,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #daej  ,,in ,,the ,,house ,,of  
,,representatives  ,june #be1 #bjbe,ms4 
,williams of ,georgia 7for herself1 ,ms4
 ,bonamici1 ,ms4 ,chu1 ,ms4 ,norton1    
,mr4 ,huffman1 ,ms4 ,mc,clellan1 ,ms4   
,moore of ,wisconsin1 ,ms4 ,ross1 ,ms4  
,sewell1 ,ms4 ,stansbury1 ,ms4 ,tlaib1  
,ms4 ,wasserman ,schultz1 ,ms4          
,strickland1 ,mr4 ,morelle1 and ,mr4    
,kennedy of ,new ,york7 introduced the  
following bill2 which was referred to   
the ,committee on ,energy and ,commerce 
,a ,,bill  ,to amend title ,,xix of the 
,social ,security ,act to provide a     
higher ,federal matching rate for       
increased expenditures under ,medicaid  
for maternal health care services4  #a4 
,short title ,this ,act may be cited as 
the ,advancing ,maternal ,health ,equity
 ,under ,medicaid ,act4  #b4 ,higher    
,,fmap for increased expenditures under 
medicaid for maternal health services   
,section #aijc of the ,social ,security 
,act 7#db ,u4,s4,c4 #acif;b7 is         

amended--  7#a7 in subsection 7a77#e7-- 
7,a7 by striking an amount equal and    
inserting 7,a7 an amount equal2 and     
7,b7 by adding at the end the following3
 and  7,b7 for calendar quarters        
beginning on or after ,january #a of the
 year beginning after one year after the
 date of the enactment of this          
subparagraph1 an amount equal to #ij    
percent of the amounts by which-- 7i7   
the sum of the amounts expended which   
are attributable to the offering1       
arranging1 and furnishing 7directly or  
on a contract basis7 under the ,state   
plan 7or waiver of the plan7 of maternal
 health care services 7as described in  
subsection 7b77#f77;,b77 for such       
quarter1 exceeds  7ii7 the sum of the   
amounts expended which are attributable 
to the offering1 arranging1 and         
furnishing 7directly or on a contract   
basis7 under the ,state plan 7or waiver 
of the plan7 of such services for the   
corresponding quarter in the            
four-quarter period ending on ,december 

#ca1 #bjai1 plus  2 and  7#b7 in        
subsection 7b71 by adding at the end the
 following new paragraph3  7#f7         
,accountability and maintenance of      
effort requirements for additional      
federal funding for increased           
expenditures for maternal health care   
services  7,a7 ,in general ,as          
conditions for receiving the funds the  
,secretary is otherwise obligated to pay
 to a ,state under subsection           
7a77#e77;,b71 a ,state shall meet the   
following requirements3 7i7 ,supplement1
 not supplant ,the ,state shall use the 
funds received under such subsection to 
supplement1 not supplant1 the level of  
,state funds expended for the offering1 
arranging1 and furnishing 7directly or  
on a contract basis7 under the ,state   
plan 7or under a waiver of the plan7 of 
maternal health care services 7as       
described in subparagraph 7,b77 through 
programs and activities in effect as of 
,january #a1 #bjbc4  7ii7 ,use of funds 
for activities that improve delivery of 

maternal health care services ,the      
,state shall use the funds received     
under such subsection for activities    
that increase the capacity1 efficiency1 
and quality in the provision of maternal
 health care services4  7,b7            
,definitions ,for purposes of this      
paragraph and subsection 7a77#e77;,b73  
7i7 ,maternal health care services      
,maternal health care services described
 in this subparagraph are services      
furnished by a maternity care provider  
or perinatal health worker1 such as the 
following3 7,i7 ,prenatal1 labor and    
delivery1 and postpartum health care    
services that are furnished in a        
licensed and accredited hospital1 birth 
center1 midwifery practice1 or other    
health care practice that provides      
prenatal services1 labor and delivery   
services1 and postpartum services4      
7,,ii7 ,telehealth services during the  
prenatal and postpartum periods4        
7,,iii7 ,home visiting services during  
the prenatal and postpartum periods4    

7,,iv7 ,mental or behavioral health care
 services for individuals during the    
prenatal and postpartum periods4  7ii7  
,maternity care provider ,the term      
maternity care provider means a health  
care provider who--  7,i7 is a          
physician1 physician assistant1 midwife 
who meets at a minimum the international
 definition of the midwife and global   
standards for midwifery education as    
established by the ,international       
,confederation of ,midwives1 nurse      
practitioner1 or clinical nurse         
specialist2 and  7,,ii7 has a focus on  
maternal or perinatal health4  7iii7    
,perinatal health worker ,the term      
perinatal health worker means a doula1  
community health worker1 breastfeeding  
and lactation educator or counselor1    
nutritionist or dietitian1 childbirth   
educator1 social worker1 home visitor1  
or language interpreter4  7iv7          
,postpartum and postpartum period ,the  
terms postpartum and postpartum period  
each refer to the #a-year period        

beginning on the last day of the        
pregnancy of an individual4  4