§ 31A-22-657 — Application of health insurance mandates.

(1) As used in this section:

(1)(a) "Cost-sharing mandate" means a statutory requirement limiting a cost-sharing requirement.
(1)(b) "Cost-sharing requirement" means a copayment, coinsurance, or deductible required by or on behalf of an enrollee in order to receive a benefit under a qualified high-deductible health plan.
(1)(c) "Health savings account" means the same as that term is defined in 26 U.S.C. Sec. 223(d)(1).
(1)(d) "Qualified high-deductible health plan" means a high-deductible health plan as defined in 26 U.S.C. Sec. 223(c)(2)(A) that is used in conjunction with a health savings account.
(2) (2)(a) Except as provided in Subsection (2)(b), if under federal law, a cost-sharing mandate would result in an enrollee becoming ineligible for a health savings account, the cost-sharing mandate applies only to the enrollee's qualified high-deductible health plan after the enrollee satisfies the enrollee's health plan deductible.
(2)(b) Subsection (2)(a) does not apply to an item or service that is preventive care under 26 U.S.C. Sec. 223(c)(2)(C).

Legislative History

Amended by Chapter 139, 2023 General Session