# 119-hr-4074: Optimizing Postpartum Outcomes Act of 2025

119-hr-4074, Optimizing Postpartum Outcomes Act of 2025, is a 119th Congress bill sponsored by Rep. Bacon, Don [R-NE-2] (R-NE); status introduced; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-4074
- As of: 2026-09-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4074
- Congress: 119
- Title: Optimizing Postpartum Outcomes Act of 2025
- Status: introduced
- Introduced: 2025-06-23
- Sponsor: Rep. Bacon, Don [R-NE-2] (R-NE)
- Cosponsors: 41
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## 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. - 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.*

## Cosponsors (41)

- Rep. Trahan, Lori [D-MA-3] (D-MA), 2025-06-23T00:00:00.000Z
- Rep. Tonko, Paul [D-NY-20] (D-NY), 2025-07-07T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-07-07T00:00:00.000Z
- Rep. Quigley, Mike [D-IL-5] (D-IL), 2025-07-10T00:00:00.000Z
- Rep. Bonamici, Suzanne [D-OR-1] (D-OR), 2025-07-10T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2025-07-10T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2025-07-10T00:00:00.000Z
- Rep. Carter, Earl L. "Buddy" [R-GA-1] (R-GA), 2025-07-17T00:00:00.000Z
- Rep. Riley, Josh [D-NY-19] (D-NY), 2025-07-17T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2025-07-29T00:00:00.000Z
- Rep. Lawler, Michael [R-NY-17] (R-NY), 2025-07-29T00:00:00.000Z
- Rep. Hill, J. French [R-AR-2] (R-AR), 2025-07-29T00:00:00.000Z
- Rep. Sherrill, Mikie [D-NJ-11] (D-NJ), 2025-07-29T00:00:00.000Z
- Rep. Crow, Jason [D-CO-6] (D-CO), 2025-08-08T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-08-15T00:00:00.000Z
- Rep. McClain Delaney, April [D-MD-6] (D-MD), 2025-08-15T00:00:00.000Z
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2025-09-04T00:00:00.000Z
- Rep. Nunn, Zachary [R-IA-3] (R-IA), 2025-09-04T00:00:00.000Z
- Rep. Lieu, Ted [D-CA-36] (D-CA), 2025-09-04T00:00:00.000Z
- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-09-17T00:00:00.000Z
- Rep. Kim, Young [R-CA-40] (R-CA), 2025-10-06T00:00:00.000Z
- Rep. Magaziner, Seth [D-RI-2] (D-RI), 2025-10-08T00:00:00.000Z
- Rep. Ross, Deborah K. [D-NC-2] (D-NC), 2025-10-08T00:00:00.000Z
- Rep. McBride, Sarah [D-DE-At Large] (D-DE), 2025-10-17T00:00:00.000Z
- Rep. Gillen, Laura [D-NY-4] (D-NY), 2025-10-17T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2025-10-31T00:00:00.000Z
- Rep. Pingree, Chellie [D-ME-1] (D-ME), 2025-11-07T00:00:00.000Z
- Rep. Soto, Darren [D-FL-9] (D-FL), 2025-11-20T00:00:00.000Z
- Rep. Krishnamoorthi, Raja [D-IL-8] (D-IL), 2025-11-20T00:00:00.000Z
- Rep. Carson, André [D-IN-7] (D-IN), 2025-12-05T00:00:00.000Z
- Rep. Neguse, Joe [D-CO-2] (D-CO), 2025-12-18T00:00:00.000Z
- Rep. Himes, James A. [D-CT-4] (D-CT), 2026-01-16T00:00:00.000Z
- Rep. Meuser, Daniel [R-PA-9] (R-PA), 2026-02-17T00:00:00.000Z
- Rep. Mackenzie, Ryan [R-PA-7] (R-PA), 2026-03-16T00:00:00.000Z
- Rep. Adams, Alma S. [D-NC-12] (D-NC), 2026-04-30T00:00:00.000Z
- Rep. Johnson, Julie [D-TX-32] (D-TX), 2026-05-12T00:00:00.000Z
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2026-06-18T00:00:00.000Z
- Rep. DeSaulnier, Mark [D-CA-10] (D-CA), 2026-09-08T00:00:00.000Z
- Rep. Hayes, Jahana [D-CT-5] (D-CT), 2026-09-08T00:00:00.000Z
- Rep. Conaway, Herbert C. [D-NJ-3] (D-NJ), 2026-09-08T00:00:00.000Z
- Rep. Grijalva, Adelita S. [D-AZ-7] (D-AZ), 2026-09-08T00:00:00.000Z

## Provisions PRIA read

- Medicaid and CHIP guidance on postpartum pelvic care: benefit, medium. 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 pe…
- Postpartum pelvic health education campaign: benefit, low. 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 the…

## Related bills

- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-2102: Major Richard Star Act
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-2048: Metastatic Breast Cancer Access to Care Act
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025

## Sources
- [119-hr-4074 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4074)

## Related
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-2048: Metastatic Breast Cancer Access to Care Act](https://policyrisk.com/legislation/119-hr-2048)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4074 (as of 2026-09-21).