Bill > HR7227

This bill, titled the "Mental Health and Making Access More Affordable Act of 2026" or "Mental Health and MAMA Act of 2026," aims to ensure that individuals have access to mental health and substance use disorder services without incurring out-of-pocket costs, known as cost-sharing, during and after pregnancy. Specifically, it mandates that group health plans and health insurance issuers, which cover these types of services, must waive any deductibles, copayments, or coinsurance for services provided by in-network providers from the point of pregnancy diagnosis through the first year following the pregnancy. This provision applies to services received by participants, beneficiaries, or enrollees under these plans and covers both in-person and telehealth services, with the goal of improving maternal and infant health outcomes by removing financial barriers to essential care. The bill amends key federal laws: the Public Health Service Act (PHSA), the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code of 1986 (IRC), which govern health insurance and employee benefit plans, to implement these changes, with the requirements taking effect two years after the bill's enactment.

Business and Industry

https://www.congress.gov/bill/119th-congress/house-bill/7227/all-info