HB 1429

Abstract

Health insurance; nondiscrimination; gender identity or transgender status. Prohibits a health carrier from denying or limiting coverage or imposing additional cost sharing or other limitations or restrictions on coverage, under a health benefit plan for health care services that are ordinarily or exclusively available to covered individuals of one sex, to a transgender individual on the basis of the fact that the individual's sex assigned at birth, gender identity, or gender otherwise recorded is different from the one to which such health services are ordinarily or exclusively available. The measure also prohibits a health carrier from (i) subjecting an individual to discrimination under a health benefit plan on the basis of gender identity or being a transgender individual or (ii) requiring that an individual, as a condition of enrollment or continued enrollment under a health benefit plan, pay a premium that is greater than the premium for a similarly situated covered person enrolled in the plan on the basis of the covered person's gender identity or being a transgender individual. The measure requires health carriers to assess medical necessity according to nondiscriminatory criteria that are consistent with current medical standards.

Health insurance; nondiscrimination; genderidentity or transgender status. Prohibits a health carrier fromdenying or limiting coverage or imposing additional cost sharingor other limitations or restrictions on coverage, under a healthbenefit plan for health care services that are ordinarily or exclusivelyavailable to covered individuals of one sex, to a transgender individualon the basis of the fact that the individual's sex assigned at birth,gender identity, or gender otherwise recorded is different from theone to which such health services are ordinarily or exclusively available.The measure also prohibits a health carrier from (i) subjecting an individual to discrimination under a health benefit plan on the basisof gender identity or being a transgender individual or (ii) requiringthat an individual, as a condition of enrollment or continued enrollmentunder a health benefit plan, pay a premium that is greater than thepremium for a similarly situated covered person enrolled in the planon the basis of the covered person's gender identity or being a transgenderindividual. The measure requires health carriers to assess medicalnecessity according to nondiscriminatory criteria that are consistentwith current medical standards.