HR4074119th CongressWALLET

Optimizing Postpartum Outcomes Act of 2025

Sponsored By: Representative Bacon

Introduced

Summary

Expand access to pelvic floor care for postpartum women. This bill would require HHS to issue guidance to states on Medicaid and CHIP coverage of pelvic floor examinations and pelvic health physical therapy during pregnancy and the postpartum period, create a federal education and training campaign, and direct a GAO study on coverage gaps.

Show full summary
  • Families and postpartum women: Could get clearer routes to pelvic floor examinations and individualized pelvic health physical therapy during pregnancy and the postpartum period.
  • State Medicaid and CHIP agencies: Would receive federal guidance on coverage, payment models, screening, referrals, and use of CHIP Health Services Initiative funds to expand access.
  • Health professionals and clinics: CDC and HRSA would run a training and education campaign to teach providers how to perform pelvic floor exams and refer patients to pelvic health physical therapy.
  • Policymakers and researchers: GAO would study coverage gaps within one year for postpartum women who received Medicaid during pregnancy.

*If enacted, it would authorize $2.0 million annually for fiscal years 2026 through 2030 to fund the education campaign, totaling $10.0 million in authorized spending.*

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Medicaid and CHIP guidance on postpartum pelvic care

If enacted, HHS would, within one year, issue guidance to states on Medicaid and CHIP coverage for pelvic health care during pregnancy and after birth. It would share payment best practices, financing options (including CHIP Health Services Initiatives), and suggested diagnosis codes to identify pelvic floor problems. States would get technical help on screening, referrals, and access. Postpartum would mean the longer of breastfeeding or six months after the last day of pregnancy. This could make it easier to get pelvic floor exams and pelvic health physical therapy.

Postpartum pelvic health education campaign

If enacted, CDC, with HRSA and others, would run a program to teach clinicians about pelvic floor exams and pelvic health physical therapy. It would teach postpartum women why exams matter, what to expect, and how to get referrals and therapy. The bill would define what counts as an exam and as therapy. Congress would authorize $2 million each year for 2026 through 2030 for this program.

Sponsors & CoSponsors

Sponsor

Bacon

NE • R

Cosponsors

  • Trahan

    MA • D

    Sponsored 6/23/2025

  • Tonko

    NY • D

    Sponsored 7/7/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 7/7/2025

  • Quigley

    IL • D

    Sponsored 7/10/2025

  • Bonamici

    OR • D

    Sponsored 7/10/2025

  • Cohen

    TN • D

    Sponsored 7/10/2025

  • Gottheimer

    NJ • D

    Sponsored 7/10/2025

  • Carter (GA)

    GA • R

    Sponsored 7/17/2025

  • Riley (NY)

    NY • D

    Sponsored 7/17/2025

  • Davis (NC)

    NC • D

    Sponsored 7/29/2025

  • Lawler

    NY • R

    Sponsored 7/29/2025

  • Hill (AR)

    AR • R

    Sponsored 7/29/2025

  • Sherrill

    NJ • D

    Sponsored 7/29/2025

  • Crow

    CO • D

    Sponsored 8/8/2025

  • Vindman

    VA • D

    Sponsored 8/15/2025

  • McClain Delaney

    MD • D

    Sponsored 8/15/2025

  • Stansbury

    NM • D

    Sponsored 9/4/2025

  • Nunn (IA)

    IA • R

    Sponsored 9/4/2025

  • Lieu

    CA • D

    Sponsored 9/4/2025

  • Tokuda

    HI • D

    Sponsored 9/17/2025

  • Kim

    CA • R

    Sponsored 10/6/2025

  • Magaziner

    RI • D

    Sponsored 10/8/2025

  • Ross

    NC • D

    Sponsored 10/8/2025

  • McBride

    DE • D

    Sponsored 10/17/2025

  • Gillen

    NY • D

    Sponsored 10/17/2025

  • Thanedar

    MI • D

    Sponsored 10/31/2025

  • Pingree

    ME • D

    Sponsored 11/7/2025

  • Soto

    FL • D

    Sponsored 11/20/2025

  • Krishnamoorthi

    IL • D

    Sponsored 11/20/2025

  • Carson

    IN • D

    Sponsored 12/5/2025

  • Neguse

    CO • D

    Sponsored 12/18/2025

  • Himes

    CT • D

    Sponsored 1/16/2026

  • Meuser

    PA • R

    Sponsored 2/17/2026

  • Mackenzie

    PA • R

    Sponsored 3/16/2026

Roll Call Votes

No roll call votes available for this bill.

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