Federal RuleAug 21
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DOL Rewrites Disability Rules for 'Merit-Based Opportunity' Push
RuleLabor DepartmentFederal Contract Compliance Programs OfficeSignificant Wallet
S3274119th CongressWALLET
Healthy MOM Act
Sponsored By: Senator Alsobrooks, Angela D. [D-MD]
Introduced
Summary
This bill would expand and standardize maternity coverage, centering on improved enrollment and continuous care for pregnant people. It creates special enrollment options, extends maternity benefits to dependents, and locks in yearlong postpartum coverage under Medicaid and CHIP.
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 4 benefits, 0 costs, 0 mixed.
Longer Medicaid coverage after childbirth
If enacted, Medicaid state plans and CHIP plans would have to provide full benefits during pregnancy and for 12 months after birth. This requirement would apply to services furnished starting one year after enactment. States that need a new state law would get extra time until the first day of the first calendar quarter after the close of their next regular legislative session. The bill would also prevent states from cutting the income-eligibility percentage for pregnant people and infants below the level the state had set or funded as of Jan 1, 2025, for care starting Jan 1, 2027.
Pregnancy enrollment and dependent coverage
If enacted, health insurance issuers, Exchanges, and group plans would have to offer a special enrollment window when a pregnancy is reported or confirmed. This change would apply to plan years starting Jan 1, 2027, and the Secretary would set the enrollment window and when coverage starts. Also, plans that provide dependent coverage would have to cover maternity care for dependents of any age, including pregnancy, childbirth, postpartum care, and labor and delivery, starting in plan years on or after Jan 1, 2027.
Pregnancy as FEHB qualifying event
If enacted, the Office of Personnel Management would have to treat pregnancy as a change in family status and a qualifying life event for people eligible but not enrolled in Federal Employees Health Benefits. That rule would apply to FEHB contracts entered into one year after enactment. Enrollment or enrollment-change services tied to pregnancy would also be treated as emergency services during any lapse in appropriations starting on or after enactment, so those services could continue in a funding lapse.
Stronger state and federal protections
If enacted, nothing in the bill would take away any federal or state law that already gives equal or stronger protections for enrollees in group or individual health plans. Existing rights, remedies, and procedures that are stronger would remain available upon enactment.
Sponsors & CoSponsors
Sponsor
Alsobrooks, Angela D. [D-MD]
MD • D
Cosponsors
Sen. Baldwin, Tammy [D-WI]
WI • D
Sponsored 11/20/2025
Sen. Blumenthal, Richard [D-CT]
CT • D
Sponsored 11/20/2025
Sen. Cortez Masto, Catherine [D-NV]
NV • D
Sponsored 11/20/2025
Sen. Fetterman, John [D-PA]
PA • D
Sponsored 11/20/2025
Sen. Gillibrand, Kirsten E. [D-NY]
NY • D
Sponsored 11/20/2025
Sen. King, Angus S., Jr. [I-ME]
ME • I
Sponsored 11/20/2025
Sen. Klobuchar, Amy [D-MN]
MN • D
Sponsored 11/20/2025
Sen. Merkley, Jeff [D-OR]
OR • D
Sponsored 11/20/2025
Sen. Murray, Patty [D-WA]
WA • D
Sponsored 11/20/2025
Sen. Van Hollen, Chris [D-MD]
MD • D
Sponsored 11/20/2025
Sen. Booker, Cory A. [D-NJ]
NJ • D
Sponsored 11/20/2025
Sen. Duckworth, Tammy [D-IL]
IL • D
Sponsored 11/20/2025
Sen. Kaine, Tim [D-VA]
VA • D
Sponsored 11/20/2025
Sen. Shaheen, Jeanne [D-NH]
NH • D
Sponsored 12/16/2025
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov