HB 58-CONTRACEPTIVES COVERAGE:INSURE;MED ASSIST  CO-CHAIR SPOHNHOLZ announced that the final order of business would be HOUSE BILL NO. 58, "An Act relating to insurance coverage for contraceptives and related services; relating to medical assistance coverage for contraceptives and related services; and providing for an effective date." 4:22:12 PM CO-CHAIR FIELDS moved to adopt the proposed committee substitute (CS) for HB 58, labeled 32-LS0259\I, Marx, 5/14/21, as the working document. There being no objection, Version I was before the committee. 4:23:04 PM LIZZIE KUBITZ, Staff, Representative Matt Claman, provided an explanation of the changes in Version I of the bill on behalf of Representative Claman, prime sponsor. She said Version I removes the reference to voluntary sterilization procedures found in Version B, page 2, line 1. She related that in spring 2021 the Division of Insurance was advised by the U.S. Centers for Medicare and Medicaid Services (CMS) that male sterilization as written in Version B is broader than what is required by the federal government. The [2010 Patient Protection and Affordable Care Act ("Affordable Care Act")] defines the 10 essential health benefits, which includes coverage for contraceptives, to be as broad as the guidelines provided by the Health Resources and Services Administrative (HRSA) Women's Preventative Services Guidelines. The HRSA guidelines are applicable to females, they do not address male contraceptives or sterilization. Therefore, because the federal government would expect the state to defray the cost of male sterilization as provided in Version B of HB 58, Version I was drafted to remove the reference to voluntary sterilization procedures. 4:24:26 PM CO-CHAIR SPOHNHOLZ stated it's unfortunate that it's not included in one of the essential benefits as required by the Affordable Care Act. But, she said, it would add a significant fiscal note to the bill, and the intention is to ensure that the bill doesn't have a significant fiscal impact. She stressed that it isn't being said that male sterilization isn't a welcome contribution to family planning in Alaska. 4:24:58 PM CO-CHAIR FIELDS moved to report the proposed CS for HB 58, Version 32-LS0259\I, Marx, 5/14/21, out of committee with individual recommendations and the accompanying fiscal notes. 4:25:09 PM REPRESENTATIVE NELSON objected. 4:25:16 PM A roll call vote was taken. Representatives McCarty, Schrage, Snyder, Fields, and Spohnholz voted in favor of reporting Version I of HB 58. Representatives Nelson voted against it. Therefore, CSHB 58(L&C) was moved out of the House Labor and Commerce Standing Committee by a vote of 5-1.