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HR-9816House2026-07-21Health

MOMMIES Act

YourVoice.Now Summary

Your MoneyWorkers & JobsTransparency & Accountability

New mothers on Medicaid would get a full year of coverage after birth — plus dental care, and higher pay for midwives.

Your Money

Medicaid after a birth — one full year, not 60 days

Medicaid and CHIP now have to cover a new mother for only 60 days after a birth. That would become a full year on January 1, 2027, and a state could choose to go longer.

Full Medicaid benefits after birth — not just pregnancy care

Today that year of coverage can be limited to pregnancy-related care. A new mother would instead get the same full benefits any adult on Medicaid gets, no matter why she qualified.

Dental care while pregnant and for a year after

States would have to pay for dental work that prevents disease, repairs teeth, and treats emergencies. The list follows what pediatric dentists and pregnancy doctors recommend, and CHIP would cover it too.

Protection from state cuts to pregnancy coverage — through 2030

States could not add waiting lists, income limits, or enrollment caps for low-income pregnant people, and could not cut what that coverage pays for. Federal payments would stop if they did.

Workers & Jobs

Medicaid pay for basic care — matched to Medicare rates

Pay for basic care would have to be at least what Medicare pays, starting the month after the law took effect. Rural and shortage areas could get up to 25 percent more, and managed care plans would have to meet the same level.

Midwives and OB-GYNs added to Medicaid's higher pay rules

The list of providers paid at that level would add OB-GYNs, nurse midwives, other midwives working under state law, and the clinicians they supervise. Care given in a hospital emergency room would not count.

Transparency & Accountability

Outside review of state programs — a national evaluator each year

Before any state money goes out, an outside national group would be hired to check that states follow the rules and to measure results. It would report every year and issue a final report at the end.

Congress must revisit the ban on state cuts — ends 2030

The freeze on state cuts is temporary. It covers Medicaid until the new one-year rule starts in 2027, then CHIP through the end of 2030. After that, Congress would have to act again.

More about this bill

New mothers on Medicaid would keep their health coverage for a full year after giving birth, not 60 days. States could choose to cover them even longer. The same change would apply to the Children's Health Insurance Program (CHIP). Both changes would start on January 1, 2027. Coverage in that year would be full Medicaid, not just pregnancy care. Dental care would become a required benefit too. That covers cleanings, exams, gum care, and fillings, while pregnant and for the year after. Through 2030, states could not tighten who qualifies or cut what pregnancy coverage pays for. The federal government would pay all of the added state costs. Midwives and doctors who treat Medicaid patients would get a raise. Pay for basic care would have to match Medicare rates. In rural and underserved areas, the rate could run up to 25 percent higher. Midwives and OB-GYNs would join the list of providers who get those rates. At least 10 states would also get money to try “maternity care home” programs. Each patient would get a care coordinator plus help with food, housing, rides, and child care. Two federal studies would look at doula coverage and at video visits for pregnancy care.

Congressional Summary

Maximizing Outcomes for Moms through Medicaid Improvement and Enhancement of Services Act or the MOMMIES Act This bill establishes a series of programs and requirements under Medicaid and the Children's Health Insurance Program (CHIP) relating to maternal health. For example, the bill expands eligibility for coverage under Medicaid and CHIP from 60 days to one year after the last day of pregnancy and requires such coverage to include oral health services. The bill also establishes a demonstration program in which states receive grants to implement or expand models for maternity care homes that provide services to Medicaid or CHIP beneficiaries. The Government Accountability Office must report on (1) gaps in coverage under Medicaid and CHIP for pregnant and postpartum women, and (2) the use of telehealth by state Medicaid programs to increase access to maternity care.

Details

Congress
119th
Chamber
House
Status
summarized
Action
Introduced in House
Action Date
2026-07-21
Date Added
2026-08-26
Source
Congress.gov →

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