S. 2289
Introduced in Senate · July 31, 2025July 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
National reskilling of the maternity care workforce
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,