Source: http://www.wvlegislature.gov/legisdocs/chamber/2020/RS/com_amends/HB4198%20S%20H_HR%20AM%20_1%20as%20am.htm
Timestamp: 2020-07-16 00:29:04
Document Index: 765840713

Matched Legal Cases: ['§5', '§33', '§33', '§33', '§33', '§33', '§33', '§33', '§33', '§5', '§5', '§33', '§33', '§33', '§33', '§33']

HB4198 S H&HR AM #1
§5-16-28. Incorporation of the coverage for 12-month refill for contraceptive drugs.
The provision requiring coverage for 12-month refill for contraceptive drugs codified at §33-53-1 of this code is made applicable to the provisions of this article.
§33-15-4u. Incorporation of the coverage for 12-month refill for contraceptive drugs.
§33-16-3ff. Incorporation of the coverage for 12-month refill for contraceptive drugs.
ARTICLE 24. HOSPITAL SERVICE CORPORATIONS, MEDICAL SERVICE CORPORATIONS, DENTAL SERVICE CORPORATIONS, AND HEALTH SERVICE CORPORATIONS.
§33-24-7u. Incorporation of the coverage for 12-month refill for contraceptive drugs.
§33-25-8r. Incorporation of the coverage for 12-month refill for contraceptive drugs.
§33-25A-8u. Incorporation of the coverage for 12-month refill for contraceptive drugs.
§33-53-1. Coverage and dispensing birth control.
(a) Notwithstanding the a prohibition or limitation contained within the provisions of §33-1-1 et seq. and §5-16-1 of this code an insurer subject to §5-16-1 et seq., §33-15-1 et seq., §33-16-1 et seq., §33-24-1 et seq., §33-25-1 et seq., and §33-25A-1 of this code which amends, renews, or delivers a health policy on or after January 1, 2021, that provides coverage for contraceptive drugs, shall provide coverage for a 12-month refill of contraceptive drugs obtained at one time by the insured after the insured has completed the initial supply of the drugs, unless the insured requests a smaller supply or the prescribing provider instructs that the insured must receive a smaller supply. A health benefit plan that provides coverage shall allow the insured to receive the contraceptive drugs on-site at the provider’s office, if available, and dispensing practices must follow all clinical guidelines for appropriate prescribing and dispensing to ensure the health of the patient while maximizing access to effective contraceptive drugs.
(d) Nothing in this section requires a health benefit plan to cover contraceptive drugs provided by a provider, pharmacy, or at a location authorized to dispense drugs or supplies, that does not participate in the health benefit plan’s provider or pharmacy network, as appliable, except as may be otherwise authorized or required by state law or by the plan’s policies governing out-of-network coverage.
(e) For purposes of this section, the term “contraceptive drugs” means all drugs approved by the United States Food and Drug Administration that are used to prevent pregnancy, including, but not limited to, hormonal drugs administered orally, transdermally, and intravaginally.