H.R. 4381

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4381 Introduced in House (IH)]

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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 program 
regarding treating pregnancy as a qualifying event for enrollment in 
TRICARE Select.

Be it enacted by the Senate and House of Representatives 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 States 
Code, for enrollment in TRICARE Select by an eligible 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 subsection (a).
(c) Annual Report.--Not later than one year after the Secretary 
commences the pilot program under subsection (a), and annually 
thereafter for the next four years, the Secretary shall provide to the 
appropriate congressional 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 separated from active duty;
(B) because the eligible beneficiary is a member of 
the uniformed services who returned to active duty;
(C) because the eligible beneficiary is a dependent 
of a member of the uniformed services who separated 
from active duty;
(D) because the eligible beneficiary is a dependent 
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 Select 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.
(4) The term ``appropriate congressional committees'' 
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 Commerce of the 
House of Representatives; and
(D) the Committee on Armed Services of the Senate.
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