; (ii) health outcomes for such individuals as compared to individuals with similar characteristics who did not use telemedicine to access maternity care; (iii) the services provided to individuals through telemedicine, including family planning services; (iv) the quality of maternity care provided through telemedicine, including whether maternity care provided through telemedicine is culturally competent; (v) the level of patient satisfaction with maternity care provided through telemedicine to individuals enrolled in State Medicaid programs; and (vi) the impact of utilizing telemedicine to increase access to maternity care on spending, cost savings, access to care, and utilization of care under State Medicaid programs. (3) An identification and analysis of the barriers to using telemedicine to increase access to maternity care under State Medicaid programs. (4) Recommendations for such legislative and administrative actions related to increasing access to telemedicine maternity services under Medicaid as the Comptroller General deems appropriate.