138 
Services, the Health Resources and Services Admin-
istration, and the Administration on Children and 
Families. 
(2) Any alternative payment model that— 
(A) is designed to improve maternal health 
outcomes for racial and ethnic groups with dis-
proportionate rates of adverse maternal health 
outcomes; 
(B) includes methods for stratifying pa-
tients by pregnancy risk level and, as appro-
priate, adjusting payments under such model to 
take into account pregnancy risk level; 
(C) 
establishes 
evidence-based 
quality 
metrics for such payments; 
(D) includes consideration of non-hospital 
birth settings such as freestanding birth centers 
(as so defined); 
(E) includes consideration of social deter-
minants of health that are relevant to maternal 
health outcomes such as housing, transpor-
tation, nutrition, and other non-clinical factors 
that influence maternal health outcomes; or 
(F) includes diverse maternity care teams 
that include— 
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(i) maternity care providers, including 
obstetrician-gynecologists, 
family 
physi-
cians, physician assistants, midwives who 
meet, at a minimum, the international def-
inition of the term ‘‘midwife’’ and global 
standards for midwifery education (as es-
tablished by the International Confed-
eration of Midwives), and nurse practi-
tioners— 
(I) from racially, ethnically, and 
professionally diverse backgrounds; 
(II) with experience practicing in 
racially and ethnically diverse commu-
nities; or 
(III) 
who 
have 
undergone 
trainings on racism, implicit bias, and 
explicit bias; and 
(ii) non-clinical perinatal health work-
ers such as doulas, community health 
workers, peer supporters, certified lacta-
tion consultants, nutritionists and dieti-
cians, social workers, home visitors, and 
navigators. 
(d) ELIGIBILITY.—To be eligible to participate in the 
Demonstration Project, a State shall submit an applica-
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tion to the Secretary at such time, in such manner, and 
containing such information as the Secretary may require. 
(e) EVALUATION.—The Secretary shall conduct an 
evaluation of the Demonstration Project to determine the 
impact of the Demonstration Project on— 
(1) maternal health outcomes, with data strati-
fied by race, ethnicity, socioeconomic indicators, and 
any other factors as the Secretary determines appro-
priate; 
(2) spending on maternity care by States par-
ticipating in the Demonstration Project; 
(3) to the extent practicable, subjective meas-
ures of patient experience; and 
(4) any other areas of assessment that the Sec-
retary determines relevant. 
(f) REPORT.—Not later than one year after the com-
pletion or termination date of the Demonstration Project, 
the Secretary shall submit to the Committee on Energy 
and Commerce, the Committee on Ways and Means, and 
the Committee on Education and Labor of the House of 
Representatives and the Committee on Finance and the 
Committee on Health, Education, Labor, and Pensions of 
the Senate, and make publicly available, a report con-
taining— 
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(1) the results of any evaluation conducted 
under subsection (e); and 
(2) a recommendation regarding whether the 
Demonstration Project should be continued after fis-
cal year 2026 and expanded on a national basis. 
(g) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated such sums as are nec-
essary to carry out this section. 
(h) DEFINITIONS.—In this section: 
(1) 
ALTERNATIVE
PAYMENT
MODEL.—The 
term ‘‘alternative payment model’’ has the meaning 
given such term in section 1833(z)(3)(C) of the So-
cial Security Act (42 U.S.C. 1395l(z)(3)(C)). 
(2) PERINATAL.—The term ‘‘perinatal’’ means 
the period beginning on the day a woman becomes 
pregnant and ending on the last day of the 1-year 
period beginning on the last day of such woman’s 
pregnancy. 
SEC. 902. MACPAC REPORT. 
Not later than two years after the date of the enact-
ment of this Act, the Medicaid and CHIP Payment and 
Access Commission shall publish a report on issues relat-
ing to the continuity of coverage under State plans under 
title XIX of the Social Security Act (42 U.S.C. 1396 et 
seq.) and State child health plans under title XXI of such 
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Act (42 U.S.C. 1397aa et seq.) for pregnant and 
postpartum women. Such report shall, at a minimum, in-
clude the following: 
(1) An assessment of any existing policies 
under such State plans and such State child health 
plans regarding presumptive eligibility for pregnant 
women while their application for enrollment in such 
a State plan or such a State child health plan is 
being processed. 
(2) An assessment of any existing policies 
under such State plans and such State child health 
plans regarding measures to ensure continuity of 
coverage under such a State plan or such a State 
child health plan for pregnant and postpartum 
women, including such women who need to change 
their health insurance coverage during their preg-
nancy or the postpartum period following their preg-
nancy. 
(3) An assessment of any existing policies 
under such State plans and such State child health 
plans regarding measures to automatically reenroll 
women who are eligible to enroll under such a State 
plan or such a State child health plan as a parent. 
(4) If determined appropriate by the Commis-
sion, any recommendations for the Department of 
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Health and Human Services, or such State plans 
and such State child health plans, to ensure con-
tinuity of coverage under such a State plan or such 
a State child health plan for pregnant and 
postpartum women. 
Æ 
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