State Reproductive Health Access Policies
Protecting Contraceptive Coverage
State By State Policies
Hover over a state to read highlights of the legislation. Click on the state to expand legislation details.
Alaska
Alaska: Pending
Print DataProtecting Contraceptive Coverage
Legislation introduced in Jan 2023 passed the legislature in May 2024 and was later vetoed by the Governor on September 3, 2024.
Legislation introduced in Jan 2023 passed the legislature in May 2024 and was later vetoed by the Governor on September 3, 2024.
Alaska: Pending
California
California
Print DataProtecting Contraceptive Coverage
2014
January 1, 2016
No
(+) Also applies to Medi-Cal managed care plans
(+) Coverage of all FDA-approved contraceptive drugs, devices, and products for women, as prescribed, with exceptions allowed for Rx methods that have therapeutic equivalents.
SB 523 (Extended protections passed in 2014 as part of SB 1053 to Medicaid Managed Care)
2022
January 1, 2024
Yes
(+) Covers OTC contraceptive drugs, devices, and products w/o a Rx; Point-of-sale coverage for OTC contraceptive drugs, devices, and products provided at in-network pharmacies without cost sharing or medical management restrictions.
2014
January 1, 2016
No
(+) Also applies to Medi-Cal managed care plans
(+) Coverage of all FDA-approved contraceptive drugs, devices, and products for women, as prescribed, with exceptions allowed for Rx methods that have therapeutic equivalents.
SB 523 (Extended protections passed in 2014 as part of SB 1053 to Medicaid Managed Care)
2022
January 1, 2024
Yes
(+) Covers OTC contraceptive drugs, devices, and products w/o a Rx; Point-of-sale coverage for OTC contraceptive drugs, devices, and products provided at in-network pharmacies without cost sharing or medical management restrictions.
References
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1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
California
Connecticut
Connecticut
Print DataProtecting Contraceptive Coverage
2018
January 1, 2019
No5
(+) Covers OTC contraceptive drugs 5
(+) Covers 12-month contraceptive supply 1
(+) Covers all FDA-approved drugs, devices, and products (excluding OTC drugs and devices) for women, but permits step therapy for Rx methods that have therapeutic equivalents.
(-) Co-pays may apply for out-of-network providers
2018
January 1, 2019
No5
(+) Covers OTC contraceptive drugs 5
(+) Covers 12-month contraceptive supply 1
(+) Covers all FDA-approved drugs, devices, and products (excluding OTC drugs and devices) for women, but permits step therapy for Rx methods that have therapeutic equivalents.
(-) Co-pays may apply for out-of-network providers
References
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1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
Connecticut
Delaware
Delaware
Print DataProtecting Contraceptive Coverage
2018
July 11, 2018
Yes
(+) Covers 12-month contraceptive supply 1
(+) Applies to public and private plans
(+) Covers all FDA-approved contraceptive drugs, devices, and products, with exceptions allowed for Rx methods that have therapeutic equivalents
(-) Coverage not required for male condoms
2018
July 11, 2018
Yes
(+) Covers 12-month contraceptive supply 1
(+) Applies to public and private plans
(+) Covers all FDA-approved contraceptive drugs, devices, and products, with exceptions allowed for Rx methods that have therapeutic equivalents
(-) Coverage not required for male condoms
References
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1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
Delaware
Illinois
Illinois
Print DataProtecting Contraceptive Coverage
2016
January 1, 2017
No5
(+) Covers all OTC methods, except male condoms 5
(+) Covers all FDA-approved contraceptive drugs, devices, and products, with exceptions allowed for Rx methods that have therapeutic equivalents.
2016
January 1, 2017
No5
(+) Covers all OTC methods, except male condoms 5
(+) Covers all FDA-approved contraceptive drugs, devices, and products, with exceptions allowed for Rx methods that have therapeutic equivalents.
References
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1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
Illinois
Indiana
Indiana: Pending
Print DataProtecting Contraceptive Coverage
Sine Die
Indiana: Pending
Maine
Maine
Print DataProtecting Contraceptive Coverage
2022
January 1, 2023
No
+ Covers 12-month contraceptive supply1
+ LD 1237 expands upon previous contraceptive coverage requirements. Private insurers must cover all FDA-approved contraceptive drugs, devices, and products, with an exception for therapeutically equivalent products (if at least one is covered w/out cost-sharing).
2017
January 1, 2019
No
+ Covers 12-month contraceptive supply1
- Only required coverage of at least one contraceptive in each of the FDA-approved contraceptive method categories.
2022
January 1, 2023
No
+ Covers 12-month contraceptive supply1
+ LD 1237 expands upon previous contraceptive coverage requirements. Private insurers must cover all FDA-approved contraceptive drugs, devices, and products, with an exception for therapeutically equivalent products (if at least one is covered w/out cost-sharing).
2017
January 1, 2019
No
+ Covers 12-month contraceptive supply1
- Only required coverage of at least one contraceptive in each of the FDA-approved contraceptive method categories.
References
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1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
Maine
Maryland
Maryland
Print DataProtecting Contraceptive Coverage
2016
January 1, 2018
Yes
(+) Covers male sterilization
(+) Prohibits public and private plans from requiring prior authorization for long acting reversible contraceptives (LARC)
(+) Covers all FDA-approved contraceptive drugs and devices, with exceptions allowed for Rx methods with therapeutic equivalents.
(+) Covers 12-month contraceptive supply1
2016
January 1, 2018
Yes
(+) Covers male sterilization
(+) Prohibits public and private plans from requiring prior authorization for long acting reversible contraceptives (LARC)
(+) Covers all FDA-approved contraceptive drugs and devices, with exceptions allowed for Rx methods with therapeutic equivalents.
(+) Covers 12-month contraceptive supply1
References
-------------
1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
Maryland
Massachusetts
Massachusetts
Print DataProtecting Contraceptive Coverage
2017
August 2018
Yes
(+) Covers 12-month contraceptive supply1
(+) Also applies to Medicaid and state employee health insurance
(-) Covers all FDA-approved contraceptive drugs, devices, and products, except male condoms and oral contraceptives without a therapeutic equivalent
2017
August 2018
Yes
(+) Covers 12-month contraceptive supply1
(+) Also applies to Medicaid and state employee health insurance
(-) Covers all FDA-approved contraceptive drugs, devices, and products, except male condoms and oral contraceptives without a therapeutic equivalent
References
-------------
1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
Massachusetts
Minnesota
Minnesota
Print DataProtecting Contraceptive Coverage
2023
January 1, 2024
Yes
(+) For each health plan, the insurer must list the contraceptive methods and services that are covered without cost-sharing in a manner that is easily accessible to enrollees, health care providers, and representatives of health care providers. The list for each health plan must be promptly updated to reflect changes to the coverage
2023
January 1, 2024
Yes
(+) For each health plan, the insurer must list the contraceptive methods and services that are covered without cost-sharing in a manner that is easily accessible to enrollees, health care providers, and representatives of health care providers. The list for each health plan must be promptly updated to reflect changes to the coverage
References
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1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
Minnesota
Nevada
Nevada
Print DataProtecting Contraceptive Coverage
2017
January 1, 2018
No
+ Covers 12-month contraceptive supply1
+ Applies to Medicaid managed care plans and private plans
2017
January 1, 2018
No
+ Covers 12-month contraceptive supply1
+ Applies to Medicaid managed care plans and private plans
References
-------------
1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
Nevada
New Hampshire
New Hampshire
Print DataProtecting Contraceptive Coverage
2018
January 1, 2019
No
(+) Covers 12-month contraceptive supply1
(+) Applies to public and private plans
2018
January 1, 2019
No
(+) Covers 12-month contraceptive supply1
(+) Applies to public and private plans
References
-------------
1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
New Hampshire
New Jersey
New Jersey
Print DataProtecting Contraceptive Coverage
2020
April 16, 2020
Yes
+ Covers male sterilization and male condoms (except cost-sharing is permitted in high-deductible plans)
+ Covers OTC contraceptive drugs w/out a Rx
+ Covers all FDA-approved contraceptive drugs, devices, and products with exceptions allowed for Rx methods with therapeutic equivalents.
S 1492 would extend current requirement to male sterilization, with exceptions for high-deductible plans
Pending legislation introduced in 2024
2020
April 16, 2020
Yes
+ Covers male sterilization and male condoms (except cost-sharing is permitted in high-deductible plans)
+ Covers OTC contraceptive drugs w/out a Rx
+ Covers all FDA-approved contraceptive drugs, devices, and products with exceptions allowed for Rx methods with therapeutic equivalents.
S 1492 would extend current requirement to male sterilization, with exceptions for high-deductible plans
Pending legislation introduced in 2024
References
-------------
1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
New Jersey
New Mexico
New Mexico
Print DataProtecting Contraceptive Coverage
2019
January 1, 2020
Yes
+ Covers male sterilization and male condoms (except cost-sharing is permitted in high-deductible plans)
+ Covers OTC contraceptive drugs w/out a Rx
2019
January 1, 2020
Yes
+ Covers male sterilization and male condoms (except cost-sharing is permitted in high-deductible plans)
+ Covers OTC contraceptive drugs w/out a Rx
References
-------------
1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
New Mexico
New York
New York
Print DataProtecting Contraceptive Coverage
2019
January 1, 2020
Yes
(+) Covers 12-month contraceptive supply1
(+) Covers all FDA-approved contraceptive drugs, devices, and products when prescribed, with exceptions allowed for Rx methods with therapeutic equivalents.
2019
January 1, 2020
Yes
(+) Covers 12-month contraceptive supply1
(+) Covers all FDA-approved contraceptive drugs, devices, and products when prescribed, with exceptions allowed for Rx methods with therapeutic equivalents.
2017
August 27, 2017
No3
References
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1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
New York
Oregon
Oregon
Print DataProtecting Contraceptive Coverage
2017
January 1, 2019
No5
(+) Covers all FDA-approved contraceptive drugs, devices, and products, with exceptions for Rx methods that have therapeutic equivalents
(+) Private insurers must cover all Women’s Preventive Services required by federal guidelines as of 1/1/17
(+) Directs the state to appropriate funds to provide coverage for the aforementioned to women who are of reproductive age but are temporarily ineligible for Medicaid due to their immigration status
(+) Requires a report on insurer compliance
2017
January 1, 2019
No5
(+) Covers all FDA-approved contraceptive drugs, devices, and products, with exceptions for Rx methods that have therapeutic equivalents
(+) Private insurers must cover all Women’s Preventive Services required by federal guidelines as of 1/1/17
(+) Directs the state to appropriate funds to provide coverage for the aforementioned to women who are of reproductive age but are temporarily ineligible for Medicaid due to their immigration status
(+) Requires a report on insurer compliance
References
-------------
1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
Oregon
Pennsylvania
Pennsylvania: Pending
Print DataProtecting Contraceptive Coverage
PENDING AS OF 6/12/2024
Pennsylvania: Pending
Rhode Island
Rhode Island: Pending
Print DataProtecting Contraceptive Coverage
HB 7255/ SB 2088
PENDING LEGISLATION INTRODUCED IN JANUARY 2024
Rhode Island: Pending
Vermont
Vermont
Print DataProtecting Contraceptive Coverage
2016
October 1, 2016 (Medicaid)
October 1, 2017 (private plans)
No
+ Applies to public and private plans
+ Plans must cover sterilizations for men and women, with some limits
+ Directs the state’s Department of Health Access to establish and implement value-based payments for LARC insertion and removal2
H 663 (Act 157)
2020
N/A
This law includes a request that the Vermont Department of Financial Regulation investigate compliance with existing State and federal laws regarding access to contraceptives and take appropriate enforcement action as needed.
2016
October 1, 2016 (Medicaid)
October 1, 2017 (private plans)
No
+ Applies to public and private plans
+ Plans must cover sterilizations for men and women, with some limits
+ Directs the state’s Department of Health Access to establish and implement value-based payments for LARC insertion and removal2
H 663 (Act 157)
2020
N/A
This law includes a request that the Vermont Department of Financial Regulation investigate compliance with existing State and federal laws regarding access to contraceptives and take appropriate enforcement action as needed.
References
-------------
1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
Vermont
Virginia
Virginia: Pending
Print DataProtecting Contraceptive Coverage
HB 819 passed the legislature in March 2024. The Governor vetoed the bill.
Virginia: Pending
Washington
Washington
Print DataProtecting Contraceptive Coverage
2017
January 1, 2019
Yes
(+) Plans must cover male sterilization
(+) Covers all FDA-approved contraceptive drugs, devices, and products, with exceptions for Rx methods that have therapeutic equivalents.
(+) Covers all OTC methods without a Rx
2017
January 1, 2019
Yes
(+) Plans must cover male sterilization
(+) Covers all FDA-approved contraceptive drugs, devices, and products, with exceptions for Rx methods that have therapeutic equivalents.
(+) Covers all OTC methods without a Rx
References
-------------
1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
Washington
Washington, DC
Washington, DC
Print DataProtecting Contraceptive Coverage
2018
January 1, 2019
No5
(+) Public and private plans must cover a wide range of women’s preventive services
(+) Covers all FDA-approved contraceptive drugs, devices, and products, with exceptions for Rx methods that have therapeutic equivalents
(+) Covers OTC contraceptives5
(+) Covers 12-month contraceptive supply1
2018
January 1, 2019
No5
(+) Public and private plans must cover a wide range of women’s preventive services
(+) Covers all FDA-approved contraceptive drugs, devices, and products, with exceptions for Rx methods that have therapeutic equivalents
(+) Covers OTC contraceptives5
(+) Covers 12-month contraceptive supply1
References
-------------
1 These laws/regulations include coverage for an extended supply of prescription contraceptives. For more details: https://powertodecide.org/what-we-do/information/resource-library/extended-supply-contraception.
2 Value-based payments reward providers for the value of the care they deliver, thus value-based payments for LARC should take into account the value of preventing unintended pregnancy.
3 This is required for Medicaid beneficiaries pursuant to regulation HLT-39-16-00031.
4 This applies to plans issued or renewed after the effective date. As explained earlier, these policies generally do not apply to self-funded plans. Also, most states have exemptions for religiously affiliated employers.
5 Connecticut and Oregon require health insurers to cover OTC contraceptive drugs, D.C. requires coverage for OTC contraceptives, and Illinois requires coverage for all OTC contraceptive drugs, devices, and products—none of these state laws specify that such coverage is required for OTC contraception without a prescription.
Washington, DC
West Virginia
West Virginia: Pending
Print DataProtecting Contraceptive Coverage
SINE DIE
