The American Rescue Plan gave states the option to offer 12 months of postpartum Medicaid coverage, instead of having the mother's coverage end two months after the baby is born, but this provision was only valid for five years. As of early 2023, Washington DC and 28 states had already implemented this provision, and six more planned to do so. The Consolidated Appropriations Act, 2023 makes this option permanent for states, instead of just a five-year program. It's not a requirement that states offer 12 months of postpartum coverage, but it's likely that more states will offer this now that the program has been made permanent. Several states have legislation to this effect under consideration in the 2023 legislative session.