This bill matters because it aims to make it easier for millions of Americans to access contraception consistently, which is crucial for family planning and reproductive health. If this bill becomes law, people would no longer have to navigate monthly or quarterly refills for their birth control, reducing barriers like transportation, time off work, or repeated co-pays that can lead to gaps in contraception use. This could lead to more effective use of birth control and fewer unintended pregnancies.
If this bill does not become law, many individuals would continue to face current restrictions on the quantity of contraception they can receive at one time, potentially leading to missed doses or discontinuing use due to logistical hurdles. This bill directly addresses a common frustration and practical challenge faced by many people managing their reproductive health, aiming to increase convenience and reduce potential interruptions in care.
KEY PROVISIONS
4AI-extracted
PROVISION 01
Requires group health plans and individual health insurance coverage to allow enrollees to get up to a 365-day supply of contraceptives.
This simplifies access to contraception by reducing the frequency of refills.
PROVISION 02
Mandates that the 365-day supply of contraceptives must be provided without any additional out-of-pocket costs if the contraception is already covered by the plan.
This ensures financial barriers are not introduced for longer supply options.
PROVISION 03
Directs federal agencies (HHS, Labor, Treasury) to conduct outreach to inform health care providers and insured individuals about these new requirements.
This ensures that people know about and can utilize the new benefit.
PROVISION 04
Specifies that these changes will apply to plan years beginning on or after January 1, 2026.
This sets a clear timeline for implementation by insurance companies and plans.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
This bill matters because it aims to make it easier for millions of Americans to access contraception consistently, which is crucial for family planning and reproductive health. If this bill becomes law, people would no longer have to navigate monthly or quarterly refills for their birth control, reducing barriers like transportation, time off work, or repeated co-pays that can lead to gaps in contraception use. This could lead to more effective use of birth control and fewer unintended pregnancies.
If this bill does not become law, many individuals would continue to face current restrictions on the quantity of contraception they can receive at one time, potentially leading to missed doses or discontinuing use due to logistical hurdles. This bill directly addresses a common frustration and practical challenge faced by many people managing their reproductive health, aiming to increase convenience and reduce potential interruptions in care.
KEY PROVISIONS
AI-extracted
high
Requires group health plans and individual health insurance coverage to allow enrollees to get up to a 365-day supply of contraceptives.
This simplifies access to contraception by reducing the frequency of refills.
high
Mandates that the 365-day supply of contraceptives must be provided without any additional out-of-pocket costs if the contraception is already covered by the plan.
This ensures financial barriers are not introduced for longer supply options.
med
Directs federal agencies (HHS, Labor, Treasury) to conduct outreach to inform health care providers and insured individuals about these new requirements.
This ensures that people know about and can utilize the new benefit.
med
Specifies that these changes will apply to plan years beginning on or after January 1, 2026.
This sets a clear timeline for implementation by insurance companies and plans.
Effective date for plan years to comply with the 365-day supply requirement.
Not later than 90 days after the date of enactment
Secretaries of HHS, Labor, and Treasury to begin outreach activities.
GLOSSARY
AI-written
Group Health Plan
A health insurance plan offered by an employer or employee organization to its employees and their families.
Health Insurance Issuer
The company that provides health insurance policies.
Individual Health Insurance Coverage
A health insurance policy purchased directly by an individual, not through an employer.
Enrollee
A person who is covered by a health insurance plan.
Contraceptives
Methods used to prevent pregnancy, such as birth control pills, patches, rings, or injections.
Cost-Sharing Requirements
The portion of health care costs that a person covered by insurance has to pay out of their own pocket, such as deductibles, co-payments, or co-insurance.
Public Health Service Act
A foundational federal law that governs much of the public health system in the United States, including aspects of health insurance.
Secretary
ACTION TIMELINE
2 EVENTS
APR 1, 25
Introduced in House
INTROREFERRAL
APR 1, 25
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
