S. 1004 (119th)Bill Overview

Pregnant and Postpartum Women Treatment Reauthorization Act

Health|Health
Cosponsors
Support
Bipartisan
Introduced
Mar 12, 2025
Discussions
Bill Text
Current stageCommittee

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

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

This bill reauthorizes and increases federal funding for the residential treatment program for pregnant and postpartum women under Section 508 of the Public Health Service Act. It makes a minor wording change from "health services" to "health care services," allows applicants to include outreach plans targeted at women disproportionately affected by maternal substance use disorder, and raises authorized annual funding to $38,931,000 for fiscal years 2025–2029.

Why people may split

Support for program funding versus concern over increased federal spending

Watch point

Relative to its intended legislative type, this bill is a focused reauthorization that makes targeted statutory language changes and increases authorized funding for the residential treatment program for pregnant and postpartum women.

This bill reauthorizes and increases federal funding for the residential treatment program for pregnant and postpartum women under Section 508 of the Public Health Service Act.

It makes a minor wording change from "health services" to "health care services," allows applicants to include outreach plans targeted at women disproportionately affected by maternal substance use disorder, and raises authorized annual funding to $38,931,000 for fiscal years 2025–2029.

Passage70/100

Small, targeted reauthorization with limited controversy and modest cost; main hurdle is inclusion in appropriations and legislative calendar.

CredibilityAligned

Relative to its intended legislative type, this bill is a focused reauthorization that makes targeted statutory language changes and increases authorized funding for the residential treatment program for pregnant and postpartum women. It is clear about what it changes in statute and specifies new annual authorization levels.

Contention50/100

Support for program funding versus concern over increased federal spending

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agencies · CitiesFederal agencies

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

Likely helped
  • Federal agenciesIncreases annual federal funding for residential treatment for pregnant and postpartum women by $9 million, 2025–2029.
  • CitiesMay expand treatment capacity and access to residential programs for pregnant and postpartum women with substance use d…
  • Potential benefitAdds optional plan language for targeted outreach to women disproportionately affected by maternal substance use disord…
Likely burdened
  • Federal agenciesRaises federal discretionary spending by about $9 million annually, increasing budgetary commitments.
  • Potential burdenMay impose additional administrative requirements on applicants drafting outreach plans.
  • Potential burdenFocus on residential care may divert funds from outpatient or prevention services.
03 · Why people split

Why the argument around this bill splits.

Support for program funding versus concern over increased federal spending
Progressive95%

Likely supportive: reauthorizes targeted treatment, raises funding, and allows outreach to disproportionately affected women.

Sees this as advancing maternal health equity and substance use disorder care.

Leans supportive
Centrist70%

Generally favorable but pragmatic: supports helping pregnant and postpartum women with substance use disorder while seeking fiscal accountability and measurable outcomes.

Wants clarity on implementation and effectiveness.

Leans supportive
Conservative30%

Skeptical: opposes higher federal spending and prefers state-led solutions.

May nevertheless accept limited, well-targeted programs, but wants fiscal constraints and program accountability.

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 likelihood70/100

Small, targeted reauthorization with limited controversy and modest cost; main hurdle is inclusion in appropriations and legislative calendar.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No CBO cost estimate included in text
  • Some amendment text in provided copy appears garbled or incomplete
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

Support for program funding versus concern over increased federal spending

Small, targeted reauthorization with limited controversy and modest cost; main hurdle is inclusion in appropriations and legislative calend…

Unlocked analysis

Relative to its intended legislative type, this bill is a focused reauthorization that makes targeted statutory language changes and increases authorized funding for the residential treatment program for pregnant and po…

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
Open full analysis