SPRINGFIELD – State Senator Linda Holmes’ effort in the Senate to ensure insurance coverage for treating menopause symptoms without regard to whether the onset was natural or surgical. Holmes’ measure, House Bill 5295, passed the Senate Thursday.
Menopause occurs when an individual’s estrogen and progesterone hormone levels start to fall. If it begins naturally, symptoms show up over time; if it is a result of surgery, those effects start and advance quickly after the procedure.
“In either event or at whatever age, hormonal changes can bring on complications that affect our overall health and well-being. As estrogen drops, bone density can decrease and cardiovascular risks can rise,” said Holmes (D-Aurora). “Menopause therapies are prescribed regardless of the onset reason and must be covered either way.”
House Bill 5295 requires insurers to provide coverage for medically necessary hormonal and non-hormonal therapy to treat menopausal symptoms. A qualified health care provider will recommend a therapy proven safe and effective with all FDA-approved treatment methods. The bill also extends coverage to Medicaid patients for menopause that has been induced by a hysterectomy.
Having passed both the Senate and House, House Bill 5295 now awaits further action.