,,ii #aaith ,,congress #b;d ,session ,s4 #ddha ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #aa1 #bjbf,ms4 ,blunt ,rochester introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to require the ,secretary of ,health and ,human ,services to establish a demonstration project to allow ,states to test payment models for maternity care provided to pregnant and postpartum individuals under the ,medicaid and ,,chip programs1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,innovative ,maternal ,payment and ,coverage ,to ,save ,moms ,act or the ,,impact to ,save ,moms ,act4 #b4 ,perinatal ,care ,alternative ,payment ,model ,demonstration ,project 7a7 ,in general ,for the period of fiscal years #bjbg through #bjca1 the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary71 acting through the ,administrator of the ,centers for ,medicare ,medicaid ,services1 shall establish and implement1 in accordance with the requirements of this section1 a demonstration project1 to be known as the ,perinatal ,care ,alternative ,payment ,model ,demonstration ,project 7referred to in this section as the ,demonstration ,project71 for purposes of allowing ,states to test payment models under their ,state plans under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 and ,state child health plans under title ,,xxi of such ,act 7#db ,u4,s4,c4 #acig;aa et seq47 with respect to maternity care provided to pregnant and postpartum individuals enrolled in such ,state plans and ,state child health plans4 7b7 ,coordination ,in establishing the ,demonstration ,project1 the ,secretary shall coordinate with stakeholders such as-- 7#a7 ,state ,medicaid programs2 7#b7 maternity care providers and organizations representing maternity care providers2 7#c7 relevant organizations representing patients1 with a particular focus on patients from demographic groups with elevated rates of maternal mortality1 severe maternal morbidity1 maternal health disparities1 or other adverse perinatal or childbirth outcomes2 7#d7 relevant community-based organizations1 particularly organizations that seek to improve maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality1 severe maternal morbidity1 maternal health disparities1 or other adverse perinatal or childbirth outcomes2 7#e7 perinatal health workers2 7#f7 relevant health insurance issuers2 7#g7 hospitals1 health systems1 midwifery practices1 freestanding birth centers 7as such term is defined in paragraph 7#c77;,b7 of section #aije7l7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7l7771 federally-qualified health centers 7as such term is defined in paragraph 7#b77;,b7 of such section71 and rural health clinics 7as such term is defined in section #ahfa7;aa7 of such ,act 7#db ,u4,s4,c4 #aciex7aa7772 7#h7 researchers and policy experts in fields related to maternity care payment models2 and 7#i7 any other stakeholders as the ,secretary determines appropriate1 with a particular focus on stakeholders from demographic groups with elevated rates of maternal mortality1 severe maternal morbidity1 maternal health disparities1 or other adverse perinatal or childbirth outcomes4 7c7 ,considerations ,in establishing the ,demonstration ,project1 the ,secretary shall consider any alternative payment model that-- 7#a7 is designed to improve maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality1 severe maternal morbidity1 maternal health disparities1 or other adverse perinatal or childbirth outcomes2 7#b7 includes methods for stratifying patients by pregnancy risk level and1 as appropriate1 adjusting payments under such model to take into account pregnancy risk level1 including consideration of the appropriate transfer of patients by pregnancy risk level2 7#c7 establishes evidence-based quality metrics for such payments2 7#d7 includes consideration of non-hospital birth settings such as freestanding birth centers 7as so defined72 7#e7 includes consideration of social determinants of maternal health2 7#f7 includes diverse maternity care teams that include-- 7,a7 maternity care providers1 mental and behavioral health care providers acting in accordance with ,state law1 and registered dietitians or nutrition professionals 7as such term is defined in section #aciex7vv77#b7 of title #db1 ,united ,states ,code7-- 7i7 from racially1 ethnically1 and professionally diverse backgrounds2 7ii7 with experience practicing in racially and ethnically diverse communities2 or 7iii7 who have undergone training on implicit bias and racism2 and 7,b7 perinatal health workers2 or 7#g7 includes consideration of maternal mental health conditions and substance use disorders4 7d7 ,eligibility ,to be eligible to participate in the ,demonstration ,project1 a ,state shall submit an application to the ,secretary at such time1 in such manner1 and containing such information as the ,secretary may require4 7e7 ,evaluation ,the ,secretary shall conduct an evaluation of the ,demonstration ,project to determine the impact of the ,demonstration ,project on-- 7#a7 maternal health outcomes1 with data stratified by race1 ethnicity1 primary language1 socioeconomic status1 geography1 insurance type1 and other factors as the ,secretary determines appropriate2 7#b7 spending on maternity care by ,states participating in the ,demonstration ,project2 7#c7 to the extent practicable1 qualitative and quantitative measures of patient experience2 and 7#d7 any other areas of assessment that the ,secretary determines relevant4 7f7 ,report ,not later than #a year after the completion or termination date of the ,demonstration ,project1 the ,secretary shall submit to the ,congress1 and make publicly available1 a report containing-- 7#a7 the results of any evaluation conducted under subsection 7e72 and 7#b7 a recommendation regarding whether the ,demonstration ,project should be continued after fiscal year #bjca and expanded on a national basis4 7g7 ,authorization of appropriations ,there are authorized to be appropriated such sums as are necessary to carry out this section4 7h7 ,definitions ,in this section3 7#a7 ,alternative payment model ,the term alternative payment model has the meaning given such term in section #ahcc7z77#c77;,c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7z77#c77;,c774 7#b7 ,perinatal ,the term perinatal means the period beginning on the day an individual becomes pregnant and ending on the last day of the #a-year period beginning on the last day of such individual's pregnancy4