Medicare to Cover Contraception Services and Drugs with Zero Cost-Sharing by 2026.
This bill ensures that all Medicare beneficiaries receive full coverage for contraceptive items and services, eliminating all out-of-pocket costs, including deductibles and co-payments for drugs and clinical services. Effective January 1, 2026, this means seniors and disabled individuals on Medicare will access a full range of birth control methods, ancillary clinical services, and counseling at no personal expense. The legislation also mandates studies to assess coverage gaps, particularly for disabled beneficiaries and dual eligibles.
Key points
Zero Cost: Starting January 1, 2026, Medicare (Parts B, C, and D) will cover 100% of the cost for contraceptive items, services, and drugs.
Comprehensive Coverage: Coverage includes medications, devices, consultations, exams, procedures (like device insertion/removal), and patient-centered counseling.
Studies Mandated: Requires federal studies on the adequacy of contraceptive access for disabled beneficiaries and gaps in coverage across various health plans.
Expired
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