Keeping Obstetrics Local Act

The Keeping Obstetrics Local Act focuses on improving access to obstetric care in rural and underserved communities. It requires states to study costs of maternity services and mandates Medicaid payments for obstetric care at eligible hospitals to be at least 150% of Medicare rates (starting in 2027), with increased federal funding. The bill also requires 12-month continuous coverage for pregnant individuals under Medicaid and CHIP, establishes health homes for coordinated maternal care, and creates special payments for low-volume obstetric hospitals to prevent closures. Additionally, it requires hospitals to provide advance notice of obstetric unit closures and collects detailed data on labor and delivery services, directly affecting rural hospitals, pregnant individuals, and maternal health care providers.