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The Keeping Obstetrics Local Act amends Medicaid and CHIP to enhance financial support for rural and safety-net hospitals providing maternity, labor, and delivery services. The bill requires states to conduct cost studies on obstetric services, mandates minimum payment rates for eligible hospitals, increases federal matching funds, and expands maternal health coverage including 12-month continuous eligibility for pregnant individuals and support for maternal health workforce development. It also establishes data collection requirements and notification procedures for hospital obstetric unit closures.
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