Limiting Prenatal Care Costs After Miscarriage or Stillbirth.
This law protects families who experience a miscarriage or stillbirth from unexpected high medical bills for prenatal care. If a health plan uses a bundled payment for birth and prenatal services, and the birth does not occur, the patient's out-of-pocket costs for prenatal services (like visits and tests) cannot exceed the amount they would have paid if the birth had taken place under the bundled payment. These changes take effect starting January 1, 2027, reducing financial stress during a traumatic time.
Key points
Caps patient cost-sharing (deductibles, copayments) for prenatal services following a miscarriage or stillbirth.
Patients will not pay more for prenatal visits and tests than their share of the originally planned bundled payment for birth.
The rule applies to health plans that utilize bundled payments for maternity care.
Status:
Introduced
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