S4480119th CongressWALLET

Optimizing Postpartum Outcomes Act of 2026

Sponsored By: Senator Blunt Rochester, Lisa [D-DE]

Introduced

Summary

Improve postpartum pelvic health coverage and education. This bill would direct HHS to issue guidance aimed at expanding access to pelvic floor exams and pelvic health physical therapy through Medicaid and CHIP, require a GAO study on coverage gaps, and fund a CDC-led education and clinician training campaign.

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Medicaid and CHIP pelvic coverage

If enacted, the bill would add clear legal definitions for covered pelvic health services, pelvic floor exams, pelvic health physical therapy, related conditions, and the postpartum period. The postpartum period would be the longer of the time you are breastfeeding or six months after your pregnancy ends. Pelvic floor exams would include external checks and, if clinically needed, internal vaginal or rectal exams. The bill would also require HHS to issue guidance within one year to states on how Medicaid and CHIP can cover pelvic health services during pregnancy and after birth. The guidance would include payment-model best practices, financing options (including CHIP Health Services Initiative funds), technical help for state agencies on screening and referrals, and suggested diagnosis and terminology codes.

Postpartum pelvic health campaign

If enacted, the bill would direct the CDC, working with HRSA and others, to run a postpartum pelvic health education and training campaign. The campaign would train health professionals on pelvic floor exams and pelvic health physical therapy. It would also educate postpartum women about why pelvic exams matter, how exams work, and how to get referrals for therapy. Congress is authorized to appropriate $2 million each year for fiscal years 2027 through 2031 to run this program.

Sponsors & CoSponsors

Sponsor

Blunt Rochester, Lisa [D-DE]

DE • D

Cosponsors

  • Dan Sullivan

    AK • R

    Sponsored 5/11/2026

Roll Call Votes

No roll call votes available for this bill.

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