A Democratic bill with 72 Democratic cosponsors · See all 72 cosponsors
Last activity — Referred to the House Committee on Energy and Commerce.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
This bill, known as the "IMPACT to Save Moms Act," directs the Administrator of the Centers for Medicare & Medicaid Services to establish a Perinatal Care Alternative Payment Model Demonstration Project. The project is intended to run from fiscal years 2027 through 2031. It allows States to test various payment models for maternity care provided to pregnant and postpartum individuals enrolled in State Medicaid and child health plans. The Secretary is tasked with coordinating with various stakeholders, including medical providers and patient organizations. Finally, the Secretary must evaluate the project's impact on health outcomes and spending before reporting findings to Congress.
Yes· 3 of 9
- Scored +8
Would women be better off under this?
The bill is specifically designed to improve maternal health outcomes, address mental health, and support diverse maternity care teams.
- Scored +7
Does this make health care easier to get in general?
The bill aims to improve maternal health outcomes and access through diverse care teams and nonhospital birth settings.
- Scored +7
Does this narrow racial gaps in how people are treated?
The bill specifically targets improvements for demographic groups facing elevated rates of maternal mortality and health disparities.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Improved Health Outcomes: The project aims to test payment models designed to improve maternal health outcomes, particularly for demographic groups facing higher rates of maternal mortality, severe maternal morbidity, and health disparities (Section 2(c)(1)).
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Tailored Care based on Risk: The bill considers payment models that can adjust based on a patient's specific pregnancy risk level (Section 2(c)(2)).
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Diverse and Specialized Care Teams: The bill encourages the inclusion of diverse maternity care teams, including mental and behavioral health providers, registered dietitians, and perinatal health workers (Section 2(c)(6)).
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Expanded Birth Settings: The project allows for the consideration of nonhospital birth settings, such as freestanding birth centers (Section 2(c)(4)).
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Comprehensive Health Focus: The demonstration project considers social determinants of maternal health, as well as maternal mental health conditions and substance use disorders (Section 2(c)(5) and (7)).
Potential Negative Impacts for People
- State Application Burden: To participate in the project, a State must go through the process of submitting an application to the Secretary with required information (Section 2(d)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would women be better off under this? — The bill is specifically designed to improve maternal health outcomes, address mental health, and support diverse maternity care teams. Would Black Americans be better off under this? — The bill focuses on reducing health disparities and maternal mortality for demographic groups facing these risks. Would Hispanic Americans be better off under this? — The bill focuses on reducing health disparities and maternal mortality for demographic groups facing these risks. Would households on low incomes be better off under this? — The bill focuses on improving maternal health outcomes for individuals enrolled in State Medicaid and child health plans, which often serve low-income populations. Would children be better off under this? — The bill includes child health plans in the scope of the perinatal care demonstration project.
- Healthcare
- Does this make health care easier to get in general? — The bill aims to improve maternal health outcomes and access through diverse care teams and nonhospital birth settings. Does this make mental health care easier to get? — The bill directs the Secretary to consider payment models that include mental and behavioral health care providers for maternal care. Does this put more money into Medicaid, the health coverage for people on low incomes? — The bill implements a demonstration project to test new payment models for maternity care within State Medicaid and child health plans.
- Social Issues And Justice
- Does this narrow racial gaps in how people are treated? — The bill specifically targets improvements for demographic groups facing elevated rates of maternal mortality and health disparities.
- 8/17/2026
- 1 Cosponsor added.
- 7/20/2026
- 1 Cosponsor added.
- 5/26/2026
- 28 Cosponsors added.
- 5/19/2026
- Referred to the House Committee on Energy and Commerce.
- 42 Cosponsors added.
- Introduced in House
2 bills Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Alma AdamsDemocrat · North Carolina
Joyce BeattyDemocrat · Ohio
Nanette BarragánDemocrat · California
Nikki BudzinskiDemocrat · Illinois
Wesley BellDemocrat · Missouri
Emanuel CleaverDemocrat · Missouri
Yvette ClarkeDemocrat · New York
Steve CohenDemocrat · Tennessee
André CarsonDemocrat · Indiana
Salud CarbajalDemocrat · California
Angie CraigDemocrat · Minnesota
Troy CarterDemocrat · Louisiana
Herbert ConawayDemocrat · New Jersey
Danny DavisDemocrat · Illinois
Suzan DelBeneDemocrat · Washington
Debbie DingellDemocrat · Michigan
Madeleine DeanDemocrat · Pennsylvania
Dwight EvansDemocrat · Pennsylvania
Shomari FiguresDemocrat · Alabama
John GaramendiDemocrat · California
Josh GottheimerDemocrat · New Jersey
Jesús GarcíaDemocrat · Illinois
Sylvia GarciaDemocrat · Texas
Adelita GrijalvaDemocrat · Arizona
Steven HorsfordDemocrat · Nevada
Jared HuffmanDemocrat · California
Jahana HayesDemocrat · Connecticut
Glenn IveyDemocrat · Maryland
Henry JohnsonDemocrat · Georgia
Sara JacobsDemocrat · California
Jonathan JacksonDemocrat · Illinois
Julie JohnsonDemocrat · Texas
Raja KrishnamoorthiDemocrat · Illinois
Sydney Kamlager-DoveDemocrat · California
Stephen LynchDemocrat · Massachusetts
George LatimerDemocrat · New York
Gregory MeeksDemocrat · New York
Betty McCollumDemocrat · Minnesota
Gwen MooreDemocrat · Wisconsin
Grace MengDemocrat · New York
Seth MoultonDemocrat · Massachusetts
Joseph MorelleDemocrat · New York
Lucy McBathDemocrat · Georgia
Morgan McGarveyDemocrat · Kentucky
Kevin MullinDemocrat · California
Jennifer McClellanDemocrat · Virginia
LaMonica McIverDemocrat · New Jersey
Christian MenefeeDemocrat · Texas
Eleanor NortonDemocrat · District of Columbia
Ayanna PressleyDemocrat · Massachusetts
Nellie PouDemocrat · New Jersey
Robert ScottDemocrat · Virginia
Adam SmithDemocrat · Washington
Marilyn StricklandDemocrat · Washington
Terri SewellDemocrat · Alabama
Bradley SchneiderDemocrat · Illinois
Darren SotoDemocrat · Florida
Melanie StansburyDemocrat · New Mexico
Emilia SykesDemocrat · Ohio
Lateefah SimonDemocrat · California
Paul TonkoDemocrat · New York
Mark TakanoDemocrat · California
Norma TorresDemocrat · California
Rashida TlaibDemocrat · Michigan
Lori TrahanDemocrat · Massachusetts
Lauren UnderwoodDemocrat · Illinois
Juan VargasDemocrat · California
Marc VeaseyDemocrat · Texas
Eugene VindmanDemocrat · Virginia
Nikema WilliamsDemocrat · Georgia
Frederica WilsonDemocrat · Florida
Bonnie Watson ColemanDemocrat · New Jersey