IMPACT to Save Moms Act
- Bill Number
- H.R. 8907
- Origin Chamber
- House
- Congress
- 119th Congress, Session 2
- Policy Area
- Health
- Status
- Introduced
- Latest Action
- 2026-05-19: Referred to the House Committee on Energy and Commerce.
- Last Updated
- 2026-06-29T19:30:26Z
AI-Generated Summary
Purpose
- The legislation establishes a demonstration project to test alternative payment models for maternity care provided to pregnant and postpartum individuals enrolled in Medicaid and the Children's Health Insurance Program (CHIP).
- It aims to allow states to experiment with payment approaches under these programs to potentially improve maternal health outcomes, particularly for groups with higher rates of adverse results.
Key Provisions
- Demonstration Project: From fiscal years 2027 through 2031, the Secretary of Health and Human Services, through the Centers for Medicare & Medicaid Services, must create and run the Perinatal Care Alternative Payment Model Demonstration Project.
- State Participation: States may apply to test payment models in their Medicaid and CHIP plans focused on maternity care.
- Stakeholder Coordination: The Secretary must work with state Medicaid programs, maternity care providers, patient representatives (especially from groups with elevated maternal mortality or disparities), community organizations, perinatal health workers, insurers, hospitals, birth centers, federally qualified health centers, rural health clinics, and researchers.
- Model Considerations: Payment models should address risk stratification by pregnancy level, evidence-based quality metrics, nonhospital settings like freestanding birth centers, social determinants of health, diverse care teams (including mental health providers and perinatal workers), and maternal mental health or substance use issues.
- Evaluation and Reporting: The Secretary must evaluate impacts on health outcomes (with data broken down by race, ethnicity, and other factors), spending, and patient experiences, then submit a report to Congress with recommendations on continuation or expansion.
- Definitions: The bill defines key terms such as "alternative payment model," "maternal mortality," "maternity care provider," "perinatal period," "perinatal health worker," and "severe maternal morbidity."
- Funding: Authorizes necessary appropriations without specifying amounts.
Significant Changes to Existing Law
- This bill introduces a new, time-limited demonstration project under existing Medicaid (Title XIX) and CHIP (Title XXI) frameworks but does not amend core provisions of the Social Security Act.
- It adds requirements for testing innovative payment structures specifically for perinatal care, expanding beyond traditional fee-for-service models in these programs.
Potential Impacts
- Government Agencies: Requires the Department of Health and Human Services and Centers for Medicare & Medicaid Services to administer and evaluate the project, potentially increasing administrative workload for participating states.
- Citizens: Could affect pregnant and postpartum individuals by encouraging care models that emphasize diverse providers, mental health support, and nonhospital options, with evaluations focused on outcomes for demographic groups facing disparities.
- International Relations: No direct effects identified.
Main Stakeholders Affected
- State Medicaid and CHIP programs.
- Maternity care providers, including physicians, midwives, doulas, and lactation consultants.
- Patients, especially those from groups with higher rates of maternal mortality, severe maternal morbidity, or health disparities.
- Community organizations, hospitals, birth centers, federally qualified health centers, rural health clinics, and health insurers.
- Perinatal health workers and researchers in maternal health.
Notable Legal, Constitutional, or Political Implications
- The project operates within established federal health programs and does not raise apparent constitutional issues, as it relies on existing authority under the Social Security Act.
- It emphasizes data collection on disparities and inclusive stakeholder input, which may influence future policy on equity in maternal care without mandating permanent changes.
This summary was generated by AI and may contain inaccuracies. Refer to the official source document for the authoritative text.
Sponsor
Rep. Schakowsky, Janice D. [D-IL-9]
Cosponsors (70)
Rep. Barragán, Nanette Diaz [D-CA-44], Rep. Budzinski, Nikki [D-IL-13], Rep. Carbajal, Salud O. [D-CA-24], Rep. Clarke, Yvette D. [D-NY-9], Rep. Cleaver, Emanuel [D-MO-5], Rep. Cohen, Steve [D-TN-9], Rep. Craig, Angie [D-MN-2], Rep. Davis, Danny K. [D-IL-7], Rep. Dean, Madeleine [D-PA-4], Rep. DelBene, Suzan K. [D-WA-1], Rep. Evans, Dwight [D-PA-3], Rep. Garamendi, John [D-CA-8], Rep. Garcia, Sylvia R. [D-TX-29], Rep. Gottheimer, Josh [D-NJ-5], Rep. Hayes, Jahana [D-CT-5], Rep. Huffman, Jared [D-CA-2], Rep. Krishnamoorthi, Raja [D-IL-8], Rep. Lynch, Stephen F. [D-MA-8], Rep. McCollum, Betty [D-MN-4], Rep. McClellan, Jennifer L. [D-VA-4], Rep. Meeks, Gregory W. [D-NY-5], Rep. Meng, Grace [D-NY-6], Rep. Morelle, Joseph D. [D-NY-25], Rep. Moore, Gwen [D-WI-4], Rep. Moulton, Seth [D-MA-6], Rep. Mullin, Kevin [D-CA-15], Rep. Pressley, Ayanna [D-MA-7], Rep. Schneider, Bradley Scott [D-IL-10], Rep. Sewell, Terri A. [D-AL-7], Rep. Simon, Lateefah [D-CA-12], Rep. Smith, Adam [D-WA-9], Rep. Strickland, Marilyn [D-WA-10], Rep. Stansbury, Melanie A. [D-NM-1], Rep. Sykes, Emilia Strong [D-OH-13], Rep. Takano, Mark [D-CA-39], Rep. Tlaib, Rashida [D-MI-12], Rep. Tonko, Paul [D-NY-20], Rep. Torres, Norma J. [D-CA-35], Rep. Trahan, Lori [D-MA-3], Rep. Vargas, Juan [D-CA-52], Rep. Veasey, Marc A. [D-TX-33], Rep. Williams, Nikema [D-GA-5], Rep. McIver, LaMonica [D-NJ-10], Del. Norton, Eleanor Holmes [D-DC-At Large], Rep. Watson Coleman, Bonnie [D-NJ-12], Rep. Kamlager-Dove, Sydney [D-CA-37], Rep. Johnson, Henry C. "Hank" [D-GA-4], Rep. Ivey, Glenn [D-MD-4], Rep. Menefee, Christian D. [D-TX-18], Rep. Bell, Wesley [D-MO-1] and 20 more
Recent Actions
- 2026-05-19: Referred to the House Committee on Energy and Commerce.
- 2026-05-19: Introduced in House
- 2026-05-19: Introduced in House
Bill Versions
- Innovative Maternal Payment and Coverage To Save Moms Act — issued 2026-05-19 — PDF (9 pages)