HR5202-119

Introduced

To address maternity care shortages and promote optimal maternity outcomes by expanding access to birth centers and exploring more effective payment models for birth center care, and for other purposes.

119th Congress Introduced Sep 8, 2025

Summary

What This Bill Does

The bill creates grant program through HRSA to award competitive grants to freestanding birth centers for renovation, expansion, construction, equipment, and accreditation, with priority for maternity care shortage areas, creates strong Start birth center grant program to assist birth centers with start-up or expansion costs in underserved areas, with authorized funding and priority for maternity care shortage areas, and creates medicaid demonstration program to develop and test prospective payment models for freestanding birth center services, including state planning grants, certification criteria, and annual outcome reporting. It relies on appropriations, grants, reporting requirements, and compliance mandates. The main policy areas are Healthcare.

Who Benefits and How

Freestanding birth centers could gain revenue opportunities, Freestanding birth centers in underserved areas could gain revenue opportunities, and Medicaid-eligible pregnant women with low-risk pregnancies could face fewer barriers.

Who Bears the Burden and How

State Medicaid programs would take on compliance duties, Hospital obstetrical care units could lose revenue opportunities, and Health Resources and Services Administration (HRSA) would take on compliance duties.

Key Provisions

  • Creates grant program through HRSA to award competitive grants to freestanding birth centers for renovation, expansion, construction, equipment, and accreditation, with priority for maternity care shortage areas.
  • Creates strong Start birth center grant program to assist birth centers with start-up or expansion costs in underserved areas, with authorized funding and priority for maternity care shortage areas.
  • Creates medicaid demonstration program to develop and test prospective payment models for freestanding birth center services, including state planning grants, certification criteria, and annual outcome reporting...

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

The bill creates grant program through HRSA to award competitive grants to freestanding birth centers for renovation, expansion, construction, equipment, and accreditation, with priority for maternity care shortage areas, creates strong Start birth center grant program to assist birth centers with start-up or expansion costs in underserved areas, with authorized funding and priority for maternity care shortage areas, and creates medicaid demonstration program to develop and test prospective payment models for freestanding birth center services, including state planning grants, certification criteria, and annual outcome reporting.

Key Policy Areas

Healthcare

Primary Purpose

The bill creates grant program through HRSA to award competitive grants to freestanding birth centers for renovation, expansion, construction, equipment, and accreditation, with priority for maternity care shortage areas, creates strong Start birth center grant program to assist birth centers with start-up or expansion costs in underserved areas, with authorized funding and priority for maternity care shortage areas, and creates medicaid demonstration program to develop and test prospective payment models for freestanding birth center services, including state planning grants, certification criteria, and annual outcome reporting.

Policy Domains

Healthcare

Whole bill

Identified Gains
  • Freestanding birth centers
  • Freestanding birth centers in underserved areas
  • Medicaid-eligible pregnant women with low-risk pregnancies
  • Pregnant women in maternity care shortage areas
  • Pregnant women in maternity care deserts
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Freestanding birth centers: ,
Pregnant women in maternity care deserts:
Freestanding birth centers in underserved areas:
Pregnant women in maternity care shortage areas:
Medicaid-eligible pregnant women with low-risk pregnancies:
Identified Costs
  • State Medicaid programs
  • Hospital obstetrical care units
  • Health Resources and Services Administration (HRSA)
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
State Medicaid programs:
Hospital obstetrical care units:
Health Resources and Services Administration (HRSA):

Legislative Progress

Introduced
Introduced Committee Passed
Sep 8, 2025

Ms. Morrison (for herself and Mrs. Hinson) introduced the following …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Maternity Care Providers
3 mentions across 3 clauses
+3 positive

Freestanding birth centers, Freestanding birth centers in underserved areas

Healthcare Beneficiaries
3 mentions across 3 clauses
+3 positive

Medicaid-eligible pregnant women with low-risk pregnancies, Pregnant women in maternity care deserts, Pregnant women in maternity care shortage areas

Government
2 mentions across 2 clauses
-2 negative

Health Resources and Services Administration, State Medicaid programs

Healthcare
2 mentions across 2 clauses
+1 positive -1 negative

Commission for the Accreditation of Birth Centers, Hospital obstetrical care units

Positive-direction: Commission for the Accreditation of Birth Centers

Negative-direction: Hospital obstetrical care units

Midwifery Services
1 mention across 1 clause
+1 positive

Certified nurse-midwives and licensed midwives

3/4
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare
Actor Mappings
"the_secretary"
→ The Secretary identified in the operative section
"the_commission"
→ The commission identified in the operative section
"the_administrator"
→ The Administrator identified in the operative section

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology