,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #beih  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #ae1 #bjba ,ms4
 ,pressley introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,en]gy &    
,comm]ce1 & 9 addition to ! ,committees 
on ,ways & ,means1 & ,education &       
,labor1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d title ,,xviii1 ,,xix1 
& ,,xxi ( ! ,social ,security ,act &    
title ,,xxvii ( ! ,public ,heal? ,s]vice
 ,act to exp& access to mat]nal heal?   
c>e1 & = o!r purposes4  #a4 ,%ort title 
,?is ,act may be cit$ z ! ,,covid-#ai   
,safe ,bir?+ ,act4  #b4 ,exp&+ access to
 mat]nal c>e 9 hospitals ,section       
#ahff7;a77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;cc7a77#a77 is     
am5d$--  7#a7 9 subp>agraph 7,x71 by    
/rik+ at ! end &2  7#b7 9 subp>agraph   
7,y77ii77,v71 by /rik+ ! p]iod at ! end 
& ins]t+ 2 &2 &  7#c7 by ins]t+ aft]    

subp>agraph 7,y77ii77,v71 ! foll[+ new  
subp>agraph3  7,z7 beg9n+ #cj days aft] 
! date ( enactm5t ( ?is subp>agraph1 9 !
 case ( a hospital--  7i7 to require t  
su* hospital p]mits a pregnant or bir?+ 
p]son to be accompani$ by an individual 
( ! pregnant or bir?+ p]son's *oos+ 79  
addition to a d\la or o!r p]9atal heal? 
work]7 dur+ labor1 deliv]y1 & recov]y2 )
 necess>y1 evid5ce bas$1 &              
non-discrim9atory exceptions2  7ii7 to  
require t su* hospital does n implem5t  
any policies t re/rict hospital access  
or bir?+ options = pregnant or bir?+    
p]sons1 unless su* policies are         
necess>y1 evid5ce-bas$1 communicat$ to !
 pati5t )\t ?reat or intimidation1 &    
appli$ )\t discrim9ation on ! basis (   
race1 g5d] id5tity1 socio-economic      
/atus1 religion1 sexual ori5tation1     
m>ital /atus1 age1 disability1 national 
orig91 & immigration /atus2 &  7iii7 )  
respect to ! c>e ( a pregnant or bir?+  
p]son1 to require ! communication ( &   
in=m$ cons5t 7)\t ?reat or intimidation7

 to ! implem5tation ( policies pursuant 
to clause 7ii7 by ! pregnant or bir?+   
p]son1 9 accordance ) cons5t protocols (
 ! hospital 9 ! case ( inability ( a    
p]son to provide cons5t4  4  #c4 ,exp&+ 
,m$ic>e & ,m$icaid cov]age ( teleheal?  
s]vices t are mat]nal heal? c>e s]vices 
7a7 ,removal ( c]ta9 ,m$ic>e requirem5ts
 = mat]nal heal? c>e s]vices ,section   
#ahcd7m7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciem7m77 is am5d$--  7#a7 9
 p>agraph 7#d77;,c77i71 by /rik+        
p>agraphs 7#e71 7#f71 & 7#g7 & ins]t+   
p>agraphs 7#e71 7#f71 7#g71 & 7#i72 &   
7#b7 by add+ at ! end ! foll[+ new      
p>agraph3  7#i7 ,treatm5t ( mat]nity    
heal? c>e s]vices ,) respect to         
teleheal? s]vices t are mat]nal heal?   
c>e s]vices1 not)/&+ any o!r provision (
 ?is subsection-- 7,a7 ! requirem5ts    
describ$ 9 p>agraph 7#d77;,c7 %all n    
apply2  7,b7 ! t]m orig9at+ site means  
sites at :i* ! eligible teleheal?       
individual is locat$ at ! "t ! s]vice is
 furni%$ via a telecommunications sy/em2

 &  7,c7 !re %all be no re/rictions on  
access to su* teleheal? s]vices ?r\gh   
use ( telephone bas$ on ! use ( video   
capabilities or lack ( su* capabilities4
  4  7b7 ,m$icaid cov]age ,section      
#aije7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;d7a77 is am5d$--   
7#a7 9 p>agraph 7#e77;,a71 by ins]t+ 7& 
9 ! case ( physicians' s]vices t are    
mat]nal heal? c>e s]vices1 includ+ via  
teleheal?7 aft] or else:]e2  7#b7 9     
p>agraph 7#ag71 by ins]t+ 1 includ+     
s]vices furni%$ via teleheal?1 be=e     
furni%$2  7#c7 9 p>agraph 7#ba71 by     
ins]t+ 1 includ+ s]vices furni%$ via    
teleheal?1 aft] furni%$2 &  7#d7 9      
p>agraph 7#bh71 by ins]t+ 1 includ+ su* 
s]vices furni%$ via teleheal? to ! ext5t
 su* s]vices may be p]=m$ "u ,/ate law  
by free/&+ bir? c5t]s be=e ! semicolon  
at ! end4  #d4 ,ensur+ cov]age ( c]ta9  
mat]nal heal? c>e s]vices  7a7 ,mak+    
c]ta9 ,m$icaid cov]age ( c]ta9 pr5atal &
 po/p>tum s]vices a ,/ate plan          
requirem5t  7#a7 ,/ate m$icaid plans    

7,a7 ,9 g5]al ,section #aijb ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #acif;a7 
is am5d$--  7i7 9 subsection 7a7-- 7,i7 
9 p>agraph 7#hf71 by /rik+ & at ! end2  
7,,ii7 9 p>agraph 7#hg71 by /rik+ at !  
end ! p]iod & ins]t+ 2 &2 &  7,,iii7 by 
ins]t+ aft] p>agraph 7#hg7 ! foll[+ new 
p>agraph3  7#hh7 provide t ! ,/ate plan 
is 9 compliance ) subsection 7e77#af74  
2 &  7ii7 9 subsection 7e77#af7--  7,i7 
9 subp>agraph 7,a71 by /rik+ ,at !      
option ( ! ,/ate1 ! ,/ate plan 7or waiv]
 ( su* ,/ate plan7 may provide & ins]t+ 
,a ,/ate plan 7or waiv] ( su* ,/ate     
plan7 %all provide2  7,,ii7 9           
subp>agraph 7,b7--  7aa7 9 ! matt]      
prec$+ clause 7i71 by /rik+ by a ,/ate  
mak+ an election "u ?is p>agraph &      
ins]t+ "u a ,/ate plan 7or a waiv] os   
su* ,/ate plan72  7bb7 9 clause 7i71 by 
/rik+ at ! end &2  7cc7 9 clause 7ii71  
by /rik+ ! p]iod at ! end & ins]t+ 2 &2 
&  7dd7 by add+ at ! end ! foll[+ new   
clause3  7iii7 include z                
pregnancy-relat$ m$ical assi/ance a     

compreh5sive numb] ( pr5atal appo9tm5ts 
& scre5+s furni%$ by a mat]nity c>e     
provid] 7z def9$ 9 section #bgcj7;b77#a7
 ( ! ,public ,heal? ,s]vice ,act71      
p]9atal heal? work] 7z def9$ 9 section  
#bgcj7;b77#b7 ( ! ,public ,heal? ,s]vice
 ,act71 or community-bas$ provid] & z   
po/p>tum-relat$ m$ical assi/ance a      
full-spectrum ( po/p>tum c>e furni%$ by 
su* a provid]4  2 &  7,,iii7 by /rik+   
subp>agraph 7,c74  7,b7 ,no co/ %>+ or  
simil> *>ges = c]ta9 s]vices ,section   
#aiaf7;a77#b7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acifo7a77#b77 is       
am5d$-- 7i7 9 subp>agraph 7,f71 by /rik+
 at ! end or2  7ii7 9 subp>agraph 7,g71 
by /rik+ 2 & & ins]t+ 2 or2 &  7iii7 by 
add+ at ! end ! foll[+ new subp>agraph3 
7,h7 appo9tm5ts1 scre5+s1 & c>e requir$ 
to be includ$ z pregnancy-relat$ &      
po/p>tum-relat$ m$ical assi/ance "u     
section #aijb7;e77#af77;,b77iii72 &  4  
7#b7 ,apply+ requirem5t "u ,,*ip        
,section #bajg7;e77#a77;,j7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           

#acig;gg7e77#a77;,j77 is am5d$ to read z
 foll[s3  7,j7 ,p>agraphs 7#e7 & 7#af7 (
 section #aijb7;e7 7relat+ to !         
requirem5t to provide m$ical assi/ance  
"u ! ,/ate plan or waiv] consi/+ ( full 
b5efits dur+ pregnancy & ?r\gh\t !      
#ab-mon? po/p>tum p]iod "u title ,,xix7 
su* t ! provision ( assi/ance "u ! ,/ate
 *ild heal? plan or waiv] = t>get$      
l[-income *ildr5 or t>get$ l[-income    
pregnant wom5 dur+ pregnancy & !        
#ab-mon? po/p>tum p]iod %all be requir$ 
& %all include cov]age ( all items or   
s]vices provid$ to a t>get$ l[-income   
*ild or t>get$ l[-income pregnant woman 
7z applicable7 "u ! ,/ate *ild heal?    
plan or waiv]71 includ+ ! appo9tm5ts1   
scre5+s1 & c>e requir$ to be includ$ z  
pregnancy-relat$ & po/p>tum-relat$      
m$ical assi/ance "u section             
#aijb7;e77#af77;,b77iii74  4  7#c7      
,effective date  7,a7 ,9 g5]al ,except z
 provid$ 9 p>agraph 7#b71 ! am5dm5ts    
made by ?is section %all take effect on 
! date ( ! enactm5t ( ?is ,act & %all   

apply to s]vices furni%$ on or aft] !   
date t is #cj days aft] ! date (        
enactm5t ( ?is ,act4  7,b7 ,exception if
 /ate legislation requir$ ,9 ! case ( a 
,/ate plan = m$ical assi/ance "u title  
,,xix ( ! ,social ,security ,act or     
,/ate *ild heal? plan = *ild heal?      
assi/ance "u title ,,xxi ( su* ,act :i* 
! ,secret>y ( ,heal? & ,human ,s]vices  
det]m9es requires ,/ate legislation 7o!r
 ?an legislation appropriat+ funds7 9   
ord] = ! plan to meet ! additional      
requirem5t impos$ by ! am5dm5ts made by 
?is subsection1 ! ,/ate plan or ,/ate   
*ild heal? plan %all n be reg>d$ z fail+
 to comply ) ! requirem5ts ( su* title  
solely on ! basis ( its failure to meet 
?is 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> (
 su* session %all be deem$ to be a      

sep>ate regul> session ( ! ,/ate        
legislature4  7b7 ,private heal? plans  
,subp>t ,,ii ( "p ,a ( title ,,xxvii ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #cjj;gg-#aa et seq47 is am5d$ 
by add+ at ! end ! foll[+ new section3  
#bgcj4 ,cov]age ( pr5atal & po/p>tum    
s]vices  7a7 ,9 g5]al ,beg9n+ #cj days  
aft] ! date ( enactm5t ( ?is section1 a 
gr\p heal? plan & a heal? insurance     
issu] (f]+ gr\p or individual heal?     
insurance cov]age %all provide cov]age =
 & %all n impose any co/ %>+ requirem5ts
 =-- 7#a7 a compreh5sive numb] ( pr5atal
 appo9tm5ts & scre5+s furni%$ by a      
mat]nity c>e provid]1 p]9atal heal?     
work]1 or community-bas$ provid]2 &     
7#b7 a full-spectrum ( po/p>tum c>e     
furni%$ by su* a provid] = at lea/ a ye>
 aft] bir? or ! end ( pregnancy4  7b7   
,def9itions ,= purposes ( ?is section3  
7#a7 ,mat]nity c>e provid] ,! t]m       
mat]nity c>e provid] means a heal? c>e  
provid] :o-- 7,a7 is a physician1       
physician assi/ant1 or midwife :o meets 

at a m9imum ! int]national def9ition ( !
 midwife & global /&>ds = midwif]y      
education z e/abli%$ by ! ,int]national 
,conf$]ation ( ,midwives1 nurse         
practition]1 or cl9ical nurse speciali/2
 &  7,b7 has a focus on mat]nal or      
p]9atal heal?4  7#b7 ,p]9atal heal?     
work] ,! t]m p]9atal heal? work] means a
 d\la1 community heal? work]1 pe]       
support]1 brea/fe$+ & lactation educator
 or c\nselor1 nutritioni/ or dietitian1 
*ildbir? educator1 social work]1 home   
visitor1 language int]pret]1 or         
navigator4  4  #e4 ,ensur+ free te/+1   
vacc9e1 & treatm5t = ,,covid-#ai to     
pregnant p]sons & to infants1 reg>dless 
( insurance /atus or s\rce ( insurance  
7a7 ,expansion ( cov]age ( te/+ =       
,,covid-#ai to o!r private plans        
,section #fjja7;a7 ( ! ,families ,fir/  
,coronavirus ,response ,act 7,public    
,law #aaf-abg7 is am5d$ by /rik+ ,a gr\p
 heal? plan & a heal? insurance issu]   
(f]+ gr\p or individual heal? insurance 
cov]age 7includ+ a gr&fa!r$ heal? plan  

7z def9$ 9 section #abea7;e7 ( ! ,pati5t
 ,protection & ,af=dable ,c>e ,act77 &  
ins]t+ ,a gr\p heal? plan1 a heal?      
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age 7includ+ a      
gr&fa!r$ heal? plan 7z def9$ 9 section  
#abea7;e7 ( ! ,pati5t ,protection &     
,af=dable ,c>e ,act771 %ort-t]m limit$  
duration insurance1 association heal?   
plans & heal? c>e %>+ m9i/ries4  7b7    
,requirem5t ,to provide cov]age =       
,,covid-#ai treatm5t aft] ! ,,covid-#ai 
em]g5cy p]iod  7#a7 ,/ate m$icaid plans 
7,a7 ,plans ) traditional co/ %>+       
,subsections 7a77#b77;,f7 & 7b77#b77;,f7
 ( section #aiaf ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #acifo7 are ea*     
am5d$ by /rik+ t is adm9i/]$ dur+ any   
portion ( ! em]g5cy p]iod describ$ 9 su*
 section beg9n+ on or aft] ! date ( !   
enactm5t ( ?is subp>agraph 7& !         
adm9i/ration ( su* product74  7,b7      
,plans ) alt]native co/ %>+ ,section    
#aiaf;,a7b77#c77;,b77xi7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           

#acifo-#a7;b77#c77;,b77xi77 is am5d$ by 
/rik+ t is furni%$ dur+ any su* portion4
  7#b7 ,private plans ,section #fjja7;a7
 ( ! ,families ,fir/ ,coronavirus       
,response ,act 7,public ,law #aaf-abg71 
z am5d$ by p>agraph 7#a71 is fur!r am5d$
 by /rik+ furni%$ dur+ any portion ( !  
em]g5cy p]iod def9$ 9 p>agraph 7#a77;,b7
 ( section #aace7;g7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#e7;g77 beg9n+ on or aft] ! date
 ( ! enactm5t ( ?is ,act4  7c7 ,/ate    
m$icaid plan requirem5t ,to provide     
cov]age ( te/+ = ,,covid-#ai = un9sur$  
pregnant p]sons ,section #aijb7;a77#aj7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acif;a7a77#aj77 is am5d$--   
7#a7 9 subp>agraph 7,f71 by /rik+ at !  
end &2  7#b7 9 subp>agraph 7,g71 by add+
 at ! end &2 &  7#c7 by ins]t+ aft]     
subp>agraph 7,g7 ! foll[+ new           
subp>agraph3  7,h7 = mak+ a cl9ical     
diagno/ic laboratory te/ adm9i/]$ = !   
detection ( ,,s>s-,co,v-#b or !         
diagnosis ( ! virus t causes ,,covid-#ai

 & ! adm9i/ration ( su* te/ available to
 an un9sur$ pregnant individual4  4