Download this document in MS Word 97 format

NO. 26. AN ACT RELATING TO REPRODUCTIVE HEALTH EQUITY IN HEALTH INSURANCE COVERAGE.

(H.189)

It is hereby enacted by the General Assembly of the State of Vermont:

Sec. 1. 8 V.S.A. § 4099c is added to read:

§ 4099c. REPRODUCTIVE HEALTH EQUITY IN HEALTH INSURANCE

COVERAGE

(a) A health insurance plan shall provide coverage for outpatient contraceptive services including sterilizations, and shall provide coverage for the purchase of all prescription contraceptives and prescription contraceptive devices approved by the federal Food and Drug Administration, except that a health insurance plan that does not provide coverage of prescription drugs is not required to provide coverage of prescription contraceptives and prescription contraceptive devices. A health insurance plan providing coverage required under this section shall not establish any rate, term or condition that places a greater financial burden on an insured or beneficiary for access to contraceptive services, prescription contraceptives and prescription contraceptive devices than for access to treatment, prescriptions or devices for any other health condition.

(b) As used in this section, "health insurance plan" means any individual or group health insurance policy, any hospital or medical service corporation or health maintenance organization subscriber contract or any other health benefit plan offered, issued or renewed for any person in this state by a health insurer, as defined by 18 V.S.A. § 9402(7). The term shall not include benefit plans providing coverage for specific disease or other limited benefit coverage.

Sec. 2. APPLICABILITY AND EFFECTIVE DATE

This act shall take effect on July 1, 1999, and shall apply to all health benefit plans on and after October 1, 1999 on such date as a plan is offered, issued or renewed, but in no event later than October 1, 2000.

Approved: May 19, 1999