United States 119th Congress Status: In Committee Bipartisan · 29 D · 9 R cosponsors

HR 4074 — Optimizing Postpartum Outcomes Act of 2025

Last action — Referred to the House Committee on Energy and Commerce.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced June 23, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 42% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 38 sponsors

    1 primary, 37 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (29 D · 9 R) — cross-party backing.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Optimizing Postpartum Outcomes Act of 2025This bill requires (1) the Centers for Medicare & Medicaid Services to issue guidance to support coverage of prenatal and postpartum pelvic health services under Medicaid and the Children's Health Insurance Program (CHIP), (2) the Government Accountability Office to study gaps in Medicaid coverage of these and other services for postpartum women, and (3) the Centers for Disease Control and Prevention to educate health professionals and postpartum women on pelvic health services.

Bill Text

How this bill changes current law

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Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill directs the Secretary of Health and Human Services to issue guidance on Medicaid coverage for pelvic health services during the postpartum period.

  • 42 U.S.C. § 243

    SEC. 317L-2. POSTPARTUM PELVIC HEALTH EDUCATION CAMPAIGN. (a) In General.--The Secretary, acting through the Director of the Centers for Disease Control and Prevention, in collaboration with the Administrator of the Health Resources and Services Administration and the heads of other agencies, and in consultation with appropriate health professional associations, shall develop and carry out a program-- (1) to educate and train health professionals on pelvic floor examinations and the benefits of pelvic health physical therapy; and (2) to educate postpartum women on-- (A) with respect to pelvic floor examinations-- (i) the importance of such examinations during the postpartum period; (ii) how to obtain such an examination, including information relating to obtaining referrals; and (iii) what is involved in such an examination; and (B) with respect to pelvic health physical therapy-- (i) the benefits of, and availability of such physical therapy; and (ii) how to obtain a referral for such physical therapy. (b) Definitions.--In this section: (1) The term `pelvic floor examination' means an examination to assess a patient for pelvic health related conditions that is composed of-- (A) an external evaluation that includes analysis of posture, joint integrity, muscle performance, quality of movement, and palpation and observation of the pelvic floor; and (B) if deemed necessary based on the health care professional's clinical reasoning, an internal vaginal or rectal examination, or both, to gather relevant information about the tone, strength, control, ability to contract and relax the muscles of the pelvic floor individually and together, the condition of the surrounding fascia, and the position of the organs. (2) The term `pelvic health physical therapy' means a personalized physical therapy plan implemented by a pelvic health physical therapist, after performing a pelvic floor examination and making a diagnosis, that is based on best available evidence to improve the patient condition, with respect to the anatomy of the pelvic floor, improve mobility, recover from injury, prevent future injury, and manage pain and chronic conditions. (3) The term `pelvic health related condition' includes urinary dysfunction, bowel dysfunction, musculoskeletal dysfunction, sexual dysfunction, cancer-related rehabilitation, and the pre-partum state and pre-partum conditions. (c) Authorization of Appropriations.--There are authorized to be appropriated to carry out this section $2,000,000 for each of fiscal years 2026 through 2030.

    This adds a new section that requires the Secretary to develop a program focused on pelvic health education for both health professionals and postpartum women.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the House Committee on Energy and Commerce.

Sponsors

Sponsorship breakdown

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1 sponsors · 37 co-sponsors · 509 not signed on

Sponsors (1)

Co-sponsors (37)

Not signed on (509)

509 members have not signed on to this bill.

Show all 509 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
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Frequently asked questions

What does HR 4074 do?
Optimizing Postpartum Outcomes Act of 2025This bill requires (1) the Centers for Medicare & Medicaid Services to issue guidance to support coverage of prenatal and postpartum pelvic health services under Medicaid and the Children's Health Insurance Program (CHIP), (2) the Government Accountability Office to study gaps in Medicaid coverage of these and other services for postpartum women, and (3) the Centers for Disease Control and Prevention to educate health professionals and postpartum women on pelvic health services.
Who sponsors HR 4074?
HR 4074 is sponsored by Trahan, Lori (Democratic), Tonko, Paul (Democratic), Norton, Eleanor Holmes (Democratic), Quigley, Mike (Democratic), Bonamici, Suzanne (Democratic), Cohen, Steve (Democratic), Gottheimer, Josh (Democratic), Carter, Earl L. "Buddy" (Republican), Riley, Josh (Democratic), Davis, Donald G. (Democratic), Lawler, Michael (Republican), Hill, J. French (Republican), Sherrill, Mikie (Democratic), Crow, Jason (Democratic), Vindman, Eugene Simon (Democratic), McClain Delaney, April (Democratic), Stansbury, Melanie A. (Democratic), Nunn, Zachary (Republican), Lieu, Ted (Democratic), Tokuda, Jill N. (Democratic), Kim, Young (Republican), Magaziner, Seth (Democratic), Ross, Deborah K. (Democratic), McBride, Sarah (Democratic), Gillen, Laura (Democratic), Thanedar, Shri (Democratic), Pingree, Chellie (Democratic), Soto, Darren (Democratic), Krishnamoorthi, Raja (Democratic), Carson, André (Democratic), Neguse, Joe (Democratic), Himes, James A. (Democratic), Meuser, Daniel (Republican), Mackenzie, Ryan (Republican), Adams, Alma S. (Democratic), Johnson, Julie (Democratic), Fitzpatrick, Brian K. (Republican), and Bacon, Don (Republican).
What is the current status of HR 4074?
This bill is in committee in the House. Introduced June 23, 2025. It must pass committee before a floor vote.
Where can I track HR 4074?
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