MOMMIES Act
Sponsored By: Senator Booker, Cory A. [D-NJ]
Introduced
Summary
Extend Medicaid and CHIP postpartum coverage to a full 1-year period with comprehensive benefits. The bill would also create a five-year Maternity Care Home demonstration, set a primary care payment floor tied to Medicare Part B rates, and provide enhanced federal matching for costs linked to the law.
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- Families and birthing people: Would guarantee continuous eligibility for pregnant and postpartum individuals for 1 year starting on the last day of pregnancy, with full state-plan benefits and required oral health coverage. States may elect to extend the period beyond 1 year.
- Providers and community supports: Would require eligible primary care providers to be paid at least 100 percent of the Medicare Part B rate and allow up to a 25 percent increase in rural or shortage areas. It would also push MACPAC and CMS to produce reports and guidance to expand doula coverage and fair reimbursement.
- States, financing, and oversight: Imposes maintenance-of-effort limits on state cuts during specified periods and offers a 100 percent federal medical assistance percentage for additional expenditures tied to the Act beginning Jan 1, 2027. It funds a 5-year demonstration with national evaluation and requires GAO and other studies on coverage gaps and telehealth.
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 5 benefits, 0 costs, 0 mixed.
Longer Medicaid and CHIP postpartum coverage
If enacted, Medicaid would keep people covered for at least one year after the pregnancy end date. The one-year period would begin on the last day of pregnancy and must include the same kinds of services a State normally provides. CHIP would explicitly include targeted low-income pregnant individuals. The bill would also bar states from tightening perinatal eligibility or cutting pregnancy-related benefits during the listed protection periods (Medicaid protections through Dec 31, 2026; CHIP protections Jan 1, 2027 through Dec 31, 2030).
Federal 100% match for Medicaid costs
If enacted, for calendar quarters beginning on or after January 1, 2027 the federal government would pay 100% of the extra Medicaid costs a State spends because of the bill's requirements, as determined by the Secretary. The 100% match would apply only to the additional spending attributable to the Act, not to a State's base Medicaid costs. This would lower states' net costs for implementing the new perinatal requirements.
Higher Medicaid pay for perinatal providers
If enacted, Medicaid would have to pay certain perinatal primary care providers at least 100% of the Medicare Part B rate for the applicable year (or the higher 2009-conversion-factor-based rate). The Secretary would set rates for services not covered by Medicare Part B. In rural areas, health professional shortage areas, and medically underserved areas, rates could be up to 25% higher. Medicaid managed-care contracts would have to show that eligible providers receive the required amounts or meet approved value-based documentation standards.
Maternity care home demonstration grants
If enacted, the Secretary would start a five-year demo and give grants to at least 10 States to create or expand maternity care homes. Grant money could pay eligible clinics, support doulas and community workers, train staff, and cover items not normally payable under Medicaid. Pregnant people and those within one year after pregnancy who are enrolled in Medicaid, a waiver, or CHIP and who use a participating provider would be eligible for the services in the demo.
Medicaid dental care during pregnancy
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 longer if a State elects). At minimum, states must cover preventive, diagnostic, periodontal, and restorative care consistent with professional guidance. This would reduce potential out-of-pocket dental costs tied to pregnancy and postpartum care.
Sponsors & CoSponsors
Sponsor
Booker, Cory A. [D-NJ]
NJ • D
Cosponsors
Sen. Blumenthal, Richard [D-CT]
CT • D
Sponsored 6/24/2026
Sen. Warren, Elizabeth [D-MA]
MA • D
Sponsored 6/24/2026
Sen. Duckworth, Tammy [D-IL]
IL • D
Sponsored 6/24/2026
Sen. Baldwin, Tammy [D-WI]
WI • D
Sponsored 6/24/2026
Sen. Smith, Tina [D-MN]
MN • D
Sponsored 6/24/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov