II 

118TH CONGRESS 

2D SESSION S. 5330 

To direct the Secretary of Defense to establish a pilot program regarding 

treating pregnancy as a qualifying event for enrollment in TRICARE Select. 

IN THE SENATE OF THE UNITED STATES 

NOVEMBER 14, 2024 

Ms. DUCKWORTH (for herself, Ms. WARREN, Mr. KING, Mrs. MURRAY, and 

Ms. HIRONO) introduced the following bill; which was read twice and referred to the Committee on Armed Services 

A BILL 

To direct the Secretary of Defense to establish a pilot program regarding treating pregnancy as a qualifying event 

for enrollment in TRICARE Select. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Improving Access to 

5 Prenatal Care for Military Families Act’’. 


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1 SEC. 2. PILOT PROGRAM TO TREAT PREGNANCY AS A 

2 QUALIFYING EVENT FOR ENROLLMENT IN 

3 TRICARE SELECT. 

4 (a) ESTABLISHMENT.—Not later than 180 days after 

5 the date of the enactment of this Act, the Secretary of 

6 Defense shall commence a five-year pilot program under 

7 which the Secretary shall treat pregnancy as a qualifying 

8 event under section 1099(b)(1)(B) of title 10, United 

9 States Code, for enrollment in TRICARE Select by an eli10 gible beneficiary. 

11 (b) INITIAL BRIEFING.—Not later than one year 

12 after the date of the enactment of this Act, the Secretary 

13 shall provide to the appropriate congressional committees 

14 a briefing on the status of the pilot program under sub15 section (a). 

16 (c) ANNUAL REPORT.— 

17 (1) IN GENERAL.—Not later than one year 

18 after the Secretary commences the pilot program 

19 under subsection (a), and annually thereafter for the 

20 next four years, the Secretary shall submit to the 

21 appropriate congressional committees a report on 

22 the pilot program. 

23 (2) ELEMENTS.—Each report under paragraph 

24 (1) shall include the number of covered enrollment 

25 changes during the period covered by the report, 

26 disaggregated by— 


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1 (A) month, beginning with January 2026; 

2 and 

3 (B) whether the eligible beneficiary made 

4 such covered enrollment change— 

5 (i) because the eligible beneficiary is a 

6 member of the uniformed services who sep7 arated from active duty; 

8 (ii) because the eligible beneficiary is 

9 a member of the uniformed services who 

10 returned to active duty; 

11 (iii) because the eligible beneficiary is 

12 a dependent of a member of the uniformed 

13 services who separated from active duty; 

14 (iv) because the eligible beneficiary is 

15 a dependent of a member of the uniformed 

16 services who returned to active duty; or 

17 (v) based on the treatment, under the 

18 pilot program under subsection (a), of 

19 pregnancy as a qualifying event for enroll20 ment in TRICARE Select. 

21 (d) DEFINITIONS.—In this section: 

22 (1) ACTIVE DUTY.—The term ‘‘active duty’’ has 

23 the meaning given that term in section 101(d) of 

24 title 10, United States Code. 


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1 (2) APPROPRIATE CONGRESSIONAL COMMIT2 TEES.—The term ‘‘appropriate congressional com3 mittees’’ means— 

4 (A) the Committee on Armed Services of 

5 the Senate; and 

6 (B) the Committee on Armed Services, the 

7 Committee on Transportation and Infrastruc8 ture, and the Committee on Energy and Com9 merce of the House of Representatives. 

10 (3) COVERED ENROLLMENT CHANGE.—The 

11 term ‘‘covered enrollment change’’ means a change 

12 to a previous election by an eligible beneficiary 

13 under subsection (b)(1) of section 1099 of title 10, 

14 United States Code, to enroll in a health care plan 

15 designated under subsection (c) of such section. 

16 (4) DEPENDENT; TRICARE PROGRAM; TRICARE

17 SELECT.—The terms ‘‘dependent’’, ‘‘TRICARE pro18 gram’’, and ‘‘TRICARE Select’’ have the meanings 

19 given those terms in section 1072 of title 10, United 

20 States Code. 

21 (5) ELIGIBLE BENEFICIARY.—The term ‘‘eligi22 ble beneficiary’’ means an individual who is eligible 

23 to enroll in TRICARE Select under section 1075(b) 

24 of title 10, United States Code. 


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1 (6) UNIFORMED SERVICES.—The term ‘‘uni2 formed services’’ has the meaning given that term in 

3 section 101(a) of title 10, United States Code. 

Æ 


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