,,ib ,union ,cal5d> ,no4 #dbh #aaf? ,,congress #b;d ,session ,h4 ,r4 #diif ,report ,no4 #aaf-ebg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,novemb] #h1 #bjai,ms4 ,kelly ( ,ill9ois 7= h]self1 ,mr4 ,burgess1 ,ms4 ,und]wood1 ,mrs4 ,rodg]s ( ,wa%+ton1 ,ms4 ,pressley1 & ,mr4 ,c>t] ( ,georgia7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,septemb] #ba1 #bjbj;,additional sponsors3 ,ms4 ,h]r]a ,beutl]1 ,mr4 ,wald51 ,mr4 ,engel1 ,mrs4 ,hayes1 ,mr4 ,trone1 ,mr4 ,cr5%aw1 ,mr4 ,gu?rie1 ,mr4 ,ruiz1 ,ms4 ,s*ak[sky1 ,mr4 ,fitzpatrick1 ,mr4 ,cunn+ham1 ,ms4 ,norton1 ,mr4 ,l>s5 ( ,wa%+ton1 ,mr4 ,clay1 ,mr4 ,mc,govern1 ,ms4 ,k5dra ,s4 ,horn ( ,oklahoma1 ,ms4 ,f9k5au]1 ,mrs4 ,axne1 ,ms4 ,%alala1 ,mr4 ,walb]g1 ,mr4 ,mc,eachin1 ,mrs4 ,flet*]1 ,mrs4 ,bu/os1 ,mr4 ,van ,drew1 ,ms4 ,jackson ,lee1 ,ms4 ,dean1 ,mr4 ,lamb1 ,mrs4 ,davis ( ,cali=nia1 ,ms4 ,port]1 ,mrs4 ,napolitano1 & ,ms4 ,h\lahan ,septemb] #ba1 #bjbj,report$ ) an am5dm5t1 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union1 & ord]$ to be printed,strike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic,for text ( introduc$ bill1 see copy ( bill z introduc$ on ,novemb] #h1 #bjai ,a ,,bill ,to am5d title ,,xix ( ! ,social ,security ,act to provide = a ,/ate option "u ! ,m$icaid program to provide = & ext5d cont9u\s cov]age = c]ta9 individuals1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,help+ ,m$icaid ,(f] ,mat]nity ,s]vices ,act ( #bjai or ! ,help+ ,,moms ,act ( #bjai4 #b4 ,/ate option "u ,m$icaid program to provide = & ext5d cont9u\s cov]age = c]ta9 individuals 7a7 ,/ate option ,to ext5d cont9u\s cov]age = pregnant & po/p>tum individuals ,title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 is am5d$-- 7#a7 9 section #aijb7;e77#e71 by ins]t+ aft] #fj-;day p]iod ! foll[+3 or1 at ! option ( ! ,/ate1 #a-ye> p]iod2 7#b7 9 section #aijb7;e77#f71 by ins]t+ aft] #fj-;day p]iod ! foll[+3 or1 at ! option ( ! ,/ate1 #a-ye> p]iod2 7#c7 9 section #aijb7l77#a77;,a71 by ins]t+ aft] #fj-;day p]iod ! foll[+3 1 or1 at ! option ( ! ,/ate1 #a-ye> p]iod12 7#d7 9 section #aijc7v77#d77;,a77i71 by ins]t+ aft] #fj-;day p]iod ! foll[+3 1 or1 at ! option ( ! ,/ate1 #a-ye> p]iod12 & 7#e7 9 section #aije7;a71 9 ! f\r? s5t5ce 9 ! matt] foll[+ p>agraph 7#cj71 by ins]t+ aft] #fj-;day p]iod ! foll[+3 1 or1 at ! option ( ! ,/ate1 #a-ye> p]iod14 7b7 ,/ate option ,to provide cont9u\s cov]age = full b5efits = individuals :o are or become pregnant ,section #aijb7;e77#f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7e77#f771 z am5d$ by subsection 7a71 is fur!r am5d$-- 7#a7 by /rik+ 7#f7 ,9 ! case ( a pregnant woman & ins]t+ 7#f7 7,a7 ,9 ! case ( a pregnant woman 2 & 7#b7 by add+ at ! end ! foll[+3 7,b7 7i7 ,at ! option ( ! ,/ate1 ! ,/ate plan may provide t an individual :o is eligible = m$ical assi/ance "u ! ,/ate plan 7or a waiv] ( su* plan7 or = *ild heal? assi/ance "u title ,,xxi & :o is1 or :o :ile s eligible becomes1 pregnant %all cont9ue to be eligible = su* m$ical assi/ance or *ild heal? assi/ance1 respectively1 ?r\gh ! end ( ! mon? 9 :i* ! #a-ye> p]iod 7beg9n+ on ! la/ day ( su* pregnancy7 ends1 reg>dless ( ! basis = ! individual's eligibility = su* m$ical assi/ance4 4 7c7 ,increase ( ,,fmap ,section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 7#a7 9 subsection 7b71 9 ! fir/ s5t5ce1 by /rik+ & 7ff7 & ins]t+ 7ff71 & 7gg72 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7gg7 ,specifi$ cov]age ext5sion ,/ates 7#a7 ,9 g5]al ,not)/&+ subsection 7b71 beg9n+ ,janu>y #a1 #bjbj1 9 ! case ( a specifi$ cov]age ext5sion ,/ate1 = ! initial ext5sion cal5d> qu>t]s ) respect to su* ,/ate1 ! ,f$]al m$ical assi/ance p]c5tage t w\ld o!rwise apply to ! ,/ate )\t application ( ?is subsection1 %all be increas$ by #e p]c5tage po9ts4 7#b7 ,specifi$ cov]age ext5sion ,/ate ,= purposes ( ?is subsection1 ! t]m specifi$ cov]age ext5sion ,/ate means a ,/ate1 ! ,/ate plan ( :i* has 9 effect ! application ( ! #a-ye> p]iod ( cont9u\s m$ical assi/ance pursuant to ea* ( p>agraphs 7#e7 & 7#f7 ( section #aijb7;e74 7#c7 ,initial ext5sion cal5d> qu>t] ,= purposes ( ?is subsection1 ! t]m initial ext5sion cal5d> qu>t] means1 ) respect to a ,/ate1 ea* cal5d> qu>t] occurr+ 9 ! fir/ fiscal ye> t ! ,/ate is a specifi$ cov]age ext5sion ,/ate4 4 7d7 ,application to ,,*ip optional cov]age ( t>get$ l[-,income pregnant wom5 ,section #baab ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigll7 is am5d$-- 7#a7 9 subsection 7d77#b77;,a71 by ins]t+ aft] #fj-;day p]iod ! foll[+3 1 or1 at ! option ( ! ,/ate1 #a-ye> p]iod2 & 7#b7 9 subsection 7f77#b71 by ins]t+ aft] #fj-;day p]iod ! foll[+3 1 or1 at ! option ( ! ,/ate1 #a-ye> p]iod4 7e7 ,effective date ,! am5dm5ts made by ?is section %all apply ) respect to eligibility det]m9ations = items & s]vices "u ,/ate plans "u title ,,xix ( ! ,social ,security ,act 7or a waiv] ( su* a plan7 7#db ,u4,s4,c4 #acif et seq47 & "u ,/ate *ild heal? plans "u title ,,xxi 7or waiv] ( su* a plan7 made on or aft] ,janu>y #a1 #bjbj4 #c4 ,,macpac report 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,m$icaid & ,,*ip ,paym5t & ,access ,commission 7ref]r$ to 9 ?is section z ,,macpac7 %all publi% a report on ! cov]age ( d\la s]vices "u ,/ate ,m$icaid programs1 :i* %all at a m9imum include ! foll[+3 7#a7 ,in=mation ab\t cov]age = d\la s]vices "u ,/ate ,m$icaid programs t curr5tly provide cov]age = su* s]vices1 includ+ ! type ( d\la s]vices (f]$ 7su* z pr5atal1 labor & deliv]y1 po/p>tum support1 & also community-bas$ & traditional d\la s]vices74 7#b7 ,an analysis ( b>ri]s to cov]+ d\la s]vices "u ,/ate ,m$icaid programs4 7#c7 ,an id5tification ( effective /rategies to increase ! use ( d\la s]vices 9 ord] to provide bett] c>e & a*ieve bett] mat]nal & infant heal? outcomes1 includ+ /rategies t ,/ates may use to recruit1 tra91 & c]tify a div]se d\la work=ce1 p>ticul>ly f und]s]v$ communities1 communities ( color1 & communities fac+ l+ui/ic or cultural b>ri]s4 7#d7 ,recomm5dations = legislative & adm9i/rative actions to increase access to d\la s]vices 9 ,/ate ,m$icaid programs1 includ+ actions t ensure d\las may e>n a liv+ wage t acc\nts = _! "t & co/s associat$ ) provid+ c>e4 7b7 ,/akehold] consultation ,9 develop+ ! report requir$ "u subsection 7a71 ,,macpac %all consult ) relevant /akehold]s1 includ+-- 7#a7 ,/ates2 7#b7 organizations repres5t+ consum]s1 includ+ ^? t are disproportionately impact$ by poor mat]nal heal? outcomes2 7#c7 organizations & individuals repres5t+ d\la s]vices provid]s1 includ+ community-bas$ d\la programs & ^? :o s]ve und]s]v$ communities1 includ+ communities ( color1 & communities fac+ l+ui/ic or cultural b>ri]s2 & 7#d7 organizations repres5t+ heal? c>e provid]s4 #d4 ,,gao report 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act & e five ye>s !reaft]1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report on ! ,/ate adoption1 "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 & ! ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi ( su* ,act1 ( ext5d+ cov]age to #cfe days po/p>tum pursuant to ! provisions ( 7& am5dm5ts made by ?is ,act74 ,su* report %all include ! in=mation & recomm5dations describ$ 9 subsection 7b7 & %all also id5tify ongo+ gaps 9 cov]age =-- 7#a7 pregnant wom5 "u ! ,m$icaid program & ! ,*ildr5's ,heal? ,insurance ,program2 & 7#b7 po/p>tum wom5 "u ! ,m$icaid program & ! ,*ildr5's ,heal? ,insurance ,program :o receiv$ assi/ance "u ei!r su* program dur+ _! pregnancy4 7b7 ,cont5t ( report ,! report "u subsection 7a7 %all include ! foll[+3 7#a7 ,in=mation reg>d+ ! ext5t to :i* ,/ates h elect$ to ext5d cov]age to #cfe days po/p>tum pursuant to ! provisions ( 7& am5dm5ts made by ?is ,act71 includ+ :i* ,/ates make ! election & :51 impacts on p]9atal insurance *urn 9 ^? ,/ates comp>$ to ,/ates t did n make su* election1 o!r heal? impacts ( su* election includ+ reg>d+ mat]nal mortality & morbidity rates1 & impacts on ,/ate & ,f$]al ,m$icaid sp5d+4 7#b7 ,in=mation ab\t ! abilities1 successes1 & *all5ges ( ,/ate ,m$icaid ag5cies 9-- 7,a7 transition+ _! eligibility sy/ems to incorporate su* an election by a ,/ate & 9 det]m9+ :e!r pregnant & po/p>tum wom5 are eligible "u ano!r insurance af=dability program2 & 7,b7 transition+ any su* wom5 :o are s eligible to cov]age "u su* a program1 pursuant to section #aidc7;b77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c #acifw-#c7;b77#c774 7#c7 ,in=mation on factors contribut+ to ongo+ gaps 9 cov]age result+ f wom5 transition+ f cov]age "u ! ,m$icaid program or ,*ildr5's ,heal? ,insurance ,program t disproportionately impact und]s]v$ populations1 includ+ l[-income wom51 wom5 ( color1 wom5 :o reside 9 a heal? pr(essional %ortage area 7z def9$ 9 section #ccb7;a77#a77;,a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;e7a77#a77;,a7771 or :o are memb]s ( a m$ically und]s]v$ population 7z def9$ by section #ccj7;b77#c7 ( su* ,act 7#db ,u4,s4,c4 #bed;b7b77#c77;,a7774 7#d7 ,recomm5dations = address+ & r$uc+ su* gaps 9 cov]age4 7#e7 ,su* o!r in=mation z ! ,comptroll] ,g5]al det]m9es appropriate4 #e4 ,report on ,m$icaid bundl$ paym5ts = pregnancy-relat$ s]vices ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,m$icaid & ,,*ip ,paym5t ,advisory ,commission %all submit to ,congress a report conta9+ an analysis ( ! use ( bundl$ paym5ts = reimburs+ heal? c>e provid]s ) respect to pregnancy-relat$ s]vices furni%$ "u ,/ate plans 7or waiv]s ( su* plans7 "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 ,septemb] #ba1 #bjbj,report$ ) an am5dm5t1 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union1 & ord]$ to be pr9t$