{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T08:49:36Z","timestamp":1768294176768,"version":"3.49.0"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T00:00:00Z","timestamp":1709078400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Most early maternal deaths are preventable, with many occurring within the first year postpartum (we use the terms \u201cmaternal\u201d and \u201cmother\u201d broadly to include all individuals who experience pregnancy or postpartum and frame our recognition of need and policy recommendations in gender-neutral terms. To acknowledge limitations inherent in existing policy and the composition of samples in prior research, we use the term \u201cwomen\u201d when applicable). Black, Hispanic, and Native American individuals are at the most significant risk of pregnancy-related death. They are more commonly covered by Medicaid, highlighting likely contributions of structural racism and consequent social inequities. State-level length and eligibility requirements for postpartum Medicaid vary considerably. Federal policy requires 60 days of Medicaid continuation postpartum, risking healthcare coverage loss during a critical period of heightened morbidity and mortality risk. This policy position paper aims to outline urgent risks to maternal health, detail existing federal and state-level efforts, summarize proposed legislation addressing the issue, and offer policy recommendations for legislative consideration and future study. A team of maternal health researchers and clinicians reviewed and summarized recent research and current policy pertaining to postpartum Medicaid continuation coverage, proposing policy solutions to address this critical issue. Multiple legislative avenues currently exist to support and advance relevant policy to improve and sustain maternal health for those receiving Medicaid during pregnancy, including legislation aligned with the Biden\u2013Harris Maternal Health Blueprint, state-focused options via the American Rescue Plan of 2021 (Public Law 117-2), and recently proposed acts (HR3407, S1542) which were last reintroduced in 2021. Recommendations include (i) reintroducing previously considered legislation requiring states to provide 12 months of continuous postpartum coverage, regardless of pregnancy outcome, and (ii) enacting a revised, permanent federal mandate equalizing Medicaid eligibility across states to ensure consistent access to postpartum healthcare offerings nationwide.<\/jats:p>","DOI":"10.1093\/tbm\/ibae007","type":"journal-article","created":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T21:01:23Z","timestamp":1709154083000},"page":"298-300","source":"Crossref","is-referenced-by-count":5,"title":["Expand and extend postpartum Medicaid to support maternal and child health"],"prefix":"10.1093","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5632-4958","authenticated-orcid":false,"given":"Jan T","family":"Mooney","sequence":"first","affiliation":[{"name":"Health Psychology Ph.D. Program, University of North Carolina at Charlotte , Charlotte, NC , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6229-0926","authenticated-orcid":false,"given":"Alicia A","family":"Dahl","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, University of North Carolina at Charlotte, College of Health and Human Services , Charlotte, NC , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7325-4058","authenticated-orcid":false,"given":"Margaret M","family":"Quinlan","sequence":"additional","affiliation":[{"name":"Department of Communication Studies, University of North Carolina at Charlotte , Charlotte, NC , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8420-796X","authenticated-orcid":false,"given":"Jodie","family":"Lisenbee","sequence":"additional","affiliation":[{"name":"Health Psychology Ph.D. Program, University of North Carolina at Charlotte , Charlotte, NC , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4284-9021","authenticated-orcid":false,"given":"Farida N","family":"Yada","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, University of North Carolina at Charlotte, College of Health and Human Services , Charlotte, NC , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsay E","family":"Shade","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Research, Wake Forest University School of Medicine, Atrium Health Elizabeth Family Medicine , Charlotte, NC , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3829-2515","authenticated-orcid":false,"given":"Joanna","family":"Buscemi","sequence":"additional","affiliation":[{"name":"Department of Psychology, DePaul University, College of Science and Health , Chicago, IL , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4505-6820","authenticated-orcid":false,"given":"Jenna","family":"Duffecy","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Illinois at Chicago, Neuropsychiatric Institute , Chicago, IL , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,2,28]]},"reference":[{"key":"2024042909163241200_CIT0001","author":"Trost","year":"2022"},{"key":"2024042909163241200_CIT0002","author":"Solomon","year":"2021"},{"key":"2024042909163241200_CIT0003","first-page":"1","article-title":"Births: final data for 2021","volume":"72","author":"Osterman","year":"2023","journal-title":"Natl Vital Stat Rep"},{"key":"2024042909163241200_CIT0004","author":"Gordon","year":"2021"},{"key":"2024042909163241200_CIT0005","author":"Kaiser Family Foundation","year":"2023"},{"key":"2024042909163241200_CIT0006","author":"Kaiser Family Foundation","year":"2023"},{"key":"2024042909163241200_CIT0007","author":"Taylor","year":"2019"},{"key":"2024042909163241200_CIT0008","first-page":"60","article-title":"The ACA Medicaid expansion and perinatal insurance, health care use, and health outcomes: a systematic review","volume-title":"Health Aff (Millwood)","author":"Bellerose","year":"2022"},{"key":"2024042909163241200_CIT0009","first-page":"e022040","article-title":"Reducing cardiovascular maternal mortality by extending Medicaid for postpartum women","volume-title":"J Am Heart Assoc","author":"Luther","year":"2021"},{"key":"2024042909163241200_CIT0010","author":"The White House Briefing Room","year":"2022"},{"key":"2024042909163241200_CIT0011","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1215\/03616878-8893585","article-title":"Extending postpartum Medicaid: state and federal policy options during and after COVID-19","volume":"46","author":"Daw","year":"2021","journal-title":"J Health Polit Policy 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