HB 687 Summary

• Requires health insurers, hospital and medical service plans, and health maintenance organizations to cover medically necessary procedures for port-wine stain treatment, including laser surgery, remediation, and post-acute medical services.

• Coverage applies to treatment for up to 20 years from the date the port-wine stain was medically detected, with insurers subject to a maximum payment limit per covered individual (amount to be specified).

• Applies to all individual and group health insurance policies issued or renewed after December 31, 2019.

• Coverage may be subject to standard deductibles, copayments, coinsurance, and annual or maximum payment limits consistent with other similar coverage under the policy.

• Requires insurers to notify policyholders of port-wine stain coverage via website posting and email by January 1, 2020; mandates Department of Commerce and Consumer Affairs to report on economic impact to insurers by 2021.