Alabama bill giving pregnant women presumptive Medicaid coverage passes unanimously

The Alabama House of Representatives unanimously passed legislation on Tuesday that gives pregnant women presumptive eligibility for Medicaid.

SB 102, sponsored by Sen. Linda Coleman-Madison, D-Birmingham, is the companion bill for HB 89, sponsored by Rep. Marilyn Lands, D-Huntsville. Lands’ bill passed the House unanimously in February.

“Women and families in Alabama are proud today,” Lands said after the Senate bill passed.

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The legislation would allow pregnant women in Medicaid to receive health care coverage for up to 60 days before their formal application for the program.

The bill only allows a single period of eligibility for a woman who is pregnant. The legislation also says care received during the presumptive period cannot be retroactively denied.

According to the Legislative Services Agency, the expanded eligibility would increase the obligations of the Alabama Medicaid Agency by an agency-estimated $1 million annually, with $273,700 coming from state funds.

Alabama has persistently high maternal mortality rates as well as poor infant health outcomes. Pregnant women in the state also have a high number of babies that are born preterm, before 37 weeks gestation.

The bill passed with no discussion. It goes to Gov. Kay Ivey to be signed into law. A message seeking comment from the governor was sent Tuesday afternoon.