HEALTH for MOM Act of 2025

The HEALTH for MOM Act of 2025 would create a new optional pathway inside the Medicaid program (Title XIX) called a maternity health home. Starting two years after enactment, states could amend their Medicaid plans to let eligible, pregnant and postpartum women enroll with a designated provider, a care team, or a health team to receive coordinated, comprehensive pregnancy and postpartum care. The model emphasizes individualized care plans, timely access to services (including specialty and social supports), and coordination with pediatric care and other community resources. States choosing this option would receive enhanced federal support for the new care model (a temporary increase of 15 percentage points in federal medical assistance percentages for the first four quarters of implementation, with a floor cap at 90%). The bill sets standards for qualification, data collection, reporting, and confidentiality, and it provides planning grants to help states design and implement the option. The bill aims to improve maternal and infant health outcomes by reducing unnecessary hospitalizations and delays in care, improving access to comprehensive services (medical, behavioral health, social supports, and family-oriented care), and integrating care with existing maternal and child health programs. Enrollment is voluntary for eligible women, and providers or teams can participate only if they voluntarily agree to act as a maternity health home.