NIH-funded research R01 grant

How state policies affect immigrant mothers' pregnancy and birth health

Official title: State factors and maternal health among immigrants

Funded at Univ of Maryland, College Park · NIH-11333058 · Data updated 2026-11-12

This project compares pregnancy and birth complications among immigrant mothers with full public insurance to those with only Emergency Medicaid and looks at whether state policies that expand coverage improve care.

More Maternal Health research and trials

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniv of Maryland, College Park
NIH-funded
Lab location1 site (College Park, United States)
Project startMay 6, 2025
Project endMarch 31, 2030
Funding year2026
Award (this year)$490,762
NIH project number5R01HD115930-02
Project IDNIH-11333058 on NIH RePORTER

Who could benefit from this research

Could help

The ideal people for this work are immigrant women of childbearing age who were pregnant between 2019 and 2022 and whose care was billed to Emergency Medicaid or full-scope Medicaid, especially in states that recently expanded coverage like California.

Less likely to help

People without Medicaid-recorded care in the study period, non-immigrants, or those covered exclusively by private insurance or other non-Medicaid programs are unlikely to be included and thus won't directly benefit from this specific analysis.

What this research studies

Researchers will use national Medicaid billing and hospital records from 2019–2022 to compare outcomes for immigrant women who received Emergency Medicaid during pregnancy versus those who had full-scope Medicaid coverage. They will measure things like severe maternal illness and delivery complications and then analyze whether state policy changes that expanded coverage before and after pregnancy—with a focused look at California—were linked to better care and outcomes. The work relies on de-identified claims data rather than new clinical visits, so individuals are not being asked to undergo tests or treatments for this project. If you were an immigrant mother who received Medicaid-covered care during these years, your anonymized records could be included in the analyses.

Why it matters

Potential benefit: If successful, the results could support expanding public insurance around pregnancy for non-qualified immigrants to reduce maternal complications and improve infant outcomes.

How similar studies have gone: Prior studies show Medicaid expansion often improves prenatal care and some birth outcomes, but direct comparisons of Emergency Medicaid versus full-scope coverage for non-qualified immigrants and the effects of very recent state expansions are less established.

Where this research is happening

  • Univ of Maryland, College Park
    College Park, United States
    Active

Researchers

  • Principal investigator: Steenland, Maria Ward — Univ of Maryland, College Park
  • Study coordinator: Steenland, Maria Ward

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.