,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #dehe  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #ab1 #bjbc,ms4  
,mann+ 7= h]self1 ,ms4 ,bonamici1 ,ms4  
,williams ( ,georgia1 ,ms4 ,sewell1 ,ms4
 ,*u1 ,ms4 ,scanlon1 ,ms4 ,cl>ke ( ,new 
,york1 ,ms4 ,lois ,frankel ( ,florida1  
,ms4 ,ross1 & ,mrs4 ,mc,clellan7        
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to provide a high]      
,f$]al mat*+ rate = increas$ exp5ditures
 "u ,m$icaid = mat]nal heal? c>e        
s]vices4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,advanc+ ,mat]nal ,heal?    
,equity ,"u ,m$icaid ,act4  #b4 ,high]  
,,fmap = increas$ exp5ditures "u m$icaid
 = mat]nal heal? s]vices ,section #aijc 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acif;b7 is am5d$-- 7#a7 9    
subsection 7a77#e7-- 7,a7 by /rik+ an   
am\nt equal & ins]t+ 7,a7 an am\nt      
equal2 &  7,b7 by add+ at ! end !       
foll[+3 & 7,b7 = cal5d> qu>t]s beg9n+ on

 or aft] ,janu>y #a ( ! ye> beg9n+ aft] 
"o ye> aft] ! date ( ! enactm5t ( ?is   
subp>agraph1 an am\nt equal to #ij p]c5t
 ( ! am\nts by :i*-- 7i7 ! sum ( !      
am\nts exp5d$ :i* are attributable to ! 
(f]+1 arrang+1 & furni%+ 7directly or on
 a contract basis7 "u ! ,/ate plan 7or  
waiv] ( ! plan7 ( mat]nal heal? c>e     
s]vices 7z describ$ 9 subsection        
7b77#f77;,b77 = su* qu>t]1 exce$s  7ii7 
! sum ( ! am\nts exp5d$ :i* are         
attributable to ! (f]+1 arrang+1 &      
furni%+ 7directly or on a contract      
basis7 "u ! ,/ate plan 7or waiv] ( !    
plan7 ( su* s]vices = ! correspond+     
qu>t] 9 ! f\r-qu>t] p]iod end+ on       
,decemb] #ca1 #bjai1 plus  2 &  7#b7 9  
subsection 7b71 by add+ at ! end !      
foll[+ new p>agraph3  7#f7              
,acc\ntability & ma9t5ance ( ef=t       
requirem5ts = additional f$]al fund+ =  
increas$ exp5ditures = mat]nal heal? c>e
 s]vices  7,a7 ,9 g5]al ,z conditions = 
receiv+ ! funds ! ,secret>y is o!rwise  
obligat$ to pay to a ,/ate "u subsection

 7a77#e77;,b71 a ,/ate %all meet !      
foll[+ requirem5ts3 7i7 ,supplem5t1 n   
supplant ,! ,/ate %all use ! funds      
receiv$ "u su* subsection to supplem5t1 
n supplant1 ! level ( ,/ate funds exp5d$
 = ! (f]+1 arrang+1 & furni%+ 7directly 
or on a contract basis7 "u ! ,/ate plan 
7or "u a waiv] ( ! plan7 ( mat]nal heal?
 c>e s]vices 7z describ$ 9 subp>agraph  
7,b77 ?r\gh programs & activities 9     
effect z ( ,janu>y #a1 #bjbc4  7ii7 ,use
 ( funds = activities t improve deliv]y 
( mat]nal heal? c>e s]vices ,! ,/ate    
%all use ! funds receiv$ "u su*         
subsection = activities t increase !    
capacity1 effici5cy1 & quality 9 !      
provision ( mat]nal heal? c>e s]vices4  
7,b7 ,def9itions ,= purposes ( ?is      
p>agraph & subsection 7a77#e77;,b73 7i7 
,mat]nal heal? c>e s]vices ,mat]nal     
heal? c>e s]vices describ$ 9 ?is        
subp>agraph are s]vices furni%$ by a    
mat]nity c>e provid] or p]9atal heal?   
work]1 su* z ! foll[+3 7,i7 ,pr5atal1   
labor & deliv]y1 & po/p>tum heal? c>e   

s]vices t are furni%$ 9 a lic5s$ &      
accr$it$ hospital1 bir? c5t]1 midwif]y  
practice1 or o!r heal? c>e practice t   
provides pr5atal s]vices1 labor &       
deliv]y s]vices1 & po/p>tum s]vices4    
7,,ii7 ,teleheal? s]vices dur+ ! pr5atal
 & po/p>tum p]iods4  7,,iii7 ,home      
visit+ s]vices dur+ ! pr5atal & po/p>tum
 p]iods4  7,,iv7 ,m5tal or behavioral   
heal? c>e s]vices = individuals dur+ !  
pr5atal & po/p>tum p]iods4  7ii7        
,mat]nity c>e provid] ,! t]m mat]nity   
c>e provid] means a heal? c>e provid]   
:o-- 7,i7 is a physician1 physician     
assi/ant1 midwife :o meets at a m9imum !
 int]national def9ition ( ! midwife &   
global /&>ds = midwif]y education z     
e/abli%$ by ! ,int]national ,conf$]ation
 ( ,midwives1 nurse practition]1 or     
cl9ical nurse speciali/2 &  7,,ii7 has a
 focus on mat]nal or p]9atal heal?4     
7iii7 ,p]9atal heal? work] ,! t]m       
p]9atal heal? work] means a d\la1       
community heal? work]1 brea/fe$+ &      
lactation educator or c\nselor1         

nutritioni/ or dietitian1 *ildbir?      
educator1 social work]1 home visitor1 or
 language int]pret]4  7iv7 ,po/p>tum &  
po/p>tum p]iod ,! t]ms po/p>tum &       
po/p>tum p]iod ea* ref] to ! #a-ye>     
p]iod beg9n+ on ! la/ day ( ! pregnancy 
( an individual4  4