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Text: HF00450                           Text: HF00452
Text: HF00400 - HF00499                 Text: HF Index
Bills and Amendments: General Index     Bill History: General Index



House File 451

Partial Bill History

Bill Text

PAG LIN
  1  1    Section 1.  NEW SECTION.  514C.13  PHENYLKETONURIA
  1  2 COVERAGE.
  1  3    1.  a.  Notwithstanding the uniformity of treatment
  1  4 requirements of section 514C.6, a policy or contract providing
  1  5 for third-party payment or prepayment of health or medical
  1  6 expenses shall provide coverage benefits for the costs
  1  7 associated with specialty and medically required foods
  1  8 required by an insured or enrollee as a result of a diagnosis
  1  9 of phenylketonuria.
  1 10    2.  This section applies to the following classes of third-
  1 11 party payment provider contracts or policies delivered, issued
  1 12 for delivery, continued, or renewed in this state on or after
  1 13 July 1, 1997:
  1 14    a.  Individual or group accident and sickness insurance
  1 15 providing coverage on an expense-incurred basis.
  1 16    b.  An individual or group hospital or medical service
  1 17 contract issued pursuant to chapter 509, 514, or 514A.
  1 18    c.  An individual or group health maintenance organization
  1 19 contract regulated under chapter 514B.
  1 20    d.  An individual or group Medicare supplemental policy,
  1 21 unless coverage pursuant to such policy is preempted by
  1 22 federal law.
  1 23    e.  An organized delivery system licensed by the director
  1 24 of public health.  
  1 25                              EXPLANATION
  1 26    This bill provides that a third-party payor of health or
  1 27 medical expenses shall provide coverage benefits to an insured
  1 28 or enrollee for the costs associated with specialty and
  1 29 medical foods required by an insured and enrollee as a result
  1 30 of a diagnosis of phenylketonuria.
  1 31    This bill provides that the section applies to the third-
  1 32 party payor contracts or policies delivered, issued for
  1 33 delivery, continued, or renewed in this state on or after July
  1 34 1, 1997, by an individual or group accident and sickness
  1 35 insurance providing coverage on an expense-incurred basis; an
  2  1 individual or group hospital or medical service contract
  2  2 issued pursuant to chapter 509, 514, or 514A; an individual or
  2  3 group health maintenance organization contract regulated under
  2  4 chapter 514B; an individual or group Medicare supplemental
  2  5 policy, unless coverage pursuant to such policy is preempted
  2  6 by federal law; and an organized delivery system licensed by
  2  7 the director of public health.  
  2  8 LSB 2337HH 77
  2  9 mj/sc/14
     

Text: HF00450                           Text: HF00452
Text: HF00400 - HF00499                 Text: HF Index
Bills and Amendments: General Index     Bill History: General Index

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