,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #hdfe  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #ag1 #bjbd,ms4   
,van ,duyne introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,en]gy &   
,comm]ce  ,a ,,bill  ,to am5d title     
,,xxvii ( ! ,public ,heal? ,s]vice ,act 
to increase heal? insurance access =    
individuals plac+ _! newborns =         
adoption4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,c>+ = ,mo!rs ,act ( #bjbd4
  #b4 ,increas+ heal? insurance access =
 individuals plac+ _! newborns =        
adoption  7a7 ,9 g5]al ,subp>t ,,ii ( "p
 ,a ( title ,,xxvii ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aa 
et seq47 is am5d$ by add+ at ! end !    
foll[+ new section3  #bgcj4             
,availability ( cov]age = individuals   
plac+ _! newborns = adoption  7a7 ,9    
g5]al ,9 ! case ( an individual enroll$ 
9 a gr\p heal? plan or gr\p or          
individual heal? insurance cov]age :o   
int5ds to adopt 7or has already adopt$7 
a *ild ( a qualify+ individual & :o     

submits to su* plan or cov]age 7z       
applicable7 a reque/ describ$ 9         
subsection 7b7 ) respect to su* qualify+
 individual1 su* plan or cov]age %all   
enroll su* qualify+ individual "u su*   
plan or cov]age & provide b5efits "u su*
 plan or cov]age 9 accordance )         
subsection 7c74  7b7 ,reque/ ,= purposes
 ( subsection 7a71 a reque/ describ$ 9  
?is subsection is a reque/ submitt$ to a
 gr\p heal? plan or gr\p or individual  
heal? insurance cov]age by an individual
 :o is enroll$ 9 su* plan or cov]age :o 
int5ds to adopt 7or has already adopt$7 
a biological *ild ( a qualify+          
individual t-- 7#a7 reque/s t su*       
qualify+ individual receive b5efits "u  
su* plan or cov]age 9 accordance )      
subsection 7c72  7#b7 conta9s an        
atte/ation t su* individual int5ds to   
adopt 7or already has adopt$7 su* *ild2 
7#c7 9 ! case su* *ild has n be5 s      
adopt$ at ! "t ( ! submission ( su*     
reque/1 conta9s an atte/ation f su*     
qualify+ individual t su* qualify+      

individual int5ds to h su* individual   
adopt su* *ild2 &  7#d7 is sign$ by su* 
individual & su* qualify+ individual4   
7c7 ,cov]age  7#a7 ,scope ,not)/&+ any  
o!r provisions ( law1 b5efits provid$ "u
 a gr\p heal? plan or gr\p or individual
 heal? insurance cov]age to a qualify+  
individual enroll$ pursuant to a reque/ 
describ$ 9 subsection 7b7 %all consi/   
only (-- 7,a7 pregnancy-relat$ &        
po/p>tum c>e2 &  7,b7 m5tal heal? &     
sub/ance use disord] s]vices4  7#b7     
,cov]age p]iod ,cov]age provid$ "u a    
gr\p heal? plan or gr\p or individual   
heal? insurance cov]age to a qualify+   
individual pursuant to a reque/ describ$
 9 subsection 7b7 %all beg9 on ! fir/   
day ( ! fir/ mon? beg9n+ aft] ! date su*
 plan or cov]age receives su* reque/ &  
%all end on ! e>lie/ ( ! foll[+3 7,a7 ,!
 date ! individual :o submitt$ su*      
reque/ notifies su* plan or cov]age (   
su* individual's int5t to t]m9ate su*   
cov]age4  7,b7 ,! date on :i* cov]age ( 
su* individual "u su* plan or gr\p or   

individual heal? insurance cov]age is   
t]m9at$4  7,c7 ,! date su* qualify+     
individual notifies su* plan or cov]age 
( su* qualify+ individual's int5t to    
t]m9ate su* cov]age4  7,d7 ,! date t is 
#a ye> aft] ! date ( ! bir? ( ! *ild t  
is ! subject ( ! adoption describ$ 9    
subsection 7a74  7d7 ,cl>ification on   
scope ( requirem5t ,! requirem5t on a   
gr\p heal? plan or gr\p or individual   
heal? insurance cov]age "u subsection   
7a7 to provide b5efits to a qualify+    
individual pursuant to a reque/ describ$
 9 subsection 7b7 %all apply only )     
respect to b5efits describ$ 9 subsection
 7c77#a7 furni%$ ) respect to !         
pregnancy t is ! subject ( ! adoption   
describ$ 9 subsection 7b74  7e7         
,qualify+ individual def9$ ,9 ?is       
section1 ! t]m qualify+ individual means
 an individual :o-- 7#a7 is pregnant or 
:o has giv5 bir? 9 ! la/ #f mon?s2 &    
7#b7 is a citiz5 or national ( ! ,unit$ 
,/ates or an ali5 lawfully pres5t 9 !   
,unit$ ,/ates4  7f7 ,rule ( con/ruction 

,no?+ 9 ?is section may be con/ru$ to-- 
7#a7 require a qualify+ individual :o   
enrolls 9 a gr\p heal? plan or gr\p or  
individual heal? insurance cov]age      
pursuant to ?is section1 or an          
individual :o reque/s enrollm5t ( su*   
qualify+ individual 9 su* plan or       
cov]age1 to effectuate any adoption2 or 
7#b7 all[ = ! imposition ( any p5alty on
 su* a qualify+ individual or individual
 reque/+ su* enrollm5t if su* an        
adoption is n effectuat$4  4  7b7       
,effective date ,! am5dm5t made by      
subsection 7a7 %all apply ) respect to  
plan ye>s beg9n+ on or aft] ,janu>y #a1 
#bjbe4