,,ii  #aahth ,,congress  #b;d ,session  
,s4 #dcca  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #ad1      
#bjbd,mrs4 ,shaheen 7for herself and    
,ms4 ,baldwin7 introduced the following 
bill2 which was read twice and referred 
to the ,committee on ,health1           
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to amend the ,public ,health   
,service ,act1 the ,employee ,retirement
 ,income ,security ,act of #aigd1 and   
the ,internal ,revenue ,code of #aihf to
 require that group health plans and    
health insurance issuers offering group 
or individual health insurance that     
provide coverage for mental health      
services and substance use disorder     
services provide such services without  
the imposition of cost-sharing from the 
diagnosis of pregnancy through the      
#a-year period following such pregnancy1
 and for other purposes4  #a4 ,short    
title ,this ,act may be cited as the    
,mental ,health and ,making ,access     
,more ,affordable ,act of #bjbd or the  

,mental ,health and ,,mama ,act of      
#bjbd4  #b4 ,cost-sharing with respect  
to mental health services and substance 
use disorder services for pregnant and  
postpartum individuals  7a7 ,,phsa  7#a7
 ,in general ,part ,d of title ,,xxvii  
of the ,public ,health ,service ,act    
7#db ,u4,s4,c4 #cjj;gg-#aaa et seq47 is 
amended by adding at the end the        
following new section3  #bgii;,a-#aa4   
,cost-sharing requirements with respect 
to mental health services and substance 
use disorder services for pregnant and  
postpartum individuals  7a7 ,in general 
,in the case of a group health plan or a
 health insurance issuer offering group 
or individual health insurance coverage 
that provides a benefit for mental      
health services or substance use        
disorder services 7including such       
services which are telehealth services  
and are provided under such plan or     
coverage7 with respect to plan years    
beginning on or after the date that is  
#b years after the date of enactment of 

this section1 the plan or coverage shall
 not impose any cost-sharing requirement
 for such services that are furnished by
 an in-network provider to a            
participant1 beneficiary1 or enrollee   
under the plan or coverage from the     
diagnosis of pregnancy 7as defined by   
the ,secretary7 through the #a-year     
period beginning on the day after the   
last day of such pregnancy of such      
participant1 beneficiary1 or enrollee   
7or1 in the case of an individual       
enrolled in such plan or coverage for a 
portion of such period1 during such     
portion74  7b7 ,definitions ,in this    
section3 7#a7 ,the terms mental health  
services and substance use disorder     
services have the meaning given such    
terms for purposes of section #bgbf4    
7#b7 ,the term telehealth service means 
a service that is furnished through     
telehealth technologies 7as defined in  
section #ccj;,i7a774  4  7#b7           
,continuity of care ,section #bgii;,a-#c
 of the ,public ,health ,service ,act   

7#db ,u4,s4,c4 #cjj;gg-#aac7 is         
amended-- 7,a7 in subsection            
7a77#b77;,c71 by inserting 1 in the case
 of a continuing care patient described 
in subsection 7b77#a77;,d77ii71 the date
 on which such individual is no longer  
such a continuing care patient with     
respect to such provider or facility1 or
 in the case of a continuing care       
patient described in subsection 7b77#a7 
other than in subparagraph 7,d77ii7 of  
such subsection1 after is provided and  
ending on2 and  7,b7 by amending        
subsection 7b77#a77;,d7 to read as      
follows3  7,d7 7i7 is pregnant and      
undergoing a course of treatment for the
 pregnancy from the provider or         
facility2 or  7ii7 7,i7 requires mental 
health services or substance use        
disorder services from a provider or    
facility following a pregnancy2  7,,ii7 
received a course of mental health or   
substance use disorder treatment from   
such provider or facility while         
pregnant2 and  7,,iii7 the last day of  

such pregnancy occurred during the      
previous #a-year period2 or  4  7b7     
,,erisa  7#a7 ,in general ,subpart ,b of
 part #g of subtitle ,b of title ,i of  
the ,employee ,retirement ,income       
,security ,act of #aigd is amended by   
adding at the end the following new     
section3  #gbf4 ,cost-sharing           
requirements with respect to mental     
health services and substance use       
disorder services for pregnant and      
postpartum individuals  7a7 ,in general 
,in the case of a group health plan or a
 health insurance issuer offering group 
health insurance coverage that provides 
a benefit for mental health services or 
substance use disorder services         
7including such services which are      
telehealth services and are provided    
under such plan or coverage7 with       
respect to plan years beginning on or   
after the date that is #b years after   
the date of enactment of this section1  
the plan or coverage shall not impose   
any cost-sharing requirement for such   

services that are furnished by an       
in-network provider to a participant or 
beneficiary under the plan or coverage  
from the diagnosis of pregnancy 7as     
defined by the ,secretary7 through the  
#a-year period beginning on the day     
after the last day of such pregnancy of 
such participant or beneficiary 7or1 in 
the case of an individual enrolled in   
such plan or coverage for a portion of  
such period1 during such portion74  7b7 
,definitions ,in this section3 7#a7 ,the
 terms mental health services and       
substance use disorder services have the
 meaning given such terms for purposes  
of section #gab4  7#b7 ,the term        
telehealth service means a service that 
is furnished through telehealth         
technologies 7as defined in section     
#ccj;,i7a7 of the ,public ,health       
,service ,act74  4  7#b7 ,continuity of 
care ,section #gah of the ,employee     
,retirement ,income ,security ,act of   
#aigd 7#bi ,u4,s4,c4 #aahe;g7 is        
amended-- 7,a7 in subsection            

7a77#b77;,c71 by inserting 1 in the case
 of a continuing care patient described 
in subsection 7b77#a77;,d77ii71 the date
 on which such individual is no longer  
such a continuing care patient with     
respect to such provider or facility1 or
 in the case of a continuing care       
patient described in subsection 7b77#a7 
other than in subparagraph 7,d77ii7 of  
such subsection1 after is provided and  
ending on2 and  7,b7 by amending        
subsection 7b77#a77;,d7 to read as      
follows3  7,d7 7i7 is pregnant and      
undergoing a course of treatment for the
 pregnancy from the provider or         
facility2 or  7ii7 7,i7 requires mental 
health services or substance use        
disorder services from a provider or    
facility following a pregnancy2  7,,ii7 
received a course of mental health or   
substance use disorder treatment from   
such provider or facility while         
pregnant2 and  7,,iii7 the last day of  
such pregnancy occurred during the      
previous #a-year period2 or  4  7#c7    

,clerical amendment ,the table of       
contents in section #a of the ,employee 
,retirement ,income ,security ,act of   
#aigd 7#bi ,u4,s4,c4 #ajja et seq47 is  
amended by inserting after the item     
relating to section #gbe the following  
new item3  ,sec4 #gbf4 ,cost-sharing    
requirements with respect to mental     
health services and substance use       
disorder services for pregnant and      
postpartum individuals4  4  7c7 ,,irc   
7#a7 ,in general ,subchapter ,b of      
chapter #ajj of the ,internal ,revenue  
,code of #aihf is amended by adding at  
the end the following new section3      
#ihbf4 ,cost-sharing requirements with  
respect to mental health services and   
substance use disorder services for     
pregnant and postpartum individuals  7a7
 ,in general ,in the case of a group    
health plan that provides a benefit for 
mental health services or substance use 
disorder services 7including such       
services which are telehealth services  
and are provided under such plan7 with  

respect to plan years beginning on or   
after the date that is #b years after   
the date of enactment of this section1  
the plan shall not impose any           
cost-sharing requirement for such       
services that are furnished by an       
in-network provider to a participant or 
beneficiary under the plan from the     
diagnosis of pregnancy 7as defined by   
the ,secretary7 through the #a-year     
period beginning on the day after the   
last day of such pregnancy of such      
participant or beneficiary 7or1 in the  
case of an individual enrolled in such  
plan for a portion of such period1      
during such portion74  7b7 ,definitions 
,in this section3 7#a7 ,the terms mental
 health services and substance use      
disorder services have the meaning given
 such terms for purposes of section     
#ihab4  7#b7 ,the term telehealth       
service means a service that is         
furnished through telehealth            
technologies 7as defined in section     
#ccj;,i7a7 of the ,public ,health       

,service ,act74  4  7#b7 ,continuity of 
care ,section #ihah of the ,internal    
,revenue ,code of #aihf is amended--    
7,a7 in subsection 7a77#b77;,c71 by     
inserting 1 in the case of a continuing 
care patient described in subsection    
7b77#a77;,d77ii71 the date on which such
 individual is no longer such a         
continuing care patient with respect to 
such provider or facility1 or in the    
case of a continuing care patient       
described in subsection 7b77#a7 other   
than in subparagraph 7,d77ii7 of such   
subsection1 after is provided and ending
 on2 and  7,b7 by amending subsection   
7b77#a77;,d7 to read as follows3  7,d7  
7i7 is pregnant and undergoing a course 
of treatment for the pregnancy from the 
provider or facility2 or  7ii7 7,i7     
requires mental health services or      
substance use disorder services from a  
provider or facility following a        
pregnancy2  7,,ii7 received a course of 
mental health or substance use disorder 
treatment from such provider or facility

 while pregnant2 and  7,,iii7 the last  
day of such pregnancy occurred during   
the previous #a-year period2 or  4  7#c7
 ,clerical amendment ,the table of      
sections for subchapter ,b of chapter   
#ajj of the ,internal ,revenue ,code of 
#aihf is amended by adding at the end   
the following new item3  ,sec4 #ihbf4   
,cost-sharing requirements with respect 
to mental health services and substance 
use disorder services for pregnant and  
postpartum individuals4  4  7d7         
,effective date ,the amendments made by 
subsections 7a71 7b71 and 7c7 shall     
apply with respect to plan years        
beginning on or after the date that is  
#b years after the date of enactment of 
this ,act4  7e7 ,,fehbp  7#a7 ,in       
general ,section #hijb7p7 of title #e1  
,united ,states ,code1 is amended-- 7,a7
 by striking and #bgii;,a-#g and        
inserting #bgii;,a-#g1 and #bgii;,a-#aa2
  7,b7 by striking and #gbb and         
inserting #gbb1 and #gbf2 and  7,c7 by  
striking and #ihbb and inserting #ihbb1 

and #ihbf4  7#b7 ,effective date ,the   
amendments made by paragraph 7#a7 shall 
apply with respect to contracts entered 
into or renewed for contract years      
beginning on or after the date that is  
#b years after the date of enactment of 
this ,act4