,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #bibb  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #bb1      
#bjah,ms4 ,stabenow 7for herself1 ,mr4  
,heller1 ,mr4 ,brown1 ,mr4 ,carper1 and 
,mr4 ,whitehouse7 introduced the        
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to amend title ,,xix of the 
,social ,security ,act to help improve  
access to care for pregnant and         
postpartum women receiving substance use
 disorder treatment1 including for      
opioid use disorders1 in an institution 
for mental diseases4  #a4 ,short title  
,this ,act may be cited as the ,help for
 ,moms and ,babies ,act4  #b4 ,medicaid 
coverage protection for pregnant and    
postpartum women seeking care for       
substance use disorder in an institution
 for mental diseases  7a7 ,medicaid     
,state plan ,section #aije7;a7 of the   
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7a77 is amended by adding at the 
end the following new sentence3 ,in the 

case of a woman who is eligible for     
medical assistance on the basis of being
 pregnant 7including through the end of 
the month in which the #fj-;day period  
beginning on the last day of her        
pregnancy ends71 who is a patient in an 
institution for mental diseases for     
purposes of receiving treatment for a   
substance use disorder1 and who was     
enrolled for medical assistance under   
the ,state plan immediately before      
becoming a patient in an institution for
 mental diseases or who becomes eligible
 to enroll for such medical assistance  
while such a patient1 the exclusion from
 the definition of medical assistance   
set forth in the subdivision 7,b7       
following paragraph 7#bi7 of the first  
sentence of this subsection shall not be
 construed as prohibiting ,federal      
financial participation for medical     
assistance for items or services that   
are provided to the woman outside of the
 institution44  7b7 ,effective date     
7#a7 ,in general ,except as provided in 

paragraph 7#b71 the amendment made by   
subsection 7a7 shall take effect on the 
date of enactment of this ,act4  7#b7   
,rule for changes requiring ,state      
legislation ,in the case of a ,state    
plan 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  
amendment made by subsection 7a71 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 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 ,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