Medicaid coverage of comprehensive sexual and reproductive health care services

(a) Inclusion of comprehensive sexual and reproductive health care services as medical assistance Section 1905(a) of the Social Security Act (42 U.S.C. 1396d(a)), as amended by section 2(h) and section 209(a) of title I of division G of the Consolidated Appropriations Act, 2024, is further amended— (1) in paragraph (31), by striking and at the end; (2) by redesignating paragraph (32) as paragraph (33); and (3) by inserting after paragraph (31) the following new paragraph: (32) comprehensive sexual and reproductive health care services, including abortion services and abortion-related services; and. (b) Requiring coverage of comprehensive sexual and reproductive health care services as condition of State plan approval Section 1902(a)(10)(A) of the Social Security Act (42 U.S.C. 1396a(a)(10)(A)), as amended by subsections (a) and (h) of section 2, is further amended, in the matter preceding clause (i), by striking and (30) and inserting (30), and (32). (c) Conforming amendments (1) Section 1932(e)(1)(B) of the Social Security Act (42 U.S.C. 1396u–2(e)(1)(B)) is amended by striking Clause (i) and inserting With respect to the period beginning before January 1, 2023, clause (i). (2) Section 1937(b) of the Social Security Act (42 U.S.C. 1396u–7(b)) is amended by adding at the end the following new paragraph: (9) Coverage of comprehensive sexual and reproductive health services Notwithstanding the previous provisions of this section, a State may not provide for medical assistance through enrollment of an individual with benchmark coverage or benchmark-equivalent coverage under this section unless such coverage includes medical assistance for comprehensive sexual and reproductive health care services, including abortion services and abortion-related services.. (d) Effective date The amendments made by this section shall apply with respect to medical assistance furnished on or after January 1, 2026.