Bill > HB1244

This bill mandates that government programs and health insurance policies provide coverage for pelvic floor therapy and related treatments. Specifically, the bill requires insurers to cover diagnostic and treatment services for pelvic floor dysfunction, including pelvic floor therapy, biofeedback, trigger point therapy, electrical stimulation, postoperative care for prostatectomies and hysterectomies, and postpartum pelvic floor assessments. The bill defines pelvic floor dysfunction as the inability to control pelvic floor muscles and pelvic floor therapy as treatment for conditions such as incontinence, chronic pelvic pain, constipation, and pelvic organ prolapse. Coverage remains subject to medical necessity policies and standard patient cost-sharing like copayments and deductibles. The bill applies to various types of health insurance policies, including those issued by insurers licensed by the Insurance Department, and excludes certain specialized insurance types like dental, vision, and workers' compensation. The law will take effect 60 days after passage, with implementation timelines varying slightly depending on whether insurance policy forms and rates require filing with government agencies.