Text: HF00193 Text: HF00195 Text: HF00100 - HF00199 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Section 1. NEW SECTION. 514C.14 DIABETES COVERAGE.
1 2 1. a. Notwithstanding the uniformity of treatment
1 3 requirements of section 514C.6, a policy or contract providing
1 4 for third-party payment or prepayment of health or medical
1 5 expenses shall provide coverage benefits for the cost
1 6 associated with equipment, supplies, and self-management
1 7 training and education for the treatment of all types of
1 8 diabetes mellitus, impaired glucose tolerance, and impaired
1 9 fasting glucose when prescribed by a licensed health care
1 10 provider authorized to prescribe such items. Such items shall
1 11 include all of the following:
1 12 (1) Equipment and supplies necessary for home monitoring
1 13 including blood glucose meter, glucose strips, finger sticking
1 14 devices, lancets, and urine testing strips.
1 15 (2) Medications to control blood sugar levels including
1 16 insulin and oral agents.
1 17 (3) Equipment and supplies necessary for insulin
1 18 administration including syringes, infusion set, and insulin
1 19 pens.
1 20 (4) Assistive devices for the visually impaired including
1 21 voice modulated blood glucose meters and injection aids.
1 22 (5) Podiatric appliances for prevention of complications
1 23 associated with diabetes.
1 24 (6) Podiatric health care provider services as are deemed
1 25 medically necessary to prevent complications from diabetes.
1 26 (7) Diabetes self-management training, including medically
1 27 necessary inpatient or outpatient instruction and training
1 28 under the direction of a physician licensed under chapter 148
1 29 or 150A, licensed physician assistant, or a licensed nurse
1 30 practitioner which enables a diabetic patient to understand
1 31 the diabetic management process and daily management of
1 32 diabetic therapy.
1 33 (8) Diabetes outpatient self-management training and
1 34 education provided by a health professional certified by the
1 35 national certification board for diabetes educators or a
2 1 licensed dietitian, nurse, pharmacist, or other licensed
2 2 health professional who may provide training and education
2 3 under a program which meets the standards of diabetes self-
2 4 management education as established by the American diabetes
2 5 association or the Iowa department of public health.
2 6 b. The coverage requirement of paragraph "a" shall only
2 7 apply to diabetes outpatient self-management training and
2 8 education provided by a licensed health care provider with
2 9 expertise in treating diabetes.
2 10 2. This section applies to the following classes of third-
2 11 party payment provider contracts or policies delivered, issued
2 12 for delivery, continued, or renewed in this state on or after
2 13 July 1, 1999:
2 14 a. Individual or group accident and sickness insurance
2 15 providing coverage on an expense-incurred basis.
2 16 b. An individual or group hospital or medical service
2 17 contract issued pursuant to chapter 509, 514, or 514A.
2 18 c. An individual or group health maintenance organization
2 19 contract regulated under chapter 514B.
2 20 d. Any other entity engaged in the business of insurance,
2 21 risk transfer, or risk retention, which is subject to the
2 22 jurisdiction of the commissioner.
2 23 e. A plan established pursuant to chapter 509A for public
2 24 employees.
2 25 f. An organized delivery system licensed by the director
2 26 of public health.
2 27 EXPLANATION
2 28 This bill creates new Code section 514C.14 and requires
2 29 that a policy or contract providing for third-party payment or
2 30 prepayment of health or medical expenses provide coverage for
2 31 costs associated with certain equipment, supplies, and self-
2 32 management training and education for the treatment of
2 33 diabetes mellitus, impaired glucose tolerance, and impaired
2 34 fasting glucose, if such items are prescribed by a licensed
2 35 health care provider who is authorized to prescribe such
3 1 items.
3 2 LSB 1161HH 78
3 3 mj/cf/24
Text: HF00193 Text: HF00195 Text: HF00100 - HF00199 Text: HF Index Bills and Amendments: General Index Bill History: General Index
© 1999 Cornell College and League of Women Voters of Iowa
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