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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