Momnibus Act
Sponsored By: Senator Booker, Cory A. [D-NJ]
Introduced
Summary
End preventable maternal mortality and severe maternal morbidity. This bill would coordinate federal action on social drivers and health care to reduce racial and geographic disparities, expand postpartum supports, and boost the maternal workforce, data systems, and technology.
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- Families: Extends WIC postpartum and breastfeeding eligibility to 24 months and creates grants targeting housing, food, and transportation. It authorizes $100 million per year for social determinants grants and $100 million per year for community maternal health equity grants.
- Tribal, research, and data improvements: Strengthens maternal mortality review committees, funds tribal and minority‑serving research, and mandates an AI/AN study to address misclassification and unique risks. It authorizes MMRC grants at $10 million per year and reserves at least $1.5 million annually for Tribal entities.
- Health system and workforce: Funds training and grants to grow midwives, perinatal health workers, nurses, and maternal mental‑health providers, and supports telehealth, digital tools, and payment model demonstrations. It authorizes NIH IMPROVE research at $73.4 million per year and $15 million per year for VA maternity care coordination.
*Authorizes multi‑year appropriations across many programs, totaling hundreds of millions per year and thereby increasing federal spending.*
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Bill Overview
Analyzed Economic Effects
11 provisions identified: 11 benefits, 0 costs, 0 mixed.
Climate help for pregnant people
This bill would create place‑based Climate Health Protection Grants to identify climate risks and deliver services to pregnant people and children under 3. Up to 10 grantees would get funds over four years for cooling, weatherization, air filters, evacuation and sheltering, housing or transportation assistance, and direct financial help. The program would be authorized at $100 million total for FY2027–FY2030. HHS/CDC would also publish an 18‑month strategy mapping areas with high climate‑linked maternal and infant risk.
Grants for maternal social needs
This bill would create HHS grants to address social drivers of maternal health such as housing stability, transportation, nutrition, employment supports, intimate partner violence, and environmental conditions. Grants would target high‑need areas and populations and are authorized at $100 million per year for FY2027–FY2031. Grantees would report annually with data broken down by race, language, and income.
More federal maternal research and data
This bill would authorize and direct large new federal investments in maternal research, surveillance, and data. It would continue the NIH IMPROVE initiative at $73.4 million per year (FY2027–FY2032), authorize about $100 million for CDC surveillance, $45 million for PRAMS, $30 million for ERASE MM, $15 million for NICHD research, $10 million per year for MMRC-related grants (with a $1.5 million tribal reservation), $10 million per year for minority‑serving institution research, and $2 million per year for an AI/AN study (FY2027–FY2029). The bill would also require public reporting, data disaggregation, create an NIH consortium on birth and climate change, and expand review duties for Maternal Mortality Review Committees.
Longer WIC postpartum and breastfeeding
This bill would extend WIC postpartum eligibility from 6 months to 24 months and extend breastfeeding eligibility from 1 year to 24 months. The HHS Secretary would report to Congress within 2 years on health and equity impacts, breastfeeding outcomes, and family experiences.
Medicaid maternity payment and telehealth
This bill would let States test new payment models for Medicaid and CHIP maternity care from fiscal years 2027 through 2031. States would apply to join and models must include quality metrics, risk stratification, and social‑needs services. If enacted, Medicaid would also be authorized to use telehealth tools to screen, monitor, and manage common pregnancy and postpartum complications for up to one year after pregnancy, effective one year after enactment. The Perinatal APM demonstration is authorized as "such sums as necessary."
More maternal mental health funding
This bill would create a Maternal Mental Health Equity Grant Program with $25 million per year for FY2027–FY2031 to fund mental health and substance use services for pregnant and postpartum people. It would also authorize $15 million per year for FY2027–FY2031 for grants to grow and diversify the maternal mental health workforce, with priority for placements in shortage and high‑need areas. Grantees must report and HHS must evaluate program effectiveness within four years.
Stronger respectful maternity care programs
This bill would allow HHS to give grants to hospitals and systems to create respectful maternity care compliance programs and require public patient experience reporting. It would fund training grants ($5 million per year for FY2027–FY2031) for bias reduction and cultural competency and create a Task Force to publish best practices and recommendations in multiple languages.
More VA maternity care funding
This bill would require the VA to report to Congress within one year and annually through 2031 on VA maternity care and coordination. It would also authorize $15 million per year for each of fiscal years 2027 through 2031 in addition to other VA maternity funding.
Improved care for incarcerated pregnant people
This bill would fund model maternal health programs in at least six federal prisons and award grants to States to create or expand programs in jails and prisons serving pregnant and postpartum people. Grants could pay for perinatal health workers, nutrition, mental health and SUD care, bonding supports, and reentry help. The bill would authorize $10 million per year for FY2027–FY2031 for those programs, require reporting and oversight, and would reduce Byrne JAG allocations by 25% for states that do not adopt anti‑shackling laws starting six months after enactment. GAO would report on incarcerated maternal outcomes within 2 years.
Grants for digital maternal tools
This bill would let HHS award one five‑year grant to expand access to digital maternal health tools and one five‑year grant for technology‑enabled collaborative learning. Each program must start within one year and report results. The bill would authorize $6 million per year for each grant program for FY2027–FY2031 and require an HHS evaluation and congressional report.
Studies and reports on maternity bias
This bill would ask HHS to hire the National Academies to study how to reduce bias in maternity care and how technology and monitoring devices have affected bias. Those studies must report to Congress within 24 months. The bill would also require the GAO to report on which hospitals adopt respectful care compliance programs, starting within 2 years and annually thereafter.
Sponsors & CoSponsors
Sponsor
Booker, Cory A. [D-NJ]
NJ • D
Cosponsors
Sen. Sanders, Bernard [I-VT]
VT • I
Sponsored 8/6/2026
Sen. Murray, Patty [D-WA]
WA • D
Sponsored 8/6/2026
Sen. Blunt Rochester, Lisa [D-DE]
DE • D
Sponsored 8/6/2026
Sen. Alsobrooks, Angela D. [D-MD]
MD • D
Sponsored 8/6/2026
Sen. Van Hollen, Chris [D-MD]
MD • D
Sponsored 8/6/2026
Sen. Hickenlooper, John W. [D-CO]
CO • D
Sponsored 8/6/2026
Sen. Merkley, Jeff [D-OR]
OR • D
Sponsored 8/6/2026
Sen. Kaine, Tim [D-VA]
VA • D
Sponsored 8/6/2026
Sen. Duckworth, Tammy [D-IL]
IL • D
Sponsored 8/6/2026
Sen. Warnock, Raphael G. [D-GA]
GA • D
Sponsored 8/6/2026
Sen. Baldwin, Tammy [D-WI]
WI • D
Sponsored 8/6/2026
Sen. Welch, Peter [D-VT]
VT • D
Sponsored 8/6/2026
Sen. Cortez Masto, Catherine [D-NV]
NV • D
Sponsored 8/6/2026
Sen. Klobuchar, Amy [D-MN]
MN • D
Sponsored 8/6/2026
Sen. Gillibrand, Kirsten E. [D-NY]
NY • D
Sponsored 8/6/2026
Sen. Schiff, Adam B. [D-CA]
CA • D
Sponsored 8/6/2026
Sen. Slotkin, Elissa [D-MI]
MI • D
Sponsored 8/6/2026
Sen. Bennet, Michael F. [D-CO]
CO • D
Sponsored 8/6/2026
Sen. Kim, Andy [D-NJ]
NJ • D
Sponsored 8/6/2026
Sen. Smith, Tina [D-MN]
MN • D
Sponsored 8/6/2026
Sen. Markey, Edward J. [D-MA]
MA • D
Sponsored 8/6/2026
Sen. Peters, Gary C. [D-MI]
MI • D
Sponsored 8/6/2026
Sen. Hirono, Mazie K. [D-HI]
HI • D
Sponsored 8/6/2026
Sen. Gallego, Ruben [D-AZ]
AZ • D
Sponsored 8/6/2026
Sen. Heinrich, Martin [D-NM]
NM • D
Sponsored 8/6/2026
Sen. Schatz, Brian [D-HI]
HI • D
Sponsored 8/6/2026
Sen. Blumenthal, Richard [D-CT]
CT • D
Sponsored 8/6/2026
Sen. Padilla, Alex [D-CA]
CA • D
Sponsored 8/6/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov