SECTION 1. COVERAGE OF HAIR PROSTHESES FOR INDI-
VIDUALS WITH SCALP HAIR LOSS AS A RE-
SULT OF ALOPECIA AREATA.
(a) GROUP HEALTH PLANS.—
(1) PUBLIC
HEALTH
SERVICE
ACT
AMEND-
MENTS.—(A) Subpart 2 of part A of title XXVII of
the Public Health Service Act is amended by adding
at the end the following new section:
‘‘SEC. 2707. REQUIREMENT FOR COVERAGE OF HAIR PROS-
THESES FOR INDIVIDUALS WITH SCALP HAIR
LOSS AS A RESULT OF ALOPECIA AREATA.
‘‘(a) REQUIREMENT.—
‘‘(1) IN GENERAL.—A group health plan, and a
health insurance issuer offering health insurance
coverage in connection with a group health plan,
shall provide coverage for scalp hair prosthesis for a
participant or beneficiary who has scalp hair loss as
a result of alopecia areata if the attending physician
of the participant or beneficiary certifies in writing
the medical necessity of that proposed course of re-
habilitative treatment.
‘‘(2) COST-SHARING.—The coverage required
under this subsection is not subject to dollar limits,
deductibles, and coinsurance provisions that are less
favorable than those for other prosthesis coverage
under the plan or coverage, except that a group
health plan or health insurance issuer may provide
that the plan or issuer will only pay for 80 percent
of the customary and usual costs of the scalp hair
prosthesis exclusive of any deductible.
‘‘(3) DEFINITION.—As used in this subsection,
the term ‘scalp hair prosthesis’ includes any artifi-
cial substitutes for scalp hair.
‘‘(b) NOTICE.—A group health plan under this part
shall comply with the notice requirement under section
714(b) of the Employee Retirement Income Security Act
of 1974 with respect to the requirements of this section
as if such section applied to such plan.’’.
(B) Section 2723(c) of such Act (42 U.S.C.
300gg–23(c)) is amended by striking ‘‘section 2704’’
and inserting ‘‘sections 2704 and 2707’’.
(2) ERISA AMENDMENTS.—(A) Subpart B of
part 7 of subtitle B of title I of the Employee Re-
tirement Income Security Act of 1974 is amended by
adding at the end the following new section:
‘‘SEC. 714. REQUIREMENT FOR COVERAGE OF HAIR PROS-
THESES FOR INDIVIDUALS WITH SCALP HAIR
LOSS AS A RESULT OF ALOPECIA AREATA.
‘‘(a) REQUIREMENT.—
‘‘(1) IN GENERAL.—A group health plan, and a
health insurance issuer offering health insurance
coverage in connection with a group health plan,
shall provide coverage for scalp hair prosthesis for a
participant or beneficiary who has scalp hair loss as
a result of alopecia areata if the attending physician
of the participant or beneficiary certifies in writing
the medical necessity of that proposed course of re-
habilitative treatment.
‘‘(2) COST-SHARING.—The coverage required
under this subsection is not subject to dollar limits,
deductibles, and coinsurance provisions that are less
favorable than those for other prosthesis coverage
under the plan or coverage, except that a group
health plan or health insurance issuer may provide
that the plan or issuer will only pay for 80 percent
of the customary and usual costs of the scalp hair
prosthesis exclusive of any deductible.
‘‘(3) DEFINITION.—As used in this subsection,
the term ‘scalp hair prosthesis’ includes any artifi-
cial substitutes for scalp hair.
‘‘(b) NOTICE UNDER GROUP HEALTH PLAN.—The
imposition of the requirement of this section shall be treat-
ed as a material modification in the terms of the plan de-
scribed in section 102(a)(1), for purposes of assuring no-
tice of such requirements under the plan; except that the
summary description required to be provided under the
last sentence of section 104(b)(1) with respect to such
modification shall be provided by not later than 60 days
after the first day of the first plan year in which such
requirements apply.’’.
(B) Section 731(c) of such Act (29 U.S.C.
1191(c)) is amended by striking ‘‘section 711’’ and
inserting ‘‘sections 711 and 714’’.
(C) Section 732(a) of such Act (29 U.S.C.
1191a(a)) is amended by striking ‘‘section 711’’ and
inserting ‘‘sections 711 and 714’’.
(D) The table of contents in section 1 of such
Act is amended by inserting after the item relating
to section 713 the following new item:
‘‘Sec. 714. Requirement for coverage of hair prostheses for individuals with
scalp hair loss as a result of alopecia areata.’’.
(3) 
INTERNAL
REVENUE
CODE
AMEND-
MENTS.—
(A) IN GENERAL.—Subchapter B of chap-
ter 100 of the Internal Revenue Code of 1986
is amended—
(i) in the table of sections, by insert-
ing after the item relating to section 9812
the following new item:
‘‘Sec. 9813. Requirement for coverage of hair prostheses for indi-
viduals with scalp hair loss as a result of alopecia
areata.’’; and
(ii) by inserting after section 9812 the
following:
‘‘SEC. 9813. REQUIREMENT FOR COVERAGE OF HAIR PROS-
THESES FOR INDIVIDUALS WITH SCALP HAIR
LOSS AS A RESULT OF ALOPECIA AREATA.
‘‘(a) REQUIREMENT.—A group health plan shall pro-
vide coverage for scalp hair prosthesis for an participant
or beneficiary who has scalp hair loss as a result of alope-
cia areata if the attending physician of the participant or
beneficiary certifies in writing the medical necessity of
that proposed course of rehabilitative treatment.
‘‘(b) COST-SHARING.—The coverage required under
this section is not subject to dollar limits, deductibles, and
coinsurance provisions that are less favorable than those
for other prosthesis coverage under the plan or coverage,
except that a group health plan may provide that the plan
will only pay for 80 percent of the customary and usual
costs of the scalp hair prosthesis exclusive of any deduct-
ible.
‘‘(c) DEFINITION.—As used in this section, the term
‘scalp hair prosthesis’ includes any artificial substitutes
for scalp hair.’’.
(B) CONFORMING
AMENDMENT.—Section
4980D(d)(1) of such Code is amended by strik-
ing ‘‘section 9811’’ and inserting ‘‘sections
9811 and 9813’’.
(b) INDIVIDUAL HEALTH INSURANCE.—(1) Part B
of title XXVII of the Public Health Service Act is amend-
ed by inserting after section 2752 the following new sec-
tion:
‘‘SEC. 2753. REQUIREMENT FOR COVERAGE OF HAIR PROS-
THESES FOR INDIVIDUALS WITH SCALP HAIR
LOSS AS A RESULT OF ALOPECIA AREATA.
‘‘(a) IN
GENERAL.—The provisions of section
2707(a) shall apply to health insurance coverage offered
by a health insurance issuer in the individual market in
the same manner as they apply to health insurance cov-
erage offered by a health insurance issuer in connection
with a group health plan in the small or large group mar-
ket.
‘‘(b) NOTICE.—A health insurance issuer under this
part shall comply with the notice requirement under sec-
tion 714(b) of the Employee Retirement Income Security
Act of 1974 with respect to the requirements referred to
in subsection (a) as if such section applied to such issuer
and such issuer were a group health plan.’’.
(2) Section 2762(b)(2) of such Act (42 U.S.C.
300gg–62(b)(2)) is amended by striking ‘‘section 2751’’
and inserting ‘‘sections 2751 and 2753’’.