(a) In general

Subpart II of part A of title XXVII of the Public Health Service Act (42 U.S.C. 300gg–11 et seq.) is amended by adding at the end the following new section:

2730. Limitation on cost sharing for prenatal services in certain circumstances

In the case of a group health plan or group or individual health insurance coverage that pays for items and services furnished to an individual relating to the birth of a child as part of a bundled payment and that includes payment for prenatal services (such as imaging tests and office visits) as part of such bundled payment, if such individual experiences a miscarriage or stillbirth and such bundled payment is not made, such plan or coverage may not impose any cost sharing requirement (including deductibles, coinsurance, and copayments) on such prenatal services furnished prior to such miscarriage or stillbirth in an amount that exceeds the cost sharing requirement that would have been applicable to such bundled payment had such miscarriage or stillbirth not occurred.

(b) Effective date

The amendment made by this section shall apply with respect to plan years beginning on or after January 1, 2027.