Maternal and Infant Health Services Act of 1981

Maternal and Infant Health Services Act of 1981 - Amends title V (Maternal and Child Health) of the Social Security Act to direct the Secretary of Health and Human Services to make grants to, and enter into cooperative agreements with, State maternal and child health agencies for the establishment of statewide perinatal systems plans for the coordinated delivery of existing maternal and infant health services in the States. Requires an application for a grant or cooperative agreement to provide for the development of a statewide perinatal systems plan which, among other things: (1) is a part of the State plan under title V; (2) includes a statement of goals and objectives for coordinating title V and XIX (Medicaid) of the Act; (3) provides for the designation of a regional advisory board in each health service area incorporating a high infant mortality area; and (4) includes performance standards with respect to the improvement of the health of mothers and infants.

Authorizes the Secretary to make grants to, and enter into cooperative agreements with, State maternal and child health agencies for projects to implement the statewide perinatal systems plan. Requires an application for such a grant or cooperative agreement, in order to be approved, to: (1) provide for the coordination of services under titles V and XIX; (2) provide for the designation of regional advisory boards; (3) provide for the development of a case management system; and (4) provide for the furnishing of perinatal services identified as needed through the case management system.

Requires the Secretary to report annually to Congress.

Requires a State Medicaid plan to make medical assistance available for care and services provided during pregnancy and 120 days following the termination of a pregnancy to a women (and any child born as a result of such pregnancy) if her income and resources meet certain standards.