This bill aims to eliminate financial barriers to mental health and substance use disorder services for pregnant and postpartum individuals. It mandates that group health plans and health insurance issuers offering group or individual coverage must not impose any cost-sharing requirements for these essential services. This includes services delivered via telehealth , ensuring broad and accessible care during a critical period. The zero cost-sharing provision applies to in-network mental health and substance use disorder services provided from the diagnosis of pregnancy through the one-year period following the end of the pregnancy . To implement this, the legislation amends several key federal statutes, including the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code of 1986. These amendments ensure comprehensive application across various types of health plans and insurance. Additionally, the bill updates existing continuity of care provisions within these acts. These updates specifically include pregnant individuals undergoing treatment and those requiring mental health or substance use disorder services postpartum, especially if they received care from the same provider during pregnancy. The changes are set to take effect for plan years beginning two years after the date of the Act's enactment , also extending to the Federal Employees Health Benefits Program (FEHBP).
This bill aims to eliminate financial barriers to mental health and substance use disorder services for pregnant and postpartum individuals. It mandates that group health plans and health insurance issuers offering group or individual coverage must not impose any cost-sharing requirements for these essential services. This includes services delivered via telehealth , ensuring broad and accessible care during a critical period. The zero cost-sharing provision applies to in-network mental health and substance use disorder services provided from the diagnosis of pregnancy through the one-year period following the end of the pregnancy . To implement this, the legislation amends several key federal statutes, including the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code of 1986. These amendments ensure comprehensive application across various types of health plans and insurance. Additionally, the bill updates existing continuity of care provisions within these acts. These updates specifically include pregnant individuals undergoing treatment and those requiring mental health or substance use disorder services postpartum, especially if they received care from the same provider during pregnancy. The changes are set to take effect for plan years beginning two years after the date of the Act's enactment , also extending to the Federal Employees Health Benefits Program (FEHBP).