,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #cddc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #aa1 #bjbj ,mr4   
,casey introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title ,,xix
 ( ! ,social ,security ,act to provide  
,m$icaid cov]age = all pregnant &       
po/p>tum wom51 to provide cov]age "u !  
,m$icaid program = s]vices provid$ by   
d\las1 midwives1 & lactation            
consultants1 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,improv+ ,cov]age & ,c>e = ,mo!rs ,act4 
#b4 ,ext5d+ ,m$icaid eligibility to all 
pregnant wom5  7a7 ,9 g5]al ,section    
#aije7n77#a7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #acif;d7n77#a77 is am5d$ 
to read z foll[s3  7#a7 a woman :o is   
pregnant & ?r\gh ! end ( ! mon? 9 :i* ! 
#cfe-;day p]iod 7beg9n+ on ! la/ day (  
h] pregnancy7 ends2 &  4  7b7 ,con=m+   
am5dm5ts ,title ,,xix ( ! ,social       
,security ,act 7#db ,u4,s4,c4 #acif et  
seq47 is am5d$--  7#a7 9 section #aijb--

 7,a7 9 subsection 7a77#aj77;,c7--  7i7 
9 clause 7ii71 by /rik+ mu/ make        
available m$ical assi/ance-- & all t    
foll[s ?r\gh individual describ$ 9      
subp>agraph 7,a7 & ins]t+ mu/ make      
available m$ical assi/ance to           
individuals "u ! age ( #ah :o 7b =      
income & res\rces7 w\ld be eligible =   
m$ical assi/ance z an individual        
describ$ 9 subp>agraph 7,a77i72  7ii7 9 
clause 7iii7--  7,i7 by /rik+ mu/       
include 7,i7 ) respect to & ins]t+ mu/  
include1 ) respect to2 &  7,,ii7 by     
/rik+ 2 & 7,,ii7 & all t foll[s ?r\gh   
deliv]y s]vices2  7,b7 9 subsection 7e71
 by /rik+ p>agraph 7#f72  7,c7 9        
subsection 7l77#a77;,a71 by ins]t+ be=e 
,janu>y #a1 #bjbj1 be=e wom5 dur+       
pregnancy2 &  7,d7 9 subsection         
7ii77#a77;,a71 by ins]t+ t 0 9 effect z 
( ,janu>y #a1 #bjbj aft] pregnant wom52 
7#b7 9 section #aibj7;b77#a77;,a71 by   
/rik+ t ! family income & all t foll[s  
?r\gh income level ( eligibility &      
ins]t+ t ! woman is eligible = m$ical   

assi/ance2 &  7#c7 9 section            
#aicg7;a77#b77;,b71 by am5d+ clause 7i7 
to read z foll[s3  7i7 ,qualifi$        
pregnant wom5 ,! individual is a        
qualifi$ pregnant woman 7z def9$ 9      
section #aije7n77#a774  4  #c4 ,ext5d+  
cont9u\s ,m$icaid & ,,*ip cov]age =     
pregnant & po/p>tum wom5  7a7 ,ext5d+   
cont9u\s ,m$icaid & ,,*ip cov]age =     
pregnant & po/p>tum wom5  7#a7 ,m$icaid 
,title ,,xix ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #acif et seq47 is am5d$--
 7,a7 9 section #aijb7;e77#e71 by /rik+ 
#fj-;day p]iod & ins]t+ #cfe-;day p]iod2
  7,b7 9 section #aijb7l77#a77;,a71 by  
/rik+ #fj-;day p]iod & ins]t+ #cfe-;day 
p]iod2  7,c7 9 section                  
#aijc7v77#d77;,a77i71 by /rik+ #fj-;day 
p]iod & ins]t+ #cfe-;day p]iod2 &  7,d7 
9 section #aije7;a71 9 ! #d? s5t5ce 9 ! 
matt] foll[+ p>agraph 7#cj71 by /rik+   
#fj-;day p]iod & ins]t+ #cfe-;day p]iod4
  7#b7 ,,*ip ,section #baab ( ! ,social 
,security ,act 7#db ,u4,s4,c4 #acigll7  
is am5d$ by /rik+ #fj-;day p]iod ea*    

place x appe>s & ins]t+ #cfe-;day p]iod4
  7#c7 ,con=m+ am5dm5t ,section         
#aich7;b77#b77;,c7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acifu-#h7;b77#b77;,c77 is am5d$ by     
/rik+ previ\s #fj days & ins]t+ previ\s 
#cfe days4  7b7 ,requir+ full b5efits = 
pregnant & po/p>tum wom5  7#a7 ,m$icaid 
7,a7 ,9 g5]al ,p>agraph 7#e7 ( section  
#aijb7;e7 ( ! ,social ,security ,act    
7#bd ,u4,s4,c4 #acif;a7e77 is am5d$ to  
read z foll[s3  7#e7 ,any woman :o is   
eligible = m$ical assi/ance "u ! ,/ate  
plan or a waiv] ( su* plan & :o is1 or  
:o :ile s eligible becomes1 pregnant1   
%all cont9ue to be eligible "u ! plan or
 waiv] = m$ical assi/ance ?r\gh ! end ( 
! mon? 9 :i* ! #cfe-;day p]iod 7beg9n+  
on ! la/ day ( h] pregnancy7 ends1      
reg>dless ( ! basis = ! woman's         
eligibility = m$ical assi/ance1 includ+ 
if ! woman's eligibility = m$ical       
assi/ance is on ! basis ( be+ pregnant4 
4  7,b7 ,con=m+ am5dm5t ,section        
#aijb7;a77#aj7 ( ! ,social ,security    

,act 7#db ,u4,s4,c4 #acif;a7a77#aj77 is 
am5d$ 9 ! matt] foll[+ subp>agraph 7,g7 
by /rik+ 7,,vii7 ! m$ical assi/ance &   
all t foll[s ?r\gh complicate           
pregnancy14  7#b7 ,,*ip  7,a7 ,section  
#bajg7;e77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acig;gg7e77#a77 is     
am5d$-- 7i7 by r$esignat+ subp>agraphs  
7,h7 ?r\gh 7,s7 z subp>agraphs 7,i7     
?r\gh 7,t71 respectively2 &  7ii7 by    
ins]t+ aft] subp>agraph 7,g71 ! foll[+3 
7,h7 ,section #aijb7;e77#e7 7requir+    
#cfe-;day cont9u\s cov]age = pregnant & 
po/p>tum wom574  4  7,b7 ,section #baab 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acigll7 is am5d$1 9          
subsections 7d77#b7 & 7f77#b71 by /rik+ 
#fj-;day p]iod ea* place x appe>s &     
ins]t+ #cfe-;day p]iod4  #d4 ,m$icaid   
cov]age ( s]vices provid$ by d\las1     
midwives1 & lactation consultants  7a7  
,9 g5]al ,section #aije ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acif;d7  
is am5d$--  7#a7 9 subsection 7a7-- 7,a7
 9 p>agraph 7#bi71 by /rik+ & at ! end2 

7,b7 by r$esignat+ p>agraph 7#cj7 z     
p>agraph 7#ca72 &  7,c7 by ins]t+ aft]  
p>agraph 7#bi7 ! foll[+ new p>agraph3   
7#cj7 s]vices1 includ+-- 7,a7 pr5atal1  
deliv]y1 po/p>tum1 & lactation consult+ 
s]vices1 provid$ by d\las1 midwives1 &  
lactation consultants 7z ^? t]ms are    
def9$ 9 subsection 7gg77 to ! ext5t     
au?oriz$ "u ,/ate law2 &  7,b7 s]vices  
includ$ 9 ! compon5ts ( po/p>tum c>e    
id5tifi$ by ! ,am]ican ,college (       
,ob/etricians & ,gynecologi/s 9         
,committee ,op9ion ,numb] #gcf publi%$ 9
 ,may ( #bjah 7or any successor op9ion  
or publication72 &  2 &  7#b7 by add+ at
 ! end ! foll[+ new subsection3  7gg7   
,d\las & midwives def9$ ,= purposes (   
subsection 7a77#cj73 7#a7 ,d\las def9$  
,! t]m d\la means an individual :o--    
7,a7 is c]tifi$ by an organization1 :i* 
has be5 e/abli%$ = n less ?an #e ye>s & 
:i* requires ! completion ( cont9u+     
education to ma9ta9 su* c]tification1 to
 provide non-m$ical advice1 in=mation1  
emotional support1 & physical com=t to  

an individual dur+ su* individual's     
pregnancy1 *ildbir?1 & po/p>tum p]iod2 &
  7,b7 ma9ta9s su* c]tification by      
complet+ su* requir$ cont9u+ education4 
7#b7 ,midwives def9$  7,a7 ,9 g5]al ,!  
t]m midwife means a c]tifi$ midwife1    
c]tifi$ pr(essional midwife1 &          
,tribal-recogniz$ midwife4  7,b7        
,c]tifi$ midwife ,= purposes (          
subp>agraph 7,a71 ! t]m c]tifi$ midwife 
means an individual :o is c]tifi$ by !  
,am]ican ,midwif]y ,c]tification ,bo>d  
to practice midwif]y4  7,c7 ,c]tifi$    
pr(essional midwife ,= purposes (       
subp>agraph 7,a71 ! t]m c]tifi$         
pr(essional midwife means an individual 
:o-- 7i7 is c]tifi$ by ! ,nor? ,am]ican 
,regi/ry ( ,midwives to practice        
midwif]y = normal1 l[-risk pregnancies &
 *ildbir?s2  7ii7 completes-- 7,i7 a    
midwif]y education program accr$it$ by !
 ,midwif]y ,education & ,accr$itation   
,c\ncil or any o!r entity recogniz$ by !
 ,dep>tm5t ( ,education2 or  7,,ii7 !   
requirem5ts to obta9 a ,midwif]y ,bridge

 ,c]tificate f ! ,nor? ,am]ican ,regi/ry
 ( ,midwives2 &  7iii7 ma9ta9s !        
c]tification describ$ 9 clause 7i7 by   
complet+ any requir$ cont9u+ education =
 su* c]tification4  7,d7                
,tribal-recogniz$ midwife ,= purposes ( 
subp>agraph 7,a71 ! t]m                 
,tribal-recogniz$ midwife means an      
individual :o is recogniz$ by an ,indian
 tribe 7z def9$ 9 section #d ( ! ,indian
 ,heal? ,c>e ,improvem5t ,act7 to       
practice midwif]y = su* tribe4  7#c7    
,lactation consultant def9$ ,! t]m      
lactation consultant means an individual
 :o is a speciali/ :o--  7,a7 is tra9$  
to-- 7i7 focus on ! ne$s & conc]ns ( a  
brea/fe$+ "m & baby2 &  7ii7 prev5t1    
recognize1 & solve brea/fe$+            
difficulties2  7,b7 is c]tifi$ by an    
organization1 :i* has be5 e/abli%$ = n  
less ?an #e ye>s & :i* requires !       
completion ( cont9u+ education to ma9ta9
 su* c]tification1 to provide lactation 
consult+ s]vices2 &  7,c7 ma9ta9s su*   
c]tification by complet+ su* requir$    

cont9u+ education4  4  7b7 ,requir+     
m&atory cov]age "u ,/ate plan ,section  
#aijb7;a77#aj77;,a7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#aj77;,a77 is am5d$1 9 !     
matt] prec$+ clause 7i71 by /rik+ &     
7#bi7 & ins]t+ 7#bi71 & 7#cj74  #e4     
,increas$ ,,fmap = additional           
exp5ditures ,section #aije ( ! ,social  
,security ,act 7#db ,u4,s4,c4 #acif;d71 
z am5d$ by section #d1 is fur!r am5d$-- 
7#a7 9 subsection 7b71 by /rik+ & 7ff7 &
 ins]t+ 7ff71 & 7hh72 &  7#b7 by add+ at
 ! end ! foll[+3  7hh7 ,increas$ ,,fmap 
= additional exp5ditures = m$ical       
assi/ance to pregnant & po/p>tum wom5 ,=
 cal5d> qu>t]s beg9n+ on or aft] ,janu>y
 #a1 #bjba1 not)/&+ subsection 7b71 !   
,f$]al m$ical assi/ance p]c5tage = a    
,/ate1 ) respect to ! additional am\nts 
exp5d$ by su* ,/ate = m$ical assi/ance  
"u ! ,/ate plan "u ?is title or a waiv] 
( su* plan t are attributable to        
requirem5ts impos$ by ! am5dm5ts made by
 ! ,improv+ ,cov]age & ,c>e = ,mo!rs    

,act 7z det]m9$ by ! ,secret>y71 %all be
 equal to #ajj p]c5t4  4  #f4 ,effective
 date  7a7 ,9 g5]al ,subject to         
subsection 7b71 ! am5dm5ts made by ?is  
,act %all apply ) respect to m$ical     
assi/ance furni%$ on or aft] ,janu>y #a1
 #bjba4  7b7 ,exception = ,/ate         
legislation ,9 ! case ( a ,/ate plan "u 
title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acif et seq47 t !       
,secret>y ( ,heal? & ,human ,s]vices    
det]m9es requires ,/ate legislation 9   
ord] = ! respective plan to meet any    
requirem5t impos$ by am5dm5ts made by   
?is section1 ! respective plan %all n be
 reg>d$ z fail+ to comply ) !           
requirem5ts ( su* title solely on !     
basis ( its failure to meet su* an      
additional requirem5t be=e ! fir/ day ( 
! fir/ cal5d> qu>t] beg9n+ aft] ! close 
( ! fir/ regul> session ( ! ,/ate       
legislature t beg9s aft] ! date ( !     
enactm5t ( ?is ,act4 ,= purposes ( !    
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (

 ! session %all be consid]$ to be a     
sep>ate regul> session ( ! ,/ate        
legislature4