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CA SB999
Bill
AI Summary
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Requires health care service plans and disability insurers to cover up to a 12-month supply of FDA-approved, self-administered hormonal contraceptives when dispensed at one time, effective January 1, 2017.
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Prohibits health care plans and insurers from imposing utilization controls or medical management practices that limit hormonal contraceptive supplies to less than 12 months, absent clinical contraindications.
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Authorizes pharmacists to dispense up to a 12-month supply of FDA-approved, self-administered hormonal contraceptives at a patient's request pursuant to a valid prescription with periodic refills.
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Applies the 12-month supply requirement to Medi-Cal managed care plans and requires the State Department of Health Care Services to seek federal approval and issue implementation instructions.
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Excludes out-of-network providers and pharmacies from the coverage requirement unless authorized by state or federal law or the plan's out-of-network coverage policies.
Legislative Description
Health care coverage: contraceptives: annual supply.
Last Action
Chaptered by Secretary of State. Chapter 499, Statutes of 2016.
9/23/2016