‘‘(B) The Secretary shall promulgate regu-
lations with respect to the special enrollment 
period under subparagraph (A), including es-
tablishing a time period for pregnant individ-
uals to enroll in coverage and effective date of 
such coverage.’’. 
(2) ERISA.—Section 701(f) of the Employee 
Retirement Income Security Act of 1974 (29 U.S.C. 
1181(f)) is amended by adding at the end the fol-
lowing: 
‘‘(4) FOR PREGNANT INDIVIDUALS.— 
‘‘(A) A group health plan or health insur-
ance issuer in connection with a group health 
plan shall permit an employee who is eligible, 
but not enrolled, for coverage under the terms 
of the plan (or a dependent of such an employee 
if the dependent is eligible, but not enrolled, for 
coverage under such terms) to enroll for cov-
erage under the terms of the plan upon preg-
nancy, with the special enrollment period begin-
ning on the date on which the pregnancy is re-
ported to the group health plan or health insur-
ance issuer or the pregnancy is confirmed by a 
health care provider. 
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‘‘(B) The Secretary shall promulgate regu-
lations with respect to the special enrollment 
period under subparagraph (A), including es-
tablishing a time period for pregnant individ-
uals to enroll in coverage and effective date of 
such coverage.’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to plan years begin-
ning after the 2021 plan year. 
SEC. 4. COVERAGE OF MATERNITY CARE FOR DEPENDENT 
CHILDREN. 
Section 2719A of the Public Health Service Act (42 
U.S.C. 300gg–19a) is amended— 
(1) in subsection (e), by inserting ‘‘(other than 
subsection (f))’’ after ‘‘this section’’; and 
(2) by adding at the end the following: 
‘‘(f) COVERAGE
OF MATERNITY CARE.—A group 
health plan, or health insurance issuer offering group or 
individual health insurance coverage, that provides cov-
erage for dependants shall ensure that such plan or cov-
erage includes coverage for maternity care associated with 
pregnancy, childbirth, and postpartum care for all partici-
pants, beneficiaries, or enrollees, including dependants, in-
cluding coverage of labor and delivery. Such coverage shall 
be provided to all pregnant dependents regardless of age.’’. 
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SEC. 5. FEDERAL EMPLOYEE HEALTH BENEFIT PLANS. 
(a) COVERAGE OF PREGNANCY.— 
(1) IN GENERAL.—The Director of the Office of 
Personnel Management shall issue such regulations 
as are necessary to ensure that pregnancy is consid-
ered a change in family status and a qualifying life 
event for an individual who is eligible to enroll, but 
is not enrolled, in a health benefit plan under chap-
ter 89 title 5, United States Code. 
(2) EFFECTIVE
DATE.—The requirement in 
paragraph (1) shall apply with respect to any con-
tract entered into under section 8902 of such title 
beginning 12 months after the date of enactment of 
this Act. 
(b) 
DESIGNATING
CERTAIN
FEHBP–RELATED 
SERVICES AS EXCEPTED SERVICES UNDER THE ANTI- 
DEFICIENCY ACT.— 
(1) IN
GENERAL.—Section 8905 of title 5, 
United States Code, is amended by adding at the 
end the following: 
‘‘(i) Any services by an officer or employee under this 
chapter relating to enrolling individuals in a health bene-
fits plan under this chapter, or changing the enrollment 
of an individual already so enrolled due to an event de-
scribed in section 5(a)(1) of the Healthy MOM Act, shall 
be deemed, for purposes of section 1342 of title 31, serv-
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ices for emergencies involving the safety of human life or 
the protection of property.’’. 
(2) APPLICATION.—The amendment made by 
paragraph (1) shall apply to any lapse in appropria-
tions beginning on or after the date of enactment of 
this Act. 
SEC. 6. CONTINUATION OF MEDICAID INCOME ELIGIBILITY 
STANDARD 
FOR 
PREGNANT 
INDIVIDUALS 
AND INFANTS. 
Section 1902(l)(2)(A) of the Social Security Act (42 
U.S.C. 1396a(l)(2)(A)) is amended— 
(1) in clause (i), by striking ‘‘and not more 
than 185 percent’’; 
(2) in clause (ii)— 
(A) in subclause (I), by striking ‘‘and’’ 
after the comma; 
(B) in subclause (II), by striking the pe-
riod at the end and inserting ‘‘, and’’; and 
(C) by adding at the end the following: 
‘‘(III) January 1, 2022, is the percentage pro-
vided under clause (v).’’; and 
(3) by adding at the end the following new 
clause: 
‘‘(v) The percentage provided under clause (ii) for 
medical assistance provided on or after January 1, 2022, 
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with respect to individuals described in subparagraph (A) 
or (B) of paragraph (1) shall not be less than— 
‘‘(I) the percentage specified for such individ-
uals by the State in an amendment to its State plan 
(whether approved or not) as of January 1, 2014; or 
‘‘(II) if no such percentage is specified as of 
January 1, 2014, the percentage established for 
such individuals under the State’s authorizing legis-
lation or provided for under the State’s appropria-
tions as of that date.’’. 
SEC. 7. REQUIRING AND MAKING PERMANENT 12-MONTH 
CONTINUOUS 
COVERAGE 
FOR 
PREGNANT 
AND 
POSTPARTUM 
INDIVIDUALS 
UNDER 
MEDICAID AND CHIP. 
(a) MEDICAID.—Section 1902 of the Social Security 
Act (42 U.S.C. 1396a) is amended— 
(1) in subsection (a)— 
(A) in paragraph (86), by striking ‘‘and’’ 
at the end; 
(B) in paragraph (87), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(C) by inserting after paragraph (87) the 
following new paragraph: 
‘‘(88) provide that the State plan is in compli-
ance with subsection (e)(16).’’; and 
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