,,ii #aai? ,,congress #b;d ,session ,s4 #ddha ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,may #aa1 #bjbf,ms4 ,blunt ,ro*e/] introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to require ! ,secret>y ( ,heal? & ,human ,s]vices to e/abli% a demon/ration project to all[ ,/ates to te/ paym5t models = mat]nity c>e provid$ to pregnant & po/p>tum individuals "u ! ,m$icaid & ,,*ip programs1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,innovative ,mat]nal ,paym5t & ,cov]age ,to ,save ,moms ,act or ! ,,impact to ,save ,moms ,act4 #b4 ,p]9atal ,c>e ,alt]native ,paym5t ,model ,demon/ration ,project 7a7 ,9 g5]al ,= ! p]iod ( fiscal ye>s #bjbg ?r\gh #bjca1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 act+ ?r\gh ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 %all e/abli% & implem5t1 9 accordance ) ! requirem5ts ( ?is section1 a demon/ration project1 to be kn[n z ! ,p]9atal ,c>e ,alt]native ,paym5t ,model ,demon/ration ,project 7ref]r$ to 9 ?is section z ! ,demon/ration ,project71 = purposes ( all[+ ,/ates to te/ paym5t models "u _! ,/ate plans "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 & ,/ate *ild heal? plans "u title ,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig;aa et seq47 ) respect to mat]nity c>e provid$ to pregnant & po/p>tum individuals enroll$ 9 su* ,/ate plans & ,/ate *ild heal? plans4 7b7 ,coord9ation ,9 e/abli%+ ! ,demon/ration ,project1 ! ,secret>y %all coord9ate ) /akehold]s su* z-- 7#a7 ,/ate ,m$icaid programs2 7#b7 mat]nity c>e provid]s & organizations repres5t+ mat]nity c>e provid]s2 7#c7 relevant organizations repres5t+ pati5ts1 ) a p>ticul> focus on pati5ts f demographic gr\ps ) elevat$ rates ( mat]nal mortality1 sev]e mat]nal morbidity1 mat]nal heal? disp>ities1 or o!r adv]se p]9atal or *ildbir? outcomes2 7#d7 relevant community-bas$ organizations1 p>ticul>ly organizations t seek to improve mat]nal heal? outcomes = individuals f demographic gr\ps ) elevat$ rates ( mat]nal mortality1 sev]e mat]nal morbidity1 mat]nal heal? disp>ities1 or o!r adv]se p]9atal or *ildbir? outcomes2 7#e7 p]9atal heal? work]s2 7#f7 relevant heal? insurance issu]s2 7#g7 hospitals1 heal? sy/ems1 midwif]y practices1 free/&+ bir? c5t]s 7z su* t]m is def9$ 9 p>agraph 7#c77;,b7 ( section #aije7l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7l7771 f$]ally-qualifi$ heal? c5t]s 7z su* t]m is def9$ 9 p>agraph 7#b77;,b7 ( su* section71 & rural heal? cl9ics 7z su* t]m is def9$ 9 section #ahfa7;aa7 ( su* ,act 7#db ,u4,s4,c4 #aciex7aa7772 7#h7 rese>*]s & policy exp]ts 9 fields relat$ to mat]nity c>e paym5t models2 & 7#i7 any o!r /akehold]s z ! ,secret>y det]m9es appropriate1 ) a p>ticul> focus on /akehold]s f demographic gr\ps ) elevat$ rates ( mat]nal mortality1 sev]e mat]nal morbidity1 mat]nal heal? disp>ities1 or o!r adv]se p]9atal or *ildbir? outcomes4 7c7 ,consid]ations ,9 e/abli%+ ! ,demon/ration ,project1 ! ,secret>y %all consid] any alt]native paym5t model t-- 7#a7 is design$ to improve mat]nal heal? outcomes = individuals f demographic gr\ps ) elevat$ rates ( mat]nal mortality1 sev]e mat]nal morbidity1 mat]nal heal? disp>ities1 or o!r adv]se p]9atal or *ildbir? outcomes2 7#b7 includes me?ods = /ratify+ pati5ts by pregnancy risk level &1 z appropriate1 adju/+ paym5ts "u su* model to take into acc\nt pregnancy risk level1 includ+ consid]ation ( ! appropriate transf] ( pati5ts by pregnancy risk level2 7#c7 e/abli%es evid5ce-bas$ quality metrics = su* paym5ts2 7#d7 includes consid]ation ( non-hospital bir? sett+s su* z free/&+ bir? c5t]s 7z s def9$72 7#e7 includes consid]ation ( social det]m9ants ( mat]nal heal?2 7#f7 includes div]se mat]nity c>e teams t include-- 7,a7 mat]nity c>e provid]s1 m5tal & behavioral heal? c>e provid]s act+ 9 accordance ) ,/ate law1 & regi/]$ dietitians or nutrition pr(essionals 7z su* t]m is def9$ 9 section #aciex7vv77#b7 ( title #db1 ,unit$ ,/ates ,code7-- 7i7 f racially1 e?nically1 & pr(essionally div]se backgr\nds2 7ii7 ) exp]i5ce practic+ 9 racially & e?nically div]se communities2 or 7iii7 :o h und]gone tra9+ on implicit bias & racism2 & 7,b7 p]9atal heal? work]s2 or 7#g7 includes consid]ation ( mat]nal m5tal heal? conditions & sub/ance use disord]s4 7d7 ,eligibility ,to be eligible to p>ticipate 9 ! ,demon/ration ,project1 a ,/ate %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7e7 ,evaluation ,! ,secret>y %all conduct an evaluation ( ! ,demon/ration ,project to det]m9e ! impact ( ! ,demon/ration ,project on-- 7#a7 mat]nal heal? outcomes1 ) data /ratifi$ by race1 e?nicity1 prim>y language1 socioeconomic /atus1 geography1 insurance type1 & o!r factors z ! ,secret>y det]m9es appropriate2 7#b7 sp5d+ on mat]nity c>e by ,/ates p>ticipat+ 9 ! ,demon/ration ,project2 7#c7 to ! ext5t practicable1 qualitative & quantitative measures ( pati5t exp]i5ce2 & 7#d7 any o!r areas ( assessm5t t ! ,secret>y det]m9es relevant4 7f7 ,report ,n lat] ?an #a ye> aft] ! completion or t]m9ation date ( ! ,demon/ration ,project1 ! ,secret>y %all submit to ! ,congress1 & make publicly available1 a report conta9+-- 7#a7 ! results ( any evaluation conduct$ "u subsection 7e72 & 7#b7 a recomm5dation reg>d+ :e!r ! ,demon/ration ,project %\ld be cont9u$ aft] fiscal ye> #bjca & exp&$ on a national basis4 7g7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ su* sums z are necess>y to c>ry out ?is section4 7h7 ,def9itions ,9 ?is section3 7#a7 ,alt]native paym5t model ,! t]m alt]native paym5t model has ! mean+ giv5 su* t]m 9 section #ahcc7z77#c77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7z77#c77;,c774 7#b7 ,p]9atal ,! t]m p]9atal means ! p]iod beg9n+ on ! day an individual becomes pregnant & end+ on ! la/ day ( ! #a-ye> p]iod beg9n+ on ! la/ day ( su* individual's pregnancy4