HEALTH for MOM Act of 2025
Sponsored By: Representative Nunn (IA)
Introduced
Summary
The HEALTH for MOM Act of 2025 would create a voluntary Medicaid option to fund coordinated maternity health homes that manage pregnancy and up to one year of postpartum care. It links medical, behavioral, and social services through individualized care plans to close gaps around delivery and the first year after pregnancy.
Show full summary
- Pregnant and postpartum people on Medicaid could enroll in a maternity health home that coordinates prenatal care, behavioral health, oral health, home care, and referrals to supports such as WIC. Coverage continues up to one year after pregnancy unless state eligibility ends sooner.
- States could adopt the option after a two year delay and choose payment models like per-member-per-month or prospective payments. For the first four fiscal quarters after a state plan amendment, federal matching for these payments would be 15 percentage points higher, up to a 90% cap, and $50 million in planning grants are authorized over two years to help states plan.
- Designated providers and multidisciplinary teams must meet federal qualification standards, notify maternity homes after emergency visits, and coordinate with pediatric and social services. States must report enrollment, quality measures, and maternal morbidity and mortality data annually with postpartum deaths split into 0–42 days and 43 days to 1 year.
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 4 benefits, 0 costs, 0 mixed.
New Medicaid maternity health homes
This bill would let states offer "maternity health homes" under Medicaid starting two years after enactment. If your state opts in, you could enroll if you are pregnant and have full Medicaid benefits (not a pregnancy-only package). Coverage would continue until your state eligibility ends or up to one year after your pregnancy ends, whichever comes first. Care would be culturally and linguistically appropriate, with a team that coordinates prenatal and postpartum care, mental health, dental, social supports, and links with your baby’s doctors. States would choose a payment method (like per-member-per-month), and hospitals would share information and alert your care team after emergency visits.
Higher federal match for maternity care
If your state launches a maternity health home, the federal share of those payments would rise by 15 percentage points for the first four fiscal quarters. The increase could not push the federal share above 90 percent. This could lower the state share and make it easier for states to start the program.
Reporting and privacy for maternity homes
Providers would need to report basic info and quality measures to get paid for maternity health home services. States would have to protect privacy, and report program data to the federal government at least once a year. States would also post an implementation report within 18 months of plan approval. Reports would include enrollment details and maternal health outcomes, without sharing names.
State grants to plan maternity homes
The bill would give $50 million for state planning grants to build these Medicaid maternity health homes. Grant awards could start October 1, 2025, and the money would be available for two years from enactment, until spent. Each state that applies would get a grant, but total payments could not exceed $50 million.
Sponsors & CoSponsors
Sponsor
Nunn (IA)
IA • R
Cosponsors
Pressley
MA • D
Sponsored 5/13/2025
Underwood
IL • D
Sponsored 5/13/2025
Vindman
VA • D
Sponsored 9/17/2025
Roll Call Votes
No roll call votes available for this bill.
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