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US SB3560
Bill
AI Summary
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Adds contraceptive items and services as a covered Medicare Part B benefit starting January 1, 2027, with Medicare paying 100% of costs and no deductible applied
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Covers FDA-approved contraceptive methods aligned with Public Health Service Act guidance, including patient-centered counseling, device insertion/removal, ultrasounds, pain management, and follow-up care for side effects
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Requires Medicare Part C (Medicare Advantage) plans to cover contraceptive items and services with no cost-sharing for plan years beginning January 1, 2027
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Eliminates deductibles and cost-sharing for contraceptive drugs under Medicare Part D prescription drug plans, including for low-income beneficiaries, effective January 1, 2027
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Mandates three federal studies: HHS to examine prescription drug access for disabled Medicare beneficiaries; GAO to review contraceptive coverage gaps across commercial and public health plans; GAO to assess coverage differences for dual Medicare-Medicaid eligible individuals
Legislative Description
Closing the Contraception Coverage Gap Act
Health
Last Action
Read twice and referred to the Committee on Finance.
12/18/2025