To direct the Secretary of Defense to establish a pilot program regarding treating pregnancy as a qualifying event for enrollment in TRICARE Select.

HR 4381 would allow military service members and their dependents to change to TRICARE Select health coverage due to pregnancy, treating it as a qualifying event under existing law. This affects eligible military beneficiaries (service members and their dependents) who need to adjust health coverage during pregnancy. The bill establishes a 5-year pilot program requiring the Secretary of Defense to implement this change within 180 days of enactment, with annual reports to Congress starting in 2027 detailing enrollment changes by specific categories like separation from duty or pregnancy. These reports must track how many beneficiaries changed plans due to pregnancy versus other reasons.