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H 4135

Vision Care Plans

2025-2026 Regular Session Introduced by Mark Smith

H 4135 - Vision Care Plans OverviewBill Number: H 4135 Title: Vision Care Plans Status: Referred to Committee on Labor, Commerce and Industry Introduced: May 12, 2025 Purpose an

Referred to Committee on Labor, Commerce and Industry
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Bill Summary · H 4135

H 4135 - Vision Care Plans

Overview

Bill Number: H 4135
Title: Vision Care Plans
Status: Referred to Committee on Labor, Commerce and Industry
Introduced: May 12, 2025

Purpose and Intent

The purpose of H 4135 is to establish new regulations and consumer protections for vision care plans and insurance providers in the state. The bill aims to ensure greater transparency, affordability, and accessibility of vision care services for residents.

Key Provisions

  • Requires all vision care plans to provide a standardized summary of coverage, including details on copays, deductibles, and limitations
  • Prohibits vision care plans from imposing arbitrary restrictions on the eyewear or contact lenses that enrollees can obtain
  • Mandates that vision care plans cover the full cost of a comprehensive eye exam at least once every 12 months
  • Caps the maximum allowable copay for prescription eyeglasses or contact lenses at $25 per item
  • Establishes an appeals process for enrollees to challenge claim denials or limitations imposed by their vision plan

Affected Parties and Impacts

This bill would impact all residents of the state who have vision care insurance or use vision care services. It is intended to provide consumers with more affordable and accessible vision care, reduce out-of-pocket costs, and ensure they have the freedom to choose the eyewear that best meets their needs.

Vision care providers, including optometrists and optical retailers, would also be affected as the bill sets new standards for the services and products that must be covered by insurance plans.

Procedural and Timeline Considerations

H 4135 has been referred to the Committee on Labor, Commerce and Industry for further consideration. If reported favorably out of committee, the bill would then proceed to a full vote in the state legislature. If passed, the new vision care regulations would take effect 90 days after the governor's signature.

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

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