HB 06626 Summary

• Requires individual and group health insurance policies to cover motorized wheelchairs (including used), repairs, and replacement batteries effective January 1, 2022.

• Mandates coverage for cochlear implants and surgery for unilateral and bilateral hearing loss, coronary calcium scan tests, genetic cystic fibrosis screenings, neurological condition treatments including physical therapy for ALS, equine therapy for veterans, and gambling disorder treatment effective January 1, 2022.

• Requires coverage for audiologic, ophthalmologic, and optometric care in both individual and group health insurance policies, with Medicaid reimbursement for these services effective July 1, 2021.

• Expands coverage for colorectal cancer screening and diagnosis without cost-sharing for diagnostic procedures, and requires ambulance services to be covered at in-network rates with direct payment to ambulance providers.

• Establishes comprehensive breast health coverage including screening and diagnostic mammograms, ultrasounds, MRI imaging, biopsies, prophylactic mastectomies for high-risk individuals, and breast reconstruction surgery without cost-sharing; requires advance notice and cost transparency for follow-up tests after mammograms.