# MOMMIES Act Summary
The MOMMIES Act (Maximizing Outcomes for Moms through Medicaid Improvement and Enhancement of Services Act) significantly expands coverage for pregnant and postpartum individuals under Medicaid and the Children's Health Insurance Program. The bill extends postpartum coverage from 60 days to one year (or longer if states choose), requires states to provide full benefits during pregnancy and the extended postpartum period, and mandates coverage of dental services for pregnant and postpartum individuals. These provisions take effect January 1, 2027.
The legislation establishes a five-year Maternity Care Home demonstration project, with the federal government awarding grants to at least ten participating states. These demonstration projects will integrate comprehensive perinatal services—including prenatal and postpartum care, mental health support, doula services, and social services like housing and transportation assistance—through partnerships with community health centers, birth centers, and other eligible providers. The bill authorizes unspecified appropriations for fiscal years 2027 through 2034 to fund these programs.
The act also increases Medicaid payment rates for primary care services furnished by obstetricians, family medicine doctors, nurse practitioners, certified midwives, and other providers to match Medicare rates (at least 100 percent of the 2009 conversion factor), with potential additional increases of up to 25 percent for rural and underserved areas. Additionally, the bill directs federal agencies to conduct studies on coverage gaps, doula service access, and telehealth expansion for maternity care under Medicaid, with reports due within one year of enactment.
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