(B) APPLICATION TO ALTERNATIVE COST 
SHARING.—Section 1916A(b)(3)(B) of the So-
cial Security Act (42 U.S.C. 1396o–1(b)(3)(B)) 
is amended by adding at the end the following 
new clause: 
‘‘(xv) Beginning January 1, 2026, 
human milk fortifier (as described in sec-
tion 1905(a)(32)).’’. 
(b) COVERAGE UNDER THE CHILDREN’S HEALTH 
INSURANCE PLAN.— 
(1) IN GENERAL.—Section 2103 of the Social 
Security Act (42 U.S.C. 1397cc) is amended— 
(A) in subsection (a), by striking ‘‘and 
(8)’’ and inserting ‘‘, (8), and (13)’’; and 
(B) in subsection (c), by adding at the end 
the following new paragraph: 
‘‘(13) REQUIRED COVERAGE OF HUMAN MILK 
FORTIFIER.—The child health assistance provided to 
a targeted low-income child shall include coverage of 
human milk fortifier (as described in section 
1905(a)(32)).’’. 
(2) PROHIBITION OF COST SHARING.—Section 
2103(e)(2) of the Social Security Act (42 U.S.C. 
1397cc(e)(2)) is amended— 
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(A) in the paragraph heading, by inserting 
‘‘HUMAN MILK FORTIFIER,’’ before ‘‘OR PREG-
NANCY-RELATED ASSISTANCE’’; and 
(B) by inserting ‘‘human milk fortifier de-
scribed in section 1905(a)(32),’’ before ‘‘or for 
pregnancy-related assistance’’. 
(3) EFFECTIVE DATE.— 
(A) IN
GENERAL.—Subject to subpara-
graph (B), the amendments made by this sub-
section shall apply with respect to child health 
assistance furnished on or after January 1, 
2026. 
(B) EXCEPTION
IF
STATE
LEGISLATION 
REQUIRED.—In the case of a State child health 
plan for child health assistance under title XXI 
of the Social Security Act which the Secretary 
of Health and Human Services determines re-
quires State legislation (other than legislation 
appropriating funds) in order for the plan to 
meet the additional requirement imposed by the 
amendments made by this subsection, the State 
child health plan shall not be regarded as fail-
ing to comply with the requirements of such 
title solely on the basis of its failure to meet 
this additional requirement before the first day 
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of the first calendar quarter beginning after the 
close of the first regular session of the State 
legislature that begins after the date of the en-
actment of this Act. For purposes of the pre-
vious sentence, in the case of a State that has 
a 2-year legislative session, each year of such 
session shall be deemed to be a separate regular 
session of the State legislature. 
(c) COVERAGE UNDER GROUP HEALTH PLANS AND 
GROUP AND INDIVIDUAL HEALTH INSURANCE.— 
(1) IN GENERAL.—Subpart II of part A of title 
XXVII of the Public Health Service Act (42 U.S.C. 
300gg–11 et seq.) is amended by adding at the end 
the following new section: 
‘‘SEC. 2730. NO-COST COVERAGE OF HUMAN MILK FOR-
TIFIER. 
‘‘A group health plan, and a health insurance issuer 
offering group or individual health insurance coverage, 
shall provide coverage for, and shall not impose any cost 
sharing requirements for, human milk fortifier (as de-
scribed in section 1905(a)(kk) of the Social Security 
Act).’’. 
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(2) EFFECTIVE DATE.—The amendments made 
by this subsection shall apply to plan years begin-
ning on or after January 1, 2026. 
Æ 
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