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New State Insurance Requirements in Response to COVID-19

COVID-19 has upended health care systems and states are revising health insurance rules to make sure consumers can maintain their health insurance coverage and access needed health care services during the pandemic. The chart below details recent state actions that:

  • Limit consumer out-of-pocket costs for testing, treatment and out-of-network care;
  • Facilitate access to and delivery of care, including rapid transfers to appropriate care settings without lengthy reviews and telehealth expansion;  
  • Enable consumers to maintain coverage despite economic hardship and COVID-19 diagnosis by relaxing premium payment requirements and waiving penalties; and
  • Ease prescription refills and allow drug substitutes (formulary exemptions). 

For more information, read the NASHP blog, States Protect Consumers’ Coverage and Improve COVID-19 Care Delivery through Insurance Reforms.

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