THE SENATE |
S.B. NO. |
2341 |
TWENTY-NINTH LEGISLATURE, 2018 |
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STATE OF HAWAII |
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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: |
_____________________________ |
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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.