,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #aigf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ad1 #bjac ,ms4  
,p+ree ( ,ma9e 7= h]self1 ,ms4 ,moore1  
,ms4 ,roybal-,all>d1 ,mr4 ,mi*aud1 ,ms4 
,norton1 ,mr4 ,ellison1 ,mr4 ,grijalva1 
& ,mr4 ,keat+7 introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d title    
,,xix ( ! ,social ,security ,act to     
provide access to c]tifi$ pr(essional   
midwives = wom5 enroll$ 9 ! ,m$icaid    
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,access to ,c]tifi$         
,pr(essional ,midwives ,act ( #bjac4    
#b4 ,requirem5ts = cov]age ( s]vices    
provid$ by c]tifi$ pr(essional midwives 
"u ,m$icaid  7a7 ,cov]age ( c]tifi$     
pr(essional midwife s]vices ,section    
#aije7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;d7a77 is am5d$--   
7#a7 9 p>agraph 7#bh71 by delet+ & at ! 
end2  7#b7 by r$esignat+ p>agraph 7#bi7 
z p>agraph 7#cj72 &  7#c7 by ins]t+ aft]
 p>agraph 7#bh7 ! foll[+ p>agraph3      

7#bi7 s]vices t--  7,a7 are furni%$ by a
 c]tifi$ pr(essional midwife 7z def9$ by
 ! ,secret>y72 &  7,b7 ! c]tifi$        
pr(essional midwife is legally au?oriz$ 
to p]=m "u ,/ate law 7or ! ,/ate        
regulatory me*anism provid$ by ,/ate    
law72 &  4  7b7 ,inclusion 9 m&atory    
s]vices ,section #aijb7;a77#aj77;,a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acif;a7a77#aj77;,a77 is am5d$1 9 !     
matt] be=e clause 7i7--  7#a7 by /rik+ &
 be=e 7#bh72 &  7#b7 by ins]t+ 1 & 7#bi7
 aft] 7#bh74  7c7 ,effective date  7#a7 
,9 g5]al ,except z provid$ 9 p>agraph   
7#b71 ! am5dm5ts made by ?is section    
%all take effect on ,janu>y #a1 #bjae4  
7#b7 ,rule = *anges requir+ ,/ate       
legislation ,9 ! case ( a ,/ate plan =  
m$ical assi/ance "u title ,,xix ( !     
,social ,security ,act :i* ! ,secret>y (
 ,heal? & ,human ,s]vices det]m9es      
requires ,/ate legislation 7o!r ?an     
legislation appropriat+ funds7 9 ord] = 
! plan to meet ! additional requirem5ts 
impos$ by ! am5dm5ts made by ?is        

section1 ! ,/ate plan %all n be reg>d$ z
 fail+ to comply ) ! requirem5ts ( su*  
title solely on ! basis ( its failure to
 meet ^! additional requirem5ts be=e !  
lat] ( ! foll[+ dates3  7,a7 ,! fir/ day
 ( ! fir/ cal5d> qu>t] beg9n+ aft] !    
close ( ! fir/ regul> session ( ! ,/ate 
legislature t beg9s aft] ! date ( !     
enactm5t ( ?is ,act4  7,b7 ,! date 9    
p>agraph 7#a74  ,= purposes ( ! previ\s 
s5t5ce1 9 ! case ( a ,/ate t has a      
#b-ye> legislative session1 ea* ye> (   
su* session %all be deem$ to be a       
sep>ate regul> session ( ! ,/ate        
legislature4