Coverage of maternity and newborn care under health insurance policies and plans and granting rule-making authority.
Impact
The bill introduces significant changes to state statutes by creating section 632.895 (14m) that specifically governs maternity and newborn care provisions. Given that this mandate applies to all disability insurance policies and self-insured health plans within Wisconsin, it sets a new standard for essential health benefits, closing potential gaps in coverage for these critical health services. This legislative change is aimed at ensuring that all expecting parents have access to necessary healthcare without facing prohibitive costs, thus promoting public health and safety for families.
Summary
Assembly Bill 340 emphasizes the importance of maternity and newborn care by mandating that certain health insurance policies, specifically termed disability insurance policies, and governmental self-insured health plans, include comprehensive coverage for these essential health benefits. The bill outlines that the details regarding maternity and newborn care benefits will be determined by the commissioner of insurance, who is also tasked with implementing certain limitations on cost-sharing to ensure affordability for insured individuals. This initiative reflects a growing recognition of the need for robust maternity care support within health insurance frameworks.
Contention
Notable points of contention surrounding AB340 may arise from its implications for insurers and existing policies. While proponents argue it is a necessary step toward ensuring comprehensive maternity care, critics may express concerns regarding the increased burden on insurance providers, potentially leading to higher premiums. Furthermore, the provision for the commissioner to periodically update the maternity care benefits may raise questions about its ongoing feasibility and adaptability as healthcare needs evolve. The balance between comprehensive coverage and affordability will likely be a central focus of debates as the bill progresses through the legislative process.
Coverage of infertility services under self-insured governmental health plans and health policies and plans offered to state employees, and granting rule-making authority.
Coverage of infertility services under self-insured governmental health plans and health policies and plans offered to state employees, and granting rule-making authority.