Supporting Healthy Pregnancy Act

HR 6442, the Supporting Healthy Pregnancy Act, requires states to establish child support obligations for biological fathers to pay at least 50% of a mother's reasonable out-of-pocket medical expenses related to pregnancy and delivery, but only if the mother requests it. The bill directly affects biological fathers (who must pay), mothers (who can request payment), and state child support enforcement systems (which must implement the requirement). Key provisions include excluding abortion-related expenses from coverage and defining abortion to clarify that expenses for terminating a pregnancy (except for specific medical reasons like ectopic pregnancy) do not qualify. The law would take effect January 1 of the first year after enactment, with states needing time to update their plans if state legislation is required.