Text: HF02076 Text: HF02078 Text: HF02000 - HF02099 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Section 1. NEW SECTION. 514C.19 SOCIAL ANXIETY DISORDER
1 2 COVERAGE.
1 3 1. 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 which provides coverage benefits for the treatment of
1 7 mental illness shall provide coverage benefits for the
1 8 treatment of social anxiety disorder.
1 9 2. For purposes of this section, "social anxiety disorder"
1 10 means a condition that satisfies the criteria for generalized
1 11 social phobia set forth in the most recent edition of the
1 12 American psychiatric association's diagnostic and statistical
1 13 manual of mental disorders, as such definitions may be amended
1 14 from time to time. The commissioner, by rule, shall define
1 15 social anxiety disorder consistent with the manual, and may
1 16 adopt the definition provided in the manual by reference.
1 17 3. a. This section applies to the following classes of
1 18 third-party payment provider contracts or policies delivered,
1 19 issued for delivery, continued, or renewed in this state on or
1 20 after July 1, 2000:
1 21 (1) Individual or group accident and sickness insurance
1 22 providing coverage on an expense-incurred basis.
1 23 (2) An individual or group hospital or medical service
1 24 contract issued pursuant to chapter 509, 514, or 514A.
1 25 (3) An individual or group health maintenance organization
1 26 contract regulated under chapter 514B.
1 27 (4) Any other entity engaged in the business of insurance,
1 28 risk transfer, or risk retention, which is subject to the
1 29 jurisdiction of the commissioner.
1 30 (5) A plan established pursuant to chapter 509A for public
1 31 employees.
1 32 (6) An organized delivery system licensed by the director
1 33 of public health.
1 34 b. This section shall not apply to accident only,
1 35 specified disease, short-term hospital or medical, hospital
2 1 confinement indemnity, credit, dental, vision, Medicare
2 2 supplement, long-term care, basic hospital and medical-
2 3 surgical expense coverage as defined by the commissioner,
2 4 disability income insurance coverage, coverage issued as a
2 5 supplement to liability insurance, workers' compensation or
2 6 similar insurance, or automobile medical payment insurance.
2 7 EXPLANATION
2 8 This bill creates new Code section 514C.19 and provides
2 9 that a group policy or contract providing for third-party
2 10 payment or prepayment of health or medical expenses which
2 11 provides coverage benefits for the treatment of mental illness
2 12 shall provide coverage benefits for the treatment of social
2 13 anxiety.
2 14 The bill defines "social anxiety disorder" as a condition
2 15 that satisfies the criteria for generalized social phobia set
2 16 forth in the most recent edition of the American psychiatric
2 17 association's diagnostic and statistical manual of mental
2 18 disorders, as such definitions may be amended from time to
2 19 time. The bill provides that the commissioner, by rule, shall
2 20 define social anxiety disorder consistent with the manual, and
2 21 may adopt the definition provided in such manual by reference.
2 22 The bill provides that the new Code section created applies
2 23 to third-party payment provider contracts or policies
2 24 delivered, issued for delivery, continued, or renewed in this
2 25 state on or after July 1, 2000.
2 26 LSB 5569YH 78
2 27 mj/gg/8
Text: HF02076 Text: HF02078 Text: HF02000 - HF02099 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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