Optimizing Postpartum Outcomes Act of 2025
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Overview
The Optimizing Postpartum Outcomes Act of 2025 aims to improve postpartum care by directing the Centers for Medicare & Medicaid Services (CMS) to provide guidance on covering pelvic health services under Medicaid and CHIP. It also tasks the Government Accountability Office (GAO) with studying coverage gaps and the Centers for Disease Control and Prevention (CDC) with launching an education campaign for health professionals and postpartum women about these services. The bill defines key terms related to pelvic health and authorizes funding for a public education initiative.
Key provisions
- CMS must issue guidance on Medicaid and CHIP coverage of pelvic health services.
- The GAO must conduct a study on coverage gaps for postpartum women.
- The CDC will develop and implement an education campaign for health professionals and women.
- The bill defines ‘postpartum period’ and ‘covered pelvic health services’.
- The bill establishes definitions for pelvic floor examination and pelvic health physical therapy.
- The bill authorizes appropriations of $2,000,000 per year from 2026-2030 for the education campaign.
Who is affected
- Pregnant women
- Postpartum women
- Healthcare providers
- Medicaid recipients
- Children’s Health Insurance Program (CHIP) recipients
Notable changes
- Expands Medicaid coverage for pelvic health services during the prenatal and postpartum periods.
Bill text
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