,,ii  #aah? ,,congress  #b;d ,session   
,s4 #dcca  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ad1 #bjbd,mrs4   
,%ahe5 7= h]self & ,ms4 ,baldw97        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act1 ! ,employee ,retirem5t    
,income ,security ,act ( #aigd1 & !     
,int]nal ,rev5ue ,code ( #aihf to       
require t gr\p heal? plans & heal?      
insurance issu]s (f]+ gr\p or individual
 heal? insurance t provide cov]age =    
m5tal heal? s]vices & sub/ance use      
disord] s]vices provide su* s]vices )\t 
! imposition ( co/-%>+ f ! diagnosis (  
pregnancy ?r\gh ! #a-ye> p]iod foll[+   
su* pregnancy1 & = o!r purposes4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,m5tal ,heal? & ,mak+ ,access ,m        
,af=dable ,act ( #bjbd or ! ,m5tal      
,heal? & ,,mama ,act ( #bjbd4  #b4      
,co/-%>+ ) respect to m5tal heal?       
s]vices & sub/ance use disord] s]vices =

 pregnant & po/p>tum individuals  7a7   
,,phsa  7#a7 ,9 g5]al ,"p ,d ( title    
,,xxvii ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #cjj;gg-#aaa et seq47 is 
am5d$ by add+ at ! end ! foll[+ new     
section3  #bgii;,a-#aa4 ,co/-%>+        
requirem5ts ) respect to m5tal heal?    
s]vices & sub/ance use disord] s]vices =
 pregnant & po/p>tum individuals  7a7 ,9
 g5]al ,9 ! case ( a gr\p heal? plan or 
a heal? insurance issu] (f]+ gr\p or    
individual heal? insurance cov]age t    
provides a b5efit = m5tal heal? s]vices 
or sub/ance use disord] s]vices 7includ+
 su* s]vices :i* are teleheal? s]vices &
 are provid$ "u su* plan or cov]age7 )  
respect to plan ye>s beg9n+ on or aft] !
 date t is #b ye>s aft] ! date (        
enactm5t ( ?is section1 ! plan or       
cov]age %all n impose any co/-%>+       
requirem5t = su* s]vices t are furni%$  
by an 9-network provid] to a p>ticipant1
 b5efici>y1 or enrollee "u ! plan or    
cov]age f ! diagnosis ( pregnancy 7z    
def9$ by ! ,secret>y7 ?r\gh ! #a-ye>    

p]iod beg9n+ on ! day aft] ! la/ day (  
su* pregnancy ( su* p>ticipant1         
b5efici>y1 or enrollee 7or1 9 ! case (  
an individual enroll$ 9 su* plan or     
cov]age = a portion ( su* p]iod1 dur+   
su* portion74  7b7 ,def9itions ,9 ?is   
section3 7#a7 ,! t]ms m5tal heal?       
s]vices & sub/ance use disord] s]vices h
 ! mean+ giv5 su* t]ms = purposes (     
section #bgbf4  7#b7 ,! t]m teleheal?   
s]vice means a s]vice t is furni%$ ?r\gh
 teleheal? te*nologies 7z def9$ 9       
section #ccj;,i7a774  4  7#b7 ,cont9uity
 ( c>e ,section #bgii;,a-#c ( ! ,public 
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#aac7 is am5d$-- 7,a7 9         
subsection 7a77#b77;,c71 by ins]t+ 1 9 !
 case ( a cont9u+ c>e pati5t describ$ 9 
subsection 7b77#a77;,d77ii71 ! date on  
:i* su* individual is no long] su* a    
cont9u+ c>e pati5t ) respect to su*     
provid] or facility1 or 9 ! case ( a    
cont9u+ c>e pati5t describ$ 9 subsection
 7b77#a7 o!r ?an 9 subp>agraph 7,d77ii7 
( su* subsection1 aft] is provid$ & end+

 on2 &  7,b7 by am5d+ subsection        
7b77#a77;,d7 to read z foll[s3  7,d7 7i7
 is pregnant & und]go+ a c\rse (        
treatm5t = ! pregnancy f ! provid] or   
facility2 or  7ii7 7,i7 requires m5tal  
heal? s]vices or sub/ance use disord]   
s]vices f a provid] or facility foll[+ a
 pregnancy2  7,,ii7 receiv$ a c\rse (   
m5tal heal? or sub/ance use disord]     
treatm5t f su* provid] or facility :ile 
pregnant2 &  7,,iii7 ! la/ day ( su*    
pregnancy occurr$ dur+ ! previ\s #a-ye> 
p]iod2 or  4  7b7 ,,erisa  7#a7 ,9 g5]al
 ,subp>t ,b ( "p #g ( subtitle ,b (     
title ,i ( ! ,employee ,retirem5t       
,income ,security ,act ( #aigd is am5d$ 
by add+ at ! end ! foll[+ new section3  
#gbf4 ,co/-%>+ requirem5ts ) respect to 
m5tal heal? s]vices & sub/ance use      
disord] s]vices = pregnant & po/p>tum   
individuals  7a7 ,9 g5]al ,9 ! case ( a 
gr\p heal? plan or a heal? insurance    
issu] (f]+ gr\p heal? insurance cov]age 
t provides a b5efit = m5tal heal?       
s]vices or sub/ance use disord] s]vices 

7includ+ su* s]vices :i* are teleheal?  
s]vices & are provid$ "u su* plan or    
cov]age7 ) respect to plan ye>s beg9n+  
on or aft] ! date t is #b ye>s aft] !   
date ( enactm5t ( ?is section1 ! plan or
 cov]age %all n impose any co/-%>+      
requirem5t = su* s]vices t are furni%$  
by an 9-network provid] to a p>ticipant 
or b5efici>y "u ! plan or cov]age f !   
diagnosis ( pregnancy 7z def9$ by !     
,secret>y7 ?r\gh ! #a-ye> p]iod beg9n+  
on ! day aft] ! la/ day ( su* pregnancy 
( su* p>ticipant or b5efici>y 7or1 9 !  
case ( an individual enroll$ 9 su* plan 
or cov]age = a portion ( su* p]iod1 dur+
 su* portion74  7b7 ,def9itions ,9 ?is  
section3 7#a7 ,! t]ms m5tal heal?       
s]vices & sub/ance use disord] s]vices h
 ! mean+ giv5 su* t]ms = purposes (     
section #gab4  7#b7 ,! t]m teleheal?    
s]vice means a s]vice t is furni%$ ?r\gh
 teleheal? te*nologies 7z def9$ 9       
section #ccj;,i7a7 ( ! ,public ,heal?   
,s]vice ,act74  4  7#b7 ,cont9uity ( c>e
 ,section #gah ( ! ,employee ,retirem5t 

,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aahe;g7 is am5d$-- 7,a7 9    
subsection 7a77#b77;,c71 by ins]t+ 1 9 !
 case ( a cont9u+ c>e pati5t describ$ 9 
subsection 7b77#a77;,d77ii71 ! date on  
:i* su* individual is no long] su* a    
cont9u+ c>e pati5t ) respect to su*     
provid] or facility1 or 9 ! case ( a    
cont9u+ c>e pati5t describ$ 9 subsection
 7b77#a7 o!r ?an 9 subp>agraph 7,d77ii7 
( su* subsection1 aft] is provid$ & end+
 on2 &  7,b7 by am5d+ subsection        
7b77#a77;,d7 to read z foll[s3  7,d7 7i7
 is pregnant & und]go+ a c\rse (        
treatm5t = ! pregnancy f ! provid] or   
facility2 or  7ii7 7,i7 requires m5tal  
heal? s]vices or sub/ance use disord]   
s]vices f a provid] or facility foll[+ a
 pregnancy2  7,,ii7 receiv$ a c\rse (   
m5tal heal? or sub/ance use disord]     
treatm5t f su* provid] or facility :ile 
pregnant2 &  7,,iii7 ! la/ day ( su*    
pregnancy occurr$ dur+ ! previ\s #a-ye> 
p]iod2 or  4  7#c7 ,cl]ical am5dm5t ,!  
table ( cont5ts 9 section #a ( !        

,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #ajja et    
seq47 is am5d$ by ins]t+ aft] ! item    
relat+ to section #gbe ! foll[+ new     
item3  ,sec4 #gbf4 ,co/-%>+ requirem5ts 
) respect to m5tal heal? s]vices &      
sub/ance use disord] s]vices = pregnant 
& po/p>tum individuals4  4  7c7 ,,irc   
7#a7 ,9 g5]al ,sub*apt] ,b ( *apt] #ajj 
( ! ,int]nal ,rev5ue ,code ( #aihf is   
am5d$ by add+ at ! end ! foll[+ new     
section3  #ihbf4 ,co/-%>+ requirem5ts ) 
respect to m5tal heal? s]vices &        
sub/ance use disord] s]vices = pregnant 
& po/p>tum individuals  7a7 ,9 g5]al ,9 
! case ( a gr\p heal? plan t provides a 
b5efit = m5tal heal? s]vices or sub/ance
 use disord] s]vices 7includ+ su*       
s]vices :i* are teleheal? s]vices & are 
provid$ "u su* plan7 ) respect to plan  
ye>s beg9n+ on or aft] ! date t is #b   
ye>s aft] ! date ( enactm5t ( ?is       
section1 ! plan %all n impose any       
co/-%>+ requirem5t = su* s]vices t are  
furni%$ by an 9-network provid] to a    

p>ticipant or b5efici>y "u ! plan f !   
diagnosis ( pregnancy 7z def9$ by !     
,secret>y7 ?r\gh ! #a-ye> p]iod beg9n+  
on ! day aft] ! la/ day ( su* pregnancy 
( su* p>ticipant or b5efici>y 7or1 9 !  
case ( an individual enroll$ 9 su* plan 
= a portion ( su* p]iod1 dur+ su*       
portion74  7b7 ,def9itions ,9 ?is       
section3 7#a7 ,! t]ms m5tal heal?       
s]vices & sub/ance use disord] s]vices h
 ! mean+ giv5 su* t]ms = purposes (     
section #ihab4  7#b7 ,! t]m teleheal?   
s]vice means a s]vice t is furni%$ ?r\gh
 teleheal? te*nologies 7z def9$ 9       
section #ccj;,i7a7 ( ! ,public ,heal?   
,s]vice ,act74  4  7#b7 ,cont9uity ( c>e
 ,section #ihah ( ! ,int]nal ,rev5ue    
,code ( #aihf is am5d$-- 7,a7 9         
subsection 7a77#b77;,c71 by ins]t+ 1 9 !
 case ( a cont9u+ c>e pati5t describ$ 9 
subsection 7b77#a77;,d77ii71 ! date on  
:i* su* individual is no long] su* a    
cont9u+ c>e pati5t ) respect to su*     
provid] or facility1 or 9 ! case ( a    
cont9u+ c>e pati5t describ$ 9 subsection

 7b77#a7 o!r ?an 9 subp>agraph 7,d77ii7 
( su* subsection1 aft] is provid$ & end+
 on2 &  7,b7 by am5d+ subsection        
7b77#a77;,d7 to read z foll[s3  7,d7 7i7
 is pregnant & und]go+ a c\rse (        
treatm5t = ! pregnancy f ! provid] or   
facility2 or  7ii7 7,i7 requires m5tal  
heal? s]vices or sub/ance use disord]   
s]vices f a provid] or facility foll[+ a
 pregnancy2  7,,ii7 receiv$ a c\rse (   
m5tal heal? or sub/ance use disord]     
treatm5t f su* provid] or facility :ile 
pregnant2 &  7,,iii7 ! la/ day ( su*    
pregnancy occurr$ dur+ ! previ\s #a-ye> 
p]iod2 or  4  7#c7 ,cl]ical am5dm5t ,!  
table ( sections = sub*apt] ,b ( *apt]  
#ajj ( ! ,int]nal ,rev5ue ,code ( #aihf 
is am5d$ by add+ at ! end ! foll[+ new  
item3  ,sec4 #ihbf4 ,co/-%>+ requirem5ts
 ) respect to m5tal heal? s]vices &     
sub/ance use disord] s]vices = pregnant 
& po/p>tum individuals4  4  7d7         
,effective date ,! am5dm5ts made by     
subsections 7a71 7b71 & 7c7 %all apply )
 respect to plan ye>s beg9n+ on or aft] 

! date t is #b ye>s aft] ! date (       
enactm5t ( ?is ,act4  7e7 ,,fehbp  7#a7 
,9 g5]al ,section #hijb7p7 ( title #e1  
,unit$ ,/ates ,code1 is am5d$-- 7,a7 by 
/rik+ & #bgii;,a-#g & ins]t+            
#bgii;,a-#g1 & #bgii;,a-#aa2  7,b7 by   
/rik+ & #gbb & ins]t+ #gbb1 & #gbf2 &   
7,c7 by /rik+ & #ihbb & ins]t+ #ihbb1 & 
#ihbf4  7#b7 ,effective date ,! am5dm5ts
 made by p>agraph 7#a7 %all apply )     
respect to contracts ent]$ into or r5ew$
 = contract ye>s beg9n+ on or aft] !    
date t is #b ye>s aft] ! date ( enactm5t
 ( ?is ,act4