HOUSE OF REPRESENTATIVES

H.B. NO.

2127

TWENTY-NINTH LEGISLATURE, 2018

 

STATE OF HAWAII

 

 

 

 

 

 

A BILL FOR AN ACT

 

 

relating to health care.

 

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 


PART I

     SECTION 1.  Chapter 431, Hawaii Revised Statutes, is amended by adding two new sections to article 10A to be appropriately designated and to read as follows:

     "§431:10A-A  Preventive care; coverage; requirements.  (a)  Every policy of accident and health or sickness insurance issued or renewed in this State shall provide coverage for all of the following services, drugs, devices, products, and procedures for the policyholder or any dependent of the policyholder who is covered by the policy:

     (1)  Well-woman care, as prescribed by the commissioner by rule consistent with guidelines published by the federal Health Resources and Services Administration;

     (2)  Counseling for sexually transmitted infections, including but not limited to human immunodeficiency virus and acquired immune deficiency syndrome;

     (3)  Screening for:  chlamydia; gonorrhea; hepatitis B; hepatitis C; human immunodeficiency virus and acquired immune deficiency syndrome; human papillomavirus; syphilis; anemia; urinary tract infection; pregnancy; Rh incompatibility; gestational diabetes; osteoporosis; breast cancer; and cervical cancer;

     (4)  Screening to determine whether counseling and testing related to the BRCA1 or BRCA2 genetic mutation is indicated and genetic counseling and testing related to the BRCA1 or BRCA2 genetic mutation, if indicated;

     (5)  Screening and appropriate counseling or interventions for:

          (A)  Tobacco use; and

          (B)  Domestic and interpersonal violence;

     (6)  Folic acid supplements;

     (7)  Abortion;

     (8)  Breastfeeding comprehensive support, counseling, and supplies;

     (9)  Breast cancer chemoprevention counseling;

    (10)  Any contraceptive supplies, as specified in section 431:10A-116.6;

    (11)  Voluntary sterilization for women;

    (12)  As a single claim or combined with other claims for covered services provided on the same day:

          (A)  Patient education and counseling on contraception and sterilization;

          (B)  Services related to sterilization or the administration and monitoring of contraceptive supplies, including but not limited to:

              (i)  Management of side effects;

             (ii)  Counseling for continued adherence to a prescribed regimen;

            (iii)  Device insertion and removal; and

             (iv)  Provision of alternative contraceptive supplies deemed medically appropriate in the judgment of the insured's health care provider; and

    (13)  Any additional preventive services for women that must be covered without cost sharing under title 42 United States Code section 300gg–13, as identified by the federal Preventive Services Task Force or the Health Resources and Services Administration of the federal Department of Health and Human Services, as of January 1, 2017.

     (b)  An insurer shall not impose any cost-sharing requirements, including copayments, coinsurance, or deductibles, on a policyholder or an individual covered by the policy with respect to the coverage and benefits required by this section.  A health care provider shall be reimbursed for providing the services pursuant to this section without any deduction for coinsurance, copayments, or any other cost-sharing amounts.

     (c)  Except as otherwise authorized under this section, an insurer shall not impose any restrictions or delays on the coverage required by this section.

     (d)  This section shall not require a policy of accident and health or sickness insurance to cover:

     (1)  Experimental or investigational treatments;

     (2)  Clinical trials or demonstration projects;

     (3)  Treatments that do not conform to acceptable and customary standards of medical practice; or

     (4)  Treatments for which there is insufficient data to determine efficacy.

     (e)  If services, drugs, devices, products, or procedures required by this section are provided by an out-of-network provider, the insurer shall cover the services, drugs, devices, products, or procedures without imposing any cost-sharing requirement on the policyholder if:

     (1)  There is no in-network provider to furnish the service, drug, device, product, or procedure that meets the requirements for network adequacy under section 431:26-103; or

     (2)  An in-network provider is unable or unwilling to provide the service, drug, device, product, or procedure in a timely manner.

     (f)  Every insurer shall provide written notice to its policyholders regarding the coverage required by this section.  The notice shall be in writing and prominently positioned in any literature or correspondence sent to policyholders and shall be transmitted to policyholders within calendar year 2019 when annual information is made available to policyholders or in any other mailing to policyholders, but in no case later than December 31, 2019.

     (g)  This section shall not apply to policies that provide coverage for specified diseases or other limited benefit health insurance coverage, as provided pursuant to section 431:10A-102.5.

     (h)  Coverage for abortion under this section shall be subject to the exclusion under section 431:10A-116.7.

     (i)  If the commissioner concludes that enforcement of this section may adversely affect the allocation of federal funds to the State, the commissioner may grant an exemption to the requirements, but only to the minimum extent necessary to ensure the continued receipt of federal funds.

     (j)  For purposes of this section, "contraceptive supplies" shall have the same meaning as in section 431:10A-116.6.

     §431:10A-B  Nondiscrimination; reproductive health care; coverage.  (a)  An individual may not, on the basis of actual or perceived race, color, national origin, sex, age, or disability, be excluded from participation in, be denied the benefits of, or otherwise be subjected to discrimination in the coverage of or payment for the services, drugs, devices, products covered by section 431:10A-A or 431:10A-116.6.

     (b)  Violation of this section shall be considered a violation pursuant to chapter 489.

     (c)  Nothing in this section shall be construed to limit any cause of action based upon any unfair discriminatory practices for which a remedy is available under state or federal law."

     SECTION 2.  Chapter 432, Hawaii Revised Statutes, is amended by adding two new sections to article 1 be appropriately designated and to read as follows:

     "§432:1-A  Preventive care; coverage; requirements.  (a)  Every individual or group hospital or medical service plan contract issued or renewed in this State shall provide coverage for all of the following services, drugs, devices, products, and procedures for the subscriber or member or any dependent of the subscriber or member who is covered by the policy:

     (1)  Well-woman care, as prescribed by the commissioner by rule consistent with guidelines published by the federal Health Resources and Services Administration;

     (2)  Counseling for sexually transmitted infections, including but not limited to human immunodeficiency virus and acquired immune deficiency syndrome;

     (3)  Screening for:  chlamydia; gonorrhea; hepatitis B; hepatitis C; human immunodeficiency virus and acquired immune deficiency syndrome; human papillomavirus; syphilis; anemia; urinary tract infection; pregnancy; Rh incompatibility; gestational diabetes; osteoporosis; breast cancer; and cervical cancer;

     (4)  Screening to determine whether counseling and testing related to the BRCA1 or BRCA2 genetic mutation is indicated and genetic counseling and testing related to the BRCA1 or BRCA2 genetic mutation, if indicated;

     (5)  Screening and appropriate counseling or interventions for:

          (A)  Tobacco use; and

          (B)  Domestic and interpersonal violence;

     (6)  Folic acid supplements;

     (7)  Abortion;

     (8)  Breastfeeding comprehensive support, counseling, and supplies;

     (9)  Breast cancer chemoprevention counseling;

    (10)  Any contraceptive supplies, as specified in section 432:1-604.5;

    (11)  Voluntary sterilization for women;

    (12)  As a single claim or combined with other claims for covered services provided on the same day:

          (A)  Patient education and counseling on contraception and sterilization;

          (B)  Services related to sterilization or the administration and monitoring of contraceptive supplies, including but not limited to:

              (i)  Management of side effects;

             (ii)  Counseling for continued adherence to a prescribed regimen;

            (iii)  Device insertion and removal; and

             (iv)  Provision of alternative contraceptive supplies deemed medically appropriate in the judgment of the subscriber's or member's health care provider; and

    (13)  Any additional preventive services for women that must be covered without cost sharing under title 42 United States Code section 300gg–13, as identified by the federal Preventive Services Task Force or the Health Resources and Services Administration of the federal Department of Health and Human Services, as of January 1, 2017.

     (b)  A mutual benefit society shall not impose any cost-sharing requirements, including copayments, coinsurance, or deductibles, on a subscriber or member or an individual covered by the plan contract with respect to the coverage and benefits required by this section.  A health care provider shall be reimbursed for providing the services pursuant to this section without any deduction for coinsurance, copayments, or any other cost-sharing amounts.

     (c)  Except as otherwise authorized under this section, a mutual benefit society shall not impose any restrictions or delays on the coverage required by this section.

     (d)  This section shall not require an individual or group hospital or medical service plan contract to cover:

     (1)  Experimental or investigational treatments;

     (2)  Clinical trials or demonstration projects;

     (3)  Treatments that do not conform to acceptable and customary standards of medical practice; or

     (4)  Treatments for which there is insufficient data to determine efficacy.

     (e)  If services, drugs, devices, products, or procedures required by this section are provided by an out-of-network provider, the mutual benefit society shall cover the services, drugs, devices, products, or procedures without imposing any cost-sharing requirement on the subscriber or member if:

     (1)  There is no in-network provider to furnish the service, drug, device, product, or procedure that meets the requirements for network adequacy under section 431:26-103; or

     (2)  An in-network provider is unable or unwilling to provide the service, drug, device, product, or procedure in a timely manner.

     (f)  Every mutual benefit society shall provide written notice to its subscribers or members regarding the coverage required by this section.  The notice shall be in writing and prominently positioned in any literature or correspondence sent to subscribers or members and shall be transmitted to subscribers or members within calendar year 2019 when annual information is made available to subscribers or members or in any other mailing to subscribers or members, but in no case later than December 31, 2019.

     (g)  This section shall not apply to policies that provide coverage for specified diseases or other limited benefit health insurance coverage, as provided pursuant to section 431:10A-102.5.

     (h)  Coverage for abortion under this section shall be subject to the exclusion under section 431:10A-116.7.

     (i)  If the commissioner concludes that enforcement of this section may adversely affect the allocation of federal funds to the State, the commissioner may grant an exemption to the requirements, but only to the minimum extent necessary to ensure the continued receipt of federal funds.

     (j)  For purposes of this section, "contraceptive supplies" shall have the same meaning as in section 432:1-604.5.

     §432:1-B  Nondiscrimination; reproductive health care; coverage.  (a)  An individual may not, on the basis of actual or perceived race, color, national origin, sex, age, or disability, be excluded from participation in, be denied the benefits of, or otherwise be subjected to discrimination in the coverage of or payment for the services, drugs, devices, products covered by section 432:1-A or 432:1-604.5.

     (b)  Violation of this section shall be considered a violation pursuant to chapter 489.

     (c)  Nothing in this section shall be construed to limit any cause of action based upon any unfair discriminatory practices for which a remedy is available under state or federal law."

     SECTION 3.  Chapter 432D, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:

     "§432D-    Nondiscrimination; reproductive health care; coverage.  (a)  An individual may not, on the basis of actual or perceived race, color, national origin, sex, age, or disability, be excluded from participation in, be denied the benefits of, or otherwise be subjected to discrimination in the coverage of or payment for the services, drugs, devices, products covered by section 431:10A-A or 431:10A-116.6.

     (b)  Violation of this section shall be considered a violation pursuant to chapter 489.

     (c)  Nothing in this section shall be construed to limit any cause of action based upon any unfair discriminatory practices for which a remedy is available under state or federal law."

     SECTION 4.  Section 431:10A-116.6, Hawaii Revised Statutes, is amended to read as follows:

     "§431:10A-116.6  Contraceptive services.  (a)  Notwithstanding any provision of law to the contrary, each employer group policy of accident and health or sickness [policy, contract, plan, or agreement] insurance issued or renewed in this State on or after January 1, [2000,] 2019, shall [cease to exclude] provide coverage for contraceptive services or contraceptive supplies for the [subscriber] insured or any dependent of the [subscriber] insured who is covered by the policy, subject to the exclusion under section 431:10A-116.7 and the exclusion under section 431:10A-102.5[.]; provided that:

     (1)  If there is a therapeutic equivalent of a contraceptive supply approved by the federal Food and Drug Administration, an insurer may provide coverage for either the requested contraceptive supply or for one or more therapeutic equivalents of the requested contraceptive supply;

     (2)  If a contraceptive supply covered by the policy is deemed medically inadvisable by the insured's health care provider, the policy shall cover an alternative contraceptive supply prescribed by the health care provider;

     (3)  An insurer shall pay pharmacy claims for reimbursement of all contraceptive supplies available for over-the-counter sale that are approved by the federal Food and Drug Administration; and

     (4)  An insurer may not infringe upon an insured's choice of contraceptive supplies and may not require prior authorization, step therapy, or other utilization control techniques for medically-appropriate covered contraceptive supplies.

     [(b)  Except as provided in subsection (c), all policies, contracts, plans, or agreements under subsection (a), that provide contraceptive services or supplies, or prescription drug coverage, shall not exclude any prescription contraceptive supplies or impose any unusual copayment, charge, or waiting requirement for such supplies.

     (c)  Coverage for oral contraceptives shall include at least one brand from the monophasic, multiphasic, and the progestin-only categories.  A member shall receive coverage for any other oral contraceptive only if:

     (1)  Use of brands covered has resulted in an adverse drug reaction; or

     (2)  The member has not used the brands covered and, based on the member's past medical history, the prescribing health care provider believes that use of the brands covered would result in an adverse reaction.]

     (b)  An insurer shall not impose any cost-sharing requirements, including copayments, coinsurance, or deductibles, on an insured with respect to the coverage required under this section.  A health care provider shall be reimbursed for providing the services pursuant to this section without any deduction for coinsurance, copayments, or any other cost-sharing amounts.

     (c)  Except as otherwise provided by this section, an insurer shall not impose any restrictions or delays on the coverage required by this section.

     (d)  Coverage required by this section shall not exclude coverage for contraceptive supplies prescribed by a health care provider, acting within the provider's scope of practice, for:

     (1)  Reasons other than contraceptive purposes, such as decreasing the risk of ovarian cancer or eliminating symptoms of menopause; or

     (2)  Contraception that is necessary to preserve the life or health of an insured.

     [(d)] (e)  Coverage required by this section shall include reimbursement to a prescribing health care provider or dispensing entity for prescription contraceptive supplies intended to last for up to a twelve-month period for an insured.

     [(e)] (f)  Coverage required by this section shall include reimbursement to a prescribing and dispensing pharmacist who prescribes and dispenses contraceptive supplies pursuant to section 461-11.6.

     (g)  Nothing in this section shall be construed to extend the practice or privileges of any health care provider beyond that provided in the laws governing the provider's practice and privileges.

     [(f)] (h)  For purposes of this section:

     "Contraceptive services" means physician-delivered, physician-supervised, physician assistant-delivered, advanced practice registered nurse-delivered, nurse-delivered, or pharmacist-delivered medical services intended to promote the effective use of contraceptive supplies or devices to prevent unwanted pregnancy.

     "Contraceptive supplies" means all United States Food and Drug Administration-approved contraceptive drugs [or], devices, or products used to prevent unwanted pregnancy.

     [(g)  Nothing in this section shall be construed to extend the practice or privileges of any health care provider beyond that provided in the laws governing the provider's practice and privileges.]"

     SECTION 5.  Section 431:10A-116.7, Hawaii Revised Statutes, is amended as follows:

     1.  By amending its title to read:

     "§431:10A-116.7  Contraceptive services; abortion; religious employers exemption."

     2.  By amending subsections (b) and (c) to read:

     "(b)  Notwithstanding any other provision of this chapter, any religious employer may request an accident and health or sickness insurance plan without coverage for contraceptive services [and], contraceptive supplies, and abortion that are contrary to the religious employer's religious tenets.  If so requested, the accident and health or sickness insurer, mutual benefit society, or health maintenance organization shall provide a plan without coverage for contraceptive services [and], contraceptive supplies[.], and abortion.  This subsection shall not be construed to deny an enrollee coverage of, and timely access to, contraceptive services [and], contraceptive supplies[.], and abortion.

     (c)  Each religious employer that invokes the exemption provided under this section shall:

     (1)  Provide written notice to enrollees upon enrollment with the plan, listing the contraceptive health care services the employer refuses to cover for religious reasons;

     (2)  Provide written information describing how an enrollee may directly access contraceptive services [and], contraceptive supplies, or abortion in an expeditious manner; and

     (3)  Ensure that enrollees who are refused contraceptive services [and], contraceptive supplies, or abortion coverage under this section have prompt access to the information developed under paragraph (2).  Such notice shall appear, in not less than twelve-point type, in the policy, application, and sales brochure for such policy."

     3.  By amending subsection (e) to read:

     "(e)  Accident and health or sickness insurers, mutual benefit societies, and health maintenance organizations shall allow enrollees in a health plan exempted under this section to directly purchase coverage of contraceptive supplies [and], outpatient contraceptive services[.], or coverage for abortion.  The enrollee's cost of purchasing such coverage shall not exceed the enrollee's pro rata share of the price the group purchaser would have paid for such coverage had the group plan not invoked a religious exemption."

     4.  By amending subsection (g) to read:

     "(g)  For purposes of this section:

     "Contraceptive services" means physician-delivered, physician-supervised, physician assistant-delivered, advanced practice registered nurse-delivered, nurse-delivered, or pharmacist-delivered medical services intended to promote the effective use of contraceptive supplies or devices to prevent unwanted pregnancy.

     "Contraceptive supplies" means all United States Food and Drug Administration-approved contraceptive drugs [or], devices, or products used to prevent unwanted pregnancy."

     SECTION 6.  Section 432:1-604.5, Hawaii Revised Statutes, is amended to read as follows:

     "§432:1-604.5  Contraceptive services.  (a)  Notwithstanding any provision of law to the contrary, each employer group [health policy, contract, plan, or agreement] hospital or medical service plan contract issued or renewed in this State on or after January 1, [2000,] 2019, shall [cease to exclude] provide coverage for contraceptive services or contraceptive supplies, and contraceptive prescription drug coverage for the subscriber or member or any dependent of the subscriber or member who is covered by the policy, subject to the exclusion under section 431:10A-116.7[.]; provided that:

     (1)  If there is a therapeutic equivalent of a contraceptive supply approved by the federal Food and Drug Administration, a mutual benefit society may provide coverage for either the requested contraceptive supply or for one or more therapeutic equivalents of the requested contraceptive supply;

     (2)  If a contraceptive supply covered by the plan contract is deemed medically inadvisable by the subscriber's or member's health care provider, the plan contract shall cover an alternative contraceptive supply prescribed by the health care provider;

     (3)  A mutual benefit society shall pay pharmacy claims for reimbursement of all contraceptive supplies available for over-the-counter sale that are approved by the federal Food and Drug Administration; and

     (4)  A mutual benefit society may not infringe upon a subscriber's or member's choice of contraceptive supplies and may not require prior authorization, step therapy, or other utilization control techniques for medically-appropriate covered contraceptive supplies.

     [(b)  Except as provided in subsection (c), all policies, contracts, plans, or agreements under subsection (a), that provide contraceptive services or supplies, or prescription drug coverage, shall not exclude any prescription contraceptive supplies or impose any unusual copayment, charge, or waiting requirement for such drug or device.

     (c)  Coverage for contraceptives shall include at least one brand from the monophasic, multiphasic, and the progestin-only categories.  A member shall receive coverage for any other oral contraceptive only if:

     (1)  Use of brands covered has resulted in an adverse drug reaction; or

     (2)  The member has not used the brands covered and, based on the member's past medical history, the prescribing health care provider believes that use of the brands covered would result in an adverse reaction.]

     (b)  A mutual benefit society shall not impose any cost-sharing requirements, including copayments, coinsurance, or deductibles, on a subscriber or member with respect to the coverage required under this section.  A health care provider shall be reimbursed for providing the services pursuant to this section without any deduction for coinsurance, copayments, or any other cost-sharing amounts.

     (c)  Except as otherwise provided by this section, a mutual benefit society shall not impose any restrictions or delays on the coverage required by this section.

     (d)  Coverage required by this section shall not exclude coverage for contraceptive supplies prescribed by a health care provider, acting within the provider's scope of practice, for:

     (1)  Reasons other than contraceptive purposes, such as decreasing the risk of ovarian cancer or eliminating symptoms of menopause; or

     (2)  Contraception that is necessary to preserve the life or health of a subscriber or member.

     [(d)] (e)  Coverage required by this section shall include reimbursement to a prescribing health care provider or dispensing entity for prescription contraceptive supplies intended to last for up to a twelve-month period for a member.

     [(e)] (f)  Coverage required by this section shall include reimbursement to a prescribing and dispensing pharmacist who prescribes and dispenses contraceptive supplies pursuant to section 461-11.6.

     (g)  Nothing in this section shall be construed to extend the practice or privileges of any health care provider beyond that provided in the laws governing the provider's practice and privileges.

     [(f)] (h)  For purposes of this section:

     "Contraceptive services" means physician-delivered, physician-supervised, physician assistant-delivered, advanced practice registered nurse-delivered, nurse-delivered, or pharmacist-delivered medical services intended to promote the effective use of contraceptive supplies or devices to prevent unwanted pregnancy.

     "Contraceptive supplies" means all Food and Drug Administration-approved contraceptive drugs [or], devices, or products used to prevent unwanted pregnancy.

     [(g)  Nothing in this section shall be construed to extend the practice or privileges of any health care provider beyond that provided in the laws governing the provider's practice and privileges.]"

     SECTION 7.  Section 432D-23, Hawaii Revised Statutes, is amended to read as follows:

     "§432D-23  Required provisions and benefits.  Notwithstanding any provision of law to the contrary, each policy, contract, plan, or agreement issued in the State after January 1, 1995, by health maintenance organizations pursuant to this chapter, shall include benefits provided in sections 431:10-212, 431:10A-115, 431:10A-115.5, 431:10A-116, 431:10A-116.2, 431:10A-116.5, 431:10A-116.6, 431:10A-119, 431:10A-120, 431:10A-121, 431:10A-122, 431:10A-125, 431:10A-126, 431:10A-132, 431:10A-133, 431:10A-134, 431:10A-140, and [431:10A-134,] 431:10A-   , and chapter 431M."

     SECTION 8.  The insurance division of the department of commerce and consumer affairs shall submit a report to the legislature on the degree of compliance by insurers, mutual benefit societies, and health maintenance organization regarding the implementation of this part, and of any actions taken by the insurance commissioner to enforce compliance with this part no later than twenty days prior to the convening of the regular session of 2019.

PART II

     SECTION 9.  Chapter 346, Hawaii Revised Statutes, is amended by adding two new sections to be appropriately designated and to read as follows:

     "§346-A  Preventive services; contraceptive services; required coverage; eligibility based on citizenship status.  (a)  The department shall establish and administer a program to reimburse the cost of medically appropriate services, drugs, devices, products, and procedures offered pursuant to sections 431:10A-A and 431:10A-116.6 for individuals who can become pregnant and who would be eligible for medical assistance if not for title 8 United States Code section 1611 or title 8 United States code section 1612.

     (b)  The department shall provide the medical assistance for pregnant women that is authorized by Title XXI, section 2112, of the Social Security Act (42 U.S.C. section 1397ll) for one hundred eighty days immediately postpartum.

     (c)  The department shall collect data and analyze the cost-effectiveness of the services, drugs, devices, products, and procedures paid for under this section.

     (d)  The department, in collaboration with the insurance division of the department of commerce and consumer affairs, if necessary, shall explore any and all opportunities to obtain federal financial participation in the costs of implementing this section, including but not limited to waivers or demonstration projects under Title X of the Public Health Service Act or Title XIX or XXI of the Social Security Act; provided that implementation of this section shall not be contingent upon the department's receipt of a waiver or authorization to operate a demonstration project.

     §346-B  Nondiscrimination; reproductive health care; coverage.  (a)  An individual may not, on the basis of actual or perceived race, color, national origin, sex, age, or disability, be excluded from participation in, be denied the benefits of, or otherwise be subjected to discrimination in the coverage of or payment for the services, drugs, devices, or products covered by section 432:1-A or 432:1-604.5 or in the receipt of medical assistance as that term is defined under section 346-1.

     (b)  Violation of this section shall be considered a violation pursuant to chapter 489.

     (c)  Nothing in this section shall be construed to limit any cause of action based upon any unfair discriminatory practices for which a remedy is available under state or federal law."

     SECTION 10.  There is appropriated out of the general revenues of the State of Hawaii the sum of $           or so much thereof as may be necessary for fiscal year 2018-2019 for purposes of enabling the department of human services to carry out the requirements of section 346-A, Hawaii Revised Statutes, as established by section 9 of this Act.

     The sum appropriated shall be expended by the department of human services for the purposes of this Act.

     SECTION 11.  The department of human services shall submit a report to the legislature on the implementation of section 9 of this Act no later than twenty days prior to the convening of the regular session of 2019.

PART III

     SECTION 12.  In codifying the new sections added by sections 1, 2, and 9 of this Act, the revisor of statutes shall substitute appropriate section numbers for the letters used in designating the new sections in this Act.

     SECTION 13.  Statutory material to be repealed is bracketed and stricken.  New statutory material is underscored.

     SECTION 14.  This Act shall take effect on July 1, 2018, and shall apply to all plans, policies, contracts, and agreements of health insurance issued or renewed by a health
insurer, mutual benefit society, or health maintenance organization on or after January 1, 2019.

 

INTRODUCED BY:

_____________________________

 

 


 


 

Report Title:

Health Insurance; Required Benefits; Covered Benefits; Reproductive Health Care; Medical Assistance; Appropriation

 

Description:

Requires health insurers, mutual benefit societies, and health maintenance organizations to provide coverage for a comprehensive category of reproductive health services, drugs, devices, products, and procedures.  Requires the department of human services to establish and administer a program to reimburse the cost of medically appropriate services, drugs, devices, products, and procedures for individuals who can become pregnant and who would be eligible for medical assistance but for their citizenship status.  Prohibits discrimination in the provision of reproductive health care services.  Appropriates funds to the department of human services.

 

 

 

The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.