The More Opportunities for Moms to Succeed Act, or MOMS Act, aims to provide comprehensive support and resources for pregnant and postpartum women, as well as those parenting young children. A central provision is the establishment of a public website, Pregnancy.gov, within one year of enactment, which will serve as a clearinghouse for relevant federal, state, local, and private resources. This website will allow users to search for resources by ZIP Code and filter by distance, and will offer information in multiple languages.

Crucially, the bill prohibits any entity that performs, induces, refers for, or counsels in favor of abortions, or provides financial support to such activities, from being listed on Pregnancy.gov or receiving related grants. The Secretary of Health and Human Services will invite states to recommend resources, with grants available to help states aggregate these resources. Furthermore, the website will host a national list of licensed child placement agencies and federal funding opportunities for pregnancy support centers.

The Act also establishes a grant program for Positive Alternatives for Women, supporting nonprofit organizations that assist women in carrying pregnancies to term and caring for their babies after birth. These grants fund information, referrals, and direct services such as medical care, nutritional support, housing assistance, adoption services, and parenting education. Entities involved in abortion-related activities are ineligible for these grants, and funds cannot be used for health benefits covering abortion.

To improve maternal and infant health outcomes, the bill authorizes grants and cooperative agreements for entities to purchase equipment for at-home telehealth visits for prenatal and postnatal care. This initiative specifically targets rural areas, frontier counties, medically underserved areas, and Tribal jurisdictions to enhance access to care. Similar to other provisions, entities involved in abortion-related services are excluded from receiving these telehealth grants.

Finally, the MOMS Act amends the Social Security Act to require states to establish and enforce child support obligations for unborn children. If requested by the mother, these obligations can begin from the first month of conception, with payments retroactively collectible even if paternity is established after birth. Paternity establishment for an unborn child requires the mother's consent and must not pose any risk of harm to the child.