,i #aah? ,,congress #b;d ,session ,h4 ,r4 #ijbb ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,july #aa1 #bjbd,ms4 ,/efanik introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,arm$ ,s]vices ,a ,,bill ,to include pregnancy & loss ( pregnancy z qualify+ life ev5ts "u ! ,,tric>e program & to require a /udy on mat]nal heal? 9 ! milit>y hea? sy/em1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,milit>y ,moms ,act4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,cov]$ b5efici>y2 dep5d5t2 ,,tric>e program ,! t]ms cov]$ b5efici>y1 dep5d5t1 & ,,tric>e program h ! mean+s giv5 ^? t]ms 9 section #ajgb ( title #aj1 ,unit$ ,/ates ,code4 7#b7 ,mat]nal heal? ,! t]m mat]nal heal? means c>e dur+ labor1 bir?+1 pr5atal c>e1 & po/p>tum c>e4 7#c7 ,mat]nity c>e des]t ,! t]m mat]nity c>e des]t means a c\nty 9 ! ,unit$ ,/ates t does n h-- 7,a7 a hospital or bir? c5t] (f]+ ob/etric c>e2 or 7,b7 an ob/etric provid]4 7#d7 ,pr5atal c>e ,! t]m pr5atal c>e means m$ical c>e provid$ to ma9ta9 & improve fetal & mat]nal heal? dur+ pregnancy4 7#e7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,def5se4 #c4 ,modification ( qualify+ life ev5ts 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all-- 7#a7 update ! li/ ( qualify+ life ev5ts "u ! ,,tric>e program to include pregnancy & loss ( pregnancy2 & 7#b7 issue guidance to cov]$ b5efici>ies describ+ ! docum5tation requir$ to make enrollm5t *anges "u ! ,,tric>e program due to su* qualify+ life ev5ts1 su* z writt5 confirmation f a m$ical provid] confirm+ a pregnancy or loss ( pregnancy4 7b7 ,prohibition ,?is section %all n apply to a cov]$ b5efici>y :o seeks to claim an abortion z a qualify+ life ev5t4 7c7 ,def9itions ,9 ?is section3 7#a7 ,abortion ,! t]m abortion means ! use or prescription ( any in/rum5t1 m$ic9e1 drug1 or o!r sub/ance or device to int5tionally-- 7,a7 kill ! unborn *ild ( a woman kn[n to be pregnant2 or 7,b7 prematurely t]m9ate ! pregnancy ( a woman kn[n to be pregnant1 ) an int5tion o!r ?an to-- 7i7 increase ! probability ( a live bir? or pres]ve ! life or heal? ( ! *ild aft] a live bir?2 7ii7 remove a dead unborn *ild2 or 7iii7 treat an ectopic pregnancy4 7#b7 ,loss ( pregnancy ,! t]m loss ( pregnancy means misc>riage or /illbir?4 #d4 ,report on access to mat]nal heal? c>e )9 ! milit>y heal? sy/em 7a7 ,9 g5]al ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,arm$ ,s]vices & ! ,committee on ,appropriations ( ! ,s5ate & ! ,committee on ,arm$ ,s]vices & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives a report on access to mat]nal heal? c>e )9 ! milit>y heal? sy/em = cov]$ b5efici>ies dur+ ! prec$+ two-ye> p]iod4 7b7 ,cont5ts ,! report requir$ "u subsection 7a7 %all include ! foll[+3 7#a7 ,) respect to milit>y m$ical treatm5t facilities1 ! foll[+3 7,a7 ,an analysis ( ! availability ( mat]nal heal? c>e = cov]$ b5efici>ies :o access ! milit>y heal? sy/em ?r\gh su* facilities4 7,b7 ,an id5tification ( /aff+ %ortages 9 positions relat+ to mat]nal heal? & *ildbir?1 includ+ ob/etrician-gynecologi/s1 c]tifi$ nurse midwives1 & labor & deliv]y nurses4 7,c7 ,a description ( specific *all5ges fac$ by cov]$ b5efici>ies 9 access+ mat]nal heal? c>e at su* facilities4 7,d7 ,an analysis ( ! timel9ess ( access to mat]nal heal? c>e1 includ+ wait times = & travel times to appo9tm5ts4 7,e7 ,a description ( h[ su* facilities track pati5t satisfaction ) mat]nal heal? s]vices4 7,f7 ,a process to e/abli% cont9uity ( pr5atal c>e & po/p>tum c>e = cov]$ b5efici>ies :o exp]i5ce a p]man5t *ange ( /ation dur+ a pregnancy4 7,g7 ,an id5tification ( b>ri]s ) reg>d to cont9uity ( pr5atal c>e & po/p>tum c>e dur+ p]man5t *anges ( /ation4 7,h7 ,a description ( milit>y-specific heal? *all5ges impact+ cov]$ b5efici>ies :o receive mat]nal heal? c>e at milit>y m$ical treatm5t facilities1 & a description ( h[ ! ,dep>tm5t tracks su* *all5ges4 7,i7 ,= ! #aj-ye> p]iod prec$+ ! date ( ! submission ( ! report1 ! am\nt ( funds annually exp5d$-- 7i7 by ! ,dep>tm5t ( ,def5se on mat]nal heal? c>e2 & 7ii7 by cov]$ b5efici>ies on out-(-pocket co/s associat$ ) mat]nal heal? c>e4 7,j7 ,an id5tification ( ea* m$ical facility ( ! ,dep>tm5t ( ,def5se locat$ 9 a mat]nity c>e des]t4 7,k7 ,recomm5dations & legislative proposals-- 7i7 to address /aff+ %ortages t impact ! positions describ$ 9 subp>agraph 7,b72 7ii7 to improve ! deliv]y & availability ( mat]nal heal? s]vices ?r\gh milit>y m$ical treatm5t facilities & improve pati5t exp]i5ce2 & 7iii7 to improve cont9uity ( pr5atal c>e & po/p>tum c>e = cov]$ b5efici>ies dur+ a p]man5t *ange ( /ation4 7#b7 ,) respect to provid]s )9 ! ,,tric>e program network t are n locat$ at or affiliat$ ) a milit>y m$ical treatm5t facility1 ! foll[+3 7,a7 ,an analysis ( ! availability ( mat]nal heal? c>e = cov]$ b5efici>ies :o access ! milit>y heal? sy/em ?r\gh su* provid]s4 7,b7 ,an id5tification ( /aff+ %ortages = su* provid]s 9 positions relat+ to mat]nal heal? & *ildbir?1 includ+ ob/etrician-gynecologi/s1 c]tifi$ nurse midwives1 & labor & deliv]y nurses4 7,c7 ,a description ( specific *all5ges fac$ by cov]$ b5efici>ies 9 access+ mat]nal heal? c>e f su* provid]s4 7,d7 ,an analysis ( ! timel9ess ( access to mat]nal heal? c>e1 includ+ wait times = & travel times to appo9tm5ts4 7,e7 ,a description ( h[ su* provid]s track pati5t satisfaction ) mat]nal heal? s]vices4 7,f7 ,a process to e/abli% cont9uity ( pr5atal c>e & po/p>tum c>e = cov]$ b5efici>ies :o exp]i5ce a p]man5t *ange ( /ation dur+ a pregnancy4 7,g7 ,an id5tification ( b>ri]s ) reg>d to cont9uity ( pr5atal c>e & po/p>tum c>e dur+ p]man5t *anges ( /ation4 7,h7 ,! numb] ( dep5d5ts :o *oose to access mat]nal heal? c>e ?r\gh su* provid]s4 7,i7 ,= ! #aj-ye> p]iod prec$+ ! date ( ! submission ( ! report1 ! am\nt ( funds annually exp5d$-- 7i7 by ! ,dep>tm5t ( ,def5se on mat]nal heal? c>e2 & 7ii7 by cov]$ b5efici>ies on out-(-pocket co/s associat$ ) mat]nal heal? c>e4 7,j7 ,recomm5dations & legislative proposals-- 7i7 to address /aff+ %ortages t impact ! positions describ$ 9 subp>agraph 7,b72 7ii7 to improve ! deliv]y & availability ( mat]nal heal? s]vices ?r\gh ! ,,tric>e program & improve pati5t exp]i5ce2 7iii7 to improve cont9uity ( pr5atal c>e & po/p>tum c>e = cov]$ b5efici>ies dur+ a p]man5t *ange ( /ation2 & 7iv7 to improve ! ability ( contractors "u ! ,,tric>e program to build a l>g] network ( provid]s = mat]nal heal?1 includ+ ob/etrician-gynecologi/s1 c]tifi$ nurse midwives1 & labor & deliv]y nurses4 #e4 ,updates to ,milit>y ,one,source program 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all publi% on a publicly available website ( ! ,milit>y ,one,source program ( ! ,dep>tm5t ( ,def5se a d$icat$ webpage t includes a compreh5sive guide ( res\rces available to cov]$ b5efici>ies1 includ+-- 7#a7 a li/ ( mat]nal heal? s]vices t are available to cov]$ b5efici>ies "u ! ,,tric>e program & at milit>y m$ical treatm5t facilities2 7#b7 in=mation on m5tal heal? c\nsel+1 pregnancy c\nsel+1 & o!r prep>tum & po/p>tum s]vices1 includ+ :at s]vices are reportable or non-reportable = memb]s ( ! ,arm$ ,=ces2 7#c7 in=mation on pr5atal developm5t1 includ+ anticipat$ pr5atal appo9tm5ts & available c>e = cov]$ b5efici>ies dur+ pr5atal developm5t2 7#d7 in=mation on-- 7,a7 organizations t provide s]vices & o!r res\rces to assi/ cov]$ b5efici>ies ) mat]nal heal? ne$s & pregnancy support s]vices locat$ at1 or 9 vic9ity (1 milit>y in/allations2 & 7,b7 ,f$]al1 ,/ate1 & local mat]nal heal? c>e res\rces t are ei!r cov]$ by ! ,,tric>e program or c\ld o!rwise be made available to a cov]$ b5efici>y2 7#e7 in=mation on res\rces to assi/ cov]$ b5efici>ies :o are pregnant ) anticipat$ *anges & heal? *all5ges t result f pregnancy1 includ+ in=mation on anticipat$ po/natal appo9tm5ts1 available po/natal c>e = cov]$ b5efici>ies1 & po/-bir? in/ructions specific to cov]$ b5efici>ies2 7#f7 in=mation on f9ancial assi/ance available to cov]$ b5efici>ies to support pregnancy ne$s2 7#g7 a be/ practice guide = smoo? cont9uity ( pregnancy c>e dur+ a p]man5t *ange ( /ation2 & 7#h7 in=mation specific to pregnant memb]s ( ! ,arm$ ,=ces1 includ+ leave options & regulations1 c>e] field specific in=mation & re/rictions1 physical fitness requirem5ts1 & uni=m res\rces & requirem5ts4 7b7 ,limitations ,! guide requir$ by subsection 7a7 may n include in=mation1 ref]5ces1 or res\rces on abortion4 7c7 ,tra9+ ,! ,secret>y %all provide tra9+ to milit>y & family life c\nselors available ?r\gh ! ,milit>y ,one,source program on address+ ! non-m$ical ne$s ( cov]$ b5efici>ies :o are pregnant4 7d7 ,notification ( pregnancy ,! ,secret>y %all notify ! head ( ! ,milit>y ,one,source program :5 a cov]$ b5efici>y makes ! ,secret>y aw>e ( a pregnancy4 7e7 ,plan ,n lat] ?an #edj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all develop & submit to ,congress a plan = ! ,secret>y to dissem9ate to b5efici>ies ( ! ,milit>y ,one,source program ! guide requir$ by subsection 7a74