Optimizing Postpartum Outcomes Act of 2026

Key Points

• The bill requires the Secretary of Health and Human Services to issue guidance within one year on how states should cover pelvic health services through Medicaid and CHIP for women during and after pregnancy. This includes best practices for payment models, financing options, and diagnosis codes.
• The bill defines "covered pelvic health services" as pelvic floor examinations and pelvic health physical therapy, and sets the postpartum period as the longer of the lactation period or six months after the end of pregnancy.
• A public education campaign run through the CDC and other agencies would train health professionals on pelvic floor exams and teach new mothers about the importance of pelvic health physical therapy, including how to get referrals.
• The bill authorizes $2 million per year for five years (2027 through 2031) to fund the education campaign, and requires the GAO to study gaps in postpartum coverage under Medicaid.
• Introduced by Sen. Blunt Rochester and Sen. Sullivan, the bill is bipartisan and has been referred to the Senate Finance Committee. It does not mandate new state coverage but provides guidance and technical assistance to encourage states to expand access.