# 119-s-2059: Keeping Obstetrics Local Act

119-s-2059, Keeping Obstetrics Local Act, is a 119th Congress bill sponsored by Sen. Wyden, Ron [D-OR] (D-OR); status introduced; PRIA reads it as touching household money (as of 2026-06-04).

- Canonical: https://policyrisk.com/legislation/119-s-2059
- As of: 2026-06-04
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-2059
- Congress: 119
- Title: Keeping Obstetrics Local Act
- Status: introduced
- Introduced: 2025-06-12
- Sponsor: Sen. Wyden, Ron [D-OR] (D-OR)
- Cosponsors: 22
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-06-04

## Summary

**This bill would aim to _keep obstetric care local_** by setting minimum Medicaid payment rates, creating per-delivery anchor payments for low-volume hospitals, expanding continuous pregnancy coverage, and requiring detailed state cost studies and public reporting. It pairs targeted hospital payments with new care models and data collection to try to preserve local labor and delivery services.

## Cosponsors (22)

- Sen. Hassan, Margaret Wood [D-NH] (D-NH), 2025-06-12T00:00:00.000Z
- Sen. Cantwell, Maria [D-WA] (D-WA), 2025-06-12T00:00:00.000Z
- Sen. Bennet, Michael F. [D-CO] (D-CO), 2025-06-12T00:00:00.000Z
- Sen. Warner, Mark R. [D-VA] (D-VA), 2025-06-12T00:00:00.000Z
- Sen. Whitehouse, Sheldon [D-RI] (D-RI), 2025-06-12T00:00:00.000Z
- Sen. Cortez Masto, Catherine [D-NV] (D-NV), 2025-06-12T00:00:00.000Z
- Sen. Warren, Elizabeth [D-MA] (D-MA), 2025-06-12T00:00:00.000Z
- Sen. Sanders, Bernard [I-VT] (I-VT), 2025-06-12T00:00:00.000Z
- Sen. Smith, Tina [D-MN] (D-MN), 2025-06-12T00:00:00.000Z
- Sen. Luján, Ben Ray [D-NM] (D-NM), 2025-06-12T00:00:00.000Z
- Sen. Warnock, Raphael G. [D-GA] (D-GA), 2025-06-12T00:00:00.000Z
- Sen. Welch, Peter [D-VT] (D-VT), 2025-06-12T00:00:00.000Z
- Sen. Duckworth, Tammy [D-IL] (D-IL), 2025-06-12T00:00:00.000Z
- Sen. Booker, Cory A. [D-NJ] (D-NJ), 2025-06-12T00:00:00.000Z
- Sen. Merkley, Jeff [D-OR] (D-OR), 2025-06-12T00:00:00.000Z
- Sen. Murray, Patty [D-WA] (D-WA), 2025-06-12T00:00:00.000Z
- Sen. King, Angus S., Jr. [I-ME] (I-ME), 2025-06-12T00:00:00.000Z
- Sen. Heinrich, Martin [D-NM] (D-NM), 2026-02-02T00:00:00.000Z
- Sen. Schiff, Adam B. [D-CA] (D-CA), 2026-05-11T00:00:00.000Z
- Sen. Gillibrand, Kirsten E. [D-NY] (D-NY), 2026-05-11T00:00:00.000Z
- Sen. Coons, Christopher A. [D-DE] (D-DE), 2026-06-01T00:00:00.000Z
- Sen. Gallego, Ruben [D-AZ] (D-AZ), 2026-06-02T00:00:00.000Z

## Provisions PRIA read

- Longer Medicaid coverage after childbirth: benefit, high. If enacted, States would have to give full Medicaid or CHIP benefits to pregnant people for 12 months after pregnancy ends. States generally would start this rule one year after enactment, though States that need new State laws get more time. The bill would also require States to offer quick, tempo…
- Higher Medicaid maternity payment floors: benefit, medium. If enacted, States would have to pay eligible hospitals a minimum Medicaid rate for maternity, labor, and delivery starting in fiscal year 2027. For fiscal year 2027 the minimum would be 150% of the Medicare rate for the same services. The bill would also require States to complete detailed materni…
- Low-volume hospital revenue floor: benefit, medium. If enacted, low-volume obstetric hospitals would get an annual anchor payment if other payments fall short of a Medicaid revenue floor. For fiscal year 2028 the bill sets $10,000 per delivery and a $1,200,000 standby amount, indexed later. States must pay any shortfall within three months after the…
- Optional maternity health homes program: benefit, medium. If enacted, States could set up maternity health homes to coordinate pregnancy and 12-month postpartum care starting Jan. 1, 2028. States would pay designated providers to coordinate medical, behavioral, and social supports. The bill would fund $50 million in planning grants for FY2027 to help Stat…
- Stronger support for maternity providers: benefit, medium. If enacted, the bill would let the federal Commissioned Corps be sent to areas with urgent maternal care needs and would authorize $150 million per year starting in fiscal year 2027 for those operations. States would also have to allow eligible out-of-State maternity providers to enroll for five-ye…

## Related bills

- 119-s-5108: Right to IVF Act of 2026
- 119-s-1503: Equality Act
- 119-s-5066: Health Equity and Accountability Act of 2026
- 119-s-2150: Women’s Health Protection Act of 2025
- 119-s-2523: John R. Lewis Voting Rights Advancement Act of 2025
- 119-s-1115: Paycheck Fairness Act

## Sources
- [119-s-2059 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/2059)

## Related
- [119-s-5108: Right to IVF Act of 2026](https://policyrisk.com/legislation/119-s-5108)
- [119-s-1503: Equality Act](https://policyrisk.com/legislation/119-s-1503)
- [119-s-5066: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-s-5066)
- [119-s-2150: Women’s Health Protection Act of 2025](https://policyrisk.com/legislation/119-s-2150)
- [119-s-2523: John R. Lewis Voting Rights Advancement Act of 2025](https://policyrisk.com/legislation/119-s-2523)
- [119-s-1115: Paycheck Fairness Act](https://policyrisk.com/legislation/119-s-1115)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-2059 (as of 2026-06-04).