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 involve collaboration with hospital systems for clinical oversight and the provision of care by mid-level practitioners, including certified nurse midwives and nurse practitioners. The bill also mandates the development of a report detailing the pilot program's structure, implementation, and recommendations for future legislation, with findings due by July 1, 2028.

Additionally, the bill creates a maternity care improvement commission composed of various stakeholders, including legislators, obstetricians, midwives, pediatricians, and parents, to study and develop strategic plans for improving maternal health in the state. The commission is required to report its findings by the same deadline. The bill also includes provisions for a financial incentive program to reimburse loans for certified nurse midwives and certified midwives who provide care in rural areas, with a commitment to serve for at least two years. Notably, the bill repeals existing sections related to the pilot program and commission, indicating a restructuring of these initiatives. The effective date for the repeal is set for July 1, 2028, while the remainder of the act will take effect on July 1, 2026.