H.R. 2234
Black Maternal Health Momnibus Act of 2025
Also known as: "Momnibus Act 2025"
Sponsored by Rep. Lauren Underwood (D) · 38 cosponsors
Legislative timeline
Introduced
In committee
Hearing held in House Energy and Commerce Subcommittee on Health
Last reviewed by our editors: Apr 22, 2026
What this bill does
The Black Maternal Health Momnibus Act of 2025 is a 13-bill legislative package introduced by Rep. Lauren Underwood (D-IL) and Sen. Cory Booker (D-NJ) to address the Black maternal mortality crisis. The omnibus invests in community-based perinatal health workers, including doulas and community health workers, and authorizes Medicaid reimbursement for their services.
The package addresses mental health for pregnant and postpartum people, rural maternity care deserts, intimate partner violence screening in perinatal settings, trauma-informed care, maternal vaccinations, and data collection on maternal outcomes stratified by race and ethnicity. It extends postpartum Medicaid coverage from 60 days to 12 months in states that have not already adopted the American Rescue Plan extension. The Senate companion bill is S. 1073.
Who benefits
Black birthing people and their families. Community-based doulas, midwives, and perinatal health workers whose services would be reimbursed by Medicaid. Rural hospital maternity wards facing closure. Veterans using VA maternal care services. State Medicaid programs extending postpartum coverage. Maternal mental health clinicians serving underinsured populations.
Who loses / who opposes
No direct losers are identified in the legislation. Private insurance associations have expressed concern about race-stratified data reporting requirements. Congressional opposition is primarily from legislators who oppose race-specific health funding or Medicaid expansion in any form.
Impact on Black communities
Black women die in childbirth at 3.3 times the rate of white women in the United States (CDC NVSS 2023). In Washington D.C., the ratio reaches 4.4 times. The Momnibus directly addresses this disparity through mandatory implicit bias training, race-stratified outcomes data mandates, Medicaid reimbursement for doulas, and extended postpartum Medicaid. If enacted, this would be the largest federal investment in Black maternal health since the Affordable Care Act.
What you can do
Call your representative at 202-225-3121 and ask them to cosponsor H.R. 2234 and Senate companion S. 1073.
Sign coalition letters at the National Birth Equity Collaborative (birthequity.org) and Black Mamas Matter Alliance (blackmamasmatter.org).