Health Care Benefits: Kansas

Federal law and guidance on this subject should be reviewed together with this section.

Authors: Alan L. Rupe and William C. McCartney, Kutak Rock LLP

Summary

• Kansas chose not to establish a state-based Marketplace under the Affordable Care Act. See Health Insurance Marketplaces Under the ACA.
• Same-sex marriage is legal nationwide. See Same-Sex Partner Benefits.
• Small employers in Kansas (2-50 employees) are eligible to purchase small group plans and may be eligible for a small employer healthcare credit. See Health Coverage for Small Employers.
• Small group policies in Kansas must include coverage for alcohol, drug abuse and substance use disorder treatments. See Mandatory Alcohol, Drug Abuse and Substance Use Disorder Coverage.
• Group health plans must provide mental health and drug abuse parity. See Mental Health Parity.
• Group health plans must include coverage for certain maternity and dependent coverage. See Maternity and Dependent Coverage.
• Health plans that provide coverage for mastectomy must provide coverage for reconstructive breast surgery. See Reconstructive Breast Surgery.
• Health plans must provide coverage for certain other illnesses, diseases and medical and surgical procedures. See Diabetes Coverage; Prostate Cancer Screening Coverage and Mammogram and Pap Smear Coverage.
• Health plans must provide coverage for certain specified health providers. See Coverage for Specified Providers.
• Health plans that cover prescription drugs must also cover drugs for mental illness and cancer prevention. See Coverage of Drugs for Mental Illness and Cancer.
• Insurers are prohibited from discriminating against individuals for certain reasons. See Prohibition on Insurer Discrimination.

Unless otherwise indicated, the term "policy" means a policy of insurance issued by an insurer licensed to do business in Kansas. It does not include self-insured employer health plans.