Plain English Breakdown
The bill summary states it provides an effective date, but the provided metadata lists the field as empty. The exact start date is unknown based on this source.
HB988: Health Plan Coverage for Menopause Hormone Therapy
This bill requires the state health benefit plan to cover hormone replacement therapy for biological women experiencing perimenopause or menopause when a licensed physician orders it.
What This Bill Does
- Requires the state employees' health insurance plan and post-employment health benefit fund to cover hormone replacement therapy.
- Applies coverage only when a licensed physician prescribes or orders the treatment for biological women experiencing perimenopause or menopause.
- Allows deductibles, coinsurance, and copayment provisions to remain in place.
- Permits utilization review processes before approving the therapy.
Who It Names or Affects
- Biological women who are state employees covered by the plan and experiencing perimenopause or menopause.
- The state health benefit plan administrators.
Limits and Unknowns
- The official text does not specify an effective date in this summary.
- Patients may still have costs due to allowed deductibles, coinsurance, and copayments.
- Coverage is limited only to therapy ordered by a licensed physician.