This bill establishes a rural maternal health care delivery pilot program and a maternity care improvement commission aimed at enhancing prenatal and postnatal care for pregnant individuals in rural areas with limited access to obstetric services. The Department of Health and Human Services is tasked with coordinating the pilot program, which will include collaboration with local hospital systems and the involvement of mid-level practitioners such as certified nurse midwives and nurse practitioners. The program will also explore changes to reimbursement structures to facilitate better access to care. Additionally, the department is required to report on the program's implementation and effectiveness by July 1, 2028.

The bill also creates a maternity care improvement commission composed of various stakeholders, including legislators, obstetricians, midwives, pediatricians, and parents, to develop strategic plans for improving maternal health in the state. The commission will meet regularly and is required to report its findings and recommendations by July 1, 2028. Furthermore, the bill mandates an audit of Medicaid providers to ensure compliance with laws regarding midwifery services and establishes a loan reimbursement program for certified nurse midwives and certified midwives who commit to providing care in underserved rural areas. Notably, the bill includes provisions for the repeal of the pilot program and commission sections after their intended duration, with specific effective dates for different sections of the act.