,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #aigf  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ad1 #bjac ,ms4 
,pingree of ,maine 7for herself1 ,ms4   
,moore1 ,ms4 ,roybal-,allard1 ,mr4      
,michaud1 ,ms4 ,norton1 ,mr4 ,ellison1  
,mr4 ,grijalva1 and ,mr4 ,keating7      
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce  ,a ,,bill  ,to amend     
title ,,xix of the ,social ,security    
,act to provide access to certified     
professional midwives for women enrolled
 in the ,medicaid program4  #a4 ,short  
title ,this ,act may be cited as the    
,access to ,certified ,professional     
,midwives ,act of #bjac4  #b4           
,requirements for coverage of services  
provided by certified professional      
midwives under ,medicaid  7a7 ,coverage 
of certified professional midwife       
services ,section #aije7;a7 of the      
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7a77 is amended--  7#a7 in       
paragraph 7#bh71 by deleting and at the 

end2  7#b7 by redesignating paragraph   
7#bi7 as paragraph 7#cj72 and  7#c7 by  
inserting after paragraph 7#bh7 the     
following paragraph3  7#bi7 services    
that--  7,a7 are furnished by a         
certified professional midwife 7as      
defined by the ,secretary72 and  7,b7   
the certified professional midwife is   
legally authorized to perform under     
,state law 7or the ,state regulatory    
mechanism provided by ,state law72 and  
4  7b7 ,inclusion in mandatory services 
,section #aijb7;a77#aj77;,a7 of the     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77#aj77;,a77 is amended1 in the
 matter before clause 7i7--  7#a7 by    
striking and before 7#bh72 and  7#b7 by 
inserting 1 and 7#bi7 after 7#bh74  7c7 
,effective date  7#a7 ,in general       
,except as provided in paragraph 7#b71  
the amendments made by this section     
shall take effect on ,january #a1 #bjae4
  7#b7 ,rule for changes requiring      
,state legislation ,in the case of a    
,state plan for medical assistance under

 title ,,xix of the ,social ,security   
,act which the ,secretary of ,health and
 ,human ,services determines requires   
,state legislation 7other than          
legislation appropriating funds7 in     
order for the plan to meet the          
additional requirements imposed by the  
amendments made by this section1 the    
,state plan shall not be regarded as    
failing to comply with the requirements 
of such title solely on the basis of its
 failure to meet these additional       
requirements before the later of the    
following dates3  7,a7 ,the first day of
 the first calendar quarter beginning   
after the close of the first regular    
session of the ,state legislature that  
begins after the date of the enactment  
of this ,act4  7,b7 ,the date in        
paragraph 7#a74  ,for purposes of the   
previous sentence1 in the case of a     
,state that has a #b-year legislative   
session1 each year of such session shall
 be deemed to be a separate regular     
session of the ,state legislature4