Alaska 32nd Legislature (2021-2022) Status: In Committee Bipartisan · 3 D · 1 I cosponsors

HB 58 — An Act relating to insurance coverage for contraceptives and related services; relating to medical assistance coverage for contraceptives and related services; and providing for an effective date.

Last action — (H) COSPONSOR(S): RASMUSSEN

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 32nd Legislature (2021-2022). It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

197 added · 205 removed

Plain-language change summary

The recent amendments to Bill HB 58 have removed the requirement for health insurers to cover emergency contraception, including over-the-counter options, without a prescription. This change is significant because it could limit access to essential contraceptive methods for many individuals who may rely on emergency contraception in critical situations. Additionally, the bill still ensures that health insurers cannot deny coverage for other contraceptive methods or impose extra costs for them, which helps maintain access to essential reproductive health services.

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32-LS0259\B CS FOR HOUSE BILL NO.
32-LS0259\A HOUSE BILL NO.
58(HSS) IN THE LEGISLATURE OF THE STATE OF ALASKA THIRTY-SECOND LEGISLATURE - SECOND SESSION BY THE HOUSE HEALTH AND SOCIAL SERVICES COMMITTEE Offered:
58 IN THE LEGISLATURE OF THE STATE OF ALASKA THIRTY-SECOND LEGISLATURE - SECOND SESSION BY REPRESENTATIVES CLAMAN, Zulkosky, Kreiss-Tomkins, Hopkins, Spohnholz, Tarr, Hannan, Fields, Schrage, Snyder, Drummond, Rasmussen Introduced:
4/22/21 Referred:
2/18/21 Referred:
Labor and Commerce Fields, Schrage, Snyder, Drummond, Rasmussen, Kreiss-Tomkins, Hopkins, Spohnholz, Tarr, Hannan, A BILL FOR AN ACT ENTITLED "An Act relating to insurance coverage for contraceptives and related services;
Health and Social Services, Labor and Commerce A BILL FOR AN ACT ENTITLED "An Act relating to insurance coverage for contraceptives and related services;
(B) emergency contraception, including over-the-counter emergency contraception, approved by the United States Food and Drug Administration;
(B) voluntary sterilization procedures;
the insurer may not require a prescription for coverage of over-the-counter emergency contraception under this subparagraph;
and (C) consultations, examinations, procedures, and medical services that are necessary to prescribe, dispense, insert, deliver, distribute, administer, or remove the drugs, devices, and other products or services HB0058a -1- HB 58 New Text Underlined [DELETED TEXT BRACKETED] 32-LS0259\A provided under this paragraph;
HB0058b -1- CSHB 58(HSS) New Text Underlined [DELETED TEXT BRACKETED] 32-LS0259\B (C) voluntary sterilization procedures;
and (D) consultations, examinations, procedures, and medical services that are necessary to prescribe, dispense, insert, deliver, distribute, administer, or remove the drugs, devices, and other products or services provided under this paragraph;
(f) If the covered therapeutically equivalent version of a prescription CSHB 58(HSS) -2- HB0058b New Text Underlined [DELETED TEXT BRACKETED] 32-LS0259\B contraceptive is not available or is considered medically inadvisable by the health care provider of the insured, a health care insurer shall provide coverage without cost sharing for an alternative therapeutically equivalent version of the prescription contraceptive that is prescribed for the insured.
(f) If the covered therapeutically equivalent version of a prescription contraceptive is not available or is considered medically inadvisable by the health care provider of the insured, a health care insurer shall provide coverage without cost sharing for an alternative therapeutically equivalent version of the prescription contraceptive that is prescribed for the insured.
(g) A health care insurer shall provide coverage and reimbursement under (a) of this section to all insureds enrolled in a health care insurance plan, including enrolled spouses and dependents.
HB 58 -2- HB0058a New Text Underlined [DELETED TEXT BRACKETED] 32-LS0259\A (g) A health care insurer shall provide coverage and reimbursement under (a) of this section to all insureds enrolled in a health care insurance plan, including enrolled spouses and dependents.
(a) The Department of Administration may obtain a policy or policies of group insurance covering state employees, persons entitled to coverage under AS 14.25.168, 14.25.480, AS 22.25.090, AS 39.35.535, 39.35.880, or former AS 39.37.145, employees of other participating governmental units, or persons entitled to coverage HB0058b -3- CSHB 58(HSS) New Text Underlined [DELETED TEXT BRACKETED] 32-LS0259\B under AS 23.15.136, subject to the following conditions:
(a) The Department of Administration may obtain a policy or policies of group insurance covering state employees, persons entitled to coverage under AS 14.25.168, 14.25.480, AS 22.25.090, AS 39.35.535, 39.35.880, or former AS 39.37.145, employees of other participating governmental units, or persons entitled to coverage under AS 23.15.136, subject to the following conditions:
life insurance, accidental death and dismemberment insurance, weekly indemnity insurance, hospital expense insurance, surgical expense insurance, dental expense insurance, audiovisual insurance, or other medical care insurance;
life insurance, accidental death and dismemberment insurance, weekly indemnity insurance, hospital expense insurance, surgical expense insurance, dental HB0058a -3- HB 58 New Text Underlined [DELETED TEXT BRACKETED] 32-LS0259\A expense insurance, audiovisual insurance, or other medical care insurance;
(5) the Department of Administration shall make available bid specifications for desired insurance benefits or for administration of benefit claims and payments to (A) all insurance carriers authorized to transact business in this state under AS 21.09 and all hospital or medical service corporations authorized to transact CSHB 58(HSS) -4- HB0058b New Text Underlined [DELETED TEXT BRACKETED] 32-LS0259\B business under AS 21.87 who are qualified to provide the desired benefits;
(5) the Department of Administration shall make available bid specifications for desired insurance benefits or for administration of benefit claims and payments to (A) all insurance carriers authorized to transact business in this state under AS 21.09 and all hospital or medical service corporations authorized to transact business under AS 21.87 who are qualified to provide the desired benefits;
and (B) insurance carriers authorized to transact business in this state under AS 21.09, hospital or medical service corporations authorized to transact business under AS 21.87, and third-party administrators licensed to transact business in this state and qualified to provide administrative services;
and (B) insurance carriers authorized to transact business in this state under AS 21.09, hospital or medical service corporations authorized to transact business under AS 21.87, and third-party administrators licensed to transact business in this state and qualified to HB 58 -4- HB0058a New Text Underlined [DELETED TEXT BRACKETED] 32-LS0259\A provide administrative services;
the commissioner of administration HB0058b -5- CSHB 58(HSS) New Text Underlined [DELETED TEXT BRACKETED] 32-LS0259\B shall adopt regulations implementing this paragraph;
the commissioner of administration shall adopt regulations implementing this paragraph;
a person who elects insurance under this paragraph shall pay the cost of the insurance premium;
a person who elects insurance under this paragraph HB0058a -5- HB 58 New Text Underlined [DELETED TEXT BRACKETED] 32-LS0259\A shall pay the cost of the insurance premium;
(2) emergency contraception, including over-the-counter emergency contraception, approved by the United States Food and Drug Administration;
and (2) consultations, examinations, procedures, and medical services that are necessary to (A) prescribe, dispense, insert, distribute, or administer prescription contraceptives;
the department may not require a prescription for coverage of over-the-counter emergency contraception under this paragraph;
and CSHB 58(HSS) -6- HB0058b New Text Underlined [DELETED TEXT BRACKETED] 32-LS0259\B (3) consultations, examinations, procedures, and medical services that are necessary to (A) prescribe, dispense, insert, distribute, or administer prescription contraceptives;
(e) In this section, "prescription contraceptive" means a drug or device that requires a prescription and is approved by the United States Food and Drug Administration to prevent pregnancy.
(e) In this section, "prescription contraceptive" means a drug or device that HB 58 -6- HB0058a New Text Underlined [DELETED TEXT BRACKETED] 32-LS0259\A requires a prescription and is approved by the United States Food and Drug Administration to prevent pregnancy.
HB0058b -7- CSHB 58(HSS) New Text Underlined [DELETED TEXT BRACKETED]
HB0058a -7- HB 58 New Text Underlined [DELETED TEXT BRACKETED]
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How this bill changes current law

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AI-generated reading aid from the bill's amendatory text — verify against the official bill.

The bill mandates insurance coverage for contraceptives and related services in Alaska.

  • AS 21.42

    Sec. 21.42.427. Coverage for contraceptives. (a) A health care insurer that offers, issues for delivery, delivers, or renews in the state a health care insurance plan in the group or individual market shall (1) provide coverage for (A) prescription contraceptives; (B) emergency contraception, including over-the-counter emergency contraception, approved by the United States Food and Drug Administration; the insurer may not require a prescription for coverage of over-the-counter emergency contraception under this subparagraph; and (C) consultations, examinations, procedures, and medical services that are necessary to prescribe, dispense, insert, deliver, distribute, administer, or remove the drugs, devices, and other products or services provided under this paragraph; (2) reimburse a health care provider or dispensing entity for dispensing prescription contraceptives intended to last for a 12-month period for subsequent dispensings of the same prescription contraceptive to the insured regardless of whether the insured was enrolled in the health care insurance plan at the time of the first dispensing. (b) A health care insurer may not deny coverage or reimbursement under (a) of this section because an insured changed contraceptive methods within a 12-month period. (c) Except as provided in (d) of this section, a health care insurer may not offset the costs of compliance with (a) of this section and may not require copayments or deductibles for contraceptives or services covered under (a) of this section. (d) A health care insurer shall establish cost sharing for the coverage provided under (a) of this section to the extent necessary to qualify a plan as a high deductible health plan eligible for a health savings account tax deduction under 26 U.S.C. 223 (Internal Revenue Code). (e) A health care insurer may not restrict or delay the coverage or reimbursement required under (a) of this section, including use of medical management techniques, such as denials, step therapy, or prior authorization, that limit an insured's choice in accessing a full range of prescription contraceptives. Nothing in this subsection prevents a health care insurer from enacting reasonable cost containment measures in relation to the coverage required under (a) of this section if the cost containment measure does not unreasonably limit choice in access to coverage. In this subsection, "cost containment" means incentivizing the use of generic or lower cost medications or the use of health care providers or pharmacies that offer services or prescriptions at a lower negotiated rate. (f) If the covered therapeutically equivalent version of a prescription contraceptive is not available or is considered medically inadvisable by the health care provider of the insured, a health care insurer shall provide coverage without cost sharing for an alternative therapeutically equivalent version of the prescription contraceptive that is prescribed for the insured. (g) A health care insurer shall provide coverage and reimbursement under (a) of this section to all insureds enrolled in a health care insurance plan, including enrolled spouses and dependents. (h) A health care insurer that offers, issues for delivery, delivers, or renews in the state a health care insurance plan in the group market to a religious employer is exempt from the requirements of this section with respect to the health care insurance plan of the religious employer if the religious employer opposes the coverage required under this section and is an organization that meets the criteria set out in 26 U.S.C. 6033(a)(3)(A)(i) or (iii) (Internal Revenue Code of 1986), as amended. (i) In this section, "prescription contraceptive" means a drug or device that requires a prescription and is approved by the United States Food and Drug Administration to prevent pregnancy.

    This establishes a requirement for health care insurers to provide comprehensive contraceptive coverage and prohibits certain restrictions and costs.

  • AS 29.10.200

    (68) AS 29.20.420 (health care insurance plans).

    This adds a new paragraph to include health care insurance plans under municipal authority.

  • AS 29.20

    Sec. 29.20.420. Health insurance policies. (a) If a municipality offers a group health care insurance plan covering municipal employees, including by means of self-insurance, the municipal health care insurance plan is subject to the requirements of AS 21.42.427. (b) This section applies to home rule and general law municipalities. (c) In this section "health care insurance plan" has the meaning given in AS 21.54.500.

    This mandates that municipal health care insurance plans comply with the same contraceptive coverage requirements as other health care insurers.

  • AS 39.30.090(a)

    (13) a group health insurance policy covering employees of a participating governmental unit is subject to the requirements of AS 21.42.427.

    This ensures that group health insurance policies for governmental unit employees also comply with the contraceptive coverage requirements.

Action History

  1. (H) COSPONSOR(S): RASMUSSEN

  2. (H) REFERRED TO RULES

  3. (H) FN6: ZERO(DHS)

  4. (H) FN5: ZERO(CED)

  5. (H) FN4: ZERO(ADM)

  6. (H) DP: SCHRAGE, SNYDER, FIELDS, SPOHNHOLZ

  7. (H) L&C RPT CS(L&C) 4DP

  8. (H) Moved CSHB 58(L&C) Out of Committee -- Please Note Time Change --

  9. (H) LABOR & COMMERCE at 09:00 AM BARNES 124

  10. (H) -- MEETING CANCELED --

  11. (H) LABOR & COMMERCE at 03:15 PM BARNES 124

  12. (H) Moved CSHB 58(L&C) Out of Committee

  13. (H) LABOR & COMMERCE at 03:15 PM BARNES 124

  14. (H) COSPONSOR(S): DRUMMOND

  15. (H) Minutes (HL&C)

  16. (H) <Bill Hearing Canceled> -- Delayed to 10 Minutes Following Session --

  17. (H) LABOR & COMMERCE at 03:15 PM BARNES 124

  18. (H) Minutes (HL&C)

  19. (H) Heard & Held

  20. (H) LABOR & COMMERCE at 03:15 PM BARNES 124

  21. (H) Minutes (HL&C)

  22. (H) Heard & Held -- Please Note Time & Location Change --

  23. (H) LABOR & COMMERCE at 08:00 AM GRUENBERG 120

  24. (H) Minutes (HL&C)

  25. (H) <Bill Hearing Canceled>

  26. (H) LABOR & COMMERCE at 03:15 PM BARNES 124

  27. (H) FN3: ZERO(DHS)

  28. (H) FN2: ZERO(CED)

  29. (H) FN1: ZERO(ADM)

  30. (H) DNP: PRAX, KURKA

  31. (H) DP: FIELDS, SPOHNHOLZ, MCCARTY, ZULKOSKY, SNYDER

  32. (H) HSS RPT CS(HSS) 5DP 2DNP

  33. (H) Minutes (HHSS)

  34. (H) Moved CSHB 58(HSS) Out of Committee

  35. (H) HEALTH & SOCIAL SERVICES at 03:00 PM DAVIS 106

  36. (H) Minutes (HHSS)

  37. (H) Heard & Held

  38. (H) HEALTH & SOCIAL SERVICES at 03:00 PM DAVIS 106

  39. (H) COSPONSOR(S): SNYDER

  40. (H) COSPONSOR(S): SCHRAGE

  41. (H) HSS, L&C

  42. (H) READ THE FIRST TIME - REFERRALS

  43. (H) Prefile released 1/15/21

Sponsors

  • Matt Claman · Primary
  • Zulkosky · Cosponsor
  • Kreiss-Tomkins · Cosponsor
  • Hopkins · Cosponsor
  • Spohnholz · Cosponsor
  • Tarr · Cosponsor
  • Sara Hannan · Cosponsor
  • Zack Fields · Cosponsor
  • Calvin Schrage · Cosponsor
  • Snyder · Cosponsor
  • Drummond · Cosponsor
  • Rasmussen · Cosponsor

Sponsorship breakdown

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1 sponsors · 11 co-sponsors · 53 not signed on

Sponsors (1)

Co-sponsors (11)

Not signed on (53)

53 members have not signed on to this bill.

Show all 53 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors HB 58?
HB 58 is sponsored by Matt Claman (D), Zulkosky, Kreiss-Tomkins, Hopkins, Spohnholz, Tarr, Sara Hannan (D), Zack Fields (D), Calvin Schrage (N), Snyder, Drummond, and Rasmussen.
What is the current status of HB 58?
This bill died with 32nd Legislature (2021-2022). It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB 58?
Track HB 58 free on One Click Politics — get push/email alerts when it moves.

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