; health insurance issuer, etc The terms group health plan , health insurance coverage , health insurance issuer , group health insurance coverage , and individual health insurance coverage have the meanings given such terms in section 2791 of the Public Health Service Act ( 42 U.S.C. 300gg–91 ). (4) Medicaid The term Medicaid means the Medicaid program established under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq. ). (5) Medicaid managed care organization The term medicaid managed care organization has the meaning given that term in section 1903(m)(1)(A) of the Social Security Act ( 42 U.S.C. 1396b(m)(1)(A) ). (6) Secretary The term Secretary means the Secretary of Health and Human Services. (7) State The term State has the meaning given that term for purposes of titles V, XIX, and XXI of the Social Security Act ( 42 U.S.C. 701 et seq. 1396 et seq., 1397aa et seq.). 3. Mandatory reporting by State Medicaid programs on adult health care quality measures of maternal and perinatal health Section 1139B of the Social Security Act ( 42 U.S.C. 1320b–9b ) is amended— (1) in subsection (b)— (A) in paragraph (3)(B)— (i) in the subparagraph heading, by inserting and maternal and perinatal health after behavioral health ; (ii) by striking all behavioral health and inserting all behavioral health and maternal and perinatal health ; and (iii) by inserting and of maternal and perinatal health care for Medicaid eligible adults after Medicaid eligible adults ; and (B) in paragraph (5)(C)— (i) in the subparagraph heading, by inserting and maternal and perinatal health after behavioral health ; and (ii) by inserting and, with respect to Medicaid eligible adults, maternal and perinatal health measures after behavioral health measures ; and (2) in subsection (d)(1)(A), by inserting and maternal and perinatal health after behavioral health . 4. Medicaid quality improvement initiatives to reduce rates of cesarean sections