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Free Primary and Behavioral Health Visits Mandated for Health Plans.

This law mandates that group and individual health insurance plans must cover six essential visits annually without any cost-sharing requirements like copays or deductibles. Specifically, citizens will receive three free primary care visits and three free behavioral health care visits each plan year. This change aims to remove financial barriers, encouraging earlier access to preventative physical and mental health care.
Key points
Health plans must cover 3 primary care visits per year with zero out-of-pocket costs for the patient.
Coverage for 3 behavioral health care visits (mental health) annually must also be provided without copayments or deductibles.
High Deductible Health Plans (HDHPs) will be allowed to cover these six visits before the deductible is met.
The new requirements apply to plan years beginning two years after the law is enacted.
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Additional Information
Primary and Behavioral Health Care Access Act of 2024
Print number: S 4835
Sponsor: Sen. King, Angus S., Jr. [I-ME]
Process start date: 2024-07-30