summary
Introduced
05/15/2019
05/15/2019
In Committee
05/15/2019
05/15/2019
Crossed Over
Passed
Dead
12/31/2020
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)
Sherrod Brown (D)*,
Tammy Baldwin (D),
Richard Blumenthal (D),
Cory Booker (D),
Ben Cardin (D),
Bob Casey (D),
Chris Coons (D),
Catherine Cortez Masto (D),
Kirsten Gillibrand (D),
Kamala Harris (D),
Maggie Hassan (D),
Doug Jones (D),
Tim Kaine (D),
Angus King (I),
Amy Klobuchar (D),
Patrick Leahy (D),
Ed Markey (D),
Jeff Merkley (D),
Gary Peters (D),
Jacky Rosen (D),
Tina Smith (D),
Debbie Stabenow (D),
Jon Tester (D),
Chris Van Hollen (D),
Sheldon Whitehouse (D),
Last Action
Read twice and referred to the Committee on Finance. (on 05/15/2019)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/116th-congress/senate-bill/1481/all-info |
| BillText | https://www.congress.gov/116/bills/s1481/BILLS-116s1481is.pdf |
| Bill | https://www.congress.gov/116/bills/s1481/BILLS-116s1481is.pdf.pdf |
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