Ways and Means Committee, Energy and Commerce Committee, Education and Workforce Committee, Oversight and Government Reform Committee
Introduced
In Committee
On Floor
Passed Chamber
Enacted
This bill aims to eliminate cost-sharing for mental health and substance use disorder services for pregnant and postpartum individuals. It amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to implement these changes. The legislation mandates that group health plans and health insurance issuers offering group or individual coverage must provide these services without imposing any deductibles, copayments, or coinsurance. The requirement applies to services furnished by in-network providers , including telehealth services , from the diagnosis of pregnancy through the one-year period following the pregnancy . This ensures that individuals can access necessary behavioral health care during a critical period without financial barriers. Furthermore, the bill strengthens continuity of care provisions, allowing individuals to continue receiving mental health or substance use disorder services from their existing provider for up to one year postpartum, even if that provider leaves the plan's network, provided they received treatment during pregnancy. These provisions are set to take effect for plan years beginning two years after the bill's enactment, extending crucial support to maternal health. The goal is to enhance access to vital mental health and substance use disorder treatment, recognizing the unique needs of pregnant and postpartum individuals.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, Ways and Means, and Oversight and Government Reform, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, Ways and Means, and Oversight and Government Reform, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
This bill aims to eliminate cost-sharing for mental health and substance use disorder services for pregnant and postpartum individuals. It amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to implement these changes. The legislation mandates that group health plans and health insurance issuers offering group or individual coverage must provide these services without imposing any deductibles, copayments, or coinsurance. The requirement applies to services furnished by in-network providers , including telehealth services , from the diagnosis of pregnancy through the one-year period following the pregnancy . This ensures that individuals can access necessary behavioral health care during a critical period without financial barriers. Furthermore, the bill strengthens continuity of care provisions, allowing individuals to continue receiving mental health or substance use disorder services from their existing provider for up to one year postpartum, even if that provider leaves the plan's network, provided they received treatment during pregnancy. These provisions are set to take effect for plan years beginning two years after the bill's enactment, extending crucial support to maternal health. The goal is to enhance access to vital mental health and substance use disorder treatment, recognizing the unique needs of pregnant and postpartum individuals.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, Ways and Means, and Oversight and Government Reform, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, Ways and Means, and Oversight and Government Reform, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.