Specifically, the Healthy MOM Act would: Create a special enrollment period (SEP) in the ACA marketplaces and other commercial insurance plans for pregnant individuals once pregnancy is reported, so that they can enroll in or change their healthcare plan; Enable the Director of the Office of Personnel Management to establish a special enrollment period for pregnancy, for those eligible to receive coverage through the Federal Employees Health Benefits Program and clarify that the enrollment shall be available for families even during a lapse in appropriation or government shutdown; Ensure comprehensive coverage of maternity care – including labor and delivery – for dependent children covered by group health plans and other forms of employer-sponsored coverage; Protect against threats to Medicaid income eligibility and maintain the highest standard of care for low-income pregnant individuals and infants, and Guarantee12-months of continuous Medicaid eligibility for postpartum women.
Support the Healthy MOM Act to create a pregnancy special enrollment period for health insurance, ensure maternity coverage for dependent children, protect Medicaid eligibility for pregnant people and infants, and guarantee 12 months of continuous Medicaid eligibility for postpartum women.
Occurrences
Evidence
Congress.gov lists Bonnie Watson Coleman as Democratic Representative for New Jersey District 12, serving in the 114th-119th Congresses, 2015-present.
During the 114th Congress, Watson Coleman introduced the Healthy MOM Act to allow women to enroll in or change health coverage if pregnant.
Being pregnant doesn't qualify you for a Special Enrollment Period, but the birth of a child does.
All Marketplace and Medicaid plans cover pregnancy and childbirth. Maternity care and newborn care are essential health benefits.
Section 9812 created a state option for Medicaid coverage through the 12-month postpartum period after pregnancy ends.
Section 5113, Modifications to postpartum coverage under Medicaid and CHIP, struck the five-year limit from ARPA postpartum coverage provisions.
If found eligible during pregnancy, you'll be covered for at least 60 days after birth; some states offer 12 months.
If you have Medicaid when you give birth, your newborn is automatically enrolled and remains eligible for at least a year.
Assessments
Watson Coleman materially supported the promise by introducing the Healthy MOM Act in the House, but the Act's full federal package was not enacted. Major pieces were only partially achieved later: ARPA created a state option for 12 months postpartum Medicaid/CHIP coverage and the 2023 appropriations law made that option permanent, while infant Medicaid eligibility and general maternity/newborn coverage are substantially protected. However, pregnancy still does not itself create a federal Marketplace special enrollment period, and 12 months postpartum Medicaid remains optional rather than a nationwide guarantee. Because the core promised outcome remains incomplete but related federal policy advanced during later congressional terms, this is partial delivery with later_term timing.