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S 4119

Provides for insurance coverage for electrolysis procedures when deemed medically necessary

2025 Regular Session Introduced by Jessica Scarcella-Spanton

Bill S 4119 mandates insurance coverage for medically necessary electrolysis, improving access for patients needing treatment, like gender-affirming care, and reducing costs.

REFERRED TO INSURANCE
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WeVote Research Nonpartisan
Bill Summary · S 4119

Summary of Bill S 4119

Bill Overview

  • Bill Number: S 4119
  • Title: Provides for insurance coverage for electrolysis procedures when deemed medically necessary
  • Status: Referred to Insurance Committee
  • Introduced On: February 03, 2025
  • Classification: Legislative Bill

Purpose and Intent

The primary purpose of Bill S 4119 is to mandate insurance coverage for electrolysis procedures when these treatments are deemed medically necessary by a licensed healthcare provider. This bill aims to improve access to electrolysis for individuals who require these procedures for medical reasons, such as gender-affirming care or treatment for certain medical conditions.

Key Provisions

  • Insurance Coverage Requirement: The bill stipulates that health insurance plans must cover electrolysis procedures if they are prescribed by a healthcare professional as medically necessary.
  • Definition of Medical Necessity: The bill does not explicitly define "medically necessary," but it is expected that this will align with existing definitions used in healthcare to determine the necessity of treatments.
  • Exclusions: The bill does not specify any exclusions, but it is common for insurance policies to have limitations based on the provider's network or specific treatment guidelines.

Affected Parties

  • Patients: Individuals seeking electrolysis for medical reasons will benefit from this bill, as it will reduce out-of-pocket costs associated with these procedures.
  • Healthcare Providers: Licensed healthcare providers who prescribe electrolysis will have a clearer pathway to ensure their patients receive insurance coverage for these treatments.
  • Insurance Companies: Insurers will need to adjust their policies and coverage options to comply with the new requirements set forth by this bill.

Procedural Aspects

  • Current Status: As of the introduction date, the bill has been referred to the Insurance Committee for further consideration. The next steps will involve discussions, potential amendments, and voting within the committee before it can proceed to the full legislative body.
  • Related Legislation: This bill is related to S 7304, which was introduced in a prior session. The relationship may indicate ongoing legislative interest in the topic of insurance coverage for electrolysis.

Conclusion

Bill S 4119 represents a significant step towards ensuring that individuals requiring electrolysis for medical reasons have access to necessary treatments without the burden of high out-of-pocket costs. As the bill progresses through the legislative process, its implications for patients, healthcare providers, and insurance companies will become clearer.

Compiled from official sources — confirm details with the bill’s official record.

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