Insights

State Prohibits Cost-Sharing for Monkeypox-related Expenses


On September 23, 2022, Superintendent Toal released Bulletin No. 2022-017. The bulletin informs all health insurance plans regulated by the state that on August 4, 2022, HHS declared the monkeypox virus outbreak a national public health emergency. State law prohibits cost-sharing requirements related to testing or delivery of healthcare for any condition that is the subject of a declared public health emergency.

Accordingly, the bulletin announces that no individuals shall be charged cost-sharing (coinsurance, deductible, or copayments) for testing or treatment related to monkeypox that is received during the declared public health emergency. Health plans that charged cost-sharing related to such treatment or testing to individuals after August 4, 2022, must reimburse them for those charges. Violations are subject to enforcement action, including administrative penalties of up to $10,000 per violation.

Employers with plans regulated by the state should be aware of this bulletin.

Bulletin No. 2022-017 »