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Blog By: Beth Ede, SPHR

As we patiently await a ruling by the Supreme Court on the future of parts or all of the health care reform law (HCR), health plan carriers and administrators are moving forward and rolling out plans for compliance with another of the health care reform mandates. 


HCR requires non-grandfathered group health plans and individual plans to be compliant with expanded required coverage in the area of women’s preventive health care services. 


Effective for plan or policy years on or after August 1, 2012, the following health services will need to be covered without a copayment, deductible or coinsurance: 

  • Well-woman visits
  • Gestational diabetes screening
  • Human Papilloma Virus (HPV) DNA testing for women age 30 and over
  • Sexually Transmitted Infection (STI) counseling
  • HIV screening and counseling
  • FDA-approved contraception methods and contraceptive counseling
  • Breastfeeding support, supplies and counseling
  • Domestic violence screening and counseling 

Group health plans may continue to use reasonable medical management techniques in specified areas.  In addition, there is an exemption for certain religious employers and a delay for certain nonprofit employers concerning the mandate for contraceptive coverage.


Stay tuned for further developments as we expect a ruling on the future of HCR in the near future.

Posted 9:44 AM

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