HR 4381 Introduced Re-checks Congress.gov for new actions and updates the bill's status, and fills in any sponsors, committees, or related bills that are missing. It does not re-pull sponsors/cosponsors/committees/related — those rarely change — and it skips all work if nothing has changed upstream, so it's cheap to click.
To direct the Secretary of Defense to establish a pilot program regarding treating pregnancy as a qualifying event for enrollment in TRICARE Select.
To direct the Secretary of Defense to establish a pilot program regarding treating pregnancy as a qualifying event for enrollment in TRICARE Select.
Summary
This bill directs the Secretary of Defense to establish a five-year pilot program treating pregnancy as a qualifying event for enrollment in TRICARE Select, the Department of Defense health insurance plan for military families. Under the pilot, eligible beneficiaries who become pregnant may enroll in or change their TRICARE Select coverage based on pregnancy status, which is not currently a recognized qualifying event for enrollment changes. The Secretary must provide an initial briefing to Congress within one year and annual reports thereafter for four years, detailing the number and types of enrollment changes made under the pilot, including how many resulted from pregnancy as a qualifying event. The pilot will run for five years following the program's establishment, which must occur within 180 days of the bill's enactment.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
1 cosponsor
Money behind the sponsor
Top reported contributors to Terri A. Sewell’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- NULL $16,100
- GRAIL $15,700
- CHARTER BROKERAGE LLC $10,850
- ROCKY RESEARCH $9,900
- CHARTER BROKERAGE $8,800
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Terri A. Sewell → · Outside spending →
Actions (2)
- Jul 14, 2025 Referred to the House Committee on Armed Services. · house
- Jul 14, 2025 Introduced in House
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Text versions (1)
Bills are re-published as they move (Introduced → Reported → Engrossed → Enrolled …). Each stage below is a separate text; pick two to see what changed. Data from Congress.gov.
Full text
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. <all>
Comments