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S-4913Senate2026-06-24Health

MOMMIES Act

YourVoice.Now Summary

Your MoneyCorporate BenefitsTransparency & Accountability

A full year of Medicaid or CHIP coverage after birth instead of 60 days — with dental care, starting in 2027.

Your Money

Medicaid and CHIP coverage after birth — one year instead of 60 days

Right now, pregnancy coverage can end 60 days after birth. Starting January 1, 2027, it would last a full year, and a state could make it longer.

Full health benefits after birth — not just pregnancy care

During that year you would get everything the state's regular adult Medicaid plan covers. You would keep it even if your income changes.

Dental care during and after pregnancy — states must cover it

States would have to pay for exams, cleanings, gum care and fillings. This covers people who are pregnant or gave birth in the past year.

Protection from state coverage cuts — states would lose federal money

A state could not add waiting lists, caps or stricter income rules for pregnant people. If it did, federal payments for the program would stop.

A care coordinator for pregnancy care — in at least 10 test states

In a new five-year trial, each patient would be assigned a coordinator. That could be a nurse, midwife, doula or community health worker who keeps their care on track.

Help with food, housing and childcare — through the test program

Clinics in the trial would help with more than medical care. The list includes food, housing, rides, childcare and mental health care.

Corporate Benefits

Medicaid pay for doctors and midwives — at least Medicare rates

States and Medicaid health plans would have to pay these rates. The rule covers doctors, midwives and clinics — for all primary care, not just pregnancy care.

Extra Medicaid pay in rural areas — up to 25% more

The higher rate would also apply where doctors are scarce and in underserved places. Federal health officials would decide whether to grant it.

Transparency & Accountability

Study of pregnancy coverage gaps — due to Congress within a year

Congress's audit office would study who loses coverage and why. It would break the numbers down by race, income and age.

Outside review of the test program — yearly reports to Congress

An outside group would check the states and measure results. The health secretary would report to Congress every year.

Public report on doula coverage — plus federal guidance to states

A Medicaid panel would study which states pay for doulas and what blocks it. Health officials would then send states written advice.

Limits on state coverage cuts — both expire by 2031

The Medicaid rule would end January 1, 2027. The CHIP rule would run through 2030, then stop unless Congress acts.

More about this bill

If you are pregnant and on Medicaid, your coverage would last a full year after you give birth. Today it can stop after 60 days. States could choose to cover you longer. The same change applies to CHIP, the health plan for children and some pregnant people. During that year you would get full benefits, not just pregnancy care. States would also have to cover dental care, including exams, cleanings, gum care and fillings. These changes would start January 1, 2027. From 2027 on, the federal government would pay the whole cost of the added coverage. States could not tighten who qualifies for pregnancy coverage or cut its benefits. A state that did would lose federal money for the program. Those limits would run until 2027 for Medicaid and through 2030 for CHIP. The bill would also require Medicaid to pay at least Medicare rates for primary care. That covers doctors, midwives, nurse practitioners and clinics. In rural and underserved areas, officials could pay up to 25 percent more. The pay rule covers all primary care under Medicaid, not just care for mothers. A new five-year test program would run in at least 10 states, plus at least one territory. States would get grants to work with birth centers, community clinics and tribal health centers. Each patient would get a care coordinator and a care plan built around their own choices. The program would also help with food, housing, rides, childcare and mental health care. Funding would be approved for 2027 through 2034. It would also order studies on coverage gaps, doula care and telehealth. Doulas are trained helpers who support people through pregnancy and birth.

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
Senate
Status
summarized
Action
Introduced in Senate
Action Date
2026-06-24
Date Added
2026-07-15
Source
Congress.gov →

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