H.R. 4074: Optimizing Postpartum Outcomes Act of 2025

This bill, known as the Optimizing Postpartum Outcomes Act of 2025, aims to enhance pelvic health care services for women during the postpartum period by directing the Secretary of Health and Human Services to provide guidance and support for Medicaid and Children's Health Insurance Program (CHIP) coverage of specific pelvic health services.

Key Provisions

• The Secretary of Health and Human Services is required to issue guidance within one year that will:
  • Share best practices from states about payment models that could help increase access to pelvic health services.
  • Provide recommendations for financing options under Medicaid and CHIP for these healthcare services.
  • Offer technical assistance to state agencies on how to improve access to pelvic health services.
  • Suggest terminology and diagnosis codes to identify women with pelvic floor dysfunction.
• The Government Accountability Office (GAO) must conduct a study within one year and report on:
  • The gaps in coverage for pelvic health services under state Medicaid plans for postpartum women.
  • Coverage for other services received by postpartum women who had Medicaid assistance during pregnancy.

Definitions of Key Terms

• Postpartum period: The period lasting either the duration of lactation or six months following the last day of a woman’s pregnancy.
• Covered pelvic health services: Services that include pelvic floor examinations and pelvic health physical therapy.

Education Campaign

The bill establishes a postpartum pelvic health education campaign led by the Secretary of the Centers for Disease Control and Prevention. This campaign aims to:

• Train healthcare professionals on pelvic health examinations and the benefits of pelvic health physical therapy.
• Educate postpartum women about the importance of pelvic floor examinations, how to obtain them, and the overall process involved.
• Inform women about the benefits and availability of pelvic health physical therapy and the procedure to get referrals for such therapy.

Funding

The bill authorizes the appropriation of $2,000,000 per fiscal year from 2026 through 2030 to implement the education campaign and related activities.

Relevant Companies

None found