- Potential benefitMay expand access to maternity and birth services for TRICARE beneficiaries, improving care availability.
- Potential benefitCould improve maternal and fetal outcomes through midwifery models emphasizing low-intervention, continuity-based care.
- Potential benefitMay generate measurable cost savings from fewer preterm births and reduced surgical deliveries, per required reporting.
MIDWIVES for Service Members Act of 2025
Referred to the House Committee on Armed Services.
Requires the Secretary of Defense to begin a five-year pilot making services from certified midwives available to TRICARE beneficiaries within one year of enactment. The Secretary must report an implementation plan within 180 days and annual evaluations on costs, demographics, outcomes, access, satisfaction, and recommendations.
Liberals emphasize maternal health equity and expanded access
Relative to its intended legislative type, this bill sets a clear operational objective and strong measurement/oversight structure for a five-year pilot to add midwife services to TRICARE, but leaves key implementation and resourcing mechanics unspecified.
Requires the Secretary of Defense to begin a five-year pilot making services from certified midwives available to TRICARE beneficiaries within one year of enactment.
The Secretary must report an implementation plan within 180 days and annual evaluations on costs, demographics, outcomes, access, satisfaction, and recommendations.
If the pilot is successful, the Secretary may adopt regulations to make midwife services permanent under TRICARE.
Narrow, administratively focused military health pilot has bipartisan potential, but uncertain funding and competing legislative priorities reduce near-term odds.
Relative to its intended legislative type, this bill sets a clear operational objective and strong measurement/oversight structure for a five-year pilot to add midwife services to TRICARE, but leaves key implementation and resourcing mechanics unspecified.
Liberals emphasize maternal health equity and expanded access
Who stands to gain, and who may push back.
These are examples from the analysis, not a ranked list of the most-affected groups.
- Federal agenciesAdds federal spending and administrative costs to plan, implement, and report on a five-year pilot program.
- Potential burdenImplementation and oversight requirements will increase regulatory and administrative burden on the Department of Defen…
- StatesState-by-state variation in midwife licensure could complicate consistent nationwide implementation under TRICARE.
Why the argument around this bill splits.
Liberals emphasize maternal health equity and expanded access
Generally supportive; sees the pilot as a targeted federal step to expand maternal care access and reduce disparities among service members.
Values the bill's reporting requirements and data collection on race, outcomes, and access.
Will want strong implementation to ensure equitable access across ranks, locations, and demographics.
Cautiously positive: a limited pilot with clear reporting is a pragmatic approach to test midwife integration into TRICARE.
Would judge final support by cost-effectiveness, safety metrics, and whether the pilot disrupts existing military medical operations.
Sees value in evidence before wider adoption.
Skeptical but not uniformly opposed: a time-limited pilot is more acceptable than an open-ended program.
Main concerns are Defense budget impact, federal expansion into new service categories, safety standards, and credentialing scope.
May accept pilot only with strict safeguards.
The path through Congress.
Reached or meaningfully advanced
Reached or meaningfully advanced
Still ahead
Still ahead
Still ahead
Narrow, administratively focused military health pilot has bipartisan potential, but uncertain funding and competing legislative priorities reduce near-term odds.
- No explicit appropriation or cost estimate included
- How DoD will staff and credential midwives across states
Recent votes on the bill.
No vote history yet
The bill has not accumulated any surfaced votes yet.
Go deeper than the headline read.
Liberals emphasize maternal health equity and expanded access
Narrow, administratively focused military health pilot has bipartisan potential, but uncertain funding and competing legislative priorities…
Relative to its intended legislative type, this bill sets a clear operational objective and strong measurement/oversight structure for a five-year pilot to add midwife services to TRICARE, but leaves key implementation…
Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.