The ACOG recommends insurance coverage policies are aligned to support a tailored approach to "fourth trimester" care. States have taken steps to advance legislation that would extend Medicaid eligibility until one year after delivery or when the pregnancy ends. Medicaid must cover pregnant individuals with incomes at or below 138% of the federal poverty level through 60 days postpartum.
Source: Rebecca Johnson et al., “State Policies to Improve Perinatal Health Outcomes,” map, Commonwealth Fund, last updated Nov. 20, 2023. https://doi.org/10.26099/x0x0-gt30