Closing the Contraception Coverage Gap Act
Sponsored By: Senator Hassan, Margaret Wood [D-NH]
Introduced
Summary
This bill would require Medicare to cover contraceive items and services with no cost-sharing across Parts B, C, and D for plan years beginning January 1, 2027. It defines contraceptive items and services broadly to include patient-centered counseling, device insertion and removal, related clinical visits, and follow-up care.
Show full summary
- Medicare beneficiaries: Original Medicare Part B would add contraceptive items and services as a new eligible service and payment would equal 100 percent of the lesser of the actual charge or an amount set by the Secretary of Health and Human Services. This coverage would apply to items and services furnished on or after January 1, 2027.
- Medicare Advantage and Part D enrollees: The bill would designate contraceptive items and services as a covered category for Part C and strengthen cost-sharing limits. For Part D, contraceptive drugs meeting new guidance would face no deductible and no coinsurance or other cost-sharing for plan years beginning January 1, 2027.
- Access and oversight for vulnerable groups: The Secretary must ensure coverage for people dually eligible for Medicare and Medicaid is at least as comprehensive as state plans based on an annual review. HHS must study prescription drug access for beneficiaries with disabilities and report to Congress within 1 year. The Government Accountability Office must produce studies on non-mandated coverage gaps and on dual-eligible contraception differences with reports due within 1 and 2 years respectively.
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 3 benefits, 0 costs, 1 mixed.
Medicare–Medicaid parity for contraceptives
If enacted, the Secretary of HHS would have to ensure that Medicare coverage of contraceptive items and services and covered Part D contraceptive drugs for people enrolled in both Medicare and Medicaid is at least as comprehensive as their State Medicaid coverage or waivers. The Secretary would do an annual review of State plans and waivers and take steps to make Medicare match or exceed Medicaid coverage.
No Part D cost-sharing for contraceptives
If enacted, Medicare Part D would treat drugs identified as contraceptive under new guidance as covered without any deductible, coinsurance, or other cost-sharing for plan years beginning on or after Jan. 1, 2027. The bill would also change the low-income subsidy rules so qualifying low-income beneficiaries would not face any deductible or cost-sharing for these contraception-related Part D drugs.
Changes to Medicare Part B coverage
If enacted, Medicare Part B would cover a defined set of contraceptive items and services ordered or furnished by a physician or similar practitioner. For those services furnished on or after Jan. 1, 2027, Part B payment would equal 100% of the lesser of the provider's charge or the amount set by the Secretary, and the Part B deductible would not apply. Medicare Advantage plans would treat these items as a covered category for plan years beginning on or after Jan. 1, 2027. However, contraceptive items and services not ordered or furnished by a physician or the named practitioner types would be excluded from Part B coverage, which could raise out-of-pocket costs for some patients.
HHS may track contraceptive care quality
If enacted, the Department of Health and Human Services would be authorized to develop measures of contraceptive counseling, care, and access. HHS could use validated surveys and other tools to monitor and improve service quality, but this would be discretionary and would not itself change benefit rules.
Sponsors & CoSponsors
Sponsor
Hassan, Margaret Wood [D-NH]
NH • D
Cosponsors
Sen. Murkowski, Lisa [R-AK]
AK • R
Sponsored 12/18/2025
Sen. Duckworth, Tammy [D-IL]
IL • D
Sponsored 12/18/2025
Sen. Collins, Susan M. [R-ME]
ME • R
Sponsored 12/18/2025
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov