HI HB1573

Requires all individual and group health insurance policies and contracts issued or renewed after June 30, 2018 to cover comprehensive reproductive health services without cost-sharing requirements (no deductibles, copayments, or coinsurance).

Mandates coverage for 12 categories of reproductive health services including well-woman care, pregnancy-related services, contraception counseling, voluntary sterilization, breastfeeding support, BRCA genetic testing and counseling, and management of related medications and devices.

Includes screenings for sexually transmitted infections, hepatitis B and C, anemia, urinary tract infections, gestational diabetes, osteoporosis, and cervical cancer as part of required reproductive health coverage.

Prohibits restrictions or delays on required coverage and requires separate reimbursement for reproductive health services apart from bundled or global payments for other covered services.

Exempts insurers from covering experimental or investigational treatments, clinical trials, non-standard medical practices, and treatments lacking sufficient evidence of efficacy; applies requirements to individual insurance policies (Chapter 431), group disability policies (Chapter 431), hospital and medical service contracts (Chapter 432), and health maintenance organizations (Chapter 432D).