The bill would require Medicaid, the Children’s Health Insurance Program (CHIP), and group and individual health insurance plans to cover certain human milk fortifiers without cost sharing. The coverage would apply starting January 1, 2026, with a different timing rule for some CHIP plans that need state legislation. The product must be made from donor human milk and be medically necessary for an infant under age 1. Eligible infants must meet at least one of the bill’s listed health or birth-related criteria, as determined by an authorized professional.
If an infant meets the bill’s criteria and a specified professional finds the fortifier medically necessary, the listed health coverage would have to cover it without charges such as deductibles or copayments. The bill does not describe how to apply for coverage.
The bill would bar cost sharing for covered fortifier. No publicly available information on total program or insurer expenses.
No publicly available information.
No publicly available information.