Bill > HR4569

This bill aims to require no-cost coverage of human milk fortifier, a specialized nutritional product made from donor human milk, for infants with specific medical needs. The legislation would mandate coverage under Medicaid, the Children's Health Insurance Program (CHIP), and group and individual health insurance plans starting January 1, 2026. The bill specifically targets infants under one year old who meet certain medical criteria, such as being born at or before 34 weeks gestation, having a birth weight less than 1800 grams, or having a body weight below healthy levels, as well as infants with congenital or acquired conditions that could benefit from the fortifier. A specified medical professional, including physicians, nurse practitioners, physician assistants, registered dieticians, or other licensed professionals, must determine the medical necessity of the human milk fortifier. The bill ensures that these infants can receive the fortifier without any deductibles, cost-sharing, or additional charges, making it more accessible for families with premature or medically fragile infants who require specialized nutrition.

Business and Industry

https://www.congress.gov/bill/119th-congress/house-bill/4569/all-info