,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #facg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #i1 #bjbj,ms4 ,s*ak[sky 7= h]self1 ,ms4 ,und]wood1 ,ms4 ,adams1 ,ms4 ,scanlon1 ,ms4 ,norton1 ,ms4 ,sewell ( ,alabama1 ,mr4 ,khanna1 ,ms4 ,bass1 ,ms4 ,moore1 ,mr4 ,clay1 ,mr4 ,lawson ( ,florida1 & ,ms4 ,pressley7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to require ! ,secret>y ( ,heal? & ,human ,s]vices to e/abli% & implem5t a ,p]9atal ,c>e ,alt]native ,paym5t ,model ,demon/ration ,project1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,innovative ,mat]nal ,paym5t ,& ,cov]age ,to ,save ,moms ,act or ! ,,impact to ,save ,moms ,act ( #bjbj4 #b4 ,p]9atal ,c>e ,alt]native ,paym5t ,model ,demon/ration ,project 7a7 ,9 g5]al ,= ! p]iod ( fiscal ye>s #bjbb ?r\gh #bjbf1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 act+ ?r\gh ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 %all e/abli% & implem5t1 9 accordance ) ! requirem5ts ( ?is section1 a demon/ration project1 to be kn[n z ! ,p]9atal ,c>e ,alt]native ,paym5t ,model ,demon/ration ,project 7ref]r$ to 9 ?is section z ! ,demon/ration ,project71 = purposes ( all[+ ,/ates to te/ paym5t models "u _! ,/ate plans "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 & ,/ate *ild heal? plans "u title ,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig;aa et seq47 ) respect to mat]nity c>e provid$ to pregnant & po/p>tum wom5 enroll$ 9 su* ,/ate plans & ,/ate *ild heal? plans4 7b7 ,coord9ation ,9 e/abli%+ ! ,demon/ration ,project1 ! ,secret>y %all coord9ate ) /akehold]s su* z-- 7#a7 ,/ate ,m$icaid programs2 7#b7 relevant organizations repres5t+ mat]nal heal? c>e provid]s2 7#c7 relevant organizations repres5t+ pati5ts1 ) a p>ticul> focus on wom5 f demographic gr\ps ) disproportionate rates ( adv]se mat]nal heal? outcomes2 7#d7 relevant community-bas$ organizations1 p>ticul>ly organizations t seek to improve mat]nal heal? outcomes = wom5 f demographic gr\ps ) disproportionate rates ( adv]se mat]nal heal? outcomes2 7#e7 non-cl9ical p]9atal heal? work]s su* z d\las1 community heal? work]s1 pe] support]s1 c]tifi$ lactation consultants1 nutritioni/s & dieticians1 social work]s1 home visitors1 & navigators2 7#f7 relevant heal? insurance issu]s2 7#g7 hospitals1 heal? sy/ems1 free/&+ bir? c5t]s 7z su* t]m is def9$ 9 p>agraph 7#c77;,b7 ( section #aije7l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7l7771 f$]ally qualifi$ heal? c5t]s 7z su* t]m is def9$ 9 p>agraph 7#b77;,b7 ( su* section71 & rural heal? cl9ics 7z su* t]m is def9$ 9 section #ahfa7;aa7 ( su* ,act 7#db ,u4,s4,c4 #aciex7aa7772 7#h7 rese>*]s & policy exp]ts 9 fields relat$ to mat]nity c>e paym5t models2 & 7#i7 any o!r /akehold]s z ! ,secret>y det]m9es appropriate1 ) a p>ticul> focus on /akehold]s f demographic gr\ps ) disproportionate rates ( adv]se mat]nal heal? outcomes4 7c7 ,consid]ations ,9 e/abli%+ ! ,demon/ration ,project1 ! ,secret>y %all consid] ea* ( ! foll[+3 7#a7 ,f9d+s f any evaluations ( ! ,/rong ,/>t = ,mo!rs & ,newborns initiative c>ri$ out by ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 & ! ,adm9i/ration on ,*ildr5 & ,families4 7#b7 ,any alt]native paym5t model t-- 7,a7 is design$ to improve mat]nal heal? outcomes = racial & e?nic gr\ps ) disproportionate rates ( adv]se mat]nal heal? outcomes2 7,b7 includes me?ods = /ratify+ pati5ts by pregnancy risk level &1 z appropriate1 adju/+ paym5ts "u su* model to take into acc\nt pregnancy risk level2 7,c7 e/abli%es evid5ce-bas$ quality metrics = su* paym5ts2 7,d7 includes consid]ation ( non-hospital bir? sett+s su* z free/&+ bir? c5t]s 7z s def9$72 7,e7 includes consid]ation ( social det]m9ants ( heal? t are relevant to mat]nal heal? outcomes su* z h\s+1 transportation1 nutrition1 & o!r non-cl9ical factors t influ5ce mat]nal heal? outcomes2 or 7,f7 includes div]se mat]nity c>e teams t include-- 7i7 mat]nity c>e provid]s1 includ+ ob/etrician-gynecologi/s1 family physicians1 physician assi/ants1 midwives :o meet1 at a m9imum1 ! int]national def9ition ( ! t]m midwife & global /&>ds = midwif]y education 7z e/abli%$ by ! ,int]national ,conf$]ation ( ,midwives71 & nurse practition]s-- 7,i7 f racially1 e?nically1 & pr(essionally div]se backgr\nds2 7,,ii7 ) exp]i5ce practic+ 9 racially & e?nically div]se communities2 or 7,,iii7 :o h und]gone tra9+s on racism1 implicit bias1 & explicit bias2 & 7ii7 non-cl9ical p]9atal heal? work]s su* z d\las1 community heal? work]s1 pe] support]s1 c]tifi$ lactation consultants1 nutritioni/s & dieticians1 social work]s1 home visitors1 & navigators4 7d7 ,eligibility ,to be eligible to p>ticipate 9 ! ,demon/ration ,project1 a ,/ate %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7e7 ,evaluation ,! ,secret>y %all conduct an evaluation ( ! ,demon/ration ,project to det]m9e ! impact ( ! ,demon/ration ,project on-- 7#a7 mat]nal heal? outcomes1 ) data /ratifi$ by race1 e?nicity1 socioeconomic indicators1 & any o!r factors z ! ,secret>y det]m9es appropriate2 7#b7 sp5d+ on mat]nity c>e by ,/ates p>ticipat+ 9 ! ,demon/ration ,project2 7#c7 to ! ext5t practicable1 subjective measures ( pati5t exp]i5ce2 & 7#d7 any o!r areas ( assessm5t t ! ,secret>y det]m9es relevant4 7f7 ,report ,n lat] ?an "o ye> aft] ! completion or t]m9ation date ( ! ,demon/ration ,project1 ! ,secret>y %all submit to ! ,committee on ,en]gy & ,comm]ce1 ! ,committee on ,ways & ,means1 & ! ,committee on ,education & ,labor ( ! ,h\se ( ,repres5tatives & ! ,committee on ,f9ance & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & make publicly available1 a report conta9+-- 7#a7 ! results ( any evaluation conduct$ "u subsection 7e72 & 7#b7 a recomm5dation reg>d+ :e!r ! ,demon/ration ,project %\ld be cont9u$ aft] fiscal ye> #bjbf & exp&$ on a national basis4 7g7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ su* sums z are necess>y to c>ry out ?is section4 7h7 ,def9itions ,9 ?is section3 7#a7 ,alt]native paym5t model ,! t]m alt]native paym5t model has ! mean+ giv5 su* t]m 9 section #ahcc7z77#c77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7z77#c77;,c774 7#b7 ,p]9atal ,! t]m p]9atal means ! p]iod beg9n+ on ! day a woman becomes pregnant & end+ on ! la/ day ( ! #a-ye> p]iod beg9n+ on ! la/ day ( su* woman's pregnancy4 #c4 ,,macpac report 7a7 ,9 g5]al ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,m$icaid & ,,*ip ,paym5t & ,access ,commission %all publi% a report on issues relat+ to ! cont9uity ( cov]age "u ,/ate plans "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 & ,/ate *ild heal? plans "u title ,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig;aa et seq47 = pregnant & po/p>tum wom54 ,su* report %all1 at a m9imum1 include ! foll[+3 7#a7 ,an assessm5t ( any exi/+ policies "u su* ,/ate plans & su* ,/ate *ild heal? plans reg>d+ presumptive eligibility = pregnant wom5 :ile _! application = enrollm5t 9 su* a ,/ate plan or su* a ,/ate *ild heal? plan is be+ process$4 7#b7 ,an assessm5t ( any exi/+ policies "u su* ,/ate plans & su* ,/ate *ild heal? plans reg>d+ measures to ensure cont9uity ( cov]age "u su* a ,/ate plan or su* a ,/ate *ild heal? plan = pregnant & po/p>tum wom51 includ+ su* wom5 :o ne$ to *ange _! heal? insurance cov]age dur+ _! pregnancy or ! po/p>tum p]iod foll[+ _! pregnancy4 7#c7 ,an assessm5t ( any exi/+ policies "u su* ,/ate plans & su* ,/ate *ild heal? plans reg>d+ measures to automatically re5roll wom5 :o are eligible to enroll "u su* a ,/ate plan or su* a ,/ate *ild heal? plan z a p>5t4 7#d7 ,if det]m9$ appropriate by ! ,commission1 any recomm5dations = ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 or su* ,/ate plans & su* ,/ate *ild heal? plans1 to ensure cont9uity ( cov]age "u su* a ,/ate plan or su* a ,/ate *ild heal? plan = pregnant & po/p>tum wom54 7b7 ,po/p>tum def9$ ,9 ?is section1 ! t]m po/p>tum means ! #a-ye> p]iod beg9n+ on ! la/ day ( a woman's pregnancy4