Insurance

This bill requires health insurance policies that cover hospital, surgical, medical, or major medical services to include screening for Cytomegalovirus for pregnant individuals. It directly affects insurance companies by mandating that their plans provide this specific coverage starting January 1, 2027, for any policies issued, renewed, or modified on or after that date. The legislation ensures that pregnant people can access testing for this virus as part of their standard medical benefits without needing to pay extra out of pocket.

Relates to medical and dental coverage for the treatment of ameloblastoma which shall include but is not limited to dental implants and implant-related services.

Requires insurance policies to provide coverage for federal food and drug administration approved expanded access to an investigational medical product that has been shown to be effective, without the need for any prior authorization determination.

Provides that for a substance use disorder outpatient treatment episode of care by a provider licensed, certified or otherwise authorized by the office of addiction services and supports, an insured shall only be responsible for a cost sharing fee not to exceed two hundred fifty dollars.

This bill modifies the state's financial services law to exclude certain health care services from a specific independent dispute resolution process. The change directly affects services covered by medical assistance programs, ensuring they are not subject to the same dispute rules as other health care services. By adding this exclusion, the legislation clarifies that existing laws limiting physician fees for these programs take precedence over the new dispute resolution procedures. The bill applies immediately to any disputes filed on or after its effective date.