This bill amends section 68-901 of the Revised Statutes Cumulative Supplement, 2024, to enhance coverage for certain contraceptives under insurance policies and the medical assistance program in Nebraska. It mandates that any individual or group sickness and accident insurance policy, as well as self-funded employee benefit plans, must reimburse healthcare providers for dispensing self-administered hormonal contraceptives approved by the federal Food and Drug Administration. The reimbursement structure includes coverage for a three-month supply for the first prescription and up to a twelve-month supply for subsequent refills, regardless of the individual's enrollment status at the time of the first prescription.

Additionally, the bill ensures that the medical assistance program provides a twelve-month supply of covered self-administered hormonal contraceptives upon prescription. It clarifies that healthcare providers are not required to prescribe a twelve-month supply and that policies cannot impose cost-sharing for alternative contraception methods if a covered individual changes methods before exhausting their current supply. The original section 68-901 is repealed, and the new provisions are intended to harmonize existing laws while expanding access to contraceptive options for individuals in Nebraska.

Statutes affected:
Introduced: 68-901