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and relating to medical assistance coverage for contraceptives and related services;services." CS FOR HOUSE BILL NO.

and25(FIN) providingam(efd forfld) an01 effective"An date."Act CSrelating FORto HOUSEinsurance BILLcoverage NO.for contraceptives and related services;

25(FIN)and 0102 "An Act relating to insurancemedical assistance coverage for contraceptives and related services;services." 03 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:

relating04 02* toSection medical1. assistance coverage for contraceptives and related services;

and providing for 03 an effective date." 04 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:

05 * Section 1.

0605 Sec.

(a) A health care insurer that 0706 offers, issues for delivery, delivers, or renews in the state a health care insurance plan 0807 in the group or individual market shall 0908 (1) provide coverage for 1009 (A) prescription contraceptives;

1110 (B) voluntary sterilization procedures;

and 1211 (C) consultations, examinations, procedures, and medical 1312 services that are necessary to prescribe, dispense, insert, deliver, distribute, 1413 administer, or remove the drugs, devices, and other products or services 14 provided under this paragraph;

02 (2) reimburse a health care provider or dispensing entity for dispensing 0302 prescription contraceptives intended to last for a 12-month period for subsequent 0403 dispensings of the same prescription contraceptive to the insured regardless of whether 0504 the insured was enrolled in the health care insurance plan at the time of the first 0605 dispensing.

0706 (b) A health care insurer may not deny coverage or reimbursement under (a) 0807 of this section because an insured changed contraceptive methods within a 12-month 0908 period.

1009 (c) A health care insurer may not offset the costs of compliance with (a) of 1110 this section and may not require copayments or deductibles for contraceptives or 1211 services covered under (a) of this section.

1312 (d) A health care insurer may not restrict or delay the coverage or 1413 reimbursement required under (a) of this section, including use of medical 1514 management techniques, such as denials, step therapy, or prior authorization, that limit 1615 an insured's choice in accessing a full range of prescription contraceptives.

Nothing in 1716 this subsection prevents a health care insurer from enacting reasonable cost 1817 containment measures in relation to the coverage required under (a) of this section if 1918 the cost containment measure does not unreasonably limit choice in access to 2019 coverage.

In this subsection, "cost containment" means incentivizing the use of 2120 generic or lower cost medications or the use of health care providers or pharmacies 2221 that offer services or prescriptions at a lower negotiated rate.

2322 (e) If the covered therapeutically equivalent version of a prescription 2423 contraceptive is not available or is considered medically inadvisable by the health care 2524 provider of the insured, a health care insurer shall provide coverage without cost 2625 sharing for an alternative therapeutically equivalent version of the prescription 2726 contraceptive that is prescribed for the insured.

2827 (f) A health care insurer shall provide coverage and reimbursement under (a) 2928 of this section to all insureds enrolled in a health care insurance plan, including 3029 enrolled spouses and dependents.

3130 (g) A health care insurer that offers, issues for delivery, delivers, or renews in 31 the state a health care insurance plan in the group market to a religious employer is 02 exempt from the requirements of this section with respect to the health care insurance 0302 plan of the religious employer if the religious employer opposes the coverage required 0403 under this section and is an 05 (1) organization that meets the criteria set out in 26 U.S.C.

0604 6033(a)(3)(A)(i) or (iii) (Internal Revenue Code of 1986), as amended;amended.

or05 07(h) (2)In eligiblethis organizationsection, that"prescription hascontraceptive" self-certifiedmeans ina thedrug formor anddevice mannerthat 0806 specifiedrequires bya theprescription Unitedand Statesis Secretaryapproved ofby Labor or has provided notice to the United 09 States SecretaryFood of Health and HumanDrug Services,07 underAdministration theto requirementsprevent setpregnancy. out in 45 10 C.F.R.

147.131(b)(1)08 -* (3).Sec.

11 (h) In this section, "prescription contraceptive" means a drug or device that 12 requires a prescription and is approved by the United States Food and Drug 13 Administration to prevent pregnancy.

14 * Sec.

1509 (66) AS 29.20.420 (health care insurance plans).

1610 * Sec.

1711 Sec.

(a) If a municipality offers a group 1812 health care insurance plan covering municipal employees, including by means of self- 1913 insurance, the municipal health care insurance plan is subject to the requirements of 2014 AS 21.42.427.

2115 (b) This section applies to home rule and general law municipalities.

2216 (c) In this section "health care insurance plan" has the meaning given in 2317 AS 21.54.500.

2418 * Sec.

2519 (a) The Department of Administration may obtain a policy or policies of group 2620 insurance covering state employees, persons entitled to coverage under AS 14.25.168, 2721 14.25.480, AS 22.25.090, AS 39.35.535, 39.35.880, or former AS 39.37.145, 2822 employees of other participating governmental units, or persons entitled to coverage 2923 under AS 23.15.136, subject to the following conditions:

3024 (1) a group insurance policy shall provide one or more of the following 3125 benefits:

life insurance, accidental death and dismemberment insurance, weekly 26 indemnity insurance, hospital expense insurance, surgical expense insurance, dental 0227 expense insurance, audiovisual insurance, or other medical care insurance;

0328 (2) each eligible employee of the state, the spouse and the unmarried 0429 children chiefly dependent on the eligible employee for support, and each eligible 0530 employee of another participating governmental unit shall be covered by the group 0631 policy, unless exempt under regulations adopted by the commissioner of 07 administration;

0802 (3) a governmental unit may participate under a group policy if 0903 (A) its governing body adopts a resolution authorizing 1004 participation and payment of required premiums;

1105 (B) a certified copy of the resolution is filed with the 1206 Department of Administration;

and 1307 (C) the commissioner of administration approves the 1408 participation in writing;

1509 (4) in procuring a policy of group health or group life insurance as 1610 provided under this section or excess loss insurance as provided in AS 39.30.091, the 1711 Department of Administration shall comply with the dual choice requirements of 1812 AS 21.86.310, and shall obtain the insurance policy from an insurer authorized to 1913 transact business in the state under AS 21.09, a hospital or medical service corporation 2014 authorized to transact business in this state under AS 21.87, or a health maintenance 2115 organization authorized to operate in this state under AS 21.86;