PA HB432

Establishes the Maternal Care Access Program within the Pennsylvania Department of Health to identify counties lacking adequate maternal health care providers and resources

Authorizes the Department to designate counties as "at-risk" zones or "maternity care deserts" based on 15 criteria including provider-to-patient ratios, poverty levels, travel distance to obstetric facilities (ideally no more than 30 minutes or 9.7 miles), maternal mortality rates, and Medicaid birth coverage

Defines "maternity care desert" as an area without hospitals providing obstetric care, birth centers, obstetrician gynecologists, or certified nurse midwives

Divides Pennsylvania into 6 geographic regions for equitable resource distribution to birth centers, OB-GYNs, certified nurse midwives, county health departments, and hospitals providing obstetric care in designated zones

Takes effect 180 days after enactment and requires hospitals to report specified maternal health criteria to county health departments or the Department of Health