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HEALTH for MOM Act of 2025

USA119th CongressHR-3365| House 
| Updated: 5/13/2025
Zachary Nunn

Zachary Nunn

Republican Representative

Iowa

Cosponsors (3)
Eugene Simon Vindman (Democratic)Ayanna Pressley (Democratic)Lauren Underwood (Democratic)

Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
The "Harnessing Effective and Appropriate Long-Term Health for Moms On Medicaid Act of 2025," or the HEALTH for MOM Act of 2025 , proposes to amend Title XIX of the Social Security Act. This legislation grants states the option to provide coordinated care through a maternity health home for eligible pregnant and postpartum women enrolled in Medicaid. States can implement this program as a State Plan Amendment, following consultation with healthcare providers and pregnant individuals. An "eligible woman" is defined as an individual eligible for Medicaid who is pregnant, with eligibility continuing through the earlier of when her Medicaid eligibility ends or one year postpartum. These maternity health homes, which can be designated providers or health teams, must meet specific qualification standards established by the Secretary. These standards include demonstrating the ability to coordinate prompt access to maternity and postpartum services, develop individualized care plans, and integrate various health and social support services in a culturally and linguistically appropriate manner. States are required to provide payments to these maternity health homes for the provision of pregnancy and postpartum coordinated care services . For the first four fiscal year quarters that a state's plan amendment is in effect, the Federal medical assistance percentage (FMAP) for these payments will be increased by 15 percentage points, not to exceed 90 percent. Payment methodologies can include per-member per-month, prospective payments for certain entities, or other Secretary-approved models, adjustable based on the severity of risks and care coordination needs. The bill mandates several coordination efforts, including hospital notification procedures to inform women about maternity health homes and involve them in emergency care. States must also educate providers and eligible women about the availability of these homes and coordinate with the Secretary on mental health, substance use disorders, and social support services. This includes connecting women with programs like maternal, infant, and early childhood home visiting services. States must implement monitoring methodologies to track reductions in inpatient days and overall care costs, and propose the use of health information technology to improve service delivery. Both providers and states are subject to comprehensive data collection and reporting requirements, including quality measures, demographic information, and maternal mortality data, while ensuring strict confidentiality protections. The bill clarifies that enrollment in a maternity health home is voluntary for eligible women, and participation is voluntary for providers. To support states in developing these programs, the bill authorizes $50 million in planning grants for the two-year period beginning October 1, 2025. These grants will be awarded to states that apply, with amounts determined by the merits of the application and the state's commitment to prioritizing health outcomes for eligible women.
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Timeline

Bill from Previous Congress

HR 118-9049
HEALTH for MOM Act of 2024
May 13, 2025
Introduced in House
May 13, 2025
Referred to the House Committee on Energy and Commerce.
  • Bill from Previous Congress

    HR 118-9049
    HEALTH for MOM Act of 2024


  • May 13, 2025
    Introduced in House


  • May 13, 2025
    Referred to the House Committee on Energy and Commerce.

Health

HEALTH for MOM Act of 2025

USA119th CongressHR-3365| House 
| Updated: 5/13/2025
The "Harnessing Effective and Appropriate Long-Term Health for Moms On Medicaid Act of 2025," or the HEALTH for MOM Act of 2025 , proposes to amend Title XIX of the Social Security Act. This legislation grants states the option to provide coordinated care through a maternity health home for eligible pregnant and postpartum women enrolled in Medicaid. States can implement this program as a State Plan Amendment, following consultation with healthcare providers and pregnant individuals. An "eligible woman" is defined as an individual eligible for Medicaid who is pregnant, with eligibility continuing through the earlier of when her Medicaid eligibility ends or one year postpartum. These maternity health homes, which can be designated providers or health teams, must meet specific qualification standards established by the Secretary. These standards include demonstrating the ability to coordinate prompt access to maternity and postpartum services, develop individualized care plans, and integrate various health and social support services in a culturally and linguistically appropriate manner. States are required to provide payments to these maternity health homes for the provision of pregnancy and postpartum coordinated care services . For the first four fiscal year quarters that a state's plan amendment is in effect, the Federal medical assistance percentage (FMAP) for these payments will be increased by 15 percentage points, not to exceed 90 percent. Payment methodologies can include per-member per-month, prospective payments for certain entities, or other Secretary-approved models, adjustable based on the severity of risks and care coordination needs. The bill mandates several coordination efforts, including hospital notification procedures to inform women about maternity health homes and involve them in emergency care. States must also educate providers and eligible women about the availability of these homes and coordinate with the Secretary on mental health, substance use disorders, and social support services. This includes connecting women with programs like maternal, infant, and early childhood home visiting services. States must implement monitoring methodologies to track reductions in inpatient days and overall care costs, and propose the use of health information technology to improve service delivery. Both providers and states are subject to comprehensive data collection and reporting requirements, including quality measures, demographic information, and maternal mortality data, while ensuring strict confidentiality protections. The bill clarifies that enrollment in a maternity health home is voluntary for eligible women, and participation is voluntary for providers. To support states in developing these programs, the bill authorizes $50 million in planning grants for the two-year period beginning October 1, 2025. These grants will be awarded to states that apply, with amounts determined by the merits of the application and the state's commitment to prioritizing health outcomes for eligible women.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline

Bill from Previous Congress

HR 118-9049
HEALTH for MOM Act of 2024
May 13, 2025
Introduced in House
May 13, 2025
Referred to the House Committee on Energy and Commerce.
  • Bill from Previous Congress

    HR 118-9049
    HEALTH for MOM Act of 2024


  • May 13, 2025
    Introduced in House


  • May 13, 2025
    Referred to the House Committee on Energy and Commerce.
Zachary Nunn

Zachary Nunn

Republican Representative

Iowa

Cosponsors (3)
Eugene Simon Vindman (Democratic)Ayanna Pressley (Democratic)Lauren Underwood (Democratic)

Energy and Commerce Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted