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HR 4816118th CongressFailed / ExpiredHouse

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.

Policy Area: Health
View on Congress.gov
Origin Chamber
House
Last Updated
Dec 5, 2025
Latest Action Date
Dec 17, 2024

Latest Action

Referred to the Subcommittee on Health.

Official Summary

Official summary has not been imported yet.

GovScope Watchdog™

AI Government Intelligence™
Executive Summary

This bill proposes an amendment to the Public Health Service Act requiring group health plans and health insurance issuers that offer group or individual health insurance coverage to allow enrollees to obtain a 365-day supply of contraceptives. The intent is to extend the duration for which contraceptives can be dispensed at one time, potentially improving access and continuity of contraceptive use.

Bottom Line

The bill mandates that health plans provide up to a year-long supply of contraceptives to enrollees, aiming to enhance contraceptive access through insurance coverage.

Policy Risk Level
🟡 Medium
Neutral Risk Assessment
Key Points
  • Amends title XXVII of the Public Health Service Act to include a new requirement for contraceptive supply duration.
  • Applies to group health plans and health insurance issuers offering group or individual coverage.
  • Requires coverage to permit enrollees to obtain up to a 365-day supply of contraceptives.
Who Benefits?

['Individuals enrolled in group or individual health insurance plans who use contraceptives.', 'Health insurance issuers and group health plans as entities required to comply with the new coverage mandate.', 'Healthcare providers prescribing contraceptives who may see changes in dispensing practices.']

Potential Concerns

['Implementation challenges related to adjusting pharmacy and insurance plan dispensing policies to accommodate a 365-day supply.', 'Potential cost implications for insurers and plan sponsors due to larger upfront dispensing quantities.', 'Oversight and enforcement mechanisms are not detailed in the available information.', 'No information on exceptions or limitations for specific contraceptive types or patient circumstances.']

Political Context

The bill was introduced in the House during the 118th Congress and referred to the Subcommittee on Health. It is currently classified as failed or expired, indicating it did not advance to enactment during the session. The policy area is health, specifically focusing on contraceptive coverage under health insurance.

Hidden Impact Review

Hidden impact flags detected: 2

GovScope reviewed 2 policy-risk categories. Hover for a quick definition. Click detected flags for bill-specific details.

2 Detected
Detected Flags
Indirect Effects

['Potential reduction in pharmacy visits for contraceptive refills, which may affect pharmacy revenue patterns.', 'Improved contraceptive adherence and continuity for enrollees due to longer supply availability.', 'Possible shifts in insurance premium calculations if cost structures change due to larger dispensing quantities.']

GovScope Watchdog Notes

The bill lacks detailed text and official summary, limiting full transparency on enforcement, exceptions, and cost management provisions. The latest action indicates referral to a subcommittee with no further progress, and the bill status is failed or expired. Oversight mechanisms and detailed implementation guidelines are not provided in the available data.

Passage Likelihood: LowConfidence: 85%Model: gpt-4.1-mini

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