Alabama HB453 mandates coverage for breast reconstruction under all health insurance plans, including public employee and Medicaid plans.

Alabama HB453 requires health benefit plans to cover breast reconstruction surgery, including those for public employees and Medicaid recipients. The bill mandates coverage starting January 1, 2027, and outlines specific benefits and requirements for payments to health care providers. It allows enrollees to choose their surgeon, including out-of-network providers, and sets terms for cost-sharing obligations and insurer payments. The bill also provides enforcement mechanisms, including civil actions for non-compliance, and establishes the scope of breast reconstruction benefits.

Alabama HB453 mandates coverage for breast reconstruction under all health insurance plans, including public employee and Medicaid plans.

Alabama HB453 requires health benefit plans to cover breast reconstruction surgery, including those for public employees and Medicaid recipients. The bill mandates coverage starting January 1, 2027, and outlines specific benefits and requirements for payments to health care providers. It allows enrollees to choose their surgeon, including out-of-network providers, and sets terms for cost-sharing obligations and insurer payments. The bill also provides enforcement mechanisms, including civil actions for non-compliance, and establishes the scope of breast reconstruction benefits.