,,ib ,union ,calendar ,no4 #dbh #aafth ,,congress #b;d ,session ,h4 ,r4 #diif ,report ,no4 #aaf-ebg ,,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 ,september #ba1 #bjbj;,additional sponsors3 ,ms4 ,herrera ,beutler1 ,mr4 ,walden1 ,mr4 ,engel1 ,mrs4 ,hayes1 ,mr4 ,trone1 ,mr4 ,crenshaw1 ,mr4 ,guthrie1 ,mr4 ,ruiz1 ,ms4 ,schakowsky1 ,mr4 ,fitzpatrick1 ,mr4 ,cunningham1 ,ms4 ,norton1 ,mr4 ,larsen of ,washington1 ,mr4 ,clay1 ,mr4 ,mc,govern1 ,ms4 ,kendra ,s4 ,horn of ,oklahoma1 ,ms4 ,finkenauer1 ,mrs4 ,axne1 ,ms4 ,shalala1 ,mr4 ,walberg1 ,mr4 ,mc,eachin1 ,mrs4 ,fletcher1 ,mrs4 ,bustos1 ,mr4 ,van ,drew1 ,ms4 ,jackson ,lee1 ,ms4 ,dean1 ,mr4 ,lamb1 ,mrs4 ,davis of ,california1 ,ms4 ,porter1 ,mrs4 ,napolitano1 and ,ms4 ,houlahan ,september #ba1 #bjbj,reported with an amendment1 committed to the ,committee of the ,whole ,house on the ,state of the ,union1 and ordered to be printed,strike out all after the enacting clause and insert the part printed in italic,for text of introduced bill1 see copy of bill as introduced on ,november #h1 #bjai ,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 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is amended-- 7#a7 in subsection 7b71 in the first sentence1 by striking and 7ff7 and inserting 7ff71 and 7gg72 and 7#b7 by adding at the end the following new subsection3 7gg7 ,specified coverage extension ,states 7#a7 ,in general ,notwithstanding subsection 7b71 beginning ,january #a1 #bjbj1 in the case of a specified coverage extension ,state1 for the initial extension calendar quarters with respect to such ,state1 the ,federal medical assistance percentage that would otherwise apply to the ,state without application of this subsection1 shall be increased by #e percentage points4 7#b7 ,specified coverage extension ,state ,for purposes of this subsection1 the term specified coverage extension ,state means a ,state1 the ,state plan of which has in effect the application of the #a-year period of continuous medical assistance pursuant to each of paragraphs 7#e7 and 7#f7 of section #aijb7;e74 7#c7 ,initial extension calendar quarter ,for purposes of this subsection1 the term initial extension calendar quarter means1 with respect to a ,state1 each calendar quarter occurring in the first fiscal year that the ,state is a specified coverage extension ,state4 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 services under ,state ,medicaid programs1 which shall at a minimum include the following3 7#a7 ,information about coverage for doula services under ,state ,medicaid programs that currently provide coverage for such services1 including the type of doula services offered 7such as prenatal1 labor and delivery1 postpartum support1 and also community-based and traditional doula services74 7#b7 ,an analysis of barriers to covering doula services under ,state ,medicaid programs4 7#c7 ,an identification of effective strategies to increase the use of doula services 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 services 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 services 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 #d4 ,,gao report 7a7 ,in general ,not later than #b years after the date of the enactment of this ,act and every five years thereafter1 the ,comptroller ,general of the ,united ,states shall submit to ,congress a report on the ,state adoption1 under the ,medicaid program under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 and the ,children's ,health ,insurance ,program under title ,,xxi of such ,act1 of extending coverage to #cfe days postpartum pursuant to the provisions of 7and amendments made by this ,act74 ,such report shall include the information and recommendations described in subsection 7b7 and shall also identify ongoing gaps in coverage for-- 7#a7 pregnant women under the ,medicaid program and the ,children's ,health ,insurance ,program2 and 7#b7 postpartum women under the ,medicaid program and the ,children's ,health ,insurance ,program who received assistance under either such program during their pregnancy4 7b7 ,content of report ,the report under subsection 7a7 shall include the following3 7#a7 ,information regarding the extent to which ,states have elected to extend coverage to #cfe days postpartum pursuant to the provisions of 7and amendments made by this ,act71 including which ,states make the election and when1 impacts on perinatal insurance churn in those ,states compared to ,states that did not make such election1 other health impacts of such election including regarding maternal mortality and morbidity rates1 and impacts on ,state and ,federal ,medicaid spending4 7#b7 ,information about the abilities1 successes1 and challenges of ,state ,medicaid agencies in-- 7,a7 transitioning their eligibility systems to incorporate such an election by a ,state and in determining whether pregnant and postpartum women are eligible under another insurance affordability program2 and 7,b7 transitioning any such women who are so eligible to coverage under such a program1 pursuant to section #aidc7;b77#c7 of the ,social ,security ,act 7#db ,u4,s4,c #acifw-#c7;b77#c774 7#c7 ,information on factors contributing to ongoing gaps in coverage resulting from women transitioning from coverage under the ,medicaid program or ,children's ,health ,insurance ,program that disproportionately impact underserved populations1 including low-income women1 women of color1 women who reside in a health professional shortage area 7as defined in section #ccb7;a77#a77;,a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;e7a77#a77;,a7771 or who are members of a medically underserved population 7as defined by section #ccj7;b77#c7 of such ,act 7#db ,u4,s4,c4 #bed;b7b77#c77;,a7774 7#d7 ,recommendations for addressing and reducing such gaps in coverage4 7#e7 ,such other information as the ,comptroller ,general determines appropriate4 #e4 ,report on ,medicaid bundled payments for pregnancy-related services ,not later than #b years after the date of the enactment of this ,act1 the ,medicaid and ,,chip ,payment ,advisory ,commission shall submit to ,congress a report containing an analysis of the use of bundled payments for reimbursing health care providers with respect to pregnancy-related services furnished under ,state plans 7or waivers of such plans7 under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 ,september #ba1 #bjbj,reported with an amendment1 committed to the ,committee of the ,whole ,house on the ,state of the ,union1 and ordered to be printed