Source: http://leg.mt.gov/bills/2017/billhtml/HB0505.htm
Timestamp: 2017-10-20 23:33:51
Document Index: 564798917

Matched Legal Cases: ['art 1', 'arts 12', 'art 19', 'art 1', 'art 1', 'art 1', 'art 1']

A BILL FOR AN ACT ENTITLED: "AN ACT ESTABLISHING REQUIREMENTS FOR INSURANCE COVERAGE OF PRESCRIPTION CONTRACEPTIVES, INCLUDING COVERAGE OF A 12-MONTH SUPPLY OF A CONTRACEPTIVE; AMENDING SECTIONS 2-18-704, 20-25-1403, 33-22-101, 33-31-111, 33-35-306, 53-4-1005, AND 53-6-101, MCA; AND PROVIDING A DELAYED EFFECTIVE DATE."
NEW SECTION. Section 1. Coverage of contraceptives. (1) Each group or individual disability policy, certificate of insurance, or membership contract that is delivered, issued for delivery, renewed, extended, or modified in this state that includes a prescription drug benefit must provide payment, coverage, or reimbursement for prescription contraceptives.
(2) Except as provided in subsection (3), the coverage required under this section may be subject to provisions that apply equally to other prescription drugs covered by the policy, certificate, or contract, including but not limited to required copayments, deductibles, and coinsurance.
(3) The policy, certificate, or contract must reimburse a health care provider or dispensing entity for dispensing a 12-month supply of a contraceptive at any time during the plan year.
(4) A religious employer is exempt from the requirements of this section with respect to a prescription drug benefit that it provides to its employees.
(a) "Prescription contraceptive" means a drug or device that requires a prescription and is approved by the U.S. Food and Drug Administration to prevent pregnancy.
(b) "Religious employer" means an employer:
(i) whose purpose is the inculcation of religious values;
(ii) that primarily employs persons who share the religious beliefs of the employer;
(iii) that primarily serves persons who share the religious beliefs of the employer; and
(iv) that is a nonprofit organization under section 6033(a)(3)(A)(i) or (iii) of the Internal Revenue Code.
(15) An insurance contract or plan issued under this part and the state employee group benefit plans must comply with the provisions of [section 1]. (See compiler's comments for contingent termination of certain text.)"
Section 3. Section 20-25-1403, MCA, is amended to read:
(4) Except for the provisions of Title 33, chapter 40, part 1, the provisions of Title 33 do not apply to the commissioner when exercising the duties provided for in this part. (Terminates December 31, 2017--sec. 14, Ch. 363, L. 2013.)
(4) The Except for the provisions of [section 1], the provisions of Title 33 do not apply to the commissioner when exercising the duties provided for in this part."
(2) Sections 33-22-137, [section 1], 33-22-150 through 33-22-152, and 33-22-301 apply to group or blanket policies."
(7) Title 33, chapter 1, parts 12 and 13, Title 33, chapter 2, part 19, 33-2-1114, 33-2-1211, 33-2-1212, 33-3-401, 33-3-422, 33-3-431, 33-15-308, Title 33, chapter 17, Title 33, chapter 19, 33-22-107, [section 1], 33-22-129, 33-22-131, 33-22-136, 33-22-137, 33-22-138, 33-22-139, 33-22-141, 33-22-142, 33-22-152, 33-22-153, 33-22-156 through 33-22-159, 33-22-244, 33-22-246, 33-22-247, 33-22-514, 33-22-515, 33-22-521, 33-22-523, 33-22-524, 33-22-526, 33-22-706, Title 33, chapter 32[, and Title 33, chapter 40, part 1,] apply to health maintenance organizations. (Bracketed language in (7) terminates December 31, 2017--sec. 14, Ch. 363, L. 2013.)"
Section 6. Section 33-35-306, MCA, is amended to read:
(g) 33-22-107, [section 1], 33-22-131, 33-22-134, 33-22-135, 33-22-138, 33-22-139, 33-22-141, 33-22-142, 33-22-152, and 33-22-153;
(i) Title 33, chapter 40, part 1.
Section 7. Section 53-4-1005, MCA, is amended to read:
(h) prescription drugs, including coverage of contraceptives in accordance with [section 1];
(5)(4) The department shall notify enrollees of any restrictions on access to health care providers, of any restrictions on the availability of services by out-of-state providers, and of the methodology for an out-of-state provider to be an eligible provider. (Terminates on occurrence of contingency--sec. 15, Ch. 571, L. 1999; sec. 3, Ch. 169, L. 2007; sec. 10, Ch. 97, L. 2013.)"
Section 8. Section 53-6-101, MCA, is amended to read:
(h) prescribed drugs, dentures, and prosthetic devices;. If the program provides coverage of prescription drugs, the coverage must comply with the provisions of [section 1].
NEW SECTION. Section 9. Codification instruction. [Section 1] is intended to be codified as an integral part of Title 33, chapter 22, part 1, and the provisions of Title 33, chapter 22, part 1, apply to [section 1].
NEW SECTION. Section 10. Effective date. [This act] is effective January 1, 2018.
Processed for the Web on February 17, 2017 (3:36pm)