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RI H6047

RI H6047
Mandates all health insurance contracts from January 1, 2026, to cover FDA-approved contraceptives, sterilization, contraception counseling, follow-up services, and a twelve-month supply for Medicaid recipients.


summary

Introduced
03/07/2025
In Committee
03/07/2025
Crossed Over
Passed
Dead
06/20/2025

Introduced Session

2025 Regular Session

Bill Summary

This act would require every individual or group health insurance contract effective on or after January 1, 2026, to provide coverage to the insured and the insured's spouse and dependents for all FDA-approved contraceptive drugs, devices and other products, voluntary sterilization procedures, patient education and counseling on contraception and follow-up services as well as Medicaid coverage for a twelve (12) month supply for Medicaid recipients. This act would take effect upon passage.

AI Summary

This bill mandates comprehensive contraceptive coverage for all health insurance contracts in Rhode Island effective January 1, 2026, requiring insurers to cover all FDA-approved contraceptive drugs, devices, and products without cost-sharing. The bill expands coverage to include therapeutic equivalents of contraceptives, over-the-counter contraceptives, voluntary sterilization procedures, related clinical services like consultations and examinations, and follow-up services. Insurers must provide a twelve-month supply of contraceptives and cannot impose utilization controls or medical management restrictions. Religious employers can opt out of contraceptive coverage that conflicts with their religious tenets, but must provide written notice to enrollees about excluded services. The bill applies to various types of health insurance, including individual and group plans, nonprofit hospital and medical service corporations, and health maintenance organizations. Additionally, the state department is required to monitor plan compliance, engage in stakeholder processes, conduct random reviews, and submit annual reports on implementation. The legislation aims to ensure comprehensive and accessible contraceptive care for enrollees, with particular attention to affordability and minimal barriers to access.

Committee Categories

Budget and Finance

Sponsors (10)

Last Action

Committee recommended measure be held for further study (on 04/30/2025)

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