The Medicaid program funds roughly 4 in 10 births within the US. Federal regulation requires states to supply pregnancy-related Medicaid protection for 60 days after supply. After that interval, some postpartum people could qualify for Medicaid by means of a unique pathway, however others could lose protection, particularly in states with out growth. To assist enhance maternal well being and protection stability and to handle racial disparities in maternal well being, a provision within the American Rescue Plan Act of 2021 gave states a brand new choice to increase Medicaid postpartum protection to 12 months by means of a state plan modification (SPA). This new possibility took impact on April 1, 2022 and was initially obtainable for 5 years; nonetheless, the choice was made everlasting by the Consolidated Appropriations Act 2023. The Facilities for Medicare and Medicaid Companies (CMS) launched steering on December 7, 2021 on how states may implement this feature.

States searching for to implement expanded postpartum protection by April 1, 2022, have performed so by means of a Part 1115 waiver or through the use of state funds. This web page tracks state actions to implement prolonged Medicaid postpartum protection, together with states which have applied a 12-month postpartum extension, states that plan to implement a 12-month extension, states with pending laws to acquire federal approval by means of an SPA or 1115 waiver, and states which have proposed or obtained approval for a restricted growth of protection.

Medicaid Postpartum Protection Expansions: Authorised and ongoing state motion as of February 24, 2026

Medicaid Postpartum Protection Expansions: Authorised and ongoing state motion as of February 24, 2026

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