22 CFR § 146.440 - Health and insurance benefits and services.
---
identifier: "/us/cfr/t22/s146.440"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "22 CFR § 146.440 - Health and insurance benefits and services."
title_number: 22
title_name: "Foreign Relations"
section_number: "146.440"
section_name: "Health and insurance benefits and services."
chapter_name: "DEPARTMENT OF STATE"
subchapter_number: "O"
subchapter_name: "CIVIL RIGHTS"
part_number: "146"
part_name: "NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "20 U.S.C. 1681, 1682, 1683, 1685, 1686, 1687, 1688."
regulatory_source: "65 FR 52865, 52878, unless otherwise noted."
cfr_part: "146"
---
# 146.440 Health and insurance benefits and services.
Subject to § 146.235(d), in providing a medical, hospital, accident, or life insurance benefit, service, policy, or plan to any of its students, a recipient shall not discriminate on the basis of sex, or provide such benefit, service, policy, or plan in a manner that would violate §§ 146.500 through 146.550 if it were provided to employees of the recipient. This section shall not prohibit a recipient from providing any benefit or service that may be used by a different proportion of students of one sex than of the other, including family planning services. However, any recipient that provides full coverage health service shall provide gynecological care.