The bill amends existing laws to require individual or group health insurance contracts, plans, or policies issued in the state to provide comprehensive coverage for FDA-approved contraceptive drugs, devices, and related services without cost-sharing, starting January 1, 2025. This includes coverage for all FDA-approved contraceptive methods, voluntary sterilization procedures, and related clinical services such as consultations and device insertion, as well as follow-up services. It prohibits plans from imposing deductibles, copayments, or any other cost-sharing requirements on this coverage and mandates that up to a 12-month supply of contraceptives can be dispensed at once without requiring formal requests other than a pharmacy claim. The bill also maintains provisions for religious employers to exclude coverage for contraceptive methods that are contrary to their religious tenets, except when provided for non-contraceptive purposes, and requires them to notify prospective enrollees of the services they do not cover for religious reasons.

Furthermore, the bill outlines the Department of Health's responsibilities to monitor plan compliance, adopt rules and regulations, engage stakeholders in the process, conduct random compliance reviews, and submit an annual report on its findings. It also clarifies that health plans cannot restrict reimbursement for dispensing a covered prescription contraceptive for up to 365 days at a time and must provide coverage for contraceptive drugs, devices, or products for non-contraceptive purposes, such as reducing the risk of ovarian cancer or treating menopause symptoms. The bill includes penalties for plans that violate these provisions and requires that coverage for an enrollee's spouse or domestic partner and dependents be the same. The bill would take effect upon passage.

Statutes affected:
2088  as amended: 27-18-57, 27-19-48, 27-20-43, 27-41-59
2088: 27-18-57, 27-19-48, 27-20-43, 27-41-59