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1 Introduction Many low-income immigrants face significant barriers to accessing insurance coverage for perinatal care in the United States (US). Under federal law, immigrants who have not been lawfully present in the US for at least 5 years are typically ineligible for full-scope Medicaid using federal funds [1]. Evidence has shown that legal exclusions in Medicaid benefits are negatively associated with perinatal care.
The postpartum period is a critical stage for birthing people and their newborns. More than half of pregnancy-related deaths occur during the 12-month postpartum period, with 12 percent occurring after six weeks postpartum. Laudably, recent legislation has enabled an unprecedented expansion of pregnancy-related Medicaid coverage to continuously cover the full 12-month postpartum period from the previously required 60 days.
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