Bills › 88th General Assembly
Relating to insurance coverage for dispensing prescription contraceptives in certain quantities
Where it is now
- Done: IntroducedJanuary 31, 2019
- Stopped: SubcommitteeDied when the General Assembly ended
- Next: House committee
- Next: Passes the House
- Next: Senate committee
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Died when the session ended The 2020 session adjourned on June 14, 2020, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
This bill relates to insurance coverage for a prescription contraceptive dispensed by a health care professional to a covered person in a three-month or 12-month quantity. The bill defines “health care professional” as a physician or other health care practitioner licensed, accredited, registered, or certified to perform specified health care services consistent with state law. The bill amends prescription contraceptive coverage provisions to specifically require that a policy, contract, or plan providing for third-party payment or prepayment of health or medical expenses provide for payment to a health care professional that dispenses a three-month supply of a prescription contraceptive the first time it is dispensed to a covered person, and payment when a 12-month supply of the same prescription contraceptive is subsequently dispensed to the same covered person.
Read the full explanation
The bill also provides for payment to a health care professional for dispensing a three-month supply of a prescription vaginal contraceptive ring. The bill shall not be construed to require a third-party payor to provide payment to a health care professional for dispensing a prescription contraceptive to replace a prescription contraceptive that has been dispensed and has been misplaced, lost, or stolen. The bill applies to third-party payment provider contracts, policies, and plans delivered, issued for delivery, continued, or renewed in this state on or after July 1, 2019, by the third-party payment providers enumerated in the bill. The bill specifies the types of specialized health-related insurance which are not subject to the coverage requirements of the bill.