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No Cost-Sharing for Mental Health and Addiction Care During Pregnancy and Postpartum

This bill aims to eliminate cost-sharing requirements for mental health and substance use disorder services under group and individual health plans. This change applies to services furnished by in-network providers from the diagnosis of pregnancy through the one-year period following the end of the pregnancy. Additionally, the bill ensures that continuing care patients can maintain access to care in specific situations related to pregnancy and the postpartum period.
Key points
No Cost-Sharing: Health plans cannot impose cost-sharing requirements for mental health and substance use disorder services furnished by in-network providers from pregnancy diagnosis through one year postpartum.
Scope of Services: The provisions cover mental health and substance use disorder services, including telehealth services.
Continuity of Care: The bill updates definitions for continuing care patients to include individuals who are pregnant or require mental health services following a pregnancy.
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Additional Information
Mental Health and MAMA Act of 2024
Print number: HR 8390
Sponsor: Rep. Moore, Gwen [D-WI-4]
Process start date: 2024-05-14