This bill amends Section 42-12.3-3 of the General Laws concerning "Health Care for Children and Pregnant Women" to expand Medicaid coverage for pregnant individuals with family incomes between 185% and 250% of the federal poverty level. It authorizes the Secretary of the Executive Office of Health and Human Services to amend state plans under Title XIX and Title XXI of the Social Security Act to provide necessary medical assistance. Additionally, it establishes a payor of last resort program to cover maternity care for uninsured pregnant individuals, including certain noncitizens, and outlines the services that will be provided, such as ante-partum and postpartum care, delivery, and newborn hospital care.

Furthermore, the bill introduces new provisions effective October 1, 2025, which extend eligibility for services provided by licensed certified lactation counselors to individuals eligible for RIte Start during their twelve-month postpartum period. This coverage will be available without regard to federal financial participation. The bill emphasizes the importance of ensuring that federal funds are utilized to the maximum extent possible while allowing state-only funds to be used when necessary. Overall, the bill aims to enhance healthcare access and support for pregnant individuals and new mothers in Rhode Island.