I 
119TH CONGRESS 
1ST SESSION H. R. 4381 
To direct the Secretary of Defense to establish a pilot program regarding 
treating pregnancy as a qualifying event for enrollment in TRICARE Select. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 14, 2025 
Ms. SEWELL introduced the following bill; which was referred to the 
Committee on Armed Services 
A BILL 
To direct the Secretary of Defense to establish a pilot pro-
gram regarding treating pregnancy as a qualifying event 
for enrollment in TRICARE Select. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. PILOT PROGRAM TO TREAT PREGNANCY AS A 
QUALIFYING EVENT FOR ENROLLMENT IN 
TRICARE SELECT. 
(a) ESTABLISHMENT.—Not later than 180 days after 
the date of the enactment of this Act, the Secretary of 
Defense shall commence a five-year pilot program under 
which the Secretary shall treat pregnancy as a qualifying 
event under section 1099(b)(1)(B) of title 10, United 
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States Code, for enrollment in TRICARE Select by an eli-
gible beneficiary. 
(b) INITIAL BRIEFING.—Not later than one year 
after the date of the enactment of this Act, the Secretary 
shall provide to the appropriate congressional committees 
a briefing on the status of the pilot program under sub-
section (a). 
(c) ANNUAL REPORT.—Not later than one year after 
the Secretary commences the pilot program under sub-
section (a), and annually thereafter for the next four 
years, the Secretary shall provide to the appropriate con-
gressional committees a report on the pilot program. Each 
such report shall include the number of covered enrollment 
changes, disaggregated by— 
(1) month, beginning with January 2027; and 
(2) whether the eligible beneficiary made such 
covered enrollment change— 
(A) because the eligible beneficiary is a 
member of the uniformed services who sepa-
rated from active duty; 
(B) because the eligible beneficiary is a 
member of the uniformed services who returned 
to active duty; 
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(C) because the eligible beneficiary is a de-
pendent of a member of the uniformed services 
who separated from active duty; 
(D) because the eligible beneficiary is a de-
pendent of a member of the uniformed services 
who returned to active duty; or 
(E) based on the treatment, under the 
pilot program, of pregnancy as a qualifying 
event for enrollment in TRICARE Select. 
(d) DEFINITIONS.—In this section: 
(1) The term ‘‘covered enrollment change’’ 
means a change to a previous election by an eligible 
beneficiary under subsection (b)(1) of section 1099 
of title 10, United States Code, to enroll in a health 
care plan designated under subsection (c) of such 
section. 
(2) The term ‘‘eligible beneficiary’’ means an 
individual who is eligible to enroll in TRICARE Se-
lect under section 1075(b) of title 10, United States 
Code. 
(3) The terms ‘‘TRICARE program’’ and 
‘‘TRICARE Select’’ have the meanings given such 
terms in section 1072 of title 10, United States 
Code. 
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(4) The term ‘‘appropriate congressional com-
mittees’’ means— 
(A) the Committee on Armed Services of 
the House of Representatives; 
(B) the Committee on Transportation and 
Infrastructure of the House of Representatives; 
(C) the Committee on Energy and Com-
merce of the House of Representatives; and 
(D) the Committee on Armed Services of 
the Senate. 
Æ 
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