,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #bhff  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #bc1 #bjae ,mrs4
 ,watson ,coleman 7= h]self1 ,ms4       
,adams1 ,ms4 ,bass1 ,mrs4 ,beatty1 ,mr4 
,bec]ra1 ,mr4 ,blum5au]1 ,ms4 ,br[n (   
,florida1 ,mr4 ,butt]field1 ,mrs4       
,capps1 ,mr4 ,crd5as1 ,mr4 ,c>son (     
,indiana1 ,ms4 ,ca/or ( ,florida1 ,ms4  
,judy ,*u ( ,cali=nia1 ,ms4 ,cl>k (     
,massa*usetts1 ,mr4 ,cleav]1 ,mr4       
,clyburn1 ,mr4 ,coh51 ,mr4 ,connolly1   
,mr4 ,cony]s1 ,mr4 ,cr[ley1 ,mr4 ,danny 
,k4 ,davis ( ,ill9ois1 ,mr4 ,delaney1   
,ms4 ,de,lauro1 ,mr4 ,de,saulnier1 ,mrs4
 ,d+ell1 ,ms4 ,edw>ds1 ,mr4 ,ellison1   
,mr4 ,f>r1 ,mr4 ,fo/]1 ,ms4 ,fudge1 ,mr4
 ,g>am5di1 ,mr4 ,grijalva1 ,mr4         
,gutirrez1 ,mr4 ,ha/+s1 ,mr4 ,honda1    
,mr4 ,israel1 ,ms4 ,jackson ,lee1 ,ms4  
,eddie ,b]nice ,johnson ( ,texas1 ,ms4  
,kaptur1 ,ms4 ,kelly ( ,ill9ois1 ,mrs4  
,kirkpatrick1 ,ms4 ,ku/]1 ,mr4 ,langev91
 ,mrs4 ,lawr5ce1 ,ms4 ,lee1 ,mr4 ,lev91 
,mr4 ,lewis1 ,mr4 ,t$ ,lieu ( ,cali=nia1

 ,mrs4 ,c>olyn ,b4 ,maloney ( ,new      
,york1 ,mr4 ,sean ,patrick ,maloney (   
,new ,york1 ,ms4 ,mc,collum1 ,mr4       
,mc,dermott1 ,mr4 ,meeks1 ,ms4 ,moore1  
,mr4 ,m\lton1 ,mr4 ,nadl]1 ,mrs4        
,napolitano1 ,mr4 ,norcross1 ,ms4       
,norton1 ,mr4 ,o',r\rke1 ,mr4 ,pascrell1
 ,mr4 ,payne1 ,mr4 ,ri*mond1 ,mr4 ,ru%1 
,ms4 ,l9da ,t4 ,sn*ez ( ,cali=nia1 ,mr4 
,david ,scott ( ,georgia1 ,mr4 ,sires1  
,ms4 ,spei]1 ,mr4 ,?ompson (            
,mississippi1 ,mr4 ,tonko1 ,mrs4        
,torres1 ,mr4 ,van ,holl51 ,mr4 ,v>gas1 
,mr4 ,vela1 ,ms4 ,max9e ,wat]s (        
,cali=nia1 ,ms4 ,wilson ( ,florida1 ,mr4
 ,mc,govern1 ,ms4 ,bonamici1 ,mr4       
,br5dan ,f4 ,boyle ( ,p5nsylvania1 ,mr4 
,pet]s1 & ,ms4 ,cl>ke ( ,new ,york7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committees on ,ways &    
,means & ,ov]sight & ,gov]nm5t ,re=m1 = 
a p]iod to be subsequ5tly det]m9$ by !  
,speak]1 9 ea* case = consid]ation ( su*
 provisions z fall )9 ! jurisdiction ( !

 committee conc]n$  ,a ,,bill  ,to am5d 
title ,,xxvii ( ! ,public ,heal? ,s]vice
 ,act to provide = a special enrollm5t  
p]iod = pregnant wom51 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,heal?y ,mat]nity & ,ob/etric       
,m$ic9e ,act or ! ,heal?y ,,mom ,act4   
#b4 ,f9d+s & purpose  7a7 ,f9d+s        
,congress f9ds ! foll[+3  7#a7          
,pregnancy is a significant life ev5t = 
millions ( wom5 9 ! ,unit$ ,/ates ea*   
ye>4  7#b7 ,= m ?an #cj ye>s1 our       
,nation1 ?r\gh ! ,m$icaid program1 has  
recogniz$ t pregnant wom5 ne$ imm$iate  
access to af=dable c>e1 & has all[$ wom5
 :o meet income-eligibility requirem5ts 
to enroll 9 ,m$icaid cov]age :5 !y      
become pregnant4  7#c7 ,congress        
recogniz$ ! c5tral importance ( mat]nity
 cov]age by classify+ mat]nity & newborn
 c>e z "o ( ! t5 ess5tial heal? b5efits 
t mu/ n[ be cov]$ on mo/ individual &   
small gr\p heal? insurance plans "u     
section #acjb7;b77#a7 ( ! ,pati5t       
,protection & ,af=dable ,c>e ,act 7#db  

,u4,s4,c4 #ahjbb7;b77#a774  7#d7 ,access
 to compreh5sive mat]nity cov]age all[s 
wom5 to access important                
pregnancy-relat$ c>e1 :i* is demon/rat$ 
to improve heal? outcomes = wom5 &      
newborns & r$uce f9ancial co/s = bo?    
consum]s & insur]s4  7#e7 ,un9sur$ wom51
 wom5 ) gr&fa!r$ & transitional heal?   
plans1 self-fund$ /ud5t heal? plans1 &  
cata/rophic & high-d$uctible heal? plans
 may lack access to compreh5sive &      
af=dable mat]nity cov]age4  7#f7 ,a     
special enrollm5t p]iod is especially   
important = "y adults1 :o are at high   
risk = un9t5d$ pregnancies1 yet "y      
adults are frequ5tly enroll$ 9          
cata/rophic cov]age1 :i* (t5 has few]   
b5efits1 m re/rictions1 & high]         
d$uctibles4  7#g7 ,timely mat]nity c>e  
improves ! heal? ( pregnant wom51 z well
 z bir? outcomes & ! heal? ( babies     
?r\gh\t _! lifetimes4 ,pregnancy-relat$ 
mat]nal mortality is ?ree to f\r times  
high] among wom5 :o receive no mat]nity 
c>e comp>$ to wom5 :o d4 ,regul>        

mat]nity c>e c detect or mitigate s]i\s 
pregnancy-relat$ heal? complications1   
includ+ preeclampsia1 plac5tal          
abruption1 complications f diabetes1    
complications f he>t disease1 & ,graves'
 disease1 all ( :i* c result 9 morbidity
 or mortality = ! "m or newborn4  7#h7  
,regul> mat]nity c>e c r$uce pret]m     
bir?s & ! heal? complications associat$ 
) pret]m bir?s4  7#i7 ,timely mat]nity  
c>e c r$uce %ort- & long-t]m heal? c>e  
co/s4 ,if a woman does n h access to    
af=dable mat]nity c>e dur+ h] pregnancy1
 & %e or h] newborn exp]i5ces pregnancy 
complications t result 9 heal? problems 
aft] bir?1 _! insur] may end up pay+ mu*
 high] co/s ?an if ! insur] _h cov]$ !  
woman's mat]nity c>e dur+ h] pregnancy4 
,int5sive mat]nity c>e c r$uce hospital 
& neonatal int5sive c>e unit admissions 
among infants1 result+ 9 co/ sav+s (    
#a1gfh to #e1efj p] bir?4 ,= wom5 )     
high-risk pregnancies1 int5sive mat]nity
 c>e saves #a4cg = e #a inve/$ 9        
mat]nity c>e4  7b7 ,purpose ,! purpose (

 ?is ,act is to protect ! heal? ( wom5 &
 newborns by ensur+ t all wom5 eligible 
= cov]age ?r\gh ! ,ex*anges e/abli%$ "u 
title ,i ( ! ,pati5t ,protection &      
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh7 c access af=dable heal?       
cov]age dur+ _! pregnancy4  #c4 ,provid+
 = a special enrollm5t p]iod = pregnant 
wom5  7a7 ,public ,heal? ,s]vice ,act   
,section #bgjb7;b77#b7 ( ! ,public      
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#a7;b77#b77 is am5d$ by ins]t+  
includ+ a special enrollm5t p]iod =     
pregnant wom51 beg9n+ on ! date on :i* !
 pregnancy is report$ to ! heal?        
insurance issu] be=e ! p]iod at ! end4  
7b7 ,pati5t protection & af=dable c>e   
act ,section #acaa7;c77#f7 ( ! ,pati5t  
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjca7;c77#f77 is am5d$--    
7#a7 9 subp>agraph 7,c71 by /rik+ & at !
 end2  7#b7 by r$esignat+ subp>agraph   
7,d7 z subp>agraph 7,e72 &  7#c7 by     
ins]t+ aft] subp>agraph 7,c7 ! foll[+   
new subp>agraph3  7,d7 a special        

enrollm5t p]iod = pregnant wom51 beg9n+ 
on ! date on :i* ! pregnancy is report$ 
to ! ,ex*ange2 &  4  7c7 ,special       
enrollm5t p]iods ,section #ihja7;f7 ( ! 
,int]nal ,rev5ue ,code ( #aihf 7#bf     
,u4,s4,c4 #ihja7;f77 is am5d$ by add+ at
 ! end ! foll[+ new p>agraph3  7#d7 ,=  
pregnant wom5  7,a7 ,a gr\p heal? plan  
%all p]mit an employee :o is eligible1 b
 n enroll$1 = cov]age "u ! t]ms ( ! plan
 7or a dep5d5t ( su* an employee if !   
dep5d5t is eligible1 b n enroll$1 =     
cov]age "u su* t]ms7 to enroll = cov]age
 "u ! t]ms ( ! plan ^u pregnancy1 ) !   
special enrollm5t p]iod beg9n+ on ! date
 on :i* ! pregnancy is report$ to ! gr\p
 heal? plan4  7,b7 ,! ,secret>y %all    
promulgate regulations ) respect to !   
special enrollm5t p]iod "u subp>agraph  
7,a71 includ+ e/abli%+ a "t p]iod =     
pregnant wom5 to enroll 9 cov]age &     
effective date ( su* cov]age4  4  7d7   
,effective date ,! am5dm5ts made by ?is 
section %all apply ) respect to plan    
ye>s beg9n+ aft] ! #bjaf plan ye>4  #d4 

,f$]al employee heal? b5efit plans  7a7 
,9 g5]al ,! ,director ( ! ,(fice (      
,p]sonnel ,managem5t %all issue su*     
regulations z are necess>y to ensure t  
pregnancy is consid]$ a *ange 9 family  
/atus & a qualify+ life ev5t = an       
individual :o is eligible to enroll1 b  
is n enroll$1 9 a heal? b5efit plan "u  
*apt] #hi title #e1 ,unit$ ,/ates ,code4
  7b7 ,effective date ,! requirem5t 9   
subsection 7a7 %all apply ) respect to  
any contract ent]$ into "u section #hijb
 ( su* title beg9n+ #ab mon?s aft] !    
date ( enactm5t ( ?is ,act4