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119-s-4481119th CongressWALLET
IMPACT to Save Moms Act
Sponsored By: Senator Blunt Rochester, Lisa [D-DE]
Introduced
Summary
Tests new payment models to improve maternal health outcomes and reduce disparities. The bill would establish a Perinatal Care Alternative Payment Model Demonstration Project for fiscal years 2027 through 2031 to let states try outcome-focused maternity payment approaches covering pregnancy through one year postpartum.
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- Pregnant and postpartum people would see maternity care paid in ways that account for pregnancy risk, mental health, substance use treatment, nutrition, and social needs. "Perinatal" covers pregnancy through the year after birth.
- States could apply to test alternative payment models under Medicaid and the State Children's Health Insurance Program. The Demonstration would run from 2027 through 2031 and require states to submit applications to CMS.
- Providers and health systems could be paid to support non-hospital birth settings and multidisciplinary teams that include mental health, nutrition, and perinatal health workers. CMS would evaluate outcomes and patient experience with data broken out by race, ethnicity, language, income, geography, and insurance and report to Congress within one year after the project ends.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
New Medicaid payment tests for moms
If enacted, this bill would create the Perinatal Care Alternative Payment Model Demonstration Project for fiscal years 2027 through 2031. States could apply to test new payment models for maternity care under Medicaid (title XIX) and CHIP (title XXI). Models would cover pregnancy through one year after the pregnancy ends and must consider risk-based payment adjustments, evidence-based quality measures, non-hospital birth settings, social drivers of maternal health, diverse maternity care teams, maternal mental health, and substance use. HHS, acting through CMS, would run the demonstration and coordinate with providers, patient groups, community organizations, and researchers. The Secretary would evaluate impacts (with data broken down by race, ethnicity, language, income, geography, and insurance type) and would report results and a recommendation to Congress within one year after the demonstration ends. The bill would authorize such sums as are necessary to run the demonstration.
Sponsors & CoSponsors
Sponsor
Blunt Rochester, Lisa [D-DE]
DE • D
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov