Advancing Maternal Health Equity Under Medicaid Act

Advancing Maternal Health Equity Under Medicaid Act would change how the federal government supports state Medicaid spending on maternal health services. Specifically, it would create a higher federal matching rate (FMAP) for increases in Medicaid expenditures devoted to maternal health care, compared with a defined baseline. The enhanced matching would apply to quarters beginning after the first year following enactment (roughly starting in 2027 if enacted in 2025). States would receive 90 percent of the increase in spending for maternal health services above a 2019 baseline, for the covered services described in the bill. In exchange for this increased federal funding, states must meet accountability requirements: funds must supplement, not replace, existing state funding, and must be used to expand capacity, efficiency, and quality of maternal health care delivery. The bill also broadens what counts as maternal health services and who can provide them, including prenatal through postpartum care, telehealth, home visiting, and mental health, delivered by defined maternity care providers or perinatal health workers. Postpartum care is specifically defined as the first year after pregnancy.