Relating to health benefit plan coverage of prescription contraceptive drugs.
Impact
If enacted, SB807 will change existing health benefit regulations in Texas concerning contraceptive drug coverage, effective from January 1, 2024. The bill ensures that beneficiaries of various health plans, including those provided through schools and Medicaid, can access more significant supplies of contraceptives at once. By facilitating easier access to contraceptive methods, the bill supports preventative health measures designed to address women's health needs effectively.
Summary
Senate Bill 807, introduced by Paxton, addresses the coverage of prescription contraceptive drugs under health benefit plans in Texas. The bill mandates that plans must allow enrollees to obtain a three-month supply of covered prescription contraceptive drugs at their first purchase and a twelve-month supply for subsequent purchases. This measure aims to improve access to contraceptive options and enhance the quality of reproductive health care for women in Texas. It may impact various insurance plans including those under state Medicaid and other health programs.
Sentiment
The legislative discussions surrounding SB807 generally lean toward a positive sentiment, particularly among advocates for reproductive rights and women's health. Supporters assert that this bill is a necessary step in eliminating barriers to contraceptive access and promoting public health. However, there may be opposition from certain groups that argue against government mandates on health coverage, emphasizing individual choice and the role of private insurers.
Contention
A potential point of contention may arise regarding the financial implications for insurance providers and the concern over overall healthcare costs. Critics may voice concerns about the additional costs that could be incurred by plans as a result of increased access to contraceptive drugs. Furthermore, discussions could also touch on the cultural and ethical implications of mandating contraceptive coverage in health plans, raising debates on reproductive rights and healthcare policy.
Texas Constitutional Statutes Affected
Insurance Code
Chapter 1369. Benefits Related To Prescription Drugs And Devices And Related Services
Section: 102
Section: New Section
Chapter 1507. Consumer Choice Of Benefits Plans
Section: New Section
Chapter 1551. Texas Employees Group Benefits Act
Section: New Section
Chapter 1575. Texas Public School Employees Group Benefits Program
Section: New Section
Chapter 1579. Texas School Employees Uniform Group Health Coverage
Section: New Section
Chapter 1601. Uniform Insurance Benefits Act For Employees Of The University Of Texas System And The Texas A&m University System
Section: New Section
Government Code
Chapter 533. Medicaid Managed Care Program
Section: New Section
Health And Safety Code
Chapter 62. Child Health Plan For Certain Low-income Children
Requires Medicaid provide health benefits coverage, and places certain requirements on insurers and State Health Benefits Program regarding existing mandate on health benefits coverage, for certain over-the-counter contraceptives.