relative to access to rural maternal health care and directing the department of health and human services to develop a rural maternal health care delivery pilot program.

HB 1782 establishes a rural maternal health care delivery pilot program to provide prenatal and postnatal care in New Hampshire areas with limited access to specialized pregnancy services. The bill directs the Department of Health and Human Services to develop this program, which would use mid-level practitioners (like certified nurse midwives) and collaborate with nearby hospitals, while also creating a Maternity Care Improvement Commission to study statewide maternal health strategies. It includes a Medicaid provider audit to ensure proper reimbursement for midwives and a loan reimbursement program for certified midwives who commit to working 32+ hours weekly in rural areas for at least two years. The pilot program and commission must report findings to state leaders by July 1, 2028. This bill directly affects rural pregnant people, midwives, and healthcare providers in underserved communities.