AB 803

This bill requires certain health insurance policies, known in the bill as

disability insurance policies, and governmental self-insured health plans to cover

the essential health benefit of maternity and newborn care, as specified by the

commissioner of insurance by rule. The bill specifies a list of requirements that the

commissioner must follow when establishing the maternity and newborn care

benefit, including certain limitations on cost sharing. If the maternity or newborn

care benefit specified by the commissioner is also subject to its own mandated

coverage requirement under current law, the bill requires the disability insurance

policy or self-insured health plan to provide coverage under whichever requirement

provides the insured or plan participant with more comprehensive coverage.

This proposal may contain a health insurance mandate requiring a social and

financial impact report under s. 601.423, stats.