5313-S2 AMH CALD WEIK 032
2SSB 5313 - H AMD TO H AMD (H-1369.1/21) 458
By Representative Caldier
NOT ADOPTED 03/24/2021
On page 2, line 37 of the striking amendment, after "to" strike "gender affirming treatment" and insert "cosmetic procedures if the procedures will improve the overall mental health of the enrollee"
On page 2, line 38 of the striking amendment, after "necessary" strike "gender affirming"
On page 2, line 39 of the striking amendment, after "facial" strike "feminization"
On page 3, line 1 of the striking amendment, after "facial" strike "gender affirming"
On page 3, line 3 of the striking amendment, after "of" strike "gender affirming"
On page 3, line 4 of the striking amendment, after "treatment" insert ", for an enrollee of any gender, if the treatment or services will improve the overall mental health of the enrollee"
On page 4, beginning on line 12 of the striking amendment, after "to" strike "gender affirming treatment" and insert "cosmetic procedures if the procedures will improve the overall mental health of the enrollee"
On page 4, line 14 of the striking amendment, after "(b) Facial" strike "feminization surgeries and facial gender affirming" and insert "surgeries and facial"
On page 4, line 17 of the striking amendment, after "of" strike "gender affirming"
On page 4, line 18 of the striking amendment, after "prescribed" strike "as gender affirming treatment" and insert "for an enrollee of any gender, if the treatment or services will improve the overall mental health of the enrollee"
| EFFECT: Prohibits health carriers, health plans offered to public employees, the Health Care Authority, and Medicaid programs from: applying categorical or blanket exclusions to cosmetic procedures if the procedure will improve the enrollee's overall mental health; and excluding medically necessary or prescribed cosmetic services surgeries, treatment, or other care such as mastectomies and breast implants, for enrollees of any gender, if the services will improve the enrollee's overall mental health.
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