This bill requires individual and group health insurance policies and contracts that are currently required to provide coverage for prescription contraceptives to provide coverage for nonprescription oral hormonal contraceptives approved by the federal Food and Drug Administration to the same extent that coverage is provided for prescription contraceptives. It requires insurers to establish mechanisms to ensure that an enrollee who purchases a nonprescription oral hormonal contraceptive has the option either to make the purchase at a pharmacy without a payment required at the point of sale or to make the purchase with a payment at the point of sale and submit a claim for reimbursement to the insurer. The requirements apply beginning January 1, 2025.
Statutes affected: Bill Text LD 2203, HP 1411: 24.2332, 24-A.2756, 24-A.2847, 24-A.4247