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Bill

Bill

S 868

MEGOBARI Act

119th Congress Introduced by Chris Coons and 3 co-sponsors

Bill S 868 mandates health insurance coverage for medically necessary infant formulas, easing financial burdens on families with infants needing specialized nutrition.

Committee on Foreign Relations. Reported by Senator Risch without amendment. Without written report.
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WeVote Research Nonpartisan
Bill Summary · S 868

Summary of Bill S 868

Bill Overview

  • Bill Number: S 868
  • Title: Requires certain health insurance policies to include coverage for the cost of certain infant and baby formulas
  • Status: Committed to Rules
  • Introduced On: January 08, 2025
  • Classification: Bill

Purpose and Intent

The primary purpose of Bill S 868 is to mandate that specific health insurance policies provide coverage for the costs associated with certain infant and baby formulas. This legislation aims to alleviate the financial burden on families who require specialized formulas for their infants, particularly those with medical conditions that necessitate the use of these products.

Key Provisions

  • Coverage Requirement: The bill stipulates that health insurance policies must include coverage for certain types of infant and baby formulas. This includes formulas that are medically necessary for infants with specific health conditions.
  • Definition of Formulas: The bill will define which formulas are eligible for coverage, ensuring that families have access to the necessary products without incurring significant out-of-pocket expenses.
  • Insurance Policy Adjustments: Insurance providers will be required to adjust their policies to comply with this new coverage mandate, ensuring that families can receive reimbursement for the costs of these formulas.

Affected Parties

  • Families with Infants: The bill primarily impacts families with infants who require specialized formulas due to medical conditions such as allergies, metabolic disorders, or other health issues.
  • Health Insurance Providers: Insurance companies will need to revise their policies to include the mandated coverage, which may involve administrative changes and potential cost implications.
  • Healthcare Providers: Pediatricians and healthcare professionals may need to be aware of the coverage changes to better inform families about their options for infant nutrition.

Legislative Timeline

  • January 08, 2025: Bill introduced and referred to the Insurance Committee.
  • February 03, 2025: First report calendar.
  • February 04, 2025: Second report calendar.
  • February 05, 2025: Advanced to third reading.
  • June 13, 2025: Committed to Rules.

Related Legislation

Bill S 868 is part of a broader legislative effort, with several related bills from prior sessions, including:
- S 2043
- S 3321
- S 3270
- S 8326
- S 3345
- S 2305
- S 3386
- S 1234
- A 2449 (companion bill)

These related bills may provide additional context or support for the objectives outlined in S 868.

Conclusion

Bill S 868 represents a significant step towards ensuring that families have access to necessary infant nutrition without facing prohibitive costs. By mandating health insurance coverage for certain infant and baby formulas, the bill aims to improve health outcomes for vulnerable infants and provide financial relief to families in need.

Compiled from official sources — confirm details with the bill’s official record.

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