Golden introduces bipartisan bill to make childbirth free for parents

WASHINGTON — Representatives Jared Golden (ME-02), Young Kim (CA-40), Jennifer McClellan (VA-04) and David Valadao (CA-22) today introduced the Supporting Healthy Moms and Babies Act, which would require private health insurance companies to fully cover the costs of childbirth and related maternity care.

The Supporting Healthy Moms and Babies Act would amend the list of Essential Health Benefits under the Affordable Care Act to include detailed minimum services for prenatal, labor and delivery, perinatal, and postpartum care for up to one year after a child’s birth and would require private insurers to cover those services without cost-sharing. 

“Pregnancy and childbirth are a normal part of family life, so insurance companies should treat it like the routine care it is and cover the cost,” Golden said. “It shouldn’t cost thousands of dollars to give birth at the hospital, and other necessary maternity services shouldn’t be a luxury. This is simple, commonsense reform and will make it easier for Mainers to start and grow families on their own terms without a huge hospital bill.”

Mainers pay 19 percent more than the national average for childbirth, according to the Health Care Costs Institute, with an average out-of-pocket cost of roughly $2,400. That figure includes delivery only; Other costs associated with prenatal and postnatal care, and the high cost of NICU services for the nearly one in 10 babies who need it, can quickly add up for new parents. 

“Americans shouldn’t have to choose between starting a family and being strapped in debt. Unfortunately, rising living costs on top of excessive hospital and health care fees after giving birth deter individuals from becoming parents,” Kim said. “We should do what we can to make life more affordable, which is why I’m proud to help lead the charge to cut childbirth cost-sharing fees and ensure women, babies and families receive the care they deserve without astronomical costs.”

“When my daughter was born by emergency C-section nine weeks early, I wanted to focus all my attention on my recovery and her well-being for the six weeks she was in the NICU, not our medical bills,” McClellan said. “The Supporting Healthy Moms and Babies Act will provide more pregnant and postpartum patients the peace of mind that they can access care without worrying about how to pay for it.”

“The cost of maternal care is already expensive, and too often, families with private insurance are hit with surprise medical bills they didn’t see coming,” Valadao said. "Building a family already comes with so much uncertainty, but designating maternal care as an Essential Health Benefit and eliminating cost-sharing will give parents some peace of mind during one of life's most important moments. I'm proud to join my colleagues in supporting this practical, bipartisan solution that puts families first."

Companion legislation was introduced in the Senate by Senators Cindy Hyde-Smith (R-MS), Tim Kaine (D-VA), Josh Hawley (R-MO) and Kirsten Gillibrand (D-NY). 

Full text of the Supporting Healthy Moms and Babies Act can be found here, and a one-pager can be found here.

WHAT THEY’RE SAYING

“The Maine Hospital Association strongly supports this vital legislation to eliminate cost-sharing for prenatal, labor and postpartum care. In a rural state like Maine, where many communities face significant barriers to accessing maternity care and OB units have closed due to workforce and financial pressures, this bill offers critical support,” said Jeffrey Austin, vice president of government affairs and communications for the Maine Hospital Association. “By removing financial burdens on patients, we can strengthen the sustainability of rural obstetric services, improve maternal health outcomes, and ensure that every family — regardless of ZIP code — has access to the care they need during pregnancy and childbirth.” 

“As physicians and advocates for the health of all Mainers, we commend Rep. Golden for his leadership in prioritizing maternal and infant health,” said R. Scott Hanson, MD, MPH, FACP, president of the Maine Medical Association. “This bill is a vital tool for closing gaps in care and supporting families during one of the most critical times in their lives. We know firsthand that extending the coverage to one year postpartum will save lives. We look forward to supporting Rep. Golden on the bill to strengthen critical programs, improve care coordination and help ensure that every mother and child can access the care they need to thrive.”

“Anything policymakers can do to reduce health care costs, including out-of-pocket costs, for example deductibles and coinsurance, will help consumers who are struggling with high health care costs and medical debt,” said Ann Woloson, executive director of Consumers for Affordable Health Care. “This bill does just that — adding maternity care to the list of essential health benefits and requiring private insurers to cover the cost of maternity care without cost-sharing will provide some very much needed relief from rising health care costs.” 

“No one should go into debt because they have a baby or experience a reproductive health emergency,” said Alex Carter, policy advocate at Maine Equal Justice. “As a legal aid provider, medical debt is among the top concerns for our low-income clients. For people who are just over the income limit for Medicaid or who have high-deductible insurance plans, an expensive hospital bill can change the economic trajectory of a family, diverting resources away from their basic needs and discouraging people from seeking follow-up care. We support Rep. Golden’s bill to ensure everyone can grow their families and access the maternal health care they need without the fear of crushing medical bills.” 

“Right now, many new parents in Maine are burdened with medical debt the moment their child is born — debt that weighs down their finances for years and blocks economic opportunity,” said James Myall, policy analyst at the Maine Center for Economic Policy. “The Supporting Healthy Moms and Babies Act would end this cycle, making sure no parent starts or grows their family under a mountain of bills.” 

The bill also has been endorsed by the American College of Obstetricians and Gynecologists; the American Medical Association; the American Hospital Association; the American Society for Reproductive Medicine; the Association of Women’s Health, Obstetric and Neonatal Nurses; the Association of Maternal & Child Health Programs; March of Dimes; and the National Partnership for Women & Families. 

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