HB 249 Summary

• Requires all individual and group health insurance policies, including those offered by mutual benefit societies and health maintenance organizations, to cover comprehensive sexual and reproductive health care services without cost-sharing requirements, effective January 1, 2022.

• Mandates coverage of specific preventive services including well-woman visits, contraceptive supplies, abortion, voluntary sterilization, counseling for sexually transmitted infections, and screening for various conditions including breast cancer, cervical cancer, and pregnancy-related complications.

• Prohibits insurers from imposing copayments, coinsurance, deductibles, or restrictions on covered services, except to the minimum extent necessary to preserve eligibility for health savings accounts under federal law.

• Establishes nondiscrimination protections prohibiting denial of coverage or payment for reproductive health services based on race, color, national origin, sex, gender identity, sexual orientation, age, or disability, with violations subject to enforcement under chapter 489.

• Requires the insurance division to submit a compliance report to the legislature by twenty days prior to the 2022 regular session regarding insurer implementation of the Act.