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Legislative Year: 2023 Change

Bill Detail: SB23-284

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Title Ensure 12-month Contraception Coverage
Status Governor Signed (05/30/2023)
Bill Subjects
  • Health Care & Health Insurance
House Sponsors I. Jodeh (D)
R. Weinberg (R)
Senate Sponsors J. Danielson (D)
J. Bridges (D)
House Committee Public and Behavioral Health & Human Services
Senate Committee Health and Human Services
Date Introduced 04/14/2023

The bill requires a carrier that offers a health benefit plan or a
pharmacy benefit management firm that administers or manages
contraception coverage under a health benefit plan to provide coverage
for, and reimburse a prescribing provider or in-network dispensing entity
for, the single dispensing or furnishing of an amount of contraception
intended to last for 12 months' duration, as permitted by the covered
person's prescription.
Further, under the bill, a carrier offering a health benefit plan or a
pharmacy benefit management firm acting on behalf of a carrier is subject
to certain requirements, as applicable, including:
  • Allowing coverage of continuous use of contraception, as
determined by the prescribing provider;
  • Prohibiting utilization management practices that prevent
the dispensing of a 12-months' duration of contraception;
  • Allowing for alternate prescribed contraception, if
medically necessary; and
  • Providing coverage for over-the-counter contraception
without a prescription and without prior authorization, step
therapy, utilization management, or cost sharing.
The bill also requires carriers to report annually to the division of
insurance in the department of regulatory agencies concerning
contraception coverage and authorizes the commissioner of insurance to
promulgate rules regarding the coverage.

Committee Reports
with Amendments
Full Text
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Fiscal Notes Fiscal Notes (08/03/2023) (most recent)  
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