The Mamas First Act aims to reduce maternal mortality disparities by providing Medicaid coverage for culturally congruent care, doula, midwife, and lactation support services. The Act also defines these providers, restricts cost-sharing, and sets the effective date for 2027, with exceptions for state legislation. This legislation addresses the urgent public health crisis of maternal mortality and seeks to reduce preventable deaths, acknowledging the disparately high rates among different racial and ethnic groups. The Act aims to ensure that marginalized communities have access to quality prenatal, labor, and postpartum care.