Virginia HB 21: Reproductive health services; health benefit plans to cover costs of certain services.

Bill Text

Bill Tracking - 2018 session > Legislation 

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2018 SESSION

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18100162D

HOUSE BILL NO. 21 

Offered January 10, 2018 

Prefiled November 24, 2017 

A BILL to amend and reenact �� 38.2-3407.5:1 and 38.2-4319 of 
 the Code of Virginia and to amend the Code of Virginia by adding a section 
 numbered 38.2-3418.18, relating to coverage for certain health care services, 
 drugs, devices, products, and procedures related to reproductive health. 
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Patrons-- Kory, Rasoul, Ayala, Delaney, Guzman, Hope, Hurst, Levine and 
Roem 

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Referred to Committee on Commerce and Labor 

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Be it enacted by the General Assembly of Virginia:

1. That �� 38.2-3407.5:1 and 38.2-4319 of the Code of 
 Virginia are amended and reenacted and that the Code of Virginia is amended by 
 adding a section numbered 38.2-3418.18 as follows:

� 38.2-3407.5:1. Coverage for prescription contraceptives.

A. Each (i) insurer proposing to issue individual or group 
 accident and sickness insurance policies providing hospital, medical and 
 surgical or major medical coverage on an expense incurred basis; (ii) 
 corporation providing individual or group accident and sickness subscription 
 contracts; and (iii) health maintenance organization providing a health care 
 plan for health care services, whose policy, contract or plan, including any 
 certificate or evidence of coverage issued in connection with such policy, 
 contract or plan, includes coverage for prescription drugs on an outpatient basis, 
 shall offer and make available coverage thereunder for any prescribed drug or 
 device approved by the United States Food and Drug Administration for use as a 
 contraceptive.

B. No insurer, corporation or health maintenance organization 
 shall impose upon any person receiving prescription contraceptive benefits 
 pursuant to this section any (i) copayment, coinsurance payment or fee that is 
 not equally imposed upon all individuals in the same benefit category, class, 
 coinsurance level or copayment level receiving benefits for prescription drugs, 
 or (ii) reduction in allowable reimbursement for prescription drug benefits.

C. The provisions of subsection A shall not be construed to:

1. Require coverage for prescription coverage benefits in any 
 contract, policy or plan that does not otherwise provide coverage for 
 prescription drugs;

2. Preclude the use of closed formularies, provided, however, 
 that such formularies shall include oral, implant and injectable contraceptive 
 drugs, intrauterine devices and prescription barrier methods; or

3. Require coverage for experimental contraceptive drugs not 
 approved by the United States Food and Drug Administration.

D. The provisions of this section shall not apply to 
 short-term travel, accident-only, limited or specified disease policies, or 
 contracts desig