California's Contraceptive Equity Act Extended with Additional New Laws Effective January 1, 2024
Beginning January 1, 2024, the Act expands coverage of contraceptives by a health care service plan contract or health insurance policy by requiring the following:
- A prescription shall not be required to trigger coverage of over-the-counter FDA-approved contraceptive drugs, devices, and products.
- Point-of-sale health coverage must provide over-the-counter FDA-approved contraceptive drugs, devices, and products at in-network pharmacies without cost sharing or medical management restrictions.
- Health care services plans and insurance policies offered by public or private higher learning institutions that directly provide health care services to only its students, faculty, staff, administration, and their respective dependents must comply with the law’s existing contraceptive coverage requirements.
- Health care service plans must provide coverage for clinical services related to the use contraception.
- Health care services plans are prohibited from imposing a deductible, coinsurance, copayment, or any other cost-sharing requirement for vasectomy services and procedures.
Resources
Cal Matters posted an article providing more details.
California Association of Health Plans also provides some detailed information in the SB 523 Implementation Guide.
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