I 
118TH CONGRESS 
1ST SESSION H. R. 4816 
To amend title XXVII of the Public Health Service Act to require group 
health plans and health insurance issuers offering group or individual 
health insurance coverage to permit enrollees to obtain a 365-day supply 
of contraceptives. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 20, 2023 
Ms. UNDERWOOD (for herself, Ms. SHERRILL, Mrs. CHERFILUS-MCCORMICK, 
and Ms. TITUS) introduced the following bill; which was referred to the 
Committee on Energy and Commerce, and in addition to the Committees 
on Ways and Means, and Education and the Workforce, for a period to 
be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To amend title XXVII of the Public Health Service Act 
to require group health plans and health insurance 
issuers offering group or individual health insurance cov-
erage to permit enrollees to obtain a 365-day supply 
of contraceptives. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. REQUIRING GROUP HEALTH PLANS AND 
GROUP AND INDIVIDUAL HEALTH INSUR-
ANCE COVERAGE TO PERMIT AN INDIVIDUAL 
TO OBTAIN A 365-DAY SUPPLY OF CONTRA-
CEPTIVES. 
(a) REQUIREMENT.— 
(1) IN GENERAL.—Section 2713(a) of the Pub-
lic Health Service Act (42 U.S.C. 300gg–13(a)) is 
amended by adding at the end of the matter fol-
lowing paragraph (5), the following: ‘‘To be in com-
pliance with the requirement under paragraph (4), 
regardless of the guidelines described in such para-
graph, the Secretary shall require a group health 
plan or health insurance issuer offering group or in-
dividual health insurance coverage to permit an en-
rollee under such plan or coverage to obtain (includ-
ing in a single fill or refill), at the option of such 
individual, the total days of supply (not to exceed a 
365-day supply) for a contraceptive for which cov-
erage is otherwise required without the imposition of 
any cost-sharing requirements pursuant to such 
paragraph.’’. 
(2) EFFECTIVE DATE.—The amendment made 
by this section shall apply with respect to plan years 
beginning on or after January 1, 2024. 
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(b) OUTREACH.—Beginning not later than 90 days 
after the date of the enactment of this Act, the Secretary 
of Health and Human Services, the Secretary of Labor, 
and the Secretary of the Treasury shall jointly conduct 
such outreach activities as are necessary to inform health 
care providers and individuals who are enrolled (and who 
are eligible to enroll) in group health plans and group and 
individual health insurance coverage (as such terms are 
defined in section 2791 of the Public Health Service Act 
(42 U.S.C. 300gg–91)) of the benefit requirements applied 
pursuant to the amendment made by subsection (a)(1). 
Æ 
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