§1077.5. Required coverage for integrative cancer treatments; acupuncture; cooling systems;
cryotherapy
A. A health insurance issuer offering health coverage plans in this state that provide
hospital, medical, or surgical benefits for individuals covered under a respective plan shall
provide coverage for integrative cancer treatments, including acupuncture, cryotherapy, and
scalp cooling systems used in connection with medical treatment for cancer when such
treatments are recommended by nationally recognized cancer treatment guidelines. Coverage
provided pursuant to this Section may be subject to annual deductibles, coinsurance,
copayments, and prior authorization consistent with those established under the health
coverage plan.
B. For the purposes of this Section, "scalp cooling system" means any device used
to cool the human scalp to prevent or reduce hair loss during chemotherapy treatment for
cancer, provided that such device is designed and intended for repeated use and is primarily
and customarily used to serve a medical purpose.
C. A health insurance issuer may limit coverage for acupuncture treatment for active
treatment of cancer to fifteen visits per plan year, unless additional treatments are
recommended by nationally recognized cancer guidelines and the treating physician.
Acts 2025, No. 227, §1, eff. Jan. 1, 2026.