H.R. 3202 (119th)Bill Overview

MIDWIVES for Service Members Act of 2025

Armed Forces and National Security|Armed Forces and National Security
Cosponsors
Support
Lean Democratic
Introduced
May 5, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Armed Services.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

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.

Why people may split

Liberals emphasize maternal health equity and expanded access

Watch point

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.

Passage45/100

Narrow, administratively focused military health pilot has bipartisan potential, but uncertain funding and competing legislative priorities reduce near-term odds.

CredibilityPartially aligned

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.

Contention50/100

Liberals emphasize maternal health equity and expanded access

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Likely helpedFederal agencies · States

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • 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.
Likely burdened
  • 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.
03 · Why people split

Why the argument around this bill splits.

Liberals emphasize maternal health equity and expanded access
Progressive90%

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.

Leans supportive
Centrist75%

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.

Leans supportive
Conservative35%

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.

Likely resistant
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood45/100

Narrow, administratively focused military health pilot has bipartisan potential, but uncertain funding and competing legislative priorities reduce near-term odds.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No explicit appropriation or cost estimate included
  • How DoD will staff and credential midwives across states
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Liberals emphasize maternal health equity and expanded access

Narrow, administratively focused military health pilot has bipartisan potential, but uncertain funding and competing legislative priorities…

Unlocked analysis

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.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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