AK HB21

Health insurers offering plans in Alaska must provide coverage for prescription contraceptives, voluntary sterilization procedures, and related medical services without copayments or deductibles, except as needed to qualify for health savings accounts.

Insurers must reimburse providers for 12-month supplies of prescription contraceptives for subsequent refills regardless of current enrollment status and cannot deny coverage if an insured switches contraceptive methods within 12 months.

Insurers cannot use medical management techniques like prior authorization or step therapy to restrict contraceptive access, but may implement reasonable cost containment measures that do not unreasonably limit choice.

Religious employers meeting Internal Revenue Code criteria are exempt from these insurance coverage requirements.

State and municipal employee health plans and Medicaid must comply with contraceptive coverage requirements, with Medicaid changes contingent on federal approval by January 1, 2021.