Loading chat...
CO SB284
Bill
AI Summary
-
Requires health insurance carriers and pharmacy benefit management firms to provide coverage for a single dispensing of contraception lasting twelve months, or allow distribution over twelve months if requested by the covered person.
-
Prohibits step therapy, prior authorization, quantity limits, and other utilization management practices that would result in coverage of less than a twelve-month supply of contraception.
-
Requires coverage of FDA-approved, -cleared, or -granted over-the-counter contraception without prescription requirements and with point-of-sale coverage at in-network pharmacies without cost sharing or prior authorization.
-
Mandates an accessible exceptions process allowing covered persons to obtain medically necessary contraception not on the formulary without cost sharing, as determined by the prescribing provider.
-
Requires carriers to submit annual reports to the commissioner regarding contraception coverage data, with pharmacy benefit management firms providing coverage data to carriers for inclusion in reports.
Legislative Description
Ensure 12-month Contraception Coverage
Last Action
Governor Signed
5/30/2023