US SB2085

Mandates 12-month continuous, full-benefit Medicaid and CHIP coverage for pregnant individuals, beginning on the last day of pregnancy and ending on the last day of the month in which the 12-month period concludes

Converts the current optional state election for extended postpartum coverage into a federal requirement that all state plans must meet

Expands coverage beyond pregnancy-related services to include full Medicaid benefits during the entire postpartum period, removing previous limitations to only prenatal, delivery, postpartum, and family planning services

Takes effect on the first day of the first calendar quarter beginning one year after enactment, with exceptions for states requiring legislative action to comply

Allows states to opt for an earlier effective date and begin receiving federal reimbursement for extended postpartum coverage before the mandatory implementation deadline