Healthy MOM Act
Sponsored By: Representative Watson Coleman, Bonnie [D-NJ-12]
Introduced
Summary
Guarantee maternity coverage across major federal programs. The Healthy MOM Act would create pregnancy-triggered enrollment, expand Medicaid and CHIP postpartum access, and require maternity benefits for dependents so pregnant people can get timely care.
Show full summary
- Pregnant individuals and families: The bill would add a special enrollment period when pregnancy is reported for Marketplace plans, group plans, and ERISA-covered plans. Those enrollment rules would apply to plan years beginning January 1, 2027.
- Medicaid and CHIP beneficiaries: It would require 12 months of postpartum coverage and continuous eligibility and it would remove the statutory "185 percent" income phrasing while setting a state-based baseline tied to rules as of January 1, 2025. Most Medicaid and CHIP changes would take effect one year after enactment with a state legislative exception.
- Dependents and federal workers: Group and individual plans that offer dependent coverage would have to cover maternity services for dependents of any age. The Office of Personnel Management would treat pregnancy as a qualifying life event for Federal Employee Health Benefits and related rules would begin 12 months after enactment.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
Pregnancy would open a sign-up window
If enacted, pregnancy would open a special sign-up window for health coverage. Exchanges and group plans would need to let eligible but not enrolled people, and their eligible dependents, enroll when pregnancy is reported or confirmed by a provider. The federal government would set how long the window lasts and when coverage starts. This would apply to plan years beginning on or after January 1, 2027.
Required maternity coverage for dependents
If enacted, any health plan that covers dependents would have to cover maternity care for pregnant dependents. Coverage would include pregnancy care, labor and delivery, and postpartum care. Plans would need to cover pregnant dependents at any age. These rules would start for plan years beginning on or after January 1, 2027.
Sponsors & CoSponsors
Sponsor
Watson Coleman, Bonnie [D-NJ-12]
NJ • D
Cosponsors
Rep. Clarke, Yvette D. [D-NY-9]
NY • D
Sponsored 11/20/2025
Carson
IN • D
Sponsored 11/20/2025
Rep. Dean, Madeleine [D-PA-4]
PA • D
Sponsored 11/20/2025
Rep. Evans, Dwight [D-PA-3]
PA • D
Sponsored 11/20/2025
Rep. Fields, Cleo [D-LA-6]
LA • D
Sponsored 11/20/2025
Rep. Frankel, Lois [D-FL-22]
FL • D
Sponsored 11/20/2025
Rep. Gottheimer, Josh [D-NJ-5]
NJ • D
Sponsored 11/20/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 11/20/2025
Jackson (IL)
IL • D
Sponsored 11/20/2025
Rep. McIver, LaMonica [D-NJ-10]
NJ • D
Sponsored 11/20/2025
Rep. Moulton, Seth [D-MA-6]
MA • D
Sponsored 11/20/2025
Rep. Pocan, Mark [D-WI-2]
WI • D
Sponsored 11/20/2025
Sewell
AL • D
Sponsored 11/20/2025
Stansbury
NM • D
Sponsored 11/20/2025
Rep. Tlaib, Rashida [D-MI-12]
MI • D
Sponsored 11/20/2025
Wilson (FL)
FL • D
Sponsored 11/20/2025
Rep. Thanedar, Shri [D-MI-13]
MI • D
Sponsored 11/20/2025
Swalwell
CA • D
Sponsored 11/20/2025
Rep. Hayes, Jahana [D-CT-5]
CT • D
Sponsored 12/3/2025
Roll Call Votes
No roll call votes available for this bill.
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