Federal pilot would test new Medicaid maternity payment models from 2027 to 2031

What does this do?

HR 8907 would create a pilot program run by the Centers for Medicare & Medicaid Services (CMS) from 2027 to 2031, allowing states to test new ways of paying providers for pregnancy and postpartum care under Medicaid and CHIP. Instead of paying for each service separately, payment models would be tied to care quality and health outcomes. After the program ends, the government must deliver a report to Congress on results and whether the program should expand nationwide.

Who does it affect?

Pregnant and postpartum individuals enrolled in Medicaid or CHIP are most directly affected, particularly those in communities with higher rates of maternal death or serious complications. Providers including doctors, midwives, and doulas would also be affected because how they are paid could change, and states must apply to participate.

Why does it matter?

The program is specifically focused on reducing maternal deaths and serious health complications during and after pregnancy. Whether payment model changes produce better outcomes for mothers and babies would be determined by the program's results and the subsequent congressional report.

Where does it stand?