MN HF4313

Health plans must provide coverage for all types and brands of over-the-counter contraceptives and must cover them at the point-of-sale without limitations on type, quantity, or purchase frequency, effective January 1, 2025.

Health plans must include at least one of each FDA-approved prescription contraceptive method in their formulary and must cover prescription contraceptives recommended by a provider based on medical necessity without cost-sharing, including co-pays, deductibles, or coinsurance.

Religious exempt organizations and closely held for-profit entities with religious objections may opt out of contraceptive coverage but must notify employees at least 30 days before enrollment or plan effective date and provide a list of what they refuse to cover.

Medical assistance (Medicaid) must cover all types and brands of over-the-counter contraceptives in compliance with insurance requirements and must provide a 12-month supply of prescription contraceptives if prescribed by a health care provider.

The Department of Commerce must provide outreach to affected parties and submit reports by March 31, 2026, and annually thereafter regarding OTC contraceptive coverage use and related costs to health plans and the state.