Revises provisions relating to health insurance coverage for gynecological or obstetrical services. (BDR 57-205)
SB 246 requires certain health insurance plans to allow women to access covered gynecological or obstetrical services without first getting a referral from their primary care physician. It applies to health plans covering small employer employees, fraternal benefit societies, managed care organizations, public employee benefits, and Medicaid. The law, effective January 1, 2026, mandates this change by adding a provision to insurance contracts, making any conflicting terms void. It does not permit designating an OB/GYN as a primary care physician. This is a policy change to streamline access to specific reproductive health services under existing coverage.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2025
Committee Review
May 2025
Senate Passage
Apr 2025
Assembly Passage
May 2025
Signed into Law
Jun 2025
Introduced Feb 26, 2025
Signed Jun 5, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
Reprint 1
→
As Enrolled
·
4 edits
·
Jun 5, 2025
MODERATE
This bill expands the requirement for health plans to cover gynecological and obstetrical services without prior authorization to include additional categories of plans, such as those for small employers, fraternal benefit societies, and Medicaid. It also clarifies that women covered by these plans can designate an obstetrician or gynecologist as their primary care physician under specific conditions.
Scope change
The bill's scope was expanded to include health plans for small employers, fraternal benefit societies, managed care organizations, the Public Employees' Benefits Program, and Medicaid, in addition to previously covered plans.
SCOPE
Extended the requirement to obtain gynecological or obstetrical services without prior authorization to include health plans for small employers, fraternal benefit societies, managed care organizations, the Public Employees' Benefits Program, and Medicaid.
REQUIREMENT
Added the ability for women covered by these plans to designate an obstetrician or gynecologist as their primary care physician, provided the provider meets network and criteria requirements.
TIMELINE
Updated the effective date for new policies to be January 1, 2026, replacing the previous date of October 1, 1999.
TECHNICAL
Reformatted the bill text from a reprint version to an enrolled version, including changes to the title page, summary, and legislative counsel's digest.
Floor votes · Assembly May 22, 2025
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
13
Key actions
7
Committee
3
Jun 5, 2025
Signed into law
Approved by the Governor.
executive
May 29, 2025
Lower · Passed
Assembly Amendment No. 564 concurred in. To enrollment.
lower
May 22, 2025
Lower · Passed
From printer. To engrossment. Engrossed. First reprint.
Read third time. Passed, as amended. Title approved, as amended. (Yeas: 27, Nays: 15.) To Senate.
In Senate.
lower
May 19, 2025
Lower · Passed
From committee: Amend, and do pass as amended.
lower
Apr 1, 2025
Upper · Passed
Read third time. Passed. Title approved. (Yeas: 20, Nays: None, Excused: 1.) To Assembly.
upper
Mar 27, 2025
Upper · Passed
From committee: Do pass.
upper
Feb 27, 2025
Upper · Passed
From printer. To committee.
upper
3 primary · 4 co-sponsors
Sponsors
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