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Mandating 365-Day Supply of Contraceptives Without Cost-Sharing.

This bill requires health insurance plans (group and individual) to allow enrollees to obtain a full 365-day supply of contraceptives in a single fill or refill. This change aims to improve convenience and consistent access to medication by reducing the need for frequent pharmacy visits. Crucially, insurers are prohibited from imposing any cost-sharing requirements for this annual supply, resulting in zero out-of-pocket costs for citizens.
Key points
Health plans must cover a 365-day supply of contraceptives in one transaction upon the enrollee's request.
Enrollees will face zero out-of-pocket costs (no copays or deductibles) for the annual contraceptive supply.
The rules apply to plan years beginning on or after January 1, 2024.
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Additional Information
A bill to amend title XXVII of the Public Health Service Act to require group health plans and health insurance issuers offering group or individual health insurance coverage to permit enrollees to obtain a 365-day supply of contraceptives.
Print number: S 2427
Sponsor: Sen. Fetterman, John [D-PA]
Process start date: 2023-07-20