Groom principal Lisa Campbell, co-chair of the firm’s Health Services group, was featured by Law360 in the article, “3 Things To Know About Proposed OTC Contraception Regs,” where she explored the highly anticipated proposed rules that would require private insurers to cover over-the-counter contraception items.
“We were expecting it,” said Campbell. According to Law360, she continued, indicating that “the request for information, or RFI, on OTC products [w]as a major signal that rules were coming.”
Law360 reported that Campbell noted that “the proposed rules limit the coverage expansion to just OTC contraception products for now.”
“I do think at least they’re recognizing that we’re going to start slow,” she said.
The platform further reported that Campbell said that “another important takeaway from the proposal is that the agencies gave health plans and insurance issuers the green light to impose so-called medical management techniques to contain costs and potentially minimize abuses of a new expansion in insurance coverage for OTC products.”
According to Law360, Campbell said that “she took heed of medical management language in the proposal.”
“I think there’s a lot of concern about fraud, waste and abuse,” she said. “I do think the departments at least recognize … that’s an issue,” she added. “They do say that there can be reasonable medical management on this.”
To read the article, click here.
