[Congressional Record Volume 165, Number 171 (Tuesday, October 29, 2019)]
[Senate]
[Page S6254]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 1240. Mr. GRASSLEY submitted an amendment intended to be proposed 
by him to the bill S. 916, to improve Federal efforts with respect to 
the prevention of maternal mortality, and for other purposes; which was 
referred to the Committee on Finance; as follows:

        Strike all after the enacting clause and insert the 
     following:

     SECTION 1. SHORT TITLE.

       This Act may be cited as the ``Healthy Maternal 
     Opportunities Matter Act of 2019'' or the ``Healthy MOM 
     Act''.

     SEC. 2. ADDITIONAL FUNDING FOR MATERNAL AND CHILD HEALTH 
                   PROJECTS.

       Section 501 of the Social Security Act (42 U.S.C. 701) is 
     amended by adding at the end the following new subsection:
       ``(d) In addition to the amounts appropriated under 
     subsection (a) and retained under section 502(b)(1)(A), out 
     of any money in the Treasury not otherwise appropriated, 
     there is appropriated to the Secretary $200,000,000 for the 
     period of fiscal years 2020 through 2024, to support 
     increased efforts to improve maternal and child health in 
     accordance with the projects described in subparagraphs (A) 
     through (E) of section 501(a)(3).''.

     SEC. 3. MEDICAID DEMONSTRATION PROGRAM TO INCREASE ACCESS TO 
                   MATERNAL HEALTH CARE IN UNDERSERVED AREAS.

       Section 1903 of the Social Security Act (42 U.S.C. 1396b) 
     is amended by adding at the end the following new subsection:
       ``(bb) Demonstration Project to Increase Access to Maternal 
     Health Care in Underserved Areas.--
       ``(1) In general.--In addition to the payments provided 
     under subsection (a), the Secretary shall provide for 
     payments to States for State activities to improve access to 
     maternal health care and prevent maternal mortality in 
     underserved areas (including rural areas) in the manner 
     described in paragraph (5).
       ``(2) Permissible use of funds.--The following are examples 
     of State activities for which funds provided under this 
     subsection may be used:
       ``(A) Developing and implementing innovative reimbursement 
     models for providers of maternal health care services.
       ``(B) Increasing maternal health professional recruitment 
     efforts.
       ``(C) Expanding access to telemedicine for women with high-
     risk pregnancies.
       ``(3) Application; terms and conditions.--
       ``(A) In general.--No payments shall be made to a State 
     under this subsection unless the State applies to the 
     Secretary for such payments in a form, manner, and time 
     specified by the Secretary.
       ``(B) Terms and conditions.--Such payments are made under 
     such terms and conditions consistent with this subsection as 
     the Secretary prescribes.
       ``(C) Annual report.--Payment to a State under this 
     subsection is conditioned on the State submitting to the 
     Secretary an annual report on the activities supported by 
     such payment. Such report shall include information on--
       ``(i) the specific uses of such payment;
       ``(ii) an assessment of quality improvements and clinical 
     outcomes resulting from such activities; and
       ``(iii) estimates of cost savings resulting from such 
     activities.
       ``(4) Duration.--No payment shall be made under this 
     subsection after fiscal year 2024.
       ``(5) Funding.--
       ``(A) In general.--Subject to subparagraph (B), State 
     expenditures on activities under this subsection shall be 
     treated as medical assistance for purposes of subsection (a).
       ``(B) Limitation on funds.--The total amount of payments 
     made under this subsection shall not exceed $2,500,000,000 
     for fiscal years 2020 through 2024. This subsection 
     constitutes budget authority in advance of appropriations 
     Acts and represents the obligation of the Secretary to 
     provide for the payment of amounts provided under this 
     subsection.''.

     SEC. 4. REGULAR FMAP APPLIED IN CASE OF CERTAIN MEDICAID 
                   EXPANSION INDIVIDUALS.

       Section 1905(y) of the Social Security Act (42 U.S.C. 
     1396d(y)) is amended--
       (1) in paragraph (1), by inserting ``subject to paragraph 
     (3),'' after ``Notwithstanding subsection (b),''; and
       (2) by adding at the end the following new paragraph:
       ``(3) Exception.--With respect to amounts expended by a 
     State described in paragraph (1) for medical assistance for 
     items and services furnished on or after January 1, 2020, to 
     a newly eligible individual described in subclause (VIII) of 
     section 1902(a)(10)(A)(i) who is an inmate in a public 
     institution and is a patient in a medical institution, 
     paragraph (1) shall not apply with respect to such amounts 
     expended for such items and services and the Federal medical 
     assistance percentage for such State under subsection (b) 
     shall apply with respect to such amounts expended for such 
     items and services.''.

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