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term "outpatient contraceptive services" means consultations, | | examinations, procedures and medical services provided on an | | outpatient basis and related to the use of contraceptive methods to | | prevent an unintended pregnancy. |
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| | | 2.__Prohibitions.__A health maintenance organization that | | offers an individual or group health contract may not: |
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| | | A.__Deny to any individual or covered person eligibility or | | continued eligibility to enroll or to renew coverage under | | the terms of the contract because of the individual's or | | covered person's use or potential use of items or services | | that are covered in accordance with the requirements of this | | section; |
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| | | B.__Provide monetary payments or rebates to a covered person | | to encourage that person to accept less than the minimum | | protections available under this section; |
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| | | C.__Penalize or otherwise reduce or limit the reimbursement | | of a health care professional because that professional | | prescribed contraceptive drugs or provided contraceptive | | services in accordance with this section; or |
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| | | D.__Provide incentives, monetary or otherwise, to a health | | care professional to induce that professional to withhold | | from a covered person contraceptive drugs or contraceptive | | services. |
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| | | Sec. 5. Applicability. This Act applies to all policies and contracts | | executed, delivered, issued for delivery, continued or renewed on | | or after the effective date of this Act. All policies and | | contracts are deemed to be renewed no later than the next yearly | | anniversary of the contract date. |
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| | | This bill requires insurance policies and contracts that | | provide coverage for prescription drugs or outpatient medical | | services to provide coverage for prescription contraceptives | | approved by the federal Food and Drug Administration or for | | outpatient contraceptive services, respectively, to the same | | extent that coverage is provided for other prescription drugs or | | outpatient medical services. This requirement may be enforced | | through the appeals process required for insurance policies and | | contracts by current law or through appropriate action by the |
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