,i #aai? ,,congress #a/ ,session ,h4 ,r4 #ccfe ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #ac1 #bjbe,mr4 ,nunn ( ,i[a 7= himself1 ,ms4 ,pressley1 & ,ms4 ,und]wood7 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 ,/ates ) ! option to provide coord9at$ c>e ?r\gh a pregnancy m$ical home = high-risk pregnant wom51 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,h>ness+ ,effective & ,appropriate ,long-,t]m ,heal? = ,moms ,on ,m$icaid ,act ( #bjbe or ! ,,heal? = ,,mom ,act ( #bjbe4 #b4 ,/ate option to provide coord9at$ c>e ?r\gh a heal? home = pregnant & po/p>tum wom5 ,title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 is am5d$ by ins]t+ aft] section #aide;,a ! foll[+ new section3 #aide;,b4 ,/ate option to provide coord9at$ c>e ?r\gh a heal? home = pregnant & po/p>tum wom5 7a7 ,/ate option 7#a7 ,9 g5]al ,not)/&+ section #aijb7;a77#a7 7relat+ to /atewid5ess7 & section #aijb7;a77#aj77;,b7 7relat+ to comp>ability71 beg9n+ #b ye>s aft] ! date ( ! enactm5t ( ?is section1 a ,/ate1 at its option z a ,/ate plan am5dm5t & aft] consultation ) heal? c>e provid]s & individuals enroll$ "u su* plan :o are or h be5 pregnant1 may provide = m$ical assi/ance "u ?is title to an eligible woman :o *ooses to-- 7,a7 enroll 9 a mat]nity heal? home "u ?is section by select+ a designat$ provid]1 a team ( heal? c>e pr(essionals op]at+ ) su* a provid]1 or a heal? team z ! woman's mat]nity heal? home = purposes ( provid+ ! woman ) pregnancy & po/p>tum coord9at$ c>e s]vices2 or 7,b7 receive su* s]vices f a designat$ provid]1 a team ( heal? c>e pr(essionals op]at+ ) su* a provid]1 or a heal? team t has volunt>ily opt$ to p>ticipate 9 a mat]nity heal? home = eligible wom5 "u ?is section4 7#b7 ,eligible woman def9$ 7,a7 ,9 g5]al ,9 ?is section1 ! t]m eligible woman means an individual :o-- 7i7 is eligible = m$ical assi/ance "u ! ,/ate plan 7or "u a waiv] ( su* plan7 = all items & s]vices cov]$ "u ! ,/ate plan 7or waiv]7 t are n less 9 am\nt1 duration1 or scope1 or are det]m9$ by ! ,secret>y to be sub/antially equival5t1 to ! m$ical assi/ance available = an individual describ$ 9 subsection 7a77#aj77;,a77i72 & 7ii7 is pregnant4 7,b7 ,cont9uation ( eligibility ,an individual describ$ 9 subp>agraph 7,a7 %all be deem$ to be describ$ 9 su* subp>agraph ?r\gh ! e>li] (-- 7i7 ! end ( ! mon? 9 :i* ! individual's eligibility = m$ical assi/ance "u ! ,/ate plan 7or waiv]7 ends2 & 7ii7 ! la/ day ( ! #a-ye> p]iod t beg9s on ! la/ day ( ! individual's pregnancy4 7,c7 ,exclusion ( individuals eligible = a limit$ pregnancy-relat$ only b5efit package ,su* t]m does n include an individual :o _h a pregnancy end )9 ! la/ #cfe days & ^: eligibility "u su* plan 7or waiv]7 is limit$ to cov]age = a limit$ type ( b5efits & s]vices4 7b7 ,qualification /&>ds ,! ,secret>y %all e/abli% /&>ds = qualification z a mat]nity heal? home or z a designat$ provid]1 team ( heal? c>e pr(essionals op]at+ ) su* a provid]1 or a heal? team eligible = p>ticipation 9 a mat]nity heal? home = purposes ( ?is section4 ,su* /&>ds %all include requir+ designat$ provid]s1 teams ( heal? c>e pr(essionals op]at+ ) su* provid]s1 & heal? teams 7designat$ z a mat]nity heal? home7 to demon/rate to ! ,/ate ! ability to d ! foll[+3 7#a7 ,coord9ate prompt c>e & access to mat]nity & po/p>tum c>e s]vices1 includ+ s]vices provid$ by speciali/s1 & programs = an eligible woman dur+ pregnancy & dur+ ! p]iod = :i* %e rema9s eligible z describ$ 9 subsection 7a77#b77;,b74 7#b7 ,develop an individualiz$1 compreh5sive1 pati5t-c5t]$ c>e plan = ea* eligible woman t accommodates pati5t pref]5ces &1 if applicable1 reflects adju/m5ts to ! paym5t me?odology describ$ 9 subsection 7c77#b77;,b74 7#c7 ,develop & incorporate into ea* eligible woman's c>e plan1 9 a culturally & l+ui/ically appropriate mann] consi/5t ) ! ne$s ( ! eligible woman1 ongo+ home c>e1 community-bas$ prim>y c>e1 inpati5t c>e1 social support s]vices1 behavioral heal? s]vices1 local hospital em]g5cy c>e1 oral heal? c>e1 & to ! ext5t1 applicable1 c>e managem5t & plann+ relat$ to a *ange 9 an eligible woman's eligibility = m$ical assi/ance or a *ange 9 heal? insurance cov]age4 7#d7 ,coord9ate ) p$iatric c>e provid]s1 community-bas$ provid]s1 behavioral heal? provid]s1 social s]vice provid]s1 local hospital & em]g5cy c>e provid]s1 oral heal? provid]s1 speciali/s1 & provid]s ( e>ly int]v5tion s]vices to ensure full implem5tation ( ! cli5t's c>e plan1 z appropriate4 7#e7 ,collect & report in=mation "u subsection 7f77#a74 7c7 ,paym5ts 7#a7 ,9 g5]al ,a ,/ate %all provide a designat$ provid]1 a team ( heal? c>e pr(essionals op]at+ ) su* a provid]1 or a heal? team ) paym5ts = ! provision ( pregnancy & po/p>tum coord9at$ c>e s]vices1 to ea* eligible woman t selects su* provid]1 team ( heal? c>e pr(essionals1 or heal? team z ! woman's mat]nity heal? home or c>e provid]4 ,paym5ts made to a mat]nity heal? home or c>e provid] = su* s]vices %all be treat$ z m$ical assi/ance = purposes ( section #aijc7;a71 except t1 dur+ ! fir/ #d fiscal ye> qu>t]s t ! ,/ate plan am5dm5t is 9 effect1 ! ,f$]al m$ical assi/ance p]c5tage applicable to su* paym5ts %all be increas$ by #ae p]c5tage po9ts1 b 9 no case may exce$ #ij p]c5t4 7#b7 ,me?odology ,! ,/ate %all specify 9 ! ,/ate plan am5dm5t ! me?odology ! ,/ate w use = det]m9+ paym5t = ! provision ( pregnancy & po/p>tum coord9at$ c>e s]vices or treatm5t to an eligible woman4 ,su* me?odology = det]m9+ paym5t-- 7,a7 may be bas$ on-- 7i7 a p]-memb] p]-mon? basis = ea* eligible woman enroll$ 9 ! mat]nity heal? home2 7ii7 a prospective paym5t model1 9 ! case ( paym5ts to ,f$]ally qualifi$ heal? c5t]s or a rural heal? cl9ics2 or 7iii7 an alt]nate model ( paym5t 7:i* may include a model develop$ "u a waiv] "u section #aaae7 propos$ by ! ,/ate & approv$ by ! ,secret>y2 7,b7 may be adju/$ to reflect1 ) respect to ea* eligible woman-- 7i7 ! sev]ity ( ! risks associat$ ) ! woman's pregnancy2 7ii7 ! sev]ity ( ! risks associat$ ) ! woman's po/p>tum heal? c>e ne$s2 & 7iii7 ! level or am\nt ( "t ( c>e coord9ation requir$ ) respect to ! woman2 & 7,c7 %all be e/abli%$ consi/5t ) section #aijb7;a77#cj77;,a74 7d7 ,coord9at+ c>e 7#a7 ,hospital notification ,a ,/ate ) a ,/ate plan am5dm5t approv$ "u ?is section %all require ea* hospital t is a p>ticipat+ provid] "u ! ,/ate plan 7or "u a waiv] ( su* plan7 to e/abli% proc$ures 9 ! case ( an eligible woman :o seeks treatm5t 9 ! em]g5cy dep>tm5t ( su* hospital =-- 7,a7 provid+ ! woman ) culturally & l+ui/ically appropriate in=mation on ! respective treatm5t models & opportunities = ! woman to access a mat]nity heal? home & its associat$ b5efits2 & 7,b7 notify+ ! mat]nity heal? home 9 :i* ! woman is enroll$1 or ! designat$ provid]1 team ( heal? c>e pr(essionals op]at+ ) su* a provid]1 or heal? team treat+ ! woman1 ( ! woman's treatm5t 9 ! em]g5cy dep>tm5t & ( ! protocols = ! mat]nity heal? home1 designat$ provid]1 or team to be involv$ 9 ! woman's em]g5cy c>e or po/-dis*>ge c>e4 7#b7 ,education ) respect to availability ( a mat]nity heal? home 7,a7 ,9 g5]al ,9 ord] = a ,/ate plan am5dm5t to be approv$ "u ?is section1 a ,/ate %all include 9 ! ,/ate plan am5dm5t a description ( ! ,/ate's process =-- 7i7 educat+ provid]s p>ticipat+ 9 ! ,/ate plan 7or a waiv] ( su* plan7 on ! availability ( mat]nity heal? homes = eligible wom51 includ+ ! process by :i* su* provid]s c p>ticipate 9 or ref] eligible wom5 to an approv$ mat]nity heal? home or a designat$ provid]1 team ( heal? c>e pr(essionals op]at+ ) su* a provid]1 or heal? team2 & 7ii7 educat+ eligible wom51 9 a culturally & l+ui/ically appropriate mann]1 on ! availability ( mat]nity heal? homes4 7,b7 ,outrea* ,! process e/abli%$ by ! ,/ate "u subp>agraph 7,a7 %all include ! p>ticipation ( relevant /akehold]s or o!r public or private organizations or entities t provide outrea* & in=mation on ! availability ( heal? c>e items & s]vices to families ( individuals eligible to receive m$ical assi/ance "u ! ,/ate plan 7or a waiv] ( su* plan74 7#c7 ,m5tal heal? coord9ation ,a ,/ate ) a ,/ate plan am5dm5t approv$ "u ?is section %all consult & coord9ate1 z appropriate1 ) ! ,secret>y 9 address+ issues reg>d+ ! prev5tion1 id5tification1 & treatm5t ( m5tal heal? conditions & sub/ance use disord]s among eligible wom54 7#d7 ,coord9ation ( social & support s]vices ,a ,/ate ) a ,/ate plan am5dm5t approv$ "u ?is section %all consult & coord9ate1 z appropriate1 ) ! ,secret>y 9 e/abli%+ means to connect eligible wom5 receiv+ pregnancy & po/p>tum c>e coord9at$ "u ?is section ) social & support s]vices1 includ+ s]vices made available "u mat]nal1 infant1 & e>ly *ildhood home visit+ programs e/abli%$ "u section #eaa1 & s]vices made available "u section #ccj;,h or title ,x ( ! ,public ,heal? ,s]vice ,act1 ! ,special ,supplem5tal ,nutrition ,program = ,wom51 ,infants1 & ,*ildr51 or "u title ,v4 7e7 ,monitor+ ,a ,/ate %all include 9 ! ,/ate plan am5dm5t-- 7#a7 a me?odology = track+ r$uctions 9 inpati5t days & r$uctions 9 ! total co/ ( c>e result+ f improv$ c>e coord9ation & managem5t "u ?is section2 7#b7 a proposal = use ( heal? in=mation te*nology 9 provid+ an eligible woman ) pregnancy & po/p>tum coord9at$ c>e s]vices z specifi$ "u ?is section & improv+ s]vice deliv]y & coord9ation across ! c>e cont9uum2 & 7#c7 a me?odology = track+ prompt & timely access to m$ically necess>y c>e = eligible wom5 f out-(-,/ate provid]s4 7f7 ,data collection 7#a7 ,provid] report+ requirem5ts ,9 ord] to receive paym5ts f a ,/ate "u subsection 7c71 a mat]nity heal? home1 or a designat$ provid]1 a team ( heal? c>e pr(essionals op]at+ ) su* a provid]1 or a heal? team1 %all report to ! ,/ate1 at su* "t & 9 su* =m & mann] z may be requir$ by ! ,/ate1 includ+ ?r\gh a heal? in=mation ex*ange or o!r public heal? data %>+ entity1 ! foll[+ in=mation3 7,a7 ,) respect to ea* su* designat$ provid]1 team ( heal? c>e pr(essionals op]at+ ) su* a provid]1 & heal? team 7designat$ z a mat]nity heal? home71 ! "n1 ,national ,provid] ,id5tification numb]1 address1 & specific heal? c>e s]vices (f]$ to be provid$ to eligible wom5 :o h select$ su* provid]1 team ( heal? c>e pr(essionals1 or heal? team z ! wom5s mat]nity heal? home4 7,b7 ,in=mation on all applicable measures = det]m9+ ! quality ( s]vices provid$ by su* provid]1 team ( heal? c>e pr(essionals1 or heal? team1 includ+1 to ! ext5t applicable1 mat]nal1 p]9atal1 & *ild heal? quality measures "u section #aaci;,b4 7,c7 ,su* o!r in=mation z ! ,secret>y %all specify 9 guidance4 7#b7 ,/ate report+ requirem5ts 7,a7 ,compreh5sive report ,a ,/ate ) a ,/ate plan am5dm5t approv$ "u ?is section %all report to ! ,secret>y 7&1 ^u reque/1 to ! ,m$icaid & ,,*ip ,paym5t & ,access ,commission71 at su* "t1 b at a m9imum frequ5cy ( e #ab mon?s1 & 9 su* =m & mann] det]m9$ by ! ,secret>y to be reasonable & m9imally burd5some1 includ+ ?r\gh a heal? in=mation ex*ange or o!r public heal? data %>+ entity1 ! foll[+ in=mation3 7i7 ,in=mation describ$ 9 p>agraph 7#a74 7ii7 ,! numb] &1 to ! ext5t available & :ile ma9ta9+ all relevant protect+ privacy & confid5tially protections1 disaggregat$ demographic in=mation ( eligible wom5 :o h enroll$ 9 a mat]nity heal? home pursuant to ?is section4 7iii7 ,! numb] ( mat]nity heal? homes 9 ! ,/ate4 7iv7 ,! m$ical & behavioral heal? conditions or factors t contribute to sev]e mat]nal morbidity among eligible wom5 enroll$ 9 mat]nity heal? homes 9 ! ,/ate4 7v7 ,! ext5t to :i* su* wom5 receive heal? c>e items & s]vices "u ! ,/ate plan be=e1 dur+1 & aft] ! wom5's enrollm5t 9 su* a mat]nity heal? home4 7vi7 ,:]e applicable1 mortality data & data = ! associat$ causes ( dea? = eligible wom5 enroll$ 9 a mat]nity heal? home "u ?is section1 9 accordance ) subsection 7g74 ,= dea?s occurr+ po/p>tum1 su* data %all di/+ui% betwe5 dea?s occurr+ up to #db days po/p>tum & dea?s occurr+ betwe5 #dc days to up to #a ye> po/p>tum4 ,:]e applicable1 data report$ "u ?is clause %all be report$ alongside comp>able data f a ,/ate's mat]nal mortality review committee1 z e/abli%$ 9 accordance ) section #cag,k7d7 ( ! ,public ,heal? ,s]vice ,act1 = purposes ( fur!r id5tify+ & comp>+ /atewide tr5ds 9 mat]nal mortality among populations p>ticipat+ 9 ! mat]nity heal? home "u ?is section4 7vii7 ,! type ( deliv]y sy/ems & paym5t models us$ to provide heal? home s]vices to eligible individuals enroll$ 9 a mat]nal heal? home "u su* am5dm5t4 7viii7 ,in=mation on hospitalizations1 morbidity1 & mortality ( eligible individuals & _! infants enroll$ 9 a mat]nal heal? home 9 su* ,/ate alongside comp>able data f a ,/ate's mat]nal mortality review committee4 7,b7 ,implem5tation report ,n lat] ?an #ah mon?s aft] a ,/ate has a ,/ate plan am5dm5t approv$ "u ?is section1 ! ,/ate %all submit to ! ,secret>y1 & make publicly available on ! appropriate ,/ate website1 a report on h[ ! ,/ate is implem5t+ ! option e/abli%$ "u ?is section1 includ+ ?r\gh any be/ practices adopt$ by ! ,/ate4 7g7 ,confid5tiality ,a ,/ate ) a ,/ate plan am5dm5t "u ?is section %all e/abli% confid5tiality protections = ! purposes ( subsection 7f77#b77;,a7 to ensure1 at a m9imum1 t !re is no disclosure by ! ,/ate ( any id5tify+ in=mation ab\t any specific eligible woman enroll$ 9 a mat]nity heal? home or any mat]nal mortality case1 & t all relevant confid5tiality & privacy protections1 includ+ ! requirem5ts "u #aijb7;a77#g77;,a71 are ma9ta9$4 7h7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to require-- 7#a7 an eligible woman to enroll 9 a mat]nity heal? home "u ?is section2 or 7#b7 a designat$ provid] or heal? team to act z a mat]nity heal? home & provide s]vices 9 accordance ) ?is section if ! provid] or heal? team does n volunt>ily agree to act z a mat]nity heal? home4 7i7 ,plann+ grants 7#a7 ,9 g5]al ,beg9n+ ,octob] #a1 #bjbe1 f ! am\nt appropriat$ "u p>agraph 7#b71 ! ,secret>y %all aw>d plann+ grants to ,/ates = purposes ( develop+ & submitt+ a ,/ate plan am5dm5t "u ?is section4 ,! ,secret>y %all aw>d a grant to ea* ,/ate t applies = a grant "u ?is subsection1 b ! ,secret>y may det]m9e ! am\nt ( ! grant bas$ on ! m]its ( ! application & ! goal ( ! ,/ate to prioritize heal? outcomes = eligible wom54 ,a plann+ grant aw>d$ to a ,/ate "u ?is subsection %all rema9 available until exp5d$4 7#b7 ,appropriation ,!re are au?oriz$ to be appropriat$ to ! ,secret>y #ej1jjj1jjj = ! #b-ye> p]iod beg9n+ on ! date ( ! enactm5t ( ?is section1 = ! purposes ( mak+ grants "u ?is subsection1 to rema9 available until exp5d$4 7#c7 ,limitation ,! total am\nt ( paym5ts made to ,/ates "u ?is subsection %all n exce$ #ej1jjj1jjj4 7j7 ,additional def9itions ,9 ?is section3 7#a7 ,designat$ provid] ,! t]m designat$ provid] means a physician 7includ+ an ob/etrician-gynecologi/71 hospital1 cl9ical practice or cl9ical gr\p practice1 rural cl9ic1 community heal? c5t]1 community m5tal heal? c5t]1 or any o!r entity or provid] t is det]m9$ by ! ,/ate & approv$ by ! ,secret>y to be qualifi$ to be a mat]nity heal? home on ! basis ( docum5tation evid5c+ t ! entity has ! sy/ems1 exp]tise1 & infra/ructure 9 place to provide pregnancy & po/p>tum coord9at$ c>e s]vices4 ,su* t]m may include provid]s :o are employ$ by1 or affiliat$ )1 a hospital4 7#b7 ,mat]nity heal? home ,! t]m mat]nity heal? home means a designat$ provid] 7includ+ a provid] t op]ates 9 coord9ation ) a team ( heal? c>e pr(essionals7 or a heal? team is select$ by an eligible woman to provide pregnancy & po/p>tum coord9at$ c>e s]vices4 7#c7 ,heal? team ,! t]m heal? team has ! mean+ giv5 su* t]m = purposes ( section #cejb ( ,public ,law #aaa-adh4 7#d7 ,pregnancy & po/p>tum coord9at$ c>e s]vices 7,a7 ,9 g5]al ,! t]m pregnancy & po/p>tum coord9at$ c>e s]vices means items & s]vices relat$ to ! coord9ation ( c>e = compreh5sive & timely high-quality1 culturally & l+ui/ically appropriate1 s]vices describ$ 9 subp>agraph 7,b7 t are provid$ to an eligible woman by a designat$ provid]1 a team ( heal? c>e pr(essionals op]at+ ) su* a provid]1 or a heal? team 7designat$ z a mat]nity heal? home74 7,b7 ,s]vices describ$ 7i7 ,9 g5]al ,! s]vices describ$ 9 ?is subp>agraph %all include ) respect to a ,/ate elect+ ! ,/ate plan am5dm5t option "u ?is section1 any m$ical assi/ance = items & s]vices = :i* paym5t is available "u ! ,/ate plan or "u a waiv] ( su* plan4 7ii7 ,o!r items & s]vices ,9 addition to m$ical assi/ance describ$ 9 clause 7i71 ! s]vices describ$ 9 ?is subp>agraph %all include ! foll[+3 7,i7 ,compreh5sive c>e managem5t4 7,,ii7 ,c>e coord9ation 7includ+ ) p$iatricians1 speciali/s1 & provid]s ( e>ly int]v5tion s]vices1 z appropriate71 heal? promotion1 & provid+ access to ! full range ( mat]nal1 ob/etric1 & gynecologic s]vices1 includ+ s]vices f out-(-,/ate provid]s4 7,,iii7 ,compreh5sive transitional c>e1 includ+ appropriate foll[-up1 f inpati5t to o!r sett+s4 7,,iv7 ,pati5t & family support 7includ+ au?oriz$ repres5tatives74 7,v7 ,ref]rals to community & social support s]vices1 if relevant4 7,,vi7 ,use ( heal? in=mation te*nology to l9k s]vices1 z feasible & appropriate4 7#e7 ,team ( heal? c>e pr(essionals ,! t]m team ( heal? c>e pr(essionals means a team ( heal? c>e pr(essionals 7z describ$ 9 ! ,/ate plan am5dm5t "u ?is section7 t may-- 7,a7 include-- 7i7 physicians1 includ+ gynecologi/-ob/etricians1 p$iatricians1 & o!r pr(essionals su* z physicians assi/ants1 advance practice nurses1 includ+ c]tifi$ midwives1 nurses1 nurse c>e coord9ators1 dietitians1 nutritioni/s1 social work]s1 behavioral heal? pr(essionals1 physical c\nselors1 physical !rapi/s1 occupational !rapi/s1 or any pr(essionals t assi/ 9 pr5atal c>e1 deliv]y1 or po/p>tum c>e = :i* m$ical assi/ance is available "u ! ,/ate plan or a waiv] ( su* plan & det]m9$ to be appropriate by ! ,/ate & approv$ by ! ,secret>y2 7ii7 an entity or individual :o is designat$ to coord9ate su* c>e deliv]$ by ! team2 & 7iii7 :5 appropriate & if o!rwise eligible to furni% items & s]vices t are reimbursable z m$ical assi/ance "u ! ,/ate plan or "u a waiv] ( su* plan1 d\las1 community heal? work]s1 translators & int]pret]s1 & o!r individuals ) culturally appropriate & trauma-in=m$ exp]tise2 & 7,b7 provide c>e at a facility t is free/&+1 virtual1 or bas$ at a hospital1 community heal? c5t]1 community m5tal heal? c5t]1 rural cl9ic1 cl9ical practice or cl9ical gr\p practice1 academic heal? c5t]1 or any entity det]m9$ to be appropriate by ! ,/ate & approv$ by ! ,secret>y1 or provide c>e at ! home ( an individual ) respect to a home bir?4 4