DOA:......Lessner, BB0041 - Over-the-Counter Oral Contraception Coverage
For 2025-2027 Budget -- Not Ready For Introduction
An Act ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
INSURANCE
Coverage of over-the-counter oral contraceptives
Under current law, every health insurance policy and every self-insured governmental health plan that covers outpatient health care services, preventive treatments and services, or prescription drugs and devices must provide coverage for contraceptives prescribed by a health care provider. Under the bill, these insurance policies and health plans must also provide coverage of oral contraceptives that are lawfully furnished over the counter without a prescription.
This proposal may contain a health insurance mandate requiring a social and financial impact report under s. 601.423, stats.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
Section 1. 632.895 (17) (b) 1m. of the statutes is created to read:
632.895 (17) (b) 1m. Oral contraceptives that are lawfully furnished over the counter without a prescription.
Section 9323. Initial applicability; Insurance.
(1) Coverage of over-the-counter oral contraceptives.
(a) For policies and plans containing provisions inconsistent with s. 632.895 (17) (b) 1m., the treatment of s. 632.895 (17) (b) 1m. first applies to policy or plan years beginning on January 1 of the year following the year in which this paragraph takes effect, except as provided in par. (b).
(b) For policies and plans that are affected by a collective bargaining agreement containing provisions inconsistent with s. 632.895 (17) (b) 1m., the treatment of s. 632.895 (17) (b) 1m. first applies to policy or plan years beginning on the effective date of this paragraph or on the day on which the collective bargaining agreement is newly established, extended, modified, or renewed, whichever is later.
Section 9423. Effective dates; Insurance.
(1) Coverage of over-the-counter oral contraceptives. The treatment of s. 632.895 (17) (b) 1m. and Section 9323 (1) of this act take effect on the first day of the 4th month beginning after publication.
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