Medicaid Postpartum Coverage Extension Tracker - Summary - MDSpire

Medicaid Postpartum Coverage Extension Tracker

  • By

  • kffmadelineg

  • July 15, 2026

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Objective:

To track state actions regarding the extension of Medicaid postpartum coverage.

Approach:
  • Overview of Medicaid Coverage: The Medicaid program finances about 40% of births in the U.S., requiring states to provide coverage for 60 days postpartum.
  • American Rescue Plan Act Provision: The Act allows states to extend Medicaid postpartum coverage to 12 months via a state plan amendment, effective April 1, 2022.
  • Implementation Tracking: The article monitors states that have implemented, are planning, or have pending legislation for extended postpartum coverage.
Key Findings:
  • The 12-month postpartum coverage extension was made permanent by the Consolidated Appropriations Act 2023.
  • States can implement this extension through a state plan amendment or section 1115 waiver.
Interpretation:

Limitations:
  • Coverage may still be lost in non-expansion states after the initial 60 days postpartum.
Conclusion:

The article serves as a tracker for state actions related to Medicaid postpartum coverage extensions.

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