,i #aafth ,,congress #ast ,session ,h4 ,r4 #diif ,,in ,,the ,,house ,,of ,,representatives ,november #h1 #bjai,ms4 ,kelly of ,illinois 7for herself1 ,mr4 ,burgess1 ,ms4 ,underwood1 ,mrs4 ,rodgers of ,washington1 ,ms4 ,pressley1 and ,mr4 ,carter of ,georgia7 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 for a ,state option under the ,medicaid program to provide for and extend continuous coverage for certain individuals1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,helping ,medicaid ,offer ,maternity ,services ,act of #bjai or the ,helping ,,moms ,act of #bjai4 #b4 ,state option under ,medicaid program to provide for and extend continuous coverage for certain individuals 7a7 ,state option ,to extend continuous coverage for pregnant and postpartum individuals ,title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 is amended-- 7#a7 in section #aijb7;e77#e71 by inserting after #fj-;day period the following3 or1 at the option of the ,state1 #a-year period2 7#b7 in section #aijb7;e77#f71 by inserting after #fj-;day period the following3 or1 at the option of the ,state1 #a-year period2 7#c7 in section #aijb7l77#a77;,a71 by inserting after #fj-;day period the following3 1 or1 at the option of the ,state1 #a-year period12 7#d7 in section #aijc7v77#d77;,a77i71 by inserting after #fj-;day period the following3 1 or1 at the option of the ,state1 #a-year period12 and 7#e7 in section #aije7;a71 in the fourth sentence in the matter following paragraph 7#cj71 by inserting after #fj-;day period the following3 1 or1 at the option of the ,state1 #a-year period14 7b7 ,state option ,to provide continuous coverage for full benefits for individuals who are or become pregnant ,section #aijb7;e77#f7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7e77#f771 as amended by subsection 7a71 is further amended-- 7#a7 by striking 7#f7 ,in the case of a pregnant woman and inserting 7#f7 7,a7 ,in the case of a pregnant woman 2 and 7#b7 by adding at the end the following3 7,b7 7i7 ,at the option of the ,state1 the ,state plan may provide that an individual who is eligible for medical assistance under the ,state plan 7or a waiver of such plan7 or for child health assistance under title ,,xxi and who is1 or who while so eligible becomes1 pregnant shall continue to be eligible for such medical assistance or child health assistance1 respectively1 through the end of the month in which the #a-year period 7beginning on the last day of such pregnancy7 ends1 regardless of the basis for the individual's eligibility for such medical assistance4 4 7c7 ,increase of ,,fmap ,section #aije is amended by adding at the end the following new subsection3 7gg7 ,temporary increase for certain ,states ,notwithstanding subsection 7b7 or 7z77#b71 in the case of a ,state that makes an election under section #aijb7;e77#f77;,b7 to provide for continuation described in such section1 the ,federal medical assistance percentage for such ,state shall be increased by #e percentage points with respect to medical assistance furnished during such quarter4 ,the previous sentence shall apply only with respect to calendar quarters occurring during #bjbj4 4 7d7 ,application to ,,chip optional coverage of targeted low-,income pregnant women ,section #baab of the ,social ,security ,act 7#db ,u4,s4,c4 #acigll7 is amended-- 7#a7 in subsection 7d77#b77;,a71 by inserting after #fj-;day period the following3 1 or1 at the option of the ,state1 #a-year period2 and 7#b7 in subsection 7f77#b71 by inserting after #fj-;day period the following3 1 or1 at the option of the ,state1 #a-year period4 7e7 ,effective date ,the amendments made by this section shall apply with respect to eligibility determinations for items and services under ,state plans under title ,,xix of the ,social ,security ,act 7or a waiver of such a plan7 7#db ,u4,s4,c4 #acif et seq47 and under ,state child health plans under title ,,xxi 7or waiver of such a plan7 made on or after ,january #a1 #bjbj4 #c4 ,,macpac report 7a7 ,in general ,not later than #a year after the date of the enactment of this ,act1 the ,medicaid and ,,chip ,payment and ,access ,commission 7referred to in this section as ,,macpac7 shall publish a report on the coverage of doula care under ,state ,medicaid programs1 which shall at a minimum include the following3 7#a7 ,information about coverage for doula care under ,state ,medicaid programs that currently provide coverage for such care1 including the type of doula care offered 7such as prenatal1 labor and delivery1 postpartum support1 and also community-based and traditional doula care74 7#b7 ,an analysis of barriers to covering doula care under ,state ,medicaid programs4 7#c7 ,an identification of effective strategies to increase the use of doula care in order to provide better care and achieve better maternal and infant health outcomes1 including strategies that ,states may use to recruit1 train1 and certify a diverse doula workforce1 particularly from underserved communities1 communities of color1 and communities facing linguistic or cultural barriers4 7#d7 ,recommendations for legislative and administrative actions to increase access to doula care in ,state ,medicaid programs1 including actions that ensure doulas may earn a living wage that accounts for their time and costs associated with providing care4 7b7 ,stakeholder consultation ,in developing the report required under subsection 7a71 ,,macpac shall consult with relevant stakeholders1 including-- 7#a7 ,states2 7#b7 organizations representing consumers1 including those that are disproportionately impacted by poor maternal health outcomes2 7#c7 organizations and individuals representing doula care providers1 including community-based doula programs and those who serve underserved communities1 including communities of color1 and communities facing linguistic or cultural barriers2 and 7#d7 organizations representing health care providers4