| Chapter 234 |
| 2018 -- S 2529 SUBSTITUTE A Enacted 07/02/2018 |
| A N A C T |
| RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES |
| Introduced By: Senators Euer, Goldin, Sosnowski, Coyne, and Seveney |
| Date Introduced: March 01, 2018 |
| It is enacted by the General Assembly as follows: |
| SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness |
| Insurance Policies" is hereby amended by adding thereto the following section: |
| 27-18-84. Health insurance contracts - Full year coverage for contraception. |
| Beginning on the first day of each plan year after April 1, 2019, every health-insurance |
| issuer offering group or individual health-insurance coverage that covers prescription |
| contraception shall not restrict reimbursement for dispensing a covered prescription contraceptive |
| up to three hundred sixty-five (365) days at a time. |
| SECTION 2. Section 27-18-57 of the General Laws in Chapter 27-18 entitled "Accident |
| and Sickness Insurance Policies" is hereby amended to read as follows: |
| 27-18-57. F.D.A. approved prescription contraceptive drugs and devices. |
| (a) Every individual or group health-insurance contract, plan, or policy that provides |
| prescription coverage and is delivered, issued for delivery, or renewed in this state shall provide |
| coverage for F.D.A. approved contraceptive drugs and devices requiring a prescription. Provided, |
| that nothing in this subsection shall be deemed to mandate or require coverage for the |
| prescription drug RU 486. |
| (b) Notwithstanding any other provision of this section, any insurance company may |
| issue to a religious employer an individual or group health-insurance contract, plan, or policy that |
| excludes coverage for prescription contraceptive methods which that are contrary to the religious |
| employer's bona fide religious tenets. |
| (c) As used in this section, "religious employer" means an employer that is a "church or a |
| qualified church-controlled organization" as defined in 26 U.S.C. § 3121. |
| (d) This section does not apply to insurance coverage providing benefits for: (1) hospital |
| Hospital confinement indemnity; (2) disability Disability income; (3) accident Accident only; |
| (4) long term Long-term care; (5) Medicare supplement; (6) limited Limited benefit health; (7) |
| specified Specified diseased indemnity; (8) sickness Sickness of or bodily injury or death by |
| accident or both; and (9) other Other limited-benefit policies. |
| (e) Every religious employer that invokes the exemption provided under this section shall |
| provide written notice to prospective enrollees prior to enrollment with the plan, listing the |
| contraceptive health-care services the employer refuses to cover for religious reasons. |
| (f) Beginning on the first day of each plan year after April 1, 2019, every health- |
| insurance issuer offering group or individual health-insurance coverage that covers prescription |
| contraception shall not restrict reimbursement for dispensing a covered prescription contraceptive |
| up to three hundred sixty-five (365) days at a time. |
| SECTION 3. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service |
| Corporations" is hereby amended by adding thereto the following section: |
| 27-19-76. Health insurance contracts - Full year coverage for contraception. |
| Beginning on the first day of each plan year after April 1, 2019, every health-insurance |
| issuer offering group or individual health-insurance coverage that covers prescription |
| contraception shall not restrict reimbursement for dispensing a covered prescription contraceptive |
| up to three hundred sixty-five (365) days at a time. |
| SECTION 4. Section 27-19-48 of the General Laws in Chapter 27-19 entitled "Nonprofit |
| Hospital Service Corporations" is hereby amended to read as follows: |
| 27-19-48. F.D.A. approved prescription contraceptive drugs and devices. |
| (a) Every individual or group health-insurance contract, plan, or policy that provides |
| prescription coverage and is delivered, issued for delivery, or renewed in this state shall provide |
| coverage for F.D.A. approved contraceptive drugs and devices requiring a prescription. Provided, |
| that nothing in this subsection shall be deemed to mandate or require coverage for the |
| prescription drug RU 486. |
| (b) Notwithstanding any other provision of this section, any hospital service corporation |
| may issue to a religious employer an individual or group health-insurance contract, plan, or policy |
| that excludes coverage for prescription contraceptive methods which that are contrary to the |
| religious employer's bona fide religious tenets. |
| (c) As used in this section, "religious employer" means an employer that is a "church or a |
| qualified church-controlled organization" as defined in 26 U.S.C. § 3121. |
| (d) Every religious employer that invokes the exemption provided under this section shall |
| provide written notice to prospective enrollees prior to enrollment with the plan, listing the |
| contraceptive health-care services the employer refuses to cover for religious reasons. |
| (e) Beginning on the first day of each plan year after April 1, 2019, every health- |
| insurance issuer offering group or individual health-insurance coverage that covers prescription |
| contraception shall not restrict reimbursement for dispensing a covered prescription contraceptive |
| up to three hundred sixty-five (365) days at a time. |
| SECTION 5. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service |
| Corporations" is hereby amended by adding thereto the following section: |
| 27-20-72. Health insurance contracts - Full year coverage for contraception. |
| Beginning on the first day of each plan year after April 1, 2019, every health-insurance |
| issuer offering group or individual health-insurance coverage that covers prescription |
| contraception shall not restrict reimbursement for dispensing a covered prescription contraceptive |
| up to three hundred sixty-five (365) days at a time. |
| SECTION 6. Section 27-20-43 of the General Laws in Chapter 27-20 entitled "Nonprofit |
| Medical Service Corporations" is hereby amended to read as follows: |
| 27-20-43. F.D.A. approved prescription contraceptive drugs and devices. |
| (a) Every individual or group health-insurance contract, plan, or policy that provides |
| prescription coverage and is delivered, issued for delivery, or renewed in this state shall provide |
| coverage for F.D.A. approved contraceptive drugs and devices requiring a prescription. Provided, |
| that nothing in this subsection shall be deemed to mandate or require coverage for the |
| prescription drug RU 486. |
| (b) Notwithstanding any other provision of this section, any medical service corporation |
| may issue to a religious employer an individual or group health-insurance contract, plan, or policy |
| that excludes coverage for prescription contraceptive methods which are contrary to the religious |
| employer's bona fide religious tenets. |
| (c) As used in this section, "religious employer" means an employer that is a "church or a |
| qualified church-controlled organization" as defined in 26 U.S.C. § 3121. |
| (d) Every religious employer that invokes the exemption provided under this section shall |
| provide written notice to prospective enrollees prior to enrollment with the plan, listing the |
| contraceptive health-care services the employer refuses to cover for religious reasons. |
| (e) Beginning on the first day of each plan year after April 1, 2019, every health- |
| insurance issuer offering group or individual health-insurance coverage that covers prescription |
| contraception shall not restrict reimbursement for dispensing a covered prescription contraceptive |
| up to three hundred sixty-five (365) days at a time. |
| SECTION 7. Chapter 27-41 of the General Laws entitled "Health Maintenance |
| Organizations" is hereby amended by adding thereto the following section: |
| 27-41-89. Health insurance contracts - Full year coverage for contraception. |
| Beginning on the first day of each plan year after April 1, 2019, every health-insurance |
| issuer offering group or individual health-insurance coverage that covers prescription |
| contraception shall not restrict reimbursement for dispensing a covered prescription contraceptive |
| up to three hundred sixty-five (365) days at a time. |
| SECTION 8. Section 27-41-59 of the General Laws in Chapter 27-41 entitled "Health |
| Maintenance Organizations" is hereby amended to read as follows: |
| 27-41-59. F.D.A. approved prescription contraceptive drugs and devices. |
| (a) Every individual or group health-insurance contract, plan, or policy that provides |
| prescription coverage and is delivered, issued for delivery, or renewed in this state shall provide |
| coverage for F.D.A. approved contraceptive drugs and devices requiring a prescription; provided, |
| that nothing in this subsection shall be deemed to mandate or require coverage for the |
| prescription drug RU 486. |
| (b) Notwithstanding any other provision of this section, any health-maintenance |
| corporation may issue to a religious employer an individual or group health-insurance contract, |
| plan, or policy that excludes coverage for prescription contraceptive methods which that are |
| contrary to the religious employer's bona fide religious tenets. |
| (c) As used in this section, "religious employer" means an employer that is a "church or a |
| qualified church-controlled organization" as defined in 26 U.S.C. § 3121. |
| (d) Every religious employer that invokes the exemption provided under this section shall |
| provide written notice to prospective enrollees prior to enrollment with the plan, listing the |
| contraceptive health-care services the employer refuses to cover for religious reasons. |
| (e) Beginning on the first day of each plan year after April 1, 2019, every health- |
| insurance issuer offering group or individual health-insurance coverage that covers prescription |
| contraception shall not restrict reimbursement for dispensing a covered prescription contraceptive |
| up to three hundred sixty-five (365) days at a time. |
| SECTION 9. Chapter 40-8.4 of the General Laws entitled "Health Care For Families" is |
| hereby amended by adding thereto the following section: |
| 40-8.4-20. Full year coverage for contraception. |
| No later than July 1, 2019, the executive office of health and human services (EOHHS) |
| shall apply for the appropriate federal approval to provide Medicaid beneficiaries up to three |
| hundred sixty-five (365) days of prescription contraception dispensed as a single prescription. |
| SECTION 10. Section 9 of this act, pertaining to Medicaid, shall take effect July 1, 2019. |
| The remaining sections shall take effect April 1, 2019. |
| ======== |
| LC004725/SUB A |
| ======== |