The bicameral Innovative Maternal Payment and Coverage (IMPACT) to Save Moms Act, which Congresswoman Jan Schakowsky (D-Ill.-09) will introduce in the House, would give states the ability to test new payment approaches for maternity care under their Medicaid and CHIP programs. The IMPACT to Save Moms Act would: Direct the Secretary of Health and Human Services to establish a 5-year Perinatal Care Alternative Payment Model Demonstration Project, giving states the ability to test new payment approaches for maternity care under their Medicaid and CHIP programs.
Establish a five-year perinatal care alternative payment model demonstration project so states can test new Medicaid and CHIP maternity-care payment approaches tied to risk, outcomes, social determinants, diverse care teams, maternal mental health, substance use, and evaluation.
Occurrences
Evidence
GovInfo lists S.4481 as introduced by Sen. Lisa Blunt Rochester on May 11, 2026, then read twice and referred to the Senate Committee on Finance. The bill title would require HHS to establish a demonstration project allowing states to test maternity-care payment models under Medicaid and CHIP.
Blunt Rochester's official sponsored-legislation page lists S.4481, the IMPACT to Save Moms Act, with latest action: read twice and referred to the Committee on Finance.
The press release says Blunt Rochester introduced the IMPACT to Save Moms Act and describes it as directing HHS to establish a 5-year Perinatal Care Alternative Payment Model Demonstration Project for Medicaid and CHIP maternity-care payment approaches.
The fact sheet says the bill would establish a 5-year perinatal care alternative payment model demonstration project, with risk-stratified payments, quality metrics, social determinants, diverse care teams, maternal mental health and substance-use considerations, and evaluation/reporting.
Congress.gov shows H.R.3346 had status Introduced, latest action referred to the Subcommittee on Health on May 19, 2023, and lists Rep. Lisa Blunt Rochester as a cosponsor on May 15, 2023.
The bill text would establish the Perinatal Care Alternative Payment Model Demonstration Project for FY2024-FY2028 and directs evaluation of maternal health outcomes, state maternity-care spending, patient experience, and other relevant areas.
Congress.gov identifies S.4481 as the IMPACT to Save Moms Act, sponsored by Sen. Lisa Blunt Rochester, and shows the latest action as introduction/read twice and referral to the Senate Committee on Finance on May 11, 2026. No later enactment, passage, vote, or implementation action was found in the June 7-July 6, 2026 refresh window.
GovInfo's introduced version of S.4481 is titled the Innovative Maternal Payment and Coverage To Save Moms Act and would require HHS to establish a perinatal care alternative payment model demonstration project for Medicaid and CHIP maternity care. The source is introduced bill text, not public law or agency implementation.
Blunt Rochester's Senate office announced that she introduced the IMPACT to Save Moms Act, describing it as legislation to establish a five-year Perinatal Care Alternative Payment Model Demonstration Project for Medicaid and CHIP maternity-care payment approaches.
The official one-page summary says the bill would create a five-year demonstration with state Medicaid and CHIP maternity-care payment approaches tied to risk, outcomes, social determinants, diverse care teams, maternal mental health, substance use, and evaluation/reporting.
Assessments
Blunt Rochester made a concrete federal legislative attempt by introducing S.4481, the IMPACT to Save Moms Act, in the 119th Congress. The bill closely matches the promised five-year Medicaid and CHIP perinatal care alternative payment model demonstration project, including risk, outcomes, social determinants, diverse care teams, maternal mental health, substance use, and evaluation components. However, the evidence shows the bill was only introduced, read twice, and referred to the Senate Finance Committee, with no enactment, passage, public law, or HHS implementation establishing the demonstration project as of July 6, 2026. Because the promised outcome was not delivered but there was serious same-term legislative effort, the correct rating is never with an effort badge.
Blunt Rochester made a serious same-term legislative attempt by introducing S.4481, the IMPACT to Save Moms Act, which closely matches the promised five-year Medicaid and CHIP perinatal care alternative payment model demonstration. However, the evidence shows the bill was only read twice and referred to the Senate Finance Committee, with no enactment, funding, HHS implementation, or operational demonstration project. Because the promised outcome has not been established, this is not delivered, but the effort badge is warranted.