,,ii #aaith ,,congress #b;d ,session ,s4 #ddhj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #aa1 #bjbf,ms4 ,blunt ,rochester 7for herself and ,mr4 ,sullivan7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to direct the ,secretary of ,health and ,human ,services to issue guidance on coverage under the ,medicaid program under title ,,xix of the ,social ,security ,act of certain pelvic health services furnished during the postpartum period1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,optimizing ,postpartum ,outcomes ,act of #bjbf4 #b4 ,,cms guidance 7a7 ,in general ,not later than #a year after the date of the enactment of this ,act1 the ,secretary of ,health and ,human ,services shall issue guidance on coverage under ,state plans 7or waivers of such plans7 under the ,medicaid program under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 or ,state child health plans 7or waivers of such plans7 under the ,children's ,health ,insurance ,program under title ,,xxi of such ,act 7#db ,u4,s4,c4 #acig;aa et seq47 of covered pelvic health services furnished during the prenatal or postpartum period4 ,such guidance shall include-- 7#a7 best practices from ,states with respect to innovative or evidenced-based payment models to increase access to covered pelvic health services2 7#b7 recommendations for ,states on available financing options under-- 7,a7 the ,medicaid program under title ,,xix of such ,act 7#db ,u4,s4,c4 #acif et seq472 and 7,b7 the ,children's ,health ,insurance ,program under title ,,xxi of such ,act 7#db ,u4,s4,c4 #acig;aa et seq471 specifically funds made available through a ,children's ,health ,insurance ,program ,health ,services ,initiative2 7#c7 guidance and technical assistance to ,state agencies responsible for administering ,state plans 7or waivers of such plans7 under the ,medicaid program under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 regarding additional flexibilities and incentives related to screening and referral for1 and access to1 covered pelvic health services2 and 7#d7 guidance regarding suggested terminology and diagnosis codes1 such as the ,international ,classification of ,diseases code set1 to identify women with pelvic floor dysfunction and disorders4 7b7 ,,gao study ,not later than #a year after the date of the enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall conduct a study on1 and submit to ,congress a report that addresses1 gaps in coverage for-- 7#a7 covered pelvic health services under ,state plans 7or waivers of such plans7 under the ,medicaid program under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 for postpartum women2 and 7#b7 other services for postpartum women who received medical assistance under a ,state plan 7or a waiver of such plan7 under the ,medicaid program under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 during their pregnancy4 7c7 ,definitions ,in this section3 7#a7 ,the term postpartum period means the longer of the period of lactation or the #f-month period beginning on the last day of a woman's pregnancy4 7#b7 ,the term covered pelvic health services means-- 7,a7 pelvic floor examinations 7as defined in section #cag,l-#b of the ,public ,health ,service ,act1 as added by section #c of this ,act72 and 7,b7 pelvic health physical therapy 7as defined in such section #cag,l-#b74 #c4 ,postpartum pelvic health education campaign ,part ,b of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdc et seq47 is amended by inserting after section #cag,l-#a 7#db ,u4,s4,c4 #bdg;b-#ac;a7 the following3 #cag,l-#b4 ,postpartum pelvic health education campaign 7a7 ,in general ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 in collaboration with the ,administrator of the ,health ,resources and ,services ,administration and the heads of other agencies1 and in consultation with appropriate health professional associations1 shall develop and carry out a program-- 7#a7 to educate and train health professionals on pelvic floor examinations and the benefits of pelvic health physical therapy2 and 7#b7 to educate postpartum women on-- 7,a7 with respect to pelvic floor examinations-- 7i7 the importance of such examinations during the postpartum period2 7ii7 how to obtain such an examination1 including information relating to obtaining referrals2 and 7iii7 what is involved in such an examination2 and 7,b7 with respect to pelvic health physical therapy-- 7i7 the benefits of1 and availability of1 such physical therapy2 and 7ii7 how to obtain a referral for such physical therapy4 7b7 ,definitions ,in this section3 7#a7 ,the term pelvic floor examination means an examination to assess a patient for pelvic health related conditions that is composed of-- 7,a7 an external evaluation that includes analysis of posture1 joint integrity1 muscle performance1 quality of movement1 and palpation and observation of the pelvic floor2 and 7,b7 if deemed necessary based on the health care professional's clinical reasoning1 an internal vaginal or rectal examination1 or both1 to gather relevant information about the tone1 strength1 control1 ability to contract and relax the muscles of the pelvic floor individually and together1 the condition of the surrounding fascia1 and the position of the organs4 7#b7 ,the term pelvic health physical therapy means a personalized physical therapy plan implemented by a pelvic health physical therapist1 after performing a pelvic floor examination and making a diagnosis1 that is based on best available evidence to improve the patient condition1 with respect to the anatomy of the pelvic floor1 improve mobility1 recover from injury1 prevent future injury1 and manage pain and chronic conditions4 7#c7 ,the term pelvic health related condition includes urinary dysfunction1 bowel dysfunction1 musculoskeletal dysfunction1 sexual dysfunction1 cancer-related rehabilitation1 and the pre-partum state and pre-partum conditions4 7c7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #b1jjj1jjj for each of fiscal years #bjbg through #bjca4 4