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Bill > S1481


US S1481

US S1481
Healthy MOM Act Healthy Maternity and Obstetric Medicine Act


summary

Introduced
05/15/2019
In Committee
05/15/2019
Crossed Over
Passed
Dead
12/31/2020

Introduced Session

116th Congress

Bill Summary

A bill to amend title XXVII of the Public Health Service Act to provide for a special enrollment period for pregnant women, and for other purposes. This bill expands health insurance coverage availability for pregnant individuals. It requires health insurers, health insurance exchanges, and group health plans to offer a special enrollment period to pregnant individuals. The special enrollment period offered by an insurer or exchange must begin when the pregnancy is reported to the insurer or exchange. The special enrollment period offered by a group health plan must begin when the pregnancy is reported to the plan or is confirmed by a health care provider. The bill also makes pregnancy a qualifying life event for the purpose of enrolling in a federal employee health benefit plan. Additionally, a group health plan or health insurer that covers dependents must provide coverage for maternity care to all covered individuals. Any individual who is eligible for Medicaid and is, or becomes, pregnant maintains such eligibility for one year after the end of the pregnancy. The bill revises the range in which a state must establish a maximum level of family income for pregnant women and infants to be eligible for Medicaid. The upper limit of the range is eliminated and the lower limit is set to the level in place on January 1, 2014.

AI Summary

This bill, the Healthy Maternity and Obstetric Medicine (Healthy MOM) Act, aims to expand health insurance coverage availability for pregnant individuals. The key provisions include: 1. Requiring health insurers, health insurance exchanges, and group health plans to offer a special enrollment period for pregnant individuals, starting when the pregnancy is reported. 2. Making pregnancy a qualifying life event for enrolling in a federal employee health benefit plan. 3. Requiring group health plans and insurers that cover dependents to provide maternity care coverage for all covered individuals, including dependent children. 4. Continuing Medicaid eligibility for pregnant and postpartum individuals for 12 months, rather than the previous 60-day period after the end of pregnancy. 5. Applying these changes to plan years starting after 2019, with exceptions for states that require legislative changes to comply. The overall purpose is to improve access to affordable, comprehensive maternity care, particularly for populations at higher risk of pregnancy-related complications and mortality.

Committee Categories

Budget and Finance

Sponsors (25)

Last Action

Read twice and referred to the Committee on Finance. (on 05/15/2019)

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