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Bill > HF1485


MN HF1485

Coverage of over-the=counter contraceptive drugs, devices, and products by insurers and medical assistance required; and reports required.


summary

Introduced
02/24/2025
In Committee
02/24/2025
Crossed Over
Passed
Dead

Introduced Session

94th Legislature 2025-2026

Bill Summary

A bill for an act relating to health insurance; requiring coverage of over-the-counter contraceptive drugs, devices, and products by insurers and medical assistance; requiring reports; amending Minnesota Statutes 2024, sections 62Q.522, subdivisions 1, 2; 256B.0625, subdivision 13.

AI Summary

This bill updates Minnesota's health insurance regulations to require comprehensive coverage of over-the-counter (OTC) contraceptives without cost-sharing. The legislation defines both prescription and OTC contraceptives, and mandates that health plans cover all types and brands of OTC contraceptives purchased at a pharmacy without requiring a prescription, with no limitations on type, quantity, or purchase frequency. Health plan companies are prohibited from imposing cost-sharing requirements, referral restrictions, or delays for contraceptive methods and services. The bill also requires health plans to include at least one of each type of FDA-approved contraceptive method in their formulary, and if a patient's healthcare provider determines a specific contraceptive method is medically necessary, the health plan must cover it without additional costs. Additionally, the bill requires the Department of Commerce to work with the Departments of Health and Human Services to provide public information about OTC contraception coverage and to submit annual reports to legislative committees detailing the use and cost of OTC contraceptive coverage. These changes will take effect on January 1, 2026, and apply to health plans offered, issued, or renewed on or after that date.

Committee Categories

Business and Industry

Sponsors (30)

Last Action

Author added Youakim (on 03/17/2025)

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