CMS guidance

(a) In general Not later than 1 year after the date of the enactment of this Act, the Secretary of Health and Human Services shall issue guidance on coverage under State plans (or waivers of such plans) under the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) or State child health plans (or waivers of such plans) under the Children’s Health Insurance Program under title XXI of such Act (42 U.S.C. 1397aa et seq.) of covered pelvic health services furnished during the prenatal or postpartum period. Such guidance shall include— (1) best practices from States with respect to innovative or evidenced-based payment models to increase access to covered pelvic health services; (2) recommendations for States on available financing options under— (A) the Medicaid program under title XIX of such Act (42 U.S.C. 1396 et seq.); and (B) the Children’s Health Insurance Program under title XXI of such Act (42 U.S.C. 1397aa et seq.), specifically funds made available through a Children’s Health Insurance Program Health Services Initiative; (3) guidance and technical assistance to State agencies responsible for administering State plans (or waivers of such plans) under the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) regarding additional flexibilities and incentives related to screening and referral for, and access to, covered pelvic health services; and (4) guidance regarding suggested terminology and diagnosis codes, such as the International Classification of Diseases code set, to identify women with pelvic floor dysfunction and disorders. (b) GAO study Not later than 1 year after the date of the enactment of this Act, the Comptroller General of the United States shall conduct a study on, and submit to Congress a report that addresses, gaps in coverage for— (1) covered pelvic health services under State plans (or waivers of such plans) under the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) for postpartum women; and (2) other services for postpartum women who received medical assistance under a State plan (or a waiver of such plan) under the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) during their pregnancy. (c) Definitions In this section: (1) The term postpartum period means the longer of the period of lactation or the 6-month period beginning on the last day of a woman’s pregnancy. (2) The term covered pelvic health services means— (A) pelvic floor examinations (as defined in section 317L–2 of the Public Health Service Act, as added by section 3 of this Act); and (B) pelvic health physical therapy (as defined in such section 317L–2).