Protecting Health Care For Women, Families

March 1, 2018

Rep. Fleischmann advocating for women's health care with colleagues.

I’m a co-sponsor of House Bill 5210 because I believe it’s critical that we protect health care coverage for women and families. We can’t allow the Trump administration or the current Congress to succeed in unraveling the many protections established under the Affordable Care Act. We must maintain and protect key health-care benefits like coverage for women’s contraceptives, mammograms, and pediatric care.

That’s why I stood united with colleagues to urge passage of this legislation, which mandates insurance coverage of essential health benefits for women, children and adolescents, and expands mandated contraception benefits.

Here is what HB 5210 – AA Mandating Insurance Coverage of Essential Health Benefits and Expanding Mandated Health Benefits for Women, Children, and Adolescents, does:

  • Mandates insurance coverage of the ‘10 Essential Health Benefits’ under the Affordable Care Act (for both individual and group policies) in the areas of (1) ambulatory patient services, (2) emergency services, (3) hospitalization, (4) maternity and newborn care, (5) mental health and substance use disorders (including behavioral health treatment), (6) prescription drugs, (7) rehabilitative services, (8) laboratory services, (9) preventive and wellness services and chronic disease management, and (10) pediatric services (including oral and vision care).
  • Expands mandated health benefits for women, children and adolescents (for both individual and group policies) in the areas of (1) domestic violence counseling, (2) tobacco intervention and cessation for women, (3) well-woman visits for under age 65, (4) breast cancer chemo-prevention counseling, (5) breast cancer risk assessment, (6) chlamydia screening, (7) cervical and vaginal cancer screening, (8) gonorrhea screening, (9) HIV screening, (10) HPV screening, (11) STI / STD counseling, (12) anemia screening for pregnant women, (13) folic acid supplements for pregnant women, (14) Hepatitis B screening, (15) rhesus incompatibility screening for pregnant women, (16) syphilis screening, (17) UTI infection screening, (18) breastfeeding support and counseling, (19) breastfeeding supplies / breast pumps, (20) gestational diabetes screening for women who are 24 to 28 weeks pregnant, and (21) osteoporosis screening for women over 60.
  • Bars plans from including lifetime limits on the dollar value for benefits that are deemed essential under the Affordable Care Act.
  • Expands mandated contraception benefits (for both individual and group policies) in the areas of (1) all FDA-approved contraception (as a 12-month supply), (2) all FDA-approved sterilization methods, (3) contraceptive method and use counseling, and (4) contraceptive follow-up care.

I am also a co-sponsor of HB 5208 – AAC Mammograms, Breast Ultrasounds and Magnetic Resonance Imaging of Breasts.

This legislation redefines ‘mammogram’ according to specific Healthcare Common Procedure Coding System (HCPCS) billing codes used by Medicare. It also generally eliminates co-payments and deductibles for certain breast ultrasounds.