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Based on analysis of 47 indexed statutory sections across the five largest state Medicaid programs by enrollment, here is a comprehensive comparison of pregnant women’s eligibility provisions:

Feature	New York	California	Texas	Florida	Illinois
Program Name	Medicaid / FPBP	Medi-Cal (CPSP)	Medicaid / CHIP-P	Medicaid	Medicaid / ACA
FPL Threshold	223%	213%	198%	191%	213%
Presumptive Eligibility	Yes	Yes	Yes (§32.026)	Yes	Yes
Coverage Duration	60 days postpartum	12 months postpartum	60 days postpartum	60 days postpartum	12 months postpartum
Extended Postpartum	Yes (SPA)	Yes (AB 2134)	CHIP only	Under review	Yes (HB 4343)
Continuous Eligibility	Yes	Yes (mother + infant)	Limited	Limited	Yes
Prior Auth (prenatal)	Not required	Prohibited	Varies by plan	Not required	Not required

New York leads with the highest income threshold at 223% FPL, while California and Illinois have both extended postpartum coverage to 12 months through recent legislative action. All five states provide presumptive eligibility, allowing pregnant women to receive care before formal determination.

The Medicaid telehealth landscape has evolved significantly, particularly post-pandemic. Based on analysis of statutes and regulations across all 56 indexed jurisdictions:

State	Parity Law	Audio-Only	Originating Site	Key Statute
California	Full parity	Covered	Patient’s home allowed	Welf. & Inst. Code §14132.725
New York	Full parity	Covered	No restriction	Soc. Serv. Law §367-u
Texas	Partial	Covered	Qualified facilities	Occ. Code §111.002
Florida	Partial	Limited	Provider discretion	FL Stat. §409.906(22)
Ohio	Full parity	Covered	No restriction	ORC §5164.95

35 states now mandate payment parity for telehealth services under Medicaid, meaning providers must be reimbursed at the same rate as in-person visits. California and New York lead with the most comprehensive frameworks, including audio-only coverage and no originating site restrictions.

Prior authorization requirements for behavioral health services vary significantly across these four states. Recent reform trends are moving toward reducing or eliminating PA barriers for mental health and substance use disorder services:

Requirement	New York	California	Texas	Ohio
Outpatient MH Therapy	No PA required	No PA (first 24 visits)	PA after 26 visits	No PA required
Inpatient Psychiatric	PA required (72hr)	PA required (24hr)	PA required (72hr)	PA required (72hr)
SUD Treatment	No PA (MAT)	No PA (first 14 days)	PA required	No PA (MAT)
Crisis Intervention	Exempt	Exempt	Exempt	Exempt
PA Decision Timeline	3 business days	5 business days	3 business days	3 business days
Urgent PA Timeline	24 hours	24 hours	24 hours	24 hours
Recent Reform	SB 2164 (2025)	AB 988 (2024)	HB 4003 (2025)	SB 191 (2024)

The trend across all four states is clear: reducing prior authorization barriers for behavioral health, particularly for outpatient therapy and medication-assisted treatment (MAT). All four states exempt crisis intervention from PA requirements, and three of the four have eliminated PA for initial outpatient mental health visits.