H.R. 8907119th CongressIn committeeLatest action May 19, 2026Decoded by AI · checked against the record
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HR 8907 launches a 2027–2031 CMS pilot letting states test outcome-based maternity payment models under Medicaid and CHIP.
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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.
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.
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.
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Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the President.
Latest action: — Referred to the House Committee on Energy and Commerce.