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S. 4481Senate119th Congress (2025-2027)In Committee

IMPACT to Save Moms Act

Sponsored by Lisa Blunt RochesterSen. Lisa Blunt Rochester (D-DE)
Introduced May 11, 2026

AI-Generated Summary

Updated May 14, 2026 at 2:51 AM UTC

The IMPACT to Save Moms Act directs the Secretary of Health and Human Services to launch a five‑year demonstration project (2027‑2031) that lets states experiment with new payment models for maternity care covered by Medicaid and the Children’s Health Insurance Program. The goal is to find ways to improve health outcomes for pregnant and postpartum people, especially those in groups with higher rates of maternal mortality and morbidity.

Key Provisions

  • HHS, through CMS, will create the Perinatal Care Alternative Payment Model Demonstration Project, allowing states to apply and test alternative payment approaches under their Medicaid and CHIP plans.
  • The Secretary must coordinate with a broad range of stakeholders, including state Medicaid agencies, maternity care providers, patient advocacy groups, community organizations, insurers, hospitals, birth centers, and researchers, with special focus on groups facing health disparities.
  • Payment models considered must aim to improve outcomes for high‑risk groups, use risk‑adjusted payments, include evidence‑based quality metrics, consider non‑hospital birth settings, address social determinants, involve diverse care teams (including mental health and nutrition professionals), and cover maternal mental health and substance‑use issues.
  • States must submit applications to participate; HHS will evaluate impacts on maternal health outcomes (stratified by race, ethnicity, language, etc.), spending, and patient experience, and will report findings to Congress within a year after the project ends, recommending whether to continue or expand it.
  • Appropriations are authorized as needed to fund the demonstration project.

Legislative Activity

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SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

Finance Committee

May 11, 2026

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SenateIntro Referral

Introduced in Senate

May 11, 2026

SenateIntro Referral

Read twice and referred to the Committee on Finance.

Finance Committee

May 11, 2026

Bill Text

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Introduced in SenateIssued May 11, 2026

II

119th CONGRESS

2d Session

S. 4481

IN THE SENATE OF THE UNITED STATES

May 11, 2026

Ms. Blunt Rochester introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To require the Secretary of Health and Human Services to establish a demonstration project to allow States to test payment models for maternity care provided to pregnant and postpartum individuals under the Medicaid and CHIP programs, and for other purposes.

1.

Short title

This Act may be cited as the Innovative Maternal Payment and Coverage To Save Moms Act or the IMPACT to Save Moms Act.

2.

Perinatal Care Alternative Payment Model Demonstration Project

(a)

In general

For the period of fiscal years 2027 through 2031, the Secretary of Health and Human Services (referred to in this section as the Secretary), acting through the Administrator of the Centers for Medicare & Medicaid Services, shall establish and implement, in accordance with the requirements of this section, a demonstration project, to be known as the Perinatal Care Alternative Payment Model Demonstration Project (referred to in this section as the Demonstration Project), for purposes of allowing States to test payment models under their State plans under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) and State child health plans under title XXI of such Act (42 U.S.C. 1397aa et seq.) with respect to maternity care provided to pregnant and postpartum individuals enrolled in such State plans and State child health plans.

(b)

Coordination

In establishing the Demonstration Project, the Secretary shall coordinate with stakeholders such as—

(1)

State Medicaid programs;

(2)

maternity care providers and organizations representing maternity care providers;

(3)

relevant organizations representing patients, with a particular focus on patients from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes;

(4)

relevant community-based organizations, particularly organizations that seek to improve maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes;

(5)

perinatal health workers;

(6)

relevant health insurance issuers;

(7)

hospitals, health systems, midwifery practices, freestanding birth centers (as such term is defined in paragraph (3)(B) of section 1905(l) of the Social Security Act (42 U.S.C. 1396d(l))), federally-qualified health centers (as such term is defined in paragraph (2)(B) of such section), and rural health clinics (as such term is defined in section 1861(aa) of such Act (42 U.S.C. 1395x(aa)));

(8)

researchers and policy experts in fields related to maternity care payment models; and

(9)

any other stakeholders as the Secretary determines appropriate, with a particular focus on stakeholders from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes.

(c)

Considerations

In establishing the Demonstration Project, the Secretary shall consider any alternative payment model that—

(1)

is designed to improve maternal health outcomes for individuals from demographic groups with elevated rates of maternal mortality, severe maternal morbidity, maternal health disparities, or other adverse perinatal or childbirth outcomes;

(2)

includes methods for stratifying patients by pregnancy risk level and, as appropriate, adjusting payments under such model to take into account pregnancy risk level, including consideration of the appropriate transfer of patients by pregnancy risk level;

(3)

establishes evidence-based quality metrics for such payments;

(4)

includes consideration of non-hospital birth settings such as freestanding birth centers (as so defined);

(5)

includes consideration of social determinants of maternal health;

(6)

includes diverse maternity care teams that include—

(A)

maternity care providers, mental and behavioral health care providers acting in accordance with State law, and registered dietitians or nutrition professionals (as such term is defined in section 1395x(vv)(2) of title 42, United States Code)—

(i)

from racially, ethnically, and professionally diverse backgrounds;

(ii)

with experience practicing in racially and ethnically diverse communities; or

(iii)

who have undergone training on implicit bias and racism; and

(B)

perinatal health workers; or

(7)

includes consideration of maternal mental health conditions and substance use disorders.

(d)

Eligibility

To be eligible to participate in the Demonstration Project, a State shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require.

(e)

Evaluation

The Secretary shall conduct an evaluation of the Demonstration Project to determine the impact of the Demonstration Project on—

(1)

maternal health outcomes, with data stratified by race, ethnicity, primary language, socioeconomic status, geography, insurance type, and other factors as the Secretary determines appropriate;

(2)

spending on maternity care by States participating in the Demonstration Project;

(3)

to the extent practicable, qualitative and quantitative measures of patient experience; and

(4)

any other areas of assessment that the Secretary determines relevant.

(f)

Report

Not later than 1 year after the completion or termination date of the Demonstration Project, the Secretary shall submit to the Congress, and make publicly available, a report containing—

(1)

the results of any evaluation conducted under subsection (e); and

(2)

a recommendation regarding whether the Demonstration Project should be continued after fiscal year 2031 and expanded on a national basis.

(g)

Authorization of appropriations

There are authorized to be appropriated such sums as are necessary to carry out this section.

(h)

Definitions

In this section:

(1)

Alternative payment model

The term alternative payment model has the meaning given such term in section 1833(z)(3)(C) of the Social Security Act (42 U.S.C. 1395l(z)(3)(C)).

(2)

Perinatal

The term perinatal means the period beginning on the day an individual becomes pregnant and ending on the last day of the 1-year period beginning on the last day of such individual’s pregnancy.