I 
118TH CONGRESS 
1ST SESSION H. R. 2480 
To direct the Secretary of Health and Human Services to issue guidance 
on coverage under the Medicaid program under title XIX of the Social 
Security Act of certain pelvic health services furnished during the 
postpartum period, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 6, 2023 
Mr. BACON (for himself, Ms. BLUNT ROCHESTER, Ms. SEWELL, Mrs. 
GONZA´LEZ-COLO´N, Ms. WILD, and Mr. FITZPATRICK) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce 
A BILL 
To direct the Secretary of Health and Human Services to 
issue guidance on coverage under the Medicaid program 
under title XIX of the Social Security Act of certain 
pelvic health services furnished during the postpartum 
period, and for other purposes. 
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 ‘‘Optimizing 
Postpartum Outcomes Act of 2023’’. 
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SEC. 2. CMS GUIDANCE. 
(a) IN GENERAL.—Not later than 1 year after the 
date of the enactment of this Act, the Secretary of Health 
and Human Services shall issue guidance on coverage 
under State plans (or waivers of such plans) under the 
Medicaid program under title XIX of the Social Security 
Act (42 U.S.C. 1396 et seq.) or State child health plans 
(or waivers of such plans) under the Children’s Health In-
surance Program under title XXI of such Act (42 U.S.C. 
1397aa et seq.) of covered pelvic health services furnished 
during the prenatal or postpartum period. Such guidance 
shall include— 
(1) best practices from States with respect to 
innovative or evidenced-based payment models to in-
crease access to covered pelvic health services; 
(2) recommendations for States on available fi-
nancing options under— 
(A) the Medicaid program under title XIX 
of such Act (42 U.S.C. 1396 et seq.); and 
(B) the Children’s Health Insurance Pro-
gram under title XXI of such Act (42 U.S.C. 
1397aa et seq.), specifically funds made avail-
able through a Children’s Health Insurance 
Program Health Services Initiative; 
(3) guidance and technical assistance to State 
agencies responsible for administering State plans 
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(or waivers of such plans) under the Medicaid pro-
gram under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.) regarding additional flexibilities 
and incentives related to screening and referral for, 
and access to, covered pelvic health services; and 
(4) guidance regarding suggested terminology 
and diagnosis codes, such as the International Clas-
sification of Diseases code set, to identify women 
with pelvic floor dysfunction and disorders. 
(b) GAO STUDY.—Not later than 1 year after the 
date of the enactment of this Act, the Comptroller General 
of the United States shall conduct a study on, and submit 
to Congress a report that addresses, gaps in coverage 
for— 
(1) covered pelvic health services under State 
plans (or waivers of such plans) under the Medicaid 
program under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.) for postpartum women; 
and 
(2) other services for postpartum women who 
received medical assistance under a State plan (or a 
waiver of such plan) under the Medicaid program 
under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.) during their pregnancy. 
(c) DEFINITIONS.—In this section: 
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