Congress moves to slash contraceptive costs with 365-day supply rule
H.R. 2529 — Convenient Contraception Act · Filed by Lauren Underwood (D-IL) · 3 cosponsors · Introduced Apr 1, 2025 · Referred to committee
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What it does
This bill amends federal health insurance law to require group and individual health plans to allow people to obtain up to a 365-day supply of contraceptives in a single fill or refill, with no cost-sharing (copays, coinsurance, or deductibles). The requirement takes effect for plan years beginning January 1, 2026, and federal agencies must conduct outreach to inform providers and enrollees of the new benefit.
Why we flagged it
The bill's sole operative mechanism is a mandate requiring health plans to permit longer-supply fills of contraceptives without cost-sharing. It is a straightforward consumer-benefit measure with no riders, carve-outs, or hidden provisions.
What the text implies
- May reduce pharmacy fill frequency and associated administrative costs for plans and pharmacies, though this is a secondary effect of the primary consumer benefit.
- Outreach requirement (subsection b) creates a federal coordination mandate across HHS, Labor, and Treasury, establishing ongoing communication obligations about the benefit.
- The 365-day supply cap is a ceiling, not a floor — plans may still offer shorter supplies, but cannot impose cost-sharing on the full 365-day option if chosen by the enrollee.
Section numbers refer to the bill text the analysis read — linked under Primary records below.
Who it affects
The bill reduces out-of-pocket costs for contraceptive users by eliminating cost-sharing on longer supplies and reducing refill frequency, lowering both direct costs and time burden. The requirement applies uniformly across group and individual markets, broadening access without creating new restrictions on any population.
Who stands to gain
- contraceptive users (reduced out-of-pocket costs)
- pharmacy benefit managers (potential reduction in per-fill administrative overhead)
Named in the bill
Public Health Service Act (Section 2713), HHS Secretary, Secretary of Labor, Secretary of the Treasury, group health plans, health insurance issuers, contraceptive manufacturers (indirect, via increased utilization)
Where it stands
3 cosponsors: 3 Democrats.
- Apr 1, 2025 — Introduced · Congress.gov: “Introduced in House”
- Apr 1, 2025 — Referred to House Committee on Education and Workforce and House Committee on Ways and Means · Congress.gov: “Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and…”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Money around this bill
2 lobbying clients named this bill on 4 disclosure filings across 2 quarters, Dec 2025 to Jun 2026. Those filings disclosed $53,451 in lobbying spend. A filing names 72 bills on average, so that figure is what each filing reported, not a share belonging to this bill.
More lobbying clients named this bill than 41% of bills with at least one filing.
Lauren Underwood, the sponsor, reported $424,700 in PAC receipts in the 2026 cycle.
- Power to Decide — $33,451 on 2 filings
- National Council of Jewish Women — $20,000 on 2 filings
Lobbying Disclosure Act filings through Jul 20, 2026. A filing shows who paid to lobby on a bill it names, not what changed.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (1,700 characters) on Aug 29, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 16,222 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
Money — Senate Lobbying Disclosure Act filings whose specific-issue field names this bill for quarters ending Dec 2025 to Jun 2026. A filing's amount is reported whole beside the median number of bills a filing names; it is never divided across them. PAC receipts are FEC-reported contributions to the sponsor's candidate committee in the 2026 cycle.
As of — lobbying records through Jul 20, 2026 · page rendered 2026-10-20.
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