No Surprise Bills for New Moms Act

To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to provide for certain health coverage of newborns. 1. Short title This Act may be cited as the No Surprise Bills for New Moms Act 2. Providing for certain health coverage of newborns (a) PHSA amendments Section 2725 of the Public Health Service Act ( 42 U.S.C. 300gg–25 (1) by redesignating subsections (d) through (f) as subsections (e) through (g), respectively; (2) in subsection (b)— (A) in paragraph (1), by inserting (or, in the case of subsection (d), the parent or newborn child of such parent) mother or her newborn child (B) in paragraph (2), by inserting (or, in the case of subsection (d), parents) mothers (3) by inserting after subsection (c) the following: (d) Newborn coverage A group health plan, and a health insurance issuer offering group or individual health insurance coverage, shall, in the case of a parent who is a participant or beneficiary in the plan or coverage— (1) provide coverage to a newborn of such parent for a 30-day period after the date of the birth of such newborn for any service for which coverage is otherwise provided under such plan or coverage; (2) provide for a special enrollment period to enroll such newborn in the plan or coverage during at least the 60-day period following the period specified in paragraph (1); and (3) in the case that such plan or coverage receives a claim for items and services furnished to such newborn of such participant or beneficiary and such newborn is not enrolled under such plan or coverage, provide immediate notification to the participant or beneficiary that such newborn is not so enrolled. ; and (4) in subsection (g)(1), as redesignated by paragraph (1), by inserting (other than subsection (d)) this section (b) ERISA amendments Section 711 of the Employee Retirement Income Security Act of 1974 ( 29 U.S.C. 1185 (1) by redesignating subsections (d) through (f) as subsections (e) through (g), respectively; and (2) in subsection (b)— (A) in paragraph (1), by inserting (or, in the case of subsection (d), the parent or newborn child of such parent) mother or her newborn child (B) in paragraph (2), by inserting (or, in the case of subsection (d), parents) mothers (3) by inserting after subsection (c) the following: (d) Newborn coverage A group health plan, and a health insurance issuer offering group health insurance coverage, shall, in the case of a parent who is a participant or beneficiary in the plan or coverage— (1) provide coverage to a newborn of such parent for a 30-day period after the date of the birth of such newborn for any service for which coverage is otherwise provided under such plan or coverage; (2) provide for a special enrollment period to enroll such newborn in the plan or coverage during at least the 60-day period following the period specified in paragraph (1); and (3) in the case that such plan or coverage receives a claim for items and services furnished to such newborn of such participant or beneficiary and such newborn is not enrolled under such plan or coverage, provide immediate notification to the participant or beneficiary that such newborn is not so enrolled. ; and (4) in subsection (g)(1), as redesignated by paragraph (1), by inserting (other than subsection (d)) this section (c) IRC amendments Section 9811 (1) by redesignating subsections (d) and (e) as subsections (e) and (f), respectively; and (2) in subsection (b)— (A) in paragraph (1), by inserting (or, in the case of subsection (d), the parent or newborn child of such parent) mother or her newborn child (B) in paragraph (2), by inserting (or, in the case of subsection (d), parents) mothers (3) by inserting after subsection (c) the following: (d) Newborn coverage A group health plan shall, in the case of a parent who is a participant or beneficiary in the plan— (1) provide coverage to a newborn of such parent for a 30-day period after the date of the birth of such newborn for any service for which coverage is otherwise provided under such plan; (2) provide for a special enrollment period to enroll such newborn in the plan during at least the 60-day period following the period specified in paragraph (1); and (3) in the case that such plan receives a claim for items and services furnished to such newborn of such participant or beneficiary and such newborn is not enrolled under such plan, provide immediate notification to the participant or beneficiary that such newborn is not so enrolled. ; and (4) in subsection (f)(1), as redesignated by paragraph (1), by inserting (other than subsection (d)) this section (d) Effective date The amendments made by this section shall apply with respect to plan years beginning on or after the date of the enactment of this Act.

Summary: No Surprise Bills for New Moms Act This bill requires health insurers to provide coverage for newborns of enrollees for the first 30-day period after the newborn's date of birth and to provide a special enrollment period for the newborn that extends at least 60 days after the initial coverage period. It also requires insurers to notify an enrollee if they receive a claim for the enrollee's newborn who is not enrolled in a health insurance plan.