MOMMIES Act
Sponsored By: Representative Pressley, Ayanna [D-MA-7]
Introduced
Summary
This bill would provide one-year continuous Medicaid and CHIP coverage for pregnant and postpartum individuals and pair that expansion with payment and support reforms to improve maternal care. It would set a new primary care payment floor, require studies and guidance on doulas, and direct reports on telehealth in maternity care.
Show full summary
- Families and birthing people: Individuals found eligible during pregnancy would keep full Medicaid or CHIP benefits for at least 1 year after pregnancy, and states may elect longer coverage.
- Providers: Primary care services covered by Medicaid would be paid at no less than 100% of Medicare Part B rates for qualifying providers, with up to a 25% boost allowed in rural and underserved areas.
- Doulas, workforce, and telehealth: The bill directs a MACPAC study and CMS guidance to expand and fairly pay doula services and orders a GAO report on Medicaid use of telehealth for maternity care to assess access, outcomes, and barriers.
*It would likely increase federal spending by covering additional expenditures tied to the bill at a 100% Federal Medical Assistance Percentage beginning January 1, 2027.*
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
4 provisions identified: 4 benefits, 0 costs, 0 mixed.
Longer Medicaid and CHIP postpartum coverage
If enacted, this bill would extend continuous Medicaid postpartum coverage to one year after pregnancy for people who had Medicaid while pregnant, starting January 1, 2027. If enacted, states could also offer up to one year of postpartum CHIP coverage for people enrolled in CHIP while pregnant, starting January 1, 2027, if the state elects to provide it. If enacted, the federal government would pay a 100% match for the additional Medicaid costs tied to these new requirements for calendar quarters beginning on or after January 1, 2027.
Higher Medicaid primary care payments
If enacted, Medicaid payment for defined primary care services would be raised to at least 100% of the Medicare Part B rate, or a higher rate using the 2009 conversion factor, beginning the first month after enactment. If enacted, the Secretary could increase those rates by up to 25% for services in rural areas, shortage areas, or medically underserved areas. If enacted, a broad set of providers would qualify for the enhanced payment, including family medicine, internal medicine, pediatrics, OB‑GYNs, certain advanced practice clinicians, rural clinics, FQHCs, Title X centers, and midwives. If enacted, managed care plans would have to document that payments to eligible providers meet the required amounts and use reasonable methods for capitation or value-based arrangements.
Medicaid dental care for pregnant people
If enacted, Medicaid would be required to cover oral health services for pregnant and postpartum individuals during pregnancy and for one year after pregnancy (or a longer state-elected period). If enacted, covered care would include preventive, diagnostic, periodontal, restorative, and emergency dental services consistent with professional perinatal oral health guidance.
State rules protecting pregnancy coverage
If enacted, from the date of enactment through calendar quarters in 2026 a state could lose federal Medicaid payments if it makes eligibility rules more restrictive or cuts pregnancy or postpartum benefits compared with the rules at enactment. If enacted, from January 1, 2027 through December 31, 2030 a state could lose federal CHIP payments if it makes eligibility rules more restrictive or reduces pregnancy-related assistance for targeted low-income pregnant people compared with the rules at enactment.
Sponsors & CoSponsors
Sponsor
Pressley, Ayanna [D-MA-7]
MA • D
Cosponsors
Rep. Lynch, Stephen F. [D-MA-8]
MA • D
Sponsored 7/21/2026
Rep. Matsui, Doris O. [D-CA-7]
CA • D
Sponsored 7/21/2026
Rep. McIver, LaMonica [D-NJ-10]
NJ • D
Sponsored 7/21/2026
Rep. Menefee, Christian D. [D-TX-18]
TX • D
Sponsored 7/21/2026
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 7/21/2026
Rep. Omar, Ilhan [D-MN-5]
MN • D
Sponsored 7/21/2026
Rep. Schakowsky, Janice D. [D-IL-9]
IL • D
Sponsored 7/21/2026
Rep. Tlaib, Rashida [D-MI-12]
MI • D
Sponsored 7/21/2026
Rep. Underwood, Lauren [D-IL-14]
IL • D
Sponsored 7/21/2026
Rep. Watson Coleman, Bonnie [D-NJ-12]
NJ • D
Sponsored 7/21/2026
Rep. Grijalva, Adelita S. [D-AZ-7]
AZ • D
Sponsored 7/21/2026
Rep. Crockett, Jasmine [D-TX-30]
TX • D
Sponsored 7/21/2026
Rep. Johnson, Henry C. "Hank" [D-GA-4]
GA • D
Sponsored 7/21/2026
Rep. Lee, Summer L. [D-PA-12]
PA • D
Sponsored 7/21/2026
Rep. Adams, Alma S. [D-NC-12]
NC • D
Sponsored 7/21/2026
Rep. Bell, Wesley [D-MO-1]
MO • D
Sponsored 7/21/2026
Rep. Clarke, Yvette D. [D-NY-9]
NY • D
Sponsored 7/21/2026
Rep. Ramirez, Delia C. [D-IL-3]
IL • D
Sponsored 7/22/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov