,,ii  #aaith ,,congress  #ast ,session  
,s4 #bjhe  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,june #af1     
#bjbe ,mr4 ,gallego introduced the      
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to require #ab-month        
continuous1 full benefit coverage for   
pregnant individuals under ,medicaid and
 ,,chip1 and for other purposes4  #a4   
,short title ,this ,act may be cited as 
the ,postpartum ,lifeline ,act4  #b4    
,requiring #ab-month continuous1 full   
benefit coverage for pregnant           
individuals under ,medicaid and ,,chip  
7a7 ,medicaid ,section #aijb of the     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7 is amended--  7#a7 in          
subsection 7a7-- 7,a7 in paragraph      
7#aj71 in the matter following          
subparagraph 7,g71 by striking 7,,vii7  
the medical assistance made available to
 an individual described in subsection  
7l77#a77;,a7 who is eligible for medical
 assistance only because of subparagraph

 7,a77i77,,iv7 or 7,a77ii77,,ix7 shall  
be limited to medical assistance for    
services related to pregnancy 7including
 prenatal1 delivery1 postpartum1 and    
family planning services71 medical      
assistance for services related to other
 conditions which may complicate        
pregnancy1 and medical assistance for   
vaccines described in section           
#aije7;a77#d77;,e7 and the              
administration of such vaccines during  
the period described in such section1   
and inserting 7,,vii7 ,repealed12  7,b7 
in paragraph 7#hf71 by striking and at  
the end2  7,c7 in paragraph 7#hg77;,d71 
by striking the period at the end and   
inserting 2 and2 and  7,d7 by inserting 
after paragraph 7#hg7 the following new 
paragraph3  7#hh7 provide that the      
,state plan is in compliance with       
subsection 7e77#af74  2 and  7#b7 in    
subsection 7e77#af7-- 7,a7 in           
subparagraph 7,a71 by striking ,at the  
option of the ,state1 the ,state plan   
7or waiver of such ,state plan7 may     

provide and inserting ,a ,state plan 7or
 waiver of such ,state plan7 shall      
provide2  7,b7 in subparagraph 7,b71 in 
the matter preceding clause 7i71 by     
striking by a ,state making an election 
under this paragraph and inserting under
 a ,state plan 7or a waiver of such     
,state plan72 and  7,c7 in subparagraph 
7,c7--  7i7 by striking ,a ,state making
 an election under this paragraph and   
inserting ,in the case of a ,state2 and 
7ii7 by striking shall also make the    
election and inserting the ,state shall 
provide coverage4  7b7 ,,chip  7#a7 ,in 
general ,subparagraph 7,j7 of section   
#bajg7;e77#a7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #acig;gg7e77#a771 as
 redesignated by section #aje1 is       
amended to read as follows3  7,j7       
,paragraphs 7#e7 and 7#af7 of section   
#aijb7;e7 7relating to the requirement  
to provide medical assistance under the 
,state plan or waiver consisting of full
 benefits during pregnancy and          
throughout the #ab-month period that    

begins on the last day of the           
individual's pregnancy and ends on the  
last day of the month in which such     
#ab-month period ends74  4  7#b7        
,conforming amendment ,section          
#baab7;d77#b77;,a7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acigll7d77#b77;,a77 is amended by      
striking the month in which the #fj-;day
 period and all that follows through    
pursuant to section #bajg7;e77#a714  7c7
 ,effective date  7#a7 ,in general      
,subject to paragraphs 7#b7 and 7#c71   
the amendments made by subsections 7a7  
and 7b7 shall take effect on the #ast   
day of the #ast calendar quarter that   
begins on or after the date that is #a  
year after the date of enactment of this
 ,act4  7#b7 ,exception for ,state      
legislation ,in the case of a ,state    
plan under title ,,xix of the ,social   
,security ,act or a ,state child health 
plan under title ,,xxi of such ,act that
 the ,secretary of ,health and ,human   
,services determines requires ,state    

legislation in order for the respective 
plan to meet any requirement imposed by 
amendments made by this subsection1 the 
respective plan shall not be regarded as
 failing to comply with the requirements
 of such title solely on the basis of   
its failure to meet such an additional  
requirement before the #ast day of the  
#ast calendar quarter beginning after   
the close of the #ast regular session of
 the ,state legislature that begins     
after the date of enactment of this     
,act4 ,for purposes of the previous     
sentence1 in the case of a ,state that  
has a #b-year legislative session1 each 
year of the session shall be considered 
to be a separate regular session of the 
,state legislature4  7#c7 ,state option 
for earlier effective date ,a ,state may
 elect to have subsection 7e77#af7 of   
section #aijb of the ,social ,security  
,act 7#db ,u4,s4,c4 #acif;a7 and        
subparagraph 7,j7 of section            
#bajg7;e77#a7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #acig;gg7e77#a771 as

 amended by this section1 take effect   
with respect to the ,state on the #ast  
day of any fiscal quarter that begins   
before the date described in paragraph  
7#a7 and apply to amounts payable to the
 ,state for expenditures for medical    
assistance1 child health assistance1 or 
pregnancy-related assistance to pregnant
 or postpartum individuals furnished on 
or after such day4