2023 State Legislative Session: Postpartum Medicaid Actions

Map outlines current state postpartum Medicaid coverage durations and extension status under a State Plan Amendment (SPA) or 1115 Waiver. It also details 2023 state legislature activity on Medicaid coverage extension from 60 days to 12 months after pregnancy. Last updated on May 11, 2023.

(Please use a modern browser to see the interactive version of this visualization)

Updated May 2023
"---" indicates that the state has not elected this option.

SPA: A state plan is a formal agreement between a state and the Federal government on the specific administration of that state's Medicaid and CHIP program. State Plan Amendments are applications submitted to the Centers for Medicare & Medicaid Services (CMS) by a state for requests to change any program policies, update corrections, or implement new operational approaches to the state's programs.

Section 1115 Waivers allow the Secretary of Health and Human Services to authorize pilot/experimental projects that promote the Medicaid program objectives - giving states flexibility to tailor programs to their state's Medicaid population.

Pending Approval: These state plan amendment applications are awaiting approval from the CMS.

Source:
1.) Georgetown Center for Children and Families analysis of Medicaid and CHIP State Plan Amendments, state legislation, and Medicaid Section 1115 waiver demonstration projects
2.) Gordon S, et. al. Medicaid After Pregnancy: State-Level Implications of Extending Postpartum Coverage. (2023 Update) (Issue Brief No. HP-2023-10). Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services. April 2023. Accessed May 11, 2023 at hhttps://aspe.hhs.gov/sites/default/files/documents/168cd047bebc0725da3128104ec8fdde/Postpartum-Coverage-Issue-Brief.pdf
3.) Kaiser Family Foundation, “Medicaid Postpartum Coverage Extension Tracker,” (May 4, 2023), available at https://www.kff.org/medicaid/issuebrief/medicaid-postpartum-coverage-extension-tracker/