2026 Regular Session
HB 4075
Insurance must cover Bioidentical hormones as they do pharmaceutical one
In Committee
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Sign in to take action- Introduced
- Passed House of Delegates
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill requires West Virginia health insurance policies to cover biodentical hormones. Insurers must provide coverage for these hormones when a licensed physician deems them medically necessary after a thorough evaluation of a patient's condition. The bill applies to various types of insurance contracts and plans, including those offered by nonprofit corporations.
Key provisions
- Requires all health insurance policies in West Virginia to cover biodentical hormones.
- Coverage must be on an expense-incurred basis.
- Coverage is contingent upon a licensed physician’s determination of medical necessity.
- A thorough evaluation of the patient’s symptoms, diagnostic test results, or response to treatment is required.
- The bill applies to group accident and sickness insurance, hospital service corporations, medical service corporations, dental service corporations, and health service corporations.
- The bill applies to health maintenance organizations.
- Coverage must begin on January 1, 2026.
Who is affected
- Health insurance companies
- Patients in West Virginia
- Healthcare providers
- Employers offering health insurance
- Nonprofit corporations offering health insurance
Notable changes
- Expands health insurance coverage to include biodentical hormones.
- Requires medical necessity and physician approval for coverage.
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