If enacted, the bill would require health plans to cover osteoporosis care for people who have reached menopause, with Medical Assistance coverage depending on federal approval.
If federal approval is granted, eligible Medical Assistance members who have reached menopause would have coverage for bone tests and osteoporosis prevention and treatment.
Health insurance policies would cover bone tests, prevention measures, and osteoporosis treatment for people who have reached menopause. Policy rules and possible prescription requirements would still apply.
The Department of Human Services would cover osteoporosis screening and treatment through Medical Assistance. Coverage would be for eligible people enrolled in Medical Assistance who have reached menopause. Federal approval is required. The department must seek a federal plan amendment or waiver if needed. The bill would take effect 90 days after enactment.
Health insurance policies would cover osteoporosis prevention, testing, and treatment. The coverage would apply to insured people who have reached menopause and would include bone tests, prevention measures, treatments, and approved osteoporosis drugs and devices. Policy rules for medical need, cost-sharing, and review would still apply. Coverage for supplements, training, and physical therapy may require a prescription. For policies that file rates or forms with the Insurance Department, the rule would apply to the first rate or form filed on or after the act takes effect. Other policies would be covered when issued or renewed on or after 180 days after it takes effect.
No hearings or votes scheduled.