Bill > S0268

This bill requires every individual or group health insurance contract effective on or after January 1, 2026, to provide comprehensive contraceptive coverage for insured individuals, their spouses, and dependents. The coverage must include all FDA-approved contraceptive drugs, devices, and products, with specific provisions ensuring access to therapeutic equivalents and over-the-counter contraceptives without cost-sharing. The bill mandates coverage for voluntary sterilization procedures, clinical services related to contraception (including consultations, examinations, and counseling), and follow-up services. Health insurance providers cannot impose deductibles, copayments, or other cost-sharing requirements for these services. Religious employers can opt out of coverage that contradicts their religious tenets, but must provide written notice to prospective enrollees about excluded services. The legislation applies to various types of health insurance, including individual, group, nonprofit hospital, medical service, and health maintenance organization plans. Additionally, the bill requires the department to monitor plan compliance, conduct random reviews, and submit annual reports to the general assembly. The comprehensive approach aims to ensure broad, affordable access to contraceptive care while respecting religious exemptions.

Health and Social Services

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