I 
119TH CONGRESS 
1ST SESSION H. R. 4150 
To amend title XIX of the Social Security Act to provide a higher Federal 
matching rate for increased expenditures under Medicaid for maternal 
health care services. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 25, 2025 
Ms. WILLIAMS of Georgia (for herself, Ms. BONAMICI, Ms. CHU, Ms. NORTON, 
Mr. HUFFMAN, Ms. MCCLELLAN, Ms. MOORE of Wisconsin, Ms. ROSS, 
Ms. SEWELL, Ms. STANSBURY, Ms. TLAIB, Ms. WASSERMAN SCHULTZ, 
Ms. STRICKLAND, Mr. MORELLE, and Mr. KENNEDY of New York) 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 
a higher Federal matching rate for increased expendi-
tures under Medicaid for maternal health care services. 
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 ‘‘Advancing Maternal 
Health Equity Under Medicaid Act’’. 
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SEC. 2. HIGHER FMAP FOR INCREASED EXPENDITURES 
UNDER MEDICAID FOR MATERNAL HEALTH 
SERVICES. 
Section 1903 of the Social Security Act (42 U.S.C. 
1396b) is amended— 
(1) in subsection (a)(5)— 
(A) by striking ‘‘an amount equal’’ and in-
serting ‘‘(A) an amount equal’’; and 
(B) by adding at the end the following: 
‘‘and 
‘‘(B) for calendar quarters beginning on or 
after January 1 of the year beginning after one 
year after the date of the enactment of this 
subparagraph, an amount equal to 90 percent 
of the amounts by which— 
‘‘(i) the sum of the amounts expended 
which are attributable to the offering, ar-
ranging, and furnishing (directly or on a 
contract basis) under the State plan (or 
waiver of the plan) of maternal health care 
services 
(as 
described 
in 
subsection 
(b)(6)(B)) for such quarter, exceeds 
‘‘(ii) the sum of the amounts ex-
pended which are attributable to the offer-
ing, arranging, and furnishing (directly or 
on a contract basis) under the State plan 
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(or waiver of the plan) of such services for 
the corresponding quarter in the four-quar-
ter period ending on December 31, 2019, 
plus’’; and 
(2) in subsection (b), by adding at the end the 
following new paragraph: 
‘‘(6) ACCOUNTABILITY AND MAINTENANCE OF 
EFFORT REQUIREMENTS FOR ADDITIONAL FEDERAL 
FUNDING FOR INCREASED EXPENDITURES FOR MA-
TERNAL HEALTH CARE SERVICES.— 
‘‘(A) IN GENERAL.—As conditions for re-
ceiving the funds the Secretary is otherwise ob-
ligated to pay to a State under subsection 
(a)(5)(B), a State shall meet the following re-
quirements: 
‘‘(i) SUPPLEMENT, NOT SUPPLANT.— 
The State shall use the funds received 
under such subsection to supplement, not 
supplant, the level of State funds expended 
for the offering, arranging, and furnishing 
(directly or on a contract basis) under the 
State plan (or under a waiver of the plan) 
of maternal health care services (as de-
scribed in subparagraph (B)) through pro-
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grams and activities in effect as of Janu-
ary 1, 2023. 
‘‘(ii) USE OF FUNDS FOR ACTIVITIES 
THAT IMPROVE DELIVERY OF MATERNAL 
HEALTH CARE SERVICES.—The State shall 
use the funds received under such sub-
section for activities that increase the ca-
pacity, efficiency, and quality in the provi-
sion of maternal health care services. 
‘‘(B) DEFINITIONS.—For purposes of this 
paragraph and subsection (a)(5)(B): 
‘‘(i) MATERNAL HEALTH CARE SERV-
ICES.—Maternal health care services de-
scribed in this subparagraph are services 
furnished by a maternity care provider or 
perinatal health worker, such as the fol-
lowing: 
‘‘(I) Prenatal, labor and delivery, 
and postpartum health care services 
that are furnished in a licensed and 
accredited hospital, birth center, mid-
wifery practice, or other health care 
practice that provides prenatal serv-
ices, labor and delivery services, and 
postpartum services. 
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‘‘(II) Telehealth services during 
the prenatal and postpartum periods. 
‘‘(III) Home visiting services dur-
ing the prenatal and postpartum peri-
ods. 
‘‘(IV) Mental or behavioral health 
care services for individuals during 
the prenatal and postpartum periods. 
‘‘(ii) MATERNITY CARE PROVIDER.— 
The term ‘maternity care provider’ means 
a health care provider who— 
‘‘(I) is a physician, physician as-
sistant, midwife who meets at a min-
imum the international definition of 
the midwife and global standards for 
midwifery education as established by 
the International Confederation of 
Midwives, nurse practitioner, or clin-
ical nurse specialist; and 
‘‘(II) has a focus on maternal or 
perinatal health. 
‘‘(iii) PERINATAL HEALTH WORKER.— 
The term ‘perinatal health worker’ means 
a 
doula, 
community 
health 
worker, 
breastfeeding and lactation educator or 
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counselor, nutritionist or dietitian, child-
birth educator, social worker, home visitor, 
or language interpreter. 
‘‘(iv) POSTPARTUM AND POSTPARTUM 
PERIOD.—The terms ‘postpartum’ and 
‘postpartum period’ each refer to the 1- 
year period beginning on the last day of 
the pregnancy of an individual.’’. 
Æ 
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