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 Health Insurance Marketplace Modernization and Affordability Act

Benefit Protections Lost, by State

This chart lists benefits protections lost by state. In addition, in all states, consumers will lose rights to coverage of various providers' services (such as dentists, optometrists, psychologists, nurse practitioners, etc.).

Alabama   Alcoholism Treatment
Colorectal Screening
Drug Abuse Treatment
Mammography Screening
Mental Health (Parity)
Off-Label Drug Use   
Alaska  Alcoholism Treatment
Cervical Cancer Screening
Contraceptives
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Mammography Screening
Metabolic Disorders (PKU)
Prostate Cancer Screening  
Arizona   Ambulatory Surgery
Clinical Trials
Contraceptives
Diabetic Supplies/Education
Emergency Services

Ambulance Transportation
Home Health Care
Mammography Screening
Metabolic Disorders (PKU)
Off-Label Drug Use  

Arkansas   Alcoholism Treatment
Colorectal Screening
Contraceptives
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Hospice Care
Infertility Treatment
Mammography Screening
Mental Health (General)
Mental Health (Parity)
Metabolic Disorders (PKU)
Minimum Mastectomy Stay
Off-Label Drug Use
TMJ Disorders
Well-Child Care 
California    Alcoholism Treatment
Blood Lead Screening
Bone Density Screening
Cervical Cancer Screening
Clinical Trials
Colorectal Screening
Contraceptives
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Home Health Care
Hospice Care
Infertility Treatment
Mammography Screening 
Maternity
Mental Health (Parity)
Metabolic Disorders (PKU)
Minimum Mastectomy Stay
Off-Label Drug Use
Orthotics/Prosthetics
Prostate Cancer Screening
Second Med/Surgery Opinion
Well-Child Care,
AIDS Vaccines
Telemedicine
Special Footwear
Reconstructive Surgery
Colorado   Alcoholism Treatment
Cleft Palate
Dental Anesthesia
Diabetic Supplies/Education
Emergency Services
Home Health Care
Hospice Care
Mammography Screening
Maternity

Mental Health (General)
Mental Health (Parity)
Metabolic Disorders (PKU)
Orthotics/Prosthetics
Prostate Cancer Screening
Well-Child Care
Congenital Defects
Telemedicine               

Connecticut  Alcoholism Treatment
Ambulance Transportation
Cervical Cancer Screening
Clinical Trials
Colorectal Screening
Contraceptives
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Hair Prostheses
Home Health Care
Infertility Treatment
Mammography Screening
Mental Health (Parity)

Mental Health (General)
Metabolic Disorders (PKU)
Minimum Mastectomy Stay
Off-Label Drug Use
Orthotics/Prosthetics
Prostate Cancer Screening
Rehabilitation Services
TMJ Disorders
Well-Child Care
Lyme Disease
Pain Management
Ostomy Supplies,
Hearing Aids
Special Formulas
Psychotropic Drugs  

District Of Columbia  Alcoholism Treatment
Cervical Cancer Screening
Colorectal Screening
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Mammography Screening
Mental Health (General)
Prostate Cancer Screening
Well-Child Care
Hormone Replacement Therapy 
 
Delaware  Blood Lead Screening
Cervical Cancer Screening
Clinical Trials
Colorectal Screening
Contraceptives

Diabetic Supplies/Education
Emergency Services
Mammography Screening
Off-Label Drug Use
Well-Child Care
 

Florida  Alcoholism Treatment
Ambulance Transportation
Ambulatory Surgery
Bone Marrow Transplants
Bone Density Screening
Cleft Palate
Dental Anesthesia
Drug Abuse Treatment
Home Health Care
Mental Health (General)
Metabolic Disorders (PKU)
Minimum Mastectomy Stay
Orthotics/Prosthetics
TMJ Disorders 
Georgia   Alcoholism Treatment
Ambulatory Surgery
Bone Marrow Transplants
Bone Density Screening
Cervical Cancer Screening
Chlamydia Screening
Ovarian Cancer Screening
Telemedicine
Heart Transplants
Clinical Trials
Colorectal Screening
Contraceptives
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Infertility Treatment
Mammography Screening
Mental Health (Parity)
Minimum Mastectomy Stay
Morbid Obesity Care
Off-Label Drug Use
Prostate Cancer Screening
TMJ Disorders
Well-Child Care 
Hawaii   Diabetic Supplies/Education
Emergency Services
Mammography Screening
Well-Child Care
Alcoholism Treatment
Drug Abuse Treatment
Contraceptives
Mental Health (Parity)
Infertility Treatment
Mental Health (General)
Metabolic Disorders (PKU)
Maternity
Telemedicine
 
Idaho   Emergency Services
Mammography Screening
Cleft Palate
 
Illinois   Alcoholism Treatment
Bone Density Screening
Cervical Cancer Screening
Colorectal Screening
Contraceptives
Dental Anesthesia
Diabetic Supplies/Education
Emergency Services
Infertility Treatment
Mammography Screening
Mental Health (General)
Mental Health (Parity)
Minimum Mastectomy Stay
Off-Label Drug Use
Prostate Cancer Screening
TMJ Disorders
Prenatal HIV Testing
Ovarian Cancer Screening
Prescription Inhalants 
Indiana   Cleft Palate
Colorectal Screening
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Mammography Screening
Mental Health (Parity)
Metabolic Disorders (PKU)
Morbid Obesity Care
Off-Label Drug Use
Prostate Cancer Screening
Well-Child Care 
Iowa   Contraceptives
Dental Anesthesia
Diabetic Supplies/Education
Emergency Services
Mammography Screening
Mental Health (Parity)
Well-Child Care 
Kansas   Alcoholism Treatment
Bone Density Screening
Cervical Cancer Screening
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Mammography Screening
Mental Health (General)
Mental Health (Parity)
Off-Label Drug Use
Prostate Cancer Screening
Well-Child Care 
Kentucky   Alcoholism Treatment
Ambulatory Surgery
Bone Marrow Transplants
Bone Density Screening
Dental Anesthesia
Diabetic Supplies/Education
Emergency Services
Home Health Care
Mammography Screening
Mental Health (General)
Mental Health (Parity)
Metabolic Disorders (PKU)
Minimum Mastectomy Stay
Off-Label Drug Use
TMJ Disorders
 
Louisiana   Alcoholism Treatment
Ambulance Transportation
Ambulatory Surgery
Cervical Cancer Screening
Cleft Palate
Clinical Trials
Colorectal Screening
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment

Emergency Services
Mammography Screening
Mental Health (General)
Mental Health (Parity)
Metabolic Disorders (PKU)
Off-Label Drug Use
Prostate Cancer Screening
Rehabilitation Services
Well-Child Care 

Maine   Alcoholism Treatment
Cervical Cancer Screening
Clinical Trials
Contraceptives
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Home Health Care
Hospice Care
Mammography Screening
Maternity
Mental Health (General)
Mental Health (Parity)
Metabolic Disorders (PKU)
Minimum Mastectomy Stay
Off-Label Drug Use
Orthotics/Prosthetics
Prostate Cancer Screening
Rehabilitation Services
Prescription Drugs
Breast Reduction Surgery
 
Maryland   Alcoholism Treatment
Bone Density Screening
Cleft Palate
Clinical Trials
Colorectal Screening
Contraceptives
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Hair Prostheses
Home Health Care
Hospice Care
Infertility Treatment
Mammography Screening
Maternity
Mental Health (Parity)
Metabolic Disorders (PKU)
Minimum Mastectomy Stay
Morbid Obesity Care
Off-Label Drug Use
Orthotics/Prosthetics
Prostate Cancer Screening
Rehabilitation Services
Second Med/Surgery Opinion
Well-Child Care
Blood Products
Hearing Aids
Residential Crisis Services
Nicotine Replacement Therapy
Alzheimers
Chlamydia Screening
Minimum Testicular Cancer Stays
 
Massachusetts   Alcoholism Treatment
Blood Lead Screening
Bone Marrow Transplants
Cervical Cancer Screening
Clinical Trials
Contraceptives
Diabetic Supplies/Education
Emergency Services
Hair Prostheses
Home Health Care
Infertility Treatment
Mammography Screening
Maternity
Mental Health (General)
Mental Health (Parity)
Metabolic Disorders (PKU)
Off-Label Drug Use
Rehabilitation Services
Well-Child Care
 
Michigan   Alcoholism Treatment
Ambulance Transportation
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Hospice Care
Mammography Screening
Off-Label Drug Use
Orthotics/Prosthetics 
Minnesota   Alcoholism Treatment
Ambulatory Surgery
Cervical Cancer Screening
Cleft Palate
Colorectal Screening
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Hair Prostheses
Mammography Screening
Maternity
Mental Health (General)
Mental Health (Parity)
Metabolic Disorders (PKU)
Off-Label Drug Use
Prostate Cancer Screening 
Second Med/Surgery Opinion
TMJ Disorders
Well-Child Care
Lyme Disease
Hearing Aids
Reconstructive Surgery
Anti-Psychotic Drugs
Ovarian Cancer Screening 
Mississippi   Alcoholism Treatment
Ambulance Transportation
Dental Anesthesia
Diabetic Supplies/Education
Mammography Screening
Mental Health (General)
Off-Label Drug Use
TMJ Disorders
Well-Child Care
 
Missouri   Alcoholism Treatment
Ambulatory Surgery
Blood Lead Screening
Bone Marrow Transplants
Bone Density Screening
Cervical Cancer Screening
Clinical Trials
Colorectal Screening
Contraceptives
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Mammography Screening
Mental Health (General)
Mental Health (Parity)
Metabolic Disorders (PKU)
Minimum Mastectomy Stay
Prostate Cancer Screening
Second Med/Surgery Opinion
Well-Child Care
 
Montana   Alcoholism Treatment
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Home Health Care
Mammography Screening 
Maternity
Mental Health (General)
Mental Health (Parity)
Metabolic Disorders (PKU)
Minimum Mastectomy Stay
Well-Child Care
Nebraska   Alcoholism Treatment
Dental Anesthesia
Diabetic Supplies/Education
Emergency Services
Mammography Screening
Mental Health (Parity)
Off-Label Drug Use
TMJ Disorders
Well-Child Care
 
Nevada   Alcoholism Treatment
Ambulance Transportation
Cervical Cancer Screening
Clinical Trials
Colorectal Screening
Contraceptives
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Home Health Care
Hospice Care
Mammography Screening
Mental Health (General)
Metabolic Disorders (PKU)
Off-Label Drug Use
TMJ Disorders
Hormone Replacement Therapy
 
New Hampshire   Alcoholism Treatment
Bone Marrow Transplants
Clinical Trials
Contraceptives
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Hair Prostheses
Mammography Screening
Maternity
Mental Health (General)
Mental Health (Parity)
Metabolic Disorders (PKU)
Off-Label Drug Use
Orthotics/Prosthetics 
New Jersey   Alcoholism Treatment
Blood Lead Screening
Bone Marrow Transplants
Cervical Cancer Screening
Colorectal Screening
Dental Anesthesia
Diabetic Supplies/Education
Emergency Services
Home Health Care
Infertility Treatment
Mammography Screening
Maternity
Mental Health (Parity)
Metabolic Disorders (PKU)
Minimum Mastectomy Stay
Off-Label Drug Use
Prostate Cancer Screening
Second Med/Surgery Opinion
Well-Child Care
Special Formulas
Congenital Bleeding Disorders
Wilm's Tumor
Wellness Exams 
New Mexico   Alcoholism Treatment
Bone Density Screening
Cervical Cancer Screening
Clinical Trials
Contraceptives
Diabetic Supplies/Education
Emergency Services
Home Health Care
Mammography Screening
Maternity
Mental Health (Parity)
Metabolic Disorders (PKU)
Minimum Mastectomy Stay
Off-Label Drug Use
TMJ Disorders
Well-Child Care
New York   Alcoholism Treatment
Ambulance Transportation
Ambulatory Surgery
Bone Density Screening
Cervical Cancer Screening
Contraceptives
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Home Health Care
Hospice Care

Ambulatory Cancer Treatment
Infertility Treatment
Mammography Screening
Maternity
Mental Health (General)
Metabolic Disorders (PKU)
Minimum Mastectomy Stay
Off-Label Drug Use
Prostate Cancer Screening
Second Med/Surgery Opinion
Well-Child Care

North Carolina   Alcoholism Treatment
Bone Density Screening
Cervical Cancer Screening
Cleft Palate
Clinical Trials
Colorectal Screening
Contraceptives
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Mammography Screening
Maternity
Minimum Mastectomy Stay
Off-Label Drug Use
Prostate Cancer Screening
TMJ Disorders
Well-Child Care
Ovarian Cancer Screening 
North Dakota   Alcoholism Treatment
Dental Anesthesia
Drug Abuse Treatment
Emergency Services
Mammography Screening 
Mental Health (General)
Metabolic Disorders (PKU)
Off-Label Drug Use
Prostate Cancer Screening
TMJ Disorders 
Ohio   Alcoholism Treatment
Cervical Cancer Screening
Contraceptives
Emergency Services
Infertility Treatment
Mammography Screening
Mental Health (General)
Off-Label Drug Use
Well-Child Care
 
Oklahoma   Ambulance Transportation
Ambulatory Surgery
Bone Density Screening
Cervical Cancer Screening
Colorectal Screening
Dental Anesthesia
Diabetic Supplies/Education
Emergency Services
Hair Prostheses
Mammography Screening
Mental Health (Parity)
Minimum Mastectomy Stay
Off-Label Drug Use
Prostate Cancer Screening
Well-Child Care
Hearing Aids
Oregon   Alcoholism Treatment
Cervical Cancer Screening
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency ServiceS
Mammography Screening
Maternity
Mental Health (Parity)
Metabolic Disorders (PKU)
Orthotics/Prosthetics
Pennsylvania   Alcoholism Treatment
Cervical Cancer Screening
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Mammography Screening
Mental Health (General)
Metabolic Disorders (PKU)
Minimum Mastectomy Stay
Well-Child Care
Ambulatory Cancer Treatment
 
Rhode Island   Alcoholism Treatment
Blood Lead Screening
Cervical Cancer Screening
Clinical Trials
Colorectal Screening
Contraceptives
Diabetic Supplies/Education
Drug Abuse Treatment
Home Health Care
Infertility Treatment
Mammography Screening
Mental Health (Parity)
Minimum Mastectomy Stay
Off-Label Drug Use
Prostate Cancer Screening
Second Med/Surgery Opinion
Well-Child Care
Newborn Sickle Cell Screening
Hearing Aids
Lyme Disease 
South Carolina   Alcoholism Treatment
Bone Density Screening
Cervical Cancer Screening
Cleft Palate
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services 
Mammography Screening
Mental Health (General)
Mental Health (Parity)
Minimum Mastectomy Stay
Off-Label Drug Use
Prostate Cancer Screening
 
South Dakota   Alcoholism Treatment
Dental Anesthesia
Diabetic Supplies/Education
Emergency Services
Mammography Screening
Mental Health (Parity)
Metabolic Disorders (PKU)
Off-Label Drug Use
Prostate Cancer Screening
 
Tennessee   Alcoholism Treatment
Bone Marrow Transplants
Bone Density Screening
Cervical Cancer Screening
Clinical Trials
Colorectal Screening
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Mammography Screening
Mental Health (General)
Mental Health (Parity)
Metabolic Disorders (PKU)
Off-Label Drug Use
Prostate Cancer Screening
Chemotherapy
Chlamydia Screening
Texas   Alcoholism Treatment
Bone Density Screening
Colorectal Screening
Contraceptives
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Home Health Care
Infertility Treatment
Mammography Screening
Mental Health (General)
Mental Health (Parity)
Metabolic Disorders (PKU)
Minimum Mastectomy Stay
Off-Label Drug Use
Prostate Cancer Screening
Rehabilitation Services
TMJ Disorders
Well-Child Care
Alzheimers
Brain Injury
Telemedicine
Utah   Alcoholism Treatment
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Mental Health (General)
Mental Health (Parity)
Metabolic Disorders (PKU)
 
Vermont   Alcoholism Treatment
Clinical Trials
Contraceptives
Diabetic Supplies/Education
Emergency Services
Home Health Care
Mammography Screening
Maternity
Mental Health (General)
Mental Health (Parity)
Metabolic Disorders (PKU)
TMJ Disorders 
Virginia   Alcoholism Treatment
Bone Marrow Transplants
Cervical Cancer Screening
Cleft Palate
Clinical Trials
Colorectal Screening
Contraceptives
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Hospice Care
Mammography Screening
Maternity
Mental Health (General)
Mental Health (Parity)
Minimum Mastectomy Stay
Morbid Obesity Care
Off-Label Drug Use
Prostate Cancer Screening
TMJ Disorders
Well-Child Care
HIV Drugs
Congenital Bleeding Disorder
Cancer Pain Drugs
Minimum Hysterectomy Stays
Lymphademia 
Washington   Alcoholism Treatment
Contraceptives
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Home Health Care
Hospice Care 
Mammography Screening
Maternity
Mental Health (General)
Metabolic Disorders (PKU)
TMJ Disorders
Neurodevelopment Therapy    
West Virginia   Alcoholism Treatment
Cervical Cancer Screening
Clinical Trials
Colorectal Screening
Contraceptives
Diabetic Supplies/Education
Emergency Services
Home Health Care
Infertility Treatment
Mammography Screening
Mental Health (General) 
Mental Health (Parity)
Minimum Mastectomy Stay
Rehabilitation Services
Second Med/Surgery Opinion
TMJ Disorders
Well-Child Care 
Wisconsin   Alcoholism Treatment
Blood Lead Screening
Dental Anesthesia
Diabetic Supplies/Education
Drug Abuse Treatment
Emergency Services
Home Health Care
Mammography Screening
Mental Health (General)
Second Med/Surgery Opinion
TMJ Disorders
Well-Child Care 
Wyoming   Alcoholism Treatment
Cervical Cancer Screening
Colorectal Screening
Diabetic Supplies/Education
Mammography Screening
Prostate Cancer Screening

* For some of the benefit protections listed above, all health insurers in the state must cover the benefit. For others, all health insurers must offer coverage of the benefit; or insurers that cover a particular category of benefits must include the named service in that coverage. Consult your state law or your state insurance commissioner for details.

Source: Blue Cross Blue Shield Association, State Legislative Health Care and Insurance Issues: 2005 Survey of Health Plans
 

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