AK SB27

Health insurers offering group or individual plans in Alaska must cover prescription contraceptives, emergency contraception (including over-the-counter), and related medical services without copayments or deductibles, with limited exceptions for high deductible health savings account plans.

Insurers must reimburse providers for prescription contraceptives intended to last 12 months for subsequent dispensings regardless of whether the insured was enrolled at the time of initial dispensing, and cannot deny coverage if an insured changes contraceptive methods within a 12-month period.

Insurers cannot restrict or delay contraceptive coverage through medical management techniques such as prior authorization or step therapy, though reasonable cost containment measures that do not unreasonably limit choice are permitted.

Religious employers meeting specific Internal Revenue Code criteria are exempt from contraceptive coverage requirements for their health plans.

Medical assistance (Medicaid) programs must cover prescription contraceptives for 12-month periods and emergency contraception, with the medical assistance provisions taking effect only upon federal approval by January 1, 2025.