Coverage for contraception - definitions.

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(1) As part of the coverage required for contraception pursuant to section 10-16-104 (3)(a)(I) or (18), as applicable, entities subject to part 2, 3, or 4 of this article 16 that issue policies, contracts, or plans subject to the coverage requirements in section 10-16-104 (3)(a)(I) or (18) shall reimburse a participating provider or dispensing entity that is in-network for dispensing to a covered person:

(a) Prescription contraceptives intended to last:

  1. For a three-month period the first time the prescription contraceptive is dispensed tothe covered person; and

  2. For a twelve-month period or through the end of the covered person's coverage under the policy, contract, or plan, whichever is shorter, for any subsequent dispensing of the same prescription contraceptive to the covered person, regardless of whether the covered person was enrolled in the policy, contract, or plan at the time the prescription contraceptive was first dispensed; or

(b) A prescribed vaginal contraceptive ring intended to last for a three-month period.

(2) As used in this section:

  1. "Dispensing entity" means a prescription drug outlet, pharmacy, or other facility registered by the state board of pharmacy under part 1 of article 280 of title 12.

  2. "Prescription contraceptive" means a medically acceptable oral drug or contraceptivepatch or ring that is used to prevent pregnancy, that requires a prescription, and that is covered under the terms of the policy, contract, or plan issued by an entity subject to part 2, 3, or 4 of this article 16.

Source: L. 2017: Entire section added, (HB 17-1186), ch. 324, p. 1745, § 1, effective January 1, 2019. L. 2019: (2)(a) amended, (HB 19-1172), ch. 136, p. 1654, § 42, effective October 1.


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