Pennsylvania HB 1628: An Act amending the act of June 13, 1967 (P.L.31, No.21), known as the Human Services Code, in public assistance, providing for pregnancy-related and postpartum medical assistance.

Bill Text

PRINTER'S NO. 2733
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No. 1628
Session of
2026
INTRODUCED BY CEPHAS, FIEDLER, HILL-EVANS, SANCHEZ, WAXMAN,
PIELLI, FREEMAN, RIVERA, BRENNAN, MAYES, VENKAT, GUENST,
HANBIDGE, HOHENSTEIN, D. WILLIAMS, BELLMON, O'MARA, CIRESI,
STEELE, GREEN AND CURRY, JANUARY 5, 2026
REFERRED TO COMMITTEE ON HUMAN SERVICES, JANUARY 6, 2026
AN ACT
Amending the act of June 13, 1967 (P.L.31, No.21), entitled "An
act to consolidate, editorially revise, and codify the public
welfare laws of the Commonwealth," in public assistance,
providing for pregnancy-related and postpartum medical
assistance.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. The act of June 13, 1967 (P.L.31, No.21), known
as the Human Services Code, is amended by adding a section to
read:
Section 441.10. Pregnancy-related and Postpartum Medical
Assistance.--(a) Subject to any necessary Federal approval:
(1) A woman receiving medical assistance under section
1902(e)(5) of the Social Security Act (49 Stat. 620, 42 U.S.C. §
1396a(e)(5)) shall be eligible for pregnancy-related and
postpartum medical assistance for up to an additional twelve
months following the birth of the child or a pregnancy that ends
in a loss .
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(2) A woman shall be eligible for additional pregnancy-
related and postpartum medical assistance under paragraph (1) if
the woman:
(i) Is eligible for medical assistance at the time of
delivery.
(ii) Is not otherwise eligible for medical assistance.
(iii) Has income less than two hundred fifteen percent of
the Federal poverty income guidelines.
(b) The department shall seek a State plan amendment or
Federal waiver under section 1115 of the Social Security Act (49
Stat. 620, 42 U.S.C. § 1315) from the Centers for Medicare and
Medicaid Services, if needed, or apply for subsequent extensions
of the waiver as necessary for the provision of pregnancy-
related and postpartum medical assistance under this section.
(c) If the initial application or subsequent extension for
the waiver under subsection (b) does not receive Federal
approval, the secretary shall, no later than 180 days after
failure to receive Federal approval under subsection (b) is
received, submit a report to the Governor and the General
Assembly detailing ways the application can be updated to
receive Federal approval. The report and application for the
waiver shall be updated and resubmitted until the application
receives Federal approval.
Section 2. This act shall take effect in 60 days.
20260HB1628PN2733 - 2 -
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