,i  #aaith ,,congress  #b;d ,session    
,h4 ,r4 #hgaf  ,,in ,,the ,,house ,,of  
,,representatives  ,may #g1 #bjbf,ms4   
,williams of ,georgia 7for herself1 ,ms4
 ,norton1 ,ms4 ,wilson of ,florida1     
,mrs4 ,beatty1 and ,ms4 ,ross7          
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce1 and in addition to the   
,committees on ,ways and ,means1 and    
,education and ,workforce1 for a period 
to be subsequently determined by the    
,speaker1 in each case for consideration
 of such provisions as fall within the  
jurisdiction of the committee concerned 
,a ,,bill  ,to amend titles ,,xix and   
,,xxi of the ,social ,security ,act1    
title ,,xxvii of the ,public ,health    
,service ,act1 the ,employee ,retirement
 ,security ,act of #aigd1 and the       
,internal ,revenue ,code of #aihf to    
require coverage of self-measured blood 
pressure monitoring for pregnant and    
postpartum individuals4  #a4 ,short     
title ,this ,act may be cited as the    

,blood ,pressure ,mandated ,accessible  
,telemetry ,tracking for ,eclampsia     
,risk ,safeguards ,act or the ,blood    
,pressure ,,matters ,act4  #b4          
,requiring coverage of self-measured    
blood pressure monitoring for pregnant  
and postpartum individuals  7a7         
,coverage under ,medicaid  7#a7 ,in     
general ,section #aije of the ,social   
,security ,act 7#db ,u4,s4,c4 #acif;d7  
is amended--  7,a7 in subsection 7a7--  
7i7 in paragraph 7#ca71 by striking and 
at the end2  7ii7 by redesignating      
paragraph 7#cb7 as paragraph 7#cc72 and 
7iii7 by inserting after paragraph 7#ca7
 the following new paragraph3  7#cb7    
self-measured blood pressure monitoring 
for pregnant and postpartum individuals 
7as defined in subsection 7ll77#a772 and
  2 and  7,b7 by adding at the end the  
following new subsection3  7ll7         
,self-,measured blood pressure          
monitoring for pregnant and postpartum  
individuals  7#a7  ,in general  ,for    
purposes of subsection 7a77#cb71 the    

term self-measured blood pressure       
monitoring for pregnant and postpartum  
individuals--  7,a7 means a specified   
blood pressure measurement device       
furnished to an individual during       
pregnancy 7and during the #ab-month     
period beginning on the last day of the 
pregnancy1 or1 in the case of an        
individual who is eligible for medical  
assistance under the ,state plan under  
paragraph 7#e7 or 7#af7 of section      
#aijb7;e71 during the period for which  
such individual remains so eligible71   
without regard to whether such          
individual is diagnosed with a          
hypertensive disorder2 and  7,b7 does   
not include more than #a such device    
furnished to an individual during a     
#b-year period4  7#b7  ,specified blood 
pressure management device defined  ,in 
this subsection1 the term specified     
blood pressure management device means a
 device that--  7,a7 can be used by an  
individual to measure their own blood   
pressure without the assistance of a    

health care provider2  7,b7 has been    
cleared for market under section #eaj7k7
 of the ,federal ,food1 ,drug1 and      
,cosmetic ,act2 and  7,c7 is listed as a
 validated device on the ,validated     
,device ,listing website maintained by  
the ,american ,medical ,association4  4 
7#b7 ,mandatory coverage  7,a7 ,in      
general ,section #aijb7;a77#aj77;,a7 of 
the ,social ,security ,act 7#db         
,u4,s4,c4 #acif;a7a77#aj77;,a77 is      
amended by striking and 7#cj7 and       
inserting 7#cj71 and 7#cb74  7,b7       
,alternative benefit plans ,section     
#aicg7;b7 of the ,social ,security ,act 
7#db ,u4,s4,c4 #acifu-#g7;b77 is amended
 by adding at the end the following new 
paragraph3  7#i7 ,self-measured blood   
pressure monitoring for pregnant and    
postpartum individuals ,notwithstanding 
the previous provisions of this section1
 a ,state may not provide for medical   
assistance through enrollment of an     
individual with benchmark coverage or   
benchmark-equivalent coverage under this

 section unless1 beginning on the date  
that is #abj days after the date of     
enactment of this paragraph1 such       
coverage includes1 for any pregnant or  
postpartum individual1 medical          
assistance for self-measured blood      
pressure monitoring in accordance with  
section #aije7ll74  4  7#c7 ,prohibition
 of cost sharing  7,a7 ,in general      
,subsections 7a77#b7 and 7b77#b7 of     
section #aiaf of the ,social ,security  
,act 7#db ,u4,s4,c4 #acifo7 are each    
amended--  7i7 in subparagraph 7,i71 by 
striking or at the end2  7ii7 in        
subparagraph 7,j71 by striking 2 and and
 inserting 1 or2 and  7iii7 by adding at
 the end the following subparagraph3    
7,k7 self-measured blood pressure       
monitoring for pregnant and postpartum  
individuals 7as defined in section      
#aije7ll77#a772 and  4  7,b7            
,application to alternative cost sharing
 ,section #aiaf;,a7b77#c77;,b7 of the   
,social ,security ,act 7#db ,u4,s4,c4   
#acifo-#a7;b77#c77;,b77 is amended by   

adding at the end the following new     
clause3  7xv7 ,self-measured blood      
pressure monitoring for pregnant and    
postpartum individuals 7as defined in   
section #aije7ll77#a774  4  7#d7        
,effective date  7,a7 ,in general       
,subject to subparagraph 7,b71 the      
amendments made by this subsection shall
 apply with respect to items and        
services furnished on or after the date 
that is #abj days after the date of     
enactment of this section4  7,b7        
,exception if ,state legislation        
required ,in the case of a ,state plan  
for medical assistance under title ,,xix
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #acif et seq47 which the      
,secretary of ,health and ,human        
,services determines requires ,state    
legislation 7other than legislation     
appropriating funds7 in order for the   
plan to meet the additional requirement 
imposed by the amendments made by this  
subsection1 the ,state plan shall not be
 regarded as failing to comply with the 

requirements of such title solely on the
 basis of its failure to meet this      
additional requirement before the first 
day of the first calendar quarter       
beginning after the close of the first  
regular session of the ,state           
legislature that begins after the date  
of the enactment of this subsection4    
,for purposes of the previous sentence1 
in the case of a ,state that has a      
#b-year legislative session1 each year  
of such session shall be deemed to be a 
separate regular session of the ,state  
legislature4  7b7 ,coverage under ,,chip
  7#a7 ,in general ,section #bajc7;c7 of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #acig;cc7c77 is amended by    
adding at the end the following new     
paragraph3  7#ac7 ,required coverage of 
self-measured blood pressure monitoring 
for pregnant and postpartum individuals 
,regardless of the type of coverage     
elected by a ,state under subsection    
7a71 in the case of a ,state that elects
 to provide pregnancy-related assistance

 pursuant to section #baab1 the         
pregnancy-related assistance provided   
for a targeted low-income pregnant woman
 7as such terms are defined for purposes
 of such section71 shall include        
coverage of self-measured blood pressure
 monitoring in accordance with section  
#aije7ll74  4  7#b7 ,effective date     
7,a7 ,in general ,subject to            
subparagraph 7,b71 the amendments made  
by this subsection shall apply with     
respect to items and services furnished 
on or after the date that is #abj days  
after the date of enactment of this     
section4  7,b7 ,exception if ,state     
legislation required ,in the case of a  
,state child health plan for child      
health assistance under title ,,xxi of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #acig;aa et seq47 which the   
,secretary of ,health and ,human        
,services determines requires ,state    
legislation 7other than legislation     
appropriating funds7 in order for the   
plan to meet the additional requirement 

imposed by the amendments made by this  
subsection1 the ,state plan shall not be
 regarded as failing to comply with the 
requirements of such title solely on the
 basis of its failure to meet this      
additional requirement before the first 
day of the first calendar quarter       
beginning after the close of the first  
regular session of the ,state           
legislature that begins after the date  
of the enactment of this subsection4    
,for purposes of the previous sentence1 
in the case of a ,state that has a      
#b-year legislative session1 each year  
of such session shall be deemed to be a 
separate regular session of the ,state  
legislature4  7c7 ,coverage under       
private health insurance  7#a7          
,amendments to the ,public ,health      
,service ,act ,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-#ab4   
,coverage of self-measured blood        

pressure monitoring for pregnant and    
postpartum individuals  7a7 ,in general 
,subject to the limitation under        
subsection 7b71 a group health plan1 and
 a health insurance issuer offering     
group or individual health insurance    
coverage--  7#a7 shall provide coverage 
of1 and may not impose any cost sharing 
requirements for1 specified blood       
pressure management devices furnished to
 an individual during pregnancy 7and    
during the #ab-month period beginning on
 the last day of the pregnancy72 and    
7#b7 may not require that such          
individual be diagnosed with a          
hypertensive disorder as a condition of 
such coverage4  7b7 ,limitation ,a group
 health plan or health insurance issuer 
offering group or individual health     
insurance coverage is not required under
 this section to provide coverage of    
more than #a specified blood pressure   
management device furnished to an       
individual during a #b-year period4  7c7
 ,specified blood pressure management   

device defined ,in this section1 the    
term specified blood pressure management
 device has the meaning given such term 
in section #aije7ll77#b7 of the ,social 
,security ,act4  4  7#b7 ,amendments to 
the ,employee ,retirement ,income       
,security ,act of #aigd  7,a7 ,in       
general ,subpart ,b of part #g of       
subtitle ,b of title ,i of the ,employee
 ,retirement ,income ,security ,act of  
#aigd 7#bi ,u4,s4,c4 #aahe et seq47 is  
amended by adding at the end the        
following new section3  #gbg4 ,coverage 
of self-measured blood pressure         
monitoring for pregnant and postpartum  
individuals  7a7 ,in general ,subject to
 the limitation under subsection 7b71 a 
group health plan1 and a health         
insurance issuer offering group health  
insurance coverage--  7#a7 shall provide
 coverage of1 and may not impose any    
cost sharing requirements for1 specified
 blood pressure management devices      
furnished to an individual during       
pregnancy 7and during the #ab-month     

period beginning on the last day of the 
pregnancy72 and  7#b7 may not require   
that such individual be diagnosed with a
 hypertensive disorder as a condition of
 such coverage4  7b7 ,limitation ,a     
group health plan or health insurance   
issuer offering group health insurance  
coverage is not required under this     
section to provide coverage of more than
 #a specified blood pressure management 
device furnished to an individual during
 a #b-year period4  7c7 ,specified blood
 pressure management device defined ,in 
this section1 the term specified blood  
pressure management device has the      
meaning given such term in section      
#aije7ll77#b7 of the ,social ,security  
,act4  4  7,b7 ,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 #gbf the       
following3  ,sec4 #gbg4 ,coverage of    
self-measured blood pressure monitoring 

for pregnant and postpartum individuals4
  4  7#c7 ,amendments to the ,internal  
,revenue ,code of #aihf  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  #ihbg4 ,coverage
 of self-measured blood pressure        
monitoring for pregnant and postpartum  
individuals  7a7 ,in general ,subject to
 the limitation under subsection 7b71 a 
group health plan-- 7#a7 shall provide  
coverage of1 and may not impose any cost
 sharing requirements for1 specified    
blood pressure management devices       
furnished to an individual during       
pregnancy 7and during the #ab-month     
period beginning on the last day of the 
pregnancy72 and  7#b7 may not require   
that such individual be diagnosed with a
 hypertensive disorder as a condition of
 such coverage4  7b7 ,limitation ,a     
group health plan is not required under 
this section to provide coverage of more
 than #a specified blood pressure       

management device furnished to an       
individual during a #b-year period4  7c7
 ,specified blood pressure management   
device defined ,in this section1 the    
term specified blood pressure management
 device has the meaning given such term 
in section #aije7ll77#b7 of the ,social 
,security ,act4  4  7,b7 ,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 #ihbg4       
,coverage of self-measured blood        
pressure monitoring for pregnant and    
postpartum individuals4  4  7#d7        
,effective date ,the amendments made by 
this subsection shall apply with respect
 to plan years beginning on or after the
 date that is #abj days after the date  
of enactment of this section4