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California's Contraceptive Equity Act Extended January 1, 2024

Jun 06, 2024
Category
Compliance News

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.   

While every effort has been taken in compiling this information to ensure that its contents are totally accurate, neither the publisher nor the author can accept liability for any inaccuracies or changed circumstances of any information herein or for the consequences of any reliance placed upon it. This publication is distributed on the understanding that the publisher is not engaged in rendering legal, accounting, or other professional advice or services. Readers should always seek professional advice before entering into any commitments.

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