S.2289

S. 2289

July 15, 2025

Mr. Grassley (for himself and Ms. Hassan) introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To amend titles XIX and XXI of the Social Security Act to improve maternal health coverage under Medicaid and CHIP, and for other purposes.

1. Short title; table of contents; 2. Definitions; 3. Mandatory reporting by State Medicaid programs on adult health care quality measures of maternal and perinatal health; 4. Medicaid quality improvement initiatives to reduce rates of cesarean sections; Medicare requirement for hospitals to report on data on cesarean births; 5. State option to provide coordinated care through a health home for pregnant and postpartum women; 6. Guidance on care coordination to support maternal health; 7. National reskilling of the maternity care workforce; 8. MACPAC study on doulas and community health workers; guidance on increasing access to doula services under Medicaid; 9. Demonstration projects to improve the delivery of maternal health care through telehealth; 10. CMS report on coverage of remote physiologic monitoring devices and impact on maternal and child health outcomes under Medicaid; 11. Guidance on community-based maternal health programs; 12. Developing guidance on maternal mortality and severe morbidity reduction for maternal care providers receiving payment under the Medicaid program; 13. Program related to reducing cesarean births and increasing rates of vaginal birth after cesarean; 14. Collection of information related to social determinants of the health of Medicaid and CHIP beneficiaries; 15. Report on payment methodologies for transferring pregnant women between facilities before, during, and after childbirth; 16. Medicaid guidance on State options to address social determinants of health for pregnant and postpartum women; 17. Payment error rate measurement (PERM) audit and improvement requirements

State option to provide coordinated care through a health home for pregnant and postpartum women