This bill would create the Perinatal Care Alternative Payment Model Demonstration Project for fiscal years 2027 through 2031. The Centers for Medicare & Medicaid Services would run the project to let States test alternative payment models for maternity care under Medicaid and CHIP. The Secretary must work with many stakeholders, including State Medicaid programs, maternity care providers, patient and community groups (especially those representing groups with higher rates of poor maternal outcomes), perinatal health workers, hospitals, birth centers, researchers, and insurers. The bill lists factors the Secretary should consider for payment models, such as stratifying patients by pregnancy risk, using evidence-based quality measures, including non-hospital birth settings, addressing social determinants of health, creating diverse maternity care teams (including mental health and nutrition professionals and perinatal health workers), and considering maternal mental health and substance use disorders. States must apply to take part. The Secretary must evaluate the project on maternal health outcomes (with data broken down by race, ethnicity, language, income, geography, insurance type, and other factors), State maternity spending, and patient experience, and report results to Congress within one year after the project ends. The bill authorizes whatever sums are necessary to carry out the project.
If you are pregnant or recently gave birth and are enrolled in Medicaid or CHIP, this bill would let your State try new ways to pay for and organize maternity care. Participating States might test care teams that include mental health and nutrition providers, consider non-hospital birth settings, and use payment methods that take pregnancy risk and social needs into account. The project would collect data on health outcomes and patient experience and share findings with Congress.
The bill says there are authorized to be appropriated "such sums as are necessary" to run the demonstration project. No publicly available information on estimated total cost, budgetary details, or how funds would be allocated to participating States is included in the text provided.
No publicly available information.
No publicly available information.