Mandates Medicaid coverage for fertility diagnostic care, standard fertility preservation services, and fertility treatment.
Amends the current law on health insurance coverage for fertility diagnostic care, standard fertility preservation services, and fertility treatment and requires coverage for any medically necessary ovulation-enhancing drugs and medical services.
Requires individual and group health insurance policies that provide pregnancy-related benefits to cover medically necessary expenses for diagnosis and treatment of infertility and standard fertility-preservation services.
Mandates all insurance contracts, plans or policies provide insurance coverage for the expense of diagnosing and treating infertility, for women between the ages of 25 and 42 years including preimplantation genetic diagnosis (PGD) in conjunction with IVF.
Authorizes office of health and human services (EOHHS) to establish coverage for obesity treatments, including medication. Office of health and human services would seek a 1115(a) waiver.
Removes the age restriction for benefits coverage/requires, after 1/1/26, for policies issued or renewed include coverage for reimbursement for provider services at a rate equal to, or greater than, Medicaid establishments of EOHHS.
Removes the age restriction for benefits coverage/requires, after 1/1/26, for policies issued or renewed include coverage for reimbursement for provider services at a rate equal to, or greater than, Medicaid establishments of EOHHS.
Prohibits a policy of individual health insurance coverage from requiring prior authorization for prescriptions of generic medication.
Increases individual, group, and Medicaid insurance rates of reimbursement for ambulance and wheelchair van services to be equal to reimbursement rates provided by Medicare for the same medical services.
Increases individual, group, and Medicaid insurance rates of reimbursement for ambulance and wheelchair van services to be equal to reimbursement rates provided by Medicare for the same medical services.