Use of health information 
technology to link services, as feasible 
and appropriate. 
‘‘(5) 
TEAM
OF
HEALTH
CARE
PROFES-
SIONALS.—The term ‘team of health care profes-
sionals’ means a team of health care professionals 
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(as described in the State plan amendment under 
this section) that may— 
‘‘(A) include— 
‘‘(i) physicians, including gynecologist- 
obstetricians, certified nurse midwives, or 
certified professional midwives who meet or 
exceed the education and training stand-
ards of the International Confederation of 
Midwives and who are licensed to practice 
within the State, family physicians, pri-
mary care physicians, pediatricians, and 
other professionals such as physicians as-
sistants, advance practice nurses, nurses, 
nurse care coordinators, dietitians, nutri-
tionists, social workers, behavioral health 
professionals, physical counselors, physical 
therapists, occupational therapists, or any 
professionals that assist in prenatal care, 
delivery, or postpartum care for which 
medical assistance is available under the 
State plan or a waiver of such plan and de-
termined to be appropriate by the State 
and approved by the Secretary; 
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‘‘(ii) an entity or individual who is 
designated to coordinate such care deliv-
ered by the team; and 
‘‘(iii) when appropriate and if other-
wise eligible to furnish items and services 
that are reimbursable as medical assist-
ance under the State plan or under a waiv-
er of such plan, doulas, community health 
workers, translators and interpreters, and 
other individuals with culturally appro-
priate and trauma-informed expertise; and 
‘‘(B) provide care at a facility that is free-
standing, virtual, or based at a hospital, com-
munity health center, community mental health 
center, rural health clinic, clinical practice or 
clinical group practice, academic health center, 
or any entity determined to be appropriate by 
the State and approved by the Secretary.’’. 
(b) APPLICABILITY TO CHIP.—Section 2107(e)(1) of 
the Social Security Act (42 U.S.C. 1397gg(e)(1)), as 
amended by section 105, is amended by adding at the end 
the following new subparagraph: 
‘‘(W) Section 1945B (relating to optional 
health homes for pregnant and postpartum in-
dividuals).’’. 
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SEC. 203. GUIDANCE ON SUPPORTING AND IMPROVING AC-
CESS TO MEDICAID AND CHIP COVERAGE OF 
SERVICES PROVIDED BY DOULAS AND CER-
TAIN MATERNAL HEALTH PROFESSIONALS. 
Not later than 1 year after the date of the enactment 
of this Act, the Secretary of Health and Human Services 
shall issue and publish guidance for States concerning op-
tions for supporting and improving access to coverage and 
payment under a State plan under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.) or under a waiver 
of such plan, and under a State child health plan under 
title XXI of such Act (42 U.S.C. 1397aa et seq.) or under 
a waiver of such plan, for services provided by doulas, cer-
tified nurse midwives, certified midwives, or certified pro-
fessional midwives, who meet or exceed the education and 
training standards of the International Confederation of 
Midwives and who are licensed to practice within the State 
and certain maternal health professionals (specified by the 
Secretary)— 
(1) in rural areas; 
(2) across a continuum of care; and 
(3) among varied provider settings and payment 
and care models, including managed care. 
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SEC. 204. MEDICAID AND CHIP INCREASED FINANCIAL SUP-
PORT 
FOR 
DEPRESSION 
AND 
ANXIETY 
SCREENING DURING THE PERINATAL AND 
POSTPARTUM PERIODS. 
(a) MEDICAID.—Section 1905 of the Social Security 
Act (42 U.S.C. 1396d), as amended by section 103, is fur-
ther amended— 
(1) in the first sentence of subsection (b), by 
striking ‘‘subsection (a)(4)(D)’’ and inserting ‘‘sub-
sections (a)(4)(D) and (ll)’’; and 
(2) by adding at the end the following: 
‘‘(ll) INCREASED FMAP FOR DEPRESSION AND ANX-
IETY
SCREENING
DURING
THE
PERINATAL
AND 
POSTPARTUM PERIODS.— 
‘‘(1) IN GENERAL.—For purposes of clause (5) 
of the first sentence of subsection (b), services de-
scribed in this subsection are screening services pro-
vided to an individual who is eligible for such assist-
ance on the basis of being pregnant that include at 
a minimum— 
‘‘(A) during the perinatal period, at least 
1 screening for depression and anxiety symp-
toms using a standardized, validated tool; and 
‘‘(B) during the postpartum period, a full 
assessment of mood and emotional well-being, 
including screening for postpartum depression 
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and anxiety, using a standardized, validated 
tool. 
‘‘(2) EXCLUSION FROM TERRITORIAL CAPS.— 
The additional amount paid to a territory for ex-
penditures for medical assistance for services de-
scribed in paragraph (1) as a result of the applica-
tion of clause (5) of the first sentence of subsection 
(b) shall not be taken into account for purposes of 
applying payment limits under subsections (f) and 
(g) of section 1108.’’. 
(b) CHIP.—Section 2105(c) of the Social Security 
Act (42 U.S.C. 1397ee(c)) is amended by adding at the 
end the following new paragraph: 
‘‘(13) ENHANCED PAYMENT FOR DEPRESSION 
AND ANXIETY SCREENING DURING THE PERINATAL 
AND POSTPARTUM PERIODS.—Notwithstanding sub-
section (b), the enhanced FMAP with respect to 
payments under subsection (a) for expenditures 
under the State child health plan (or a waiver of 
such plan) shall be increased by 1 percentage point 
with respect to expenditures for services described in 
section 1905(ll)(1) that are provided under the plan 
(or waiver) to an individual who is eligible for such 
assistance on the basis of being pregnant (including 
pregnancy-related assistance provided to a targeted 
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low-income pregnant woman (as defined in section 
2112(d)), pregnancy-related assistance provided to 
an individual who is eligible for such assistance 
through application of section 1903(v)(4)(A)(i) 
under section 2107(e)(1), or any other assistance 
under the plan (or waiver) provided to an individual 
who is eligible for such assistance on the basis of 
being pregnant) and during the 12-month period 
that begins on the last day of the individual’s preg-
nancy and ends on the last day of the month in 
which such 12-month period ends (including any 
such assistance provided during the month in which 
such period ends).’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the first day of the first 
fiscal quarter that begins on or after the date that is 1 
year after the date of enactment of this section. 
SEC. 205. PRESUMPTIVE ELIGIBILITY FOR PREGNANT INDI-
VIDUALS. 
(a) IN GENERAL.— 
(1) REQUIREMENT.—Section 1920(a) of the So-
cial Security Act (42 U.S.C. 1396r–1(a)) is amended 
by striking ‘‘may provide’’ and inserting ‘‘shall pro-
vide’’. 
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(2) APPLICATION.—Section 1920 of the Social 
Security Act (42 U.S.C. 1396r–1) is amended by 
adding at the end the following new subsection: 
‘‘(f) APPLICATION.—A State shall provide to a preg-
nant woman a presumptive eligibility period in accordance 
with this section without regard to whether the individual 
would otherwise qualify for a presumptive eligibility period 
the State has elected to provide under section 1920A, 
1920B, or 1920C.’’. 
(b) CONFORMING AMENDMENTS.— 
(1) Section 1902(a)(47) of the Social Security 
Act (42 U.S.C. 1396a(a)(47)) is amended to read as 
follows: 
‘‘(47) provide— 
‘‘(A)(i) for making ambulatory prenatal 
care available to pregnant women during a pre-
sumptive eligibility period in accordance with 
section 1920; and 
‘‘(ii) at the option of the State— 
‘‘(I) for making medical assistance for 
items and services described in subsection 
(a) of section 1920A available to children 
during a presumptive eligibility period in 
accordance with such section; 
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‘‘(II) for making medical assistance 
available to individuals described in sub-
section (a) of section 1920B during a pre-
sumptive eligibility period in accordance 
with such section; and 
‘‘(III) for making medical assistance 
available to individuals described in sub-
section (a) of section 1920C during a pre-
sumptive eligibility period in accordance 
with such section; and 
‘‘(B) that any hospital that is a partici-
pating provider under the State plan may elect 
to be a qualified entity for purposes of deter-
mining, on the basis of preliminary information, 
whether any individual is eligible for medical as-
sistance under the State plan or under a waiver 
of the plan for purposes of providing the indi-
vidual with medical assistance during a pre-
sumptive eligibility period, in the same manner, 
and subject to the same requirements, as apply 
with respect to populations described in section 
1920, 1920A, 1920B, or 1920C (without re-
gard to whether the State has elected to provide 
for a presumptive eligibility period under sec-
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tions 1920A, 1920B, or 1920C), subject to 
such guidance as the Secretary shall establish;’’. 
(2) Section 1920(e) of the Social Security Act 
(42 U.S.C. 1396r–1(e)) is amended— 
(A) by striking ‘‘If the State has elected 
the option to provide a presumptive eligibility 
period under this section or section 1920A, 
the’’ and inserting ‘‘The’’; and 
(B) by striking ‘‘1920A, subject to’’ and 
inserting ‘‘1920A (if the State has elected the 
option), subject to’’. 
(3) Section 2107(e)(1)(R) of the Social Security 
Act (42 U.S.C. 1397gg(e)(1)(R)) is amended by in-
serting ‘‘1920 (relating to presumptive eligibility for 
pregnant women and section’’ before ‘‘1920A’’. 
(4) Section 2112(c) of the Social Security Act 
(42 U.S.C. 1397ll(c)) is amended— 
(A) in the heading, by striking ‘‘OPTION 
TO PROVIDE’’; and 
(B) by striking ‘‘may elect’’ and inserting 
‘‘shall elect’’. 
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retary, if not addressed, could result in an 
emergency that would be appropriate for the 
deployment of the Commissioned Corps.’’; and 
(D) by adding at the end the following: 
‘‘(6) 
URGENT
MATERNAL
HEALTH
CARE 
NEED.— 
‘‘(A) IN GENERAL.—For purposes of this 
section and section 214, the term ‘urgent ma-
ternal health care need’, with respect to an 
area, means a maternal health care need, as de-
termined by the Secretary, in consultation with 
the Attorney General, arising as a result of the 
closure or imminent closure of a hospital or 
other health care facility in such area, or the 
loss of workers employed by such hospital or 
health care facility who are trained to provide 
maternal health care services. 
‘‘(B) CONSIDERATIONS.—In determining 
whether there is an urgent maternal health care 
need for purposes of subparagraph (A) with re-
spect to an area, the Secretary shall consider 
whether such closure, imminent closure, or loss 
of workers has impacted access by individuals 
in such area to a full range of maternal health 
care services, including prenatal services, labor 
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and delivery services, postnatal services, mater-
nal and postpartum mental health services, be-
havioral health services, and reproductive health 
services.’’; 
(2) in subsection (b)— 
(A) in paragraph (1), by inserting ‘‘or ur-
gent maternal health care needs’’ after ‘‘public 
health care needs’’; and 
(B) in each of paragraphs (2) and (4)(B), 
by inserting ‘‘or urgent maternal health care 
need’’ after ‘‘public health care need’’; and 
(3) in subsection (c), by inserting ‘‘or urgent 
maternal health care need’’ after ‘‘public health care 
need’’. 
(b) DETAIL OF PERSONNEL.—Section 214 of the 
Public Health Service Act (42 U.S.C. 215) is amended— 
(1) by redesignating subsection (e) as sub-
section (f); 
(2) by inserting after subsection (d) the fol-
lowing: 
‘‘(e)(1) Upon the request of an eligible entity with 
respect to a hospital or other health care facility the clo-
sure, imminent closure, or loss of workers of which led 
to an urgent maternal health care need in an area, per-
sonnel may be detailed by the Secretary for the purpose 
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of assisting such eligible entity in work related to such 
urgent maternal health care need. 
‘‘(2)(A) Personnel detailed under paragraph (1) shall 
be paid from applicable appropriations of the Service. 
‘‘(B) In the case of detail of personnel under para-
graph (1) to be paid from applicable Service appropria-
tions, the Secretary may condition such detail on an agree-
ment by the eligible entity concerned that such eligible en-
tity concerned shall reimburse the United States for a por-
tion of the amount of such payments made by the Service. 
‘‘(C) The services of personnel while detailed pursu-
ant to this subsection shall be considered as having been 
performed in the Service for purposes of the computation 
of basic pay, promotion, retirement, compensation for in-
jury or death, and the benefits provided by section 212. 
‘‘(3) The Secretary may condition a detail of per-
sonnel under paragraph (1) on an agreement by the eligi-
ble entity concerned that such eligible entity concerned 
shall— 
‘‘(A) in the case of an imminent closure or a 
loss of workers, as determined by the Secretary— 
‘‘(i) maintain the maternal health care 
services in the applicable area to the maximum 
extent practicable, including by hiring tem-
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porary workers, until the date on which the per-
sonnel are detailed to such area; and 
‘‘(ii) submit to the Secretary a plan for 
hiring and retaining health practitioners in the 
short- and long-term, both during periods in 
which personnel are detailed to such applicable 
area and periods in which personnel are not de-
tailed to such applicable area; 
‘‘(B) in the case of a closure, submit to the Sec-
retary a plan for working with, as applicable, State 
and local agencies and local stakeholders to transi-
tion patients to alternate sources of safe maternal 
health care services; and 
‘‘(C) commit to an assessment by the Secretary 
of the workplace practices of such eligible entity con-
cerned, if applicable. 
‘‘(4) In this subsection— 
‘‘(A) the term ‘eligible entity’ means— 
‘‘(i) a State; 
‘‘(ii) a political subdivision of a State; or 
‘‘(iii) a Tribal, nonprofit, or other health 
care entity; and 
‘‘(B) the term ‘personnel’ means an employee 
or officer of the Commissioned Corps.’’; and 
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(3) in subsection (f) (as so redesignated), by in-
serting ‘‘or an urgent maternal health care need’’ 
before the period at the end. 
(c) FUNDING FOR COMMISSIONED CORPS OF THE 
PUBLIC HEALTH SERVICE.—Section 203 of the Public 
Health Service Act (42 U.S.C. 204) is amended by adding 
at the end the following: 
‘‘(e) OPERATIONS OF THE COMMISSIONED CORPS OF 
THE PUBLIC HEALTH SERVICE.— 
‘‘(1) IN GENERAL.—The Secretary shall carry 
out duties and responsibilities relating to the oper-
ations of the Commissioned Corps of the Service, in-
cluding the following: 
‘‘(A) Enhance the processes and systems 
of the Service’s Headquarters operations. 
‘‘(B) Maximize the force management, re-
quired training opportunities (as determined by 
the Secretary under section 203A(a)(1)), oper-
ational capacity, and mission readiness of the 
Regular Corps, the Ready Reserve Corps, and 
the Public Health Emergency Response Strike 
Teams, a subcomponent of the Regular Corps. 
‘‘(C) Recruit and retain qualified profes-
sionals suited to serving underserved and vul-
nerable communities by— 
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‘‘(i) improving onboarding timelines, 
providing officer placements to align with 
mission needs, ensuring adequate officer 
morale 
and 
wellness 
resources, 
and 
incentivizing recruiters and recruits; and 
‘‘(ii) expanding training opportunities, 
including training of personnel to deliver 
maternal health care services, providing 
credentialing support for high demand skill 
sets, and enriching leadership and research 
potential. 
‘‘(D) Improve deployment processes and 
prepare mission teams to execute routine and 
emergent public health events. 
‘‘(E) Establish a legislative liaison office to 
carry out legislative affairs functions under the 
direction of the Secretary. 
‘‘(2) AUTHORIZATION OF APPROPRIATIONS.—In 
addition to amounts otherwise authorized to be ap-
propriated for the Commissioned Corps of the Serv-
ice, there is authorized to be appropriated to the 
Secretary to carry out paragraph (1) $150,000,000 
for fiscal year 2027 and each fiscal year there-
after.’’. 
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SEC. 302. STREAMLINED SCREENING AND ENROLLMENT OF 
PROVIDERS OF MATERNITY, LABOR, AND DE-
LIVERY SERVICES IN NEIGHBORING STATES. 
(a) APPLICATION TO MEDICAID.—Section 1902(kk) 
of the Social Security Act (42 U.S.C. 1396a(kk)) is 
amended by adding at the end the following new para-
graph: 
‘‘(10) STREAMLINED
ENROLLMENT
PROCESS 
FOR
ELIGIBLE
OUT-OF-STATE
PROVIDERS
OF
MA-
TERNITY, LABOR, AND DELIVERY SERVICES.— 
‘‘(A) IN GENERAL.—The State adopts and 
implements a process that enables an eligible 
out-of-State provider to enroll as a provider in 
the State plan without imposing any screening 
requirements that are in addition to the re-
quirements imposed on in-State providers. An 
eligible out-of-State provider that enrolls in the 
State plan through such process shall be so en-
rolled for a 5-year period (unless the provider 
is terminated or excluded from participation 
during such period) and may revalidate such 
enrollment through such process for subsequent 
5-year periods. 
‘‘(B) 
ELIGIBLE
OUT-OF-STATE
PRO-
VIDER.—In this paragraph, the term ‘eligible 
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out-of-State provider’ means, with respect to a 
State, a provider— 
‘‘(i) that furnishes maternity, labor, 
and delivery services (as defined in sub-
section (uu)(1)), or provides orders or re-
ferrals for such services, for which pay-
ment is available under the State plan of 
the State; 
‘‘(ii) that is located in a neighboring 
State (as defined by the Secretary); 
‘‘(iii) with respect to which the Sec-
retary has determined there is a limited 
risk of fraud, waste, or abuse for purposes 
of determining the level of screening to be 
conducted under section 1866(j)(2)(B); 
‘‘(iv) that has been screened under 
such section 1866(j)(2)(B) for purposes of 
enrolling in the Medicare program under 
title XVIII or the State plan of the State 
in which such provider is located; and 
‘‘(v) that has not been excluded from 
participation in the Medicare program 
under such title or the Medicaid program 
under this title.’’. 
(b) CONFORMING AMENDMENTS.— 
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(1) Section 1902(a)(77) of the Social Security 
Act (42 U.S.C. 1396a(a)(77)) is amended by insert-
ing ‘‘enrollment,’’ after ‘‘screening,’’. 
(2) Section 1902(kk) of such Act (42 U.S.C. 
1396a(kk)), as amended by subsection (a), is further 
amended— 
(A) in the subsection heading, by inserting 
‘‘ENROLLMENT,’’ after ‘‘SCREENING,’’; and 
(B) in paragraph (9), by striking ‘‘Noth-
ing’’ and inserting ‘‘Except as provided in para-
graph (10), nothing’’. 
(c) APPLICATION TO CHIP.—Section 2107(e)(1)(G) 
of such Act (42 U.S.C. 1397gg(e)(1)(G)) is amended by 
inserting ‘‘enrollment,’’ after ‘‘screening,’’. 
(d) GUIDANCE ON SCREENING AND ENROLLING OUT- 
OF-STATE PROVIDERS OF MATERNITY, LABOR, AND DE-
LIVERY SERVICES.—Not later than January 1, 2028, the 
Secretary of Health and Human Services shall issue (and 
update as the Secretary determines necessary) guidance 
to State Medicaid and CHIP directors on best practices 
for screening and enrolling out-of-State providers of ma-
ternity, labor, and delivery services in accordance with 
paragraph (10) of section 1902(kk) of the Social Security 
Act (42 U.S.C. 1396a(kk)) and section 2107(e)(1)(G) of 
such Act (42 U.S.C. 1397gg(e)(1)(G)) (as added and 
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amended by this section) and including best practices for 
screening and enrolling out-of-State providers in managed 
care plans. 
(e) EFFECTIVE DATE.—The amendments made by 
this section take effect on January 1, 2028. 
TITLE IV—REQUIRING PUBLIC 
COMMUNICATION OF OBSTET-
RICS DATA AND UNIT CLO-
SURES 
SEC. 401. TIMELY NOTIFICATIONS OF IMPENDING HOS-
PITAL OBSTETRIC UNIT CLOSURES. 
(a) IN GENERAL.—Section 1866(a)(1) of the Social 
Security Act (42 U.S.C. 1395cc(a)(1)) is amended— 
(1) in subparagraph (X), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (Y)(ii)(V), by striking the 
period and inserting ‘‘, and’’; and 
(3) by inserting after subparagraph (Y) the fol-
lowing new subparagraph: 
‘‘(Z) beginning 180 days after the date of 
the enactment of this subparagraph, in the case 
of a hospital, not less than 180 days prior to 
the closure of any obstetric unit of the hospital, 
to submit to the Secretary, any relevant local 
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and State agencies, and the community a notifi-
cation, which shall include— 
‘‘(i) a report analyzing the impact the 
closure will have on the community, includ-
ing data on any adverse outcomes and in-
crease in costs relating to obstetric services 
for such community; 
‘‘(ii) steps the hospital will take to 
identify other health care providers that 
can alleviate any service gaps as a result of 
the closure; 
‘‘(iii) the cause of the closure of such 
obstetric unit; 
‘‘(iv) data regarding historic transpor-
tation costs related to obstetric services in 
such community; and 
‘‘(v) any additional information as 
may be required by the Secretary.’’. 
(b) STATE REQUIREMENT TO POST REPORTS.—Sec-
tion 1902(a) of the Social Security Act (42 U.S.C. 
1396a(a)), as amended by section 201(a)(1), is further 
amended— 
(1) in paragraph (87), by striking ‘‘and’’ at the 
end; 
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(2) in paragraph (88), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (88) the fol-
lowing new paragraph: 
‘‘(89) provide that the State will make publicly 
available, on the website of any relevant State agen-
cy, any report received by the State from a hospital 
pursuant to section 1866(a)(1)(Z)(i).’’; and 
SEC. 402. COLLECTION OF DATA RELATING TO HOSPITAL 
LABOR AND DELIVERY SERVICES. 
Section 1866(a)(1) of the Social Security Act (42 
U.S.C. 1395cc(a)(1)), as amended by section 401, is 
amended— 
(1) in subparagraph (Y)(ii)(V), by striking 
‘‘and’’ at the end; 
(2) in subparagraph (Z), by striking the period 
and inserting ‘‘, and’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(AA) in the case of a hospital, to include 
in cost reports submitted under this title for 
cost reporting periods beginning on or after 
July 1, 2026— 
‘‘(i) the number of births that oc-
curred at such hospital during the cost re-
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porting period, delineated by the number 
of cesarean births and vaginal births; 
‘‘(ii) the number of antenatal and 
postpartum transfers from the hospital to 
other hospitals; 
‘‘(iii) data on the number and charac-
teristics of the staff providing labor and 
delivery services at such hospital; 
‘‘(iv) the expenses the hospital in-
curred for providing labor and delivery 
services at such hospital, including nursing 
care, anesthesia, and operating room serv-
ices; 
‘‘(v) the amount the hospital spent for 
on-call coverage for labor and delivery 
services by physicians and midwives; and 
‘‘(vi) the amount and sources of rev-
enue received by such hospital for labor 
and delivery services, including payments 
received for— 
‘‘(I) items and services furnished 
to individuals eligible for coverage 
under a State plan under title XIX 
(or a waiver of such a plan); 
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‘‘(II) items and services fur-
nished to individuals with other forms 
of health insurance or third-party cov-
erage; and 
‘‘(III) items and services fur-
nished to individuals without health 
insurance or other source of third 
party coverage.’’. 
Æ 
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