US SB2289

Requires states to report maternal and perinatal health quality measures under Medicaid beginning January 1, 2027, including low-risk cesarean delivery rates and quality improvement activities to reduce cesarean sections annually through 2037

Creates a state option starting April 1, 2028 for "maternity health homes" providing coordinated care for pregnant and postpartum women through designated providers or health teams, with $50 million authorized for planning grants

Establishes demonstration projects for maternal telehealth services with grants up to $10 million per state for 4-year projects, and requires HHS guidance on doula services, community health workers, and community-based maternal health programs

Creates a National Advisory Committee on Reducing Maternal Deaths to develop guidance for hospitals and birth centers on reducing maternal mortality, with emphasis on racial and ethnic health disparities and evidence-based screening protocols

Mandates biennial Payment Error Rate Measurement (PERM) audits of state Medicaid programs starting fiscal year 2027, requiring states with error rates exceeding 15% to submit improvement plans