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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 study the costs of providing these services, mandates minimum payment rates for eligible hospitals, increases federal cost-sharing, establishes workforce support programs, and expands maternal health coverage including 12-month continuous eligibility for pregnant individuals. It also requires hospitals to report obstetric unit closures and directs data collection on labor and delivery services.
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