House Journal: Page 1238: Tuesday, April 13, 1999

 9   COVERAGE.

10     1.  Notwithstanding the uniformity of treatment
11   requirements of section 514C.6, a policy or contract
12   providing for third-party payment or prepayment of
13   health or medical expenses shall provide coverage
14   benefits for the cost associated with equipment,
15   supplies, and self-management training and education
16   for the treatment of all types of diabetes mellitus
17   when prescribed by a physician licensed under chapter
18   148, 150, or 150A.  Coverage benefits shall include
19   coverage for the cost associated with all of the
20   following:
21     a.  Blood glucose meter and glucose strips for home
22   monitoring.
23     b.  Payment for diabetes self-management training
24   and education only under all of the following
25   conditions:
26     (1)  The physician managing the individual's
27   diabetic condition certifies that such services are
28   needed under a comprehensive plan of care related to
29   the individual's diabetic condition to ensure therapy
30   compliance or to provide the individual with necessary
31   skills and knowledge to participate in the management
32   of the individual's condition.
33     (2)  The diabetic self-management training and
34   education program is certified by the Iowa department
35   of public health.  The department shall consult with
36   the American diabetes association, Iowa affiliate, in
37   developing the standards for certification of diabetes
38   education programs as follows:
39     (a)  Initial training shall cover up to ten hours
40   of initial outpatient diabetes self-management
41   training within a continuous twelve-month period for
42   each individual that meets any of the following
43   conditions:
44     (i)  A new onset of diabetes.
45     (ii)  Poor glycemic control as evidenced by a
46   glycosylated hemoglobin of nine and five-tenths or
47   more in the ninety days before attending the training.
48     (iii)  A change in treatment regimen from no
49   diabetes medications to any diabetes medication, or
50   from oral diabetes medication to insulin.
Page 3
 1     (iv)  High risk for complications based on poor
 2   glycemic control; documented acute episodes of severe
 3   hypoglycemia or acute severe hyperglycemia occurring
 4   in the past year during which the individual needed
 5   third-party assistance for either emergency room
 6   visits or hospitalization.
 7     (v)  High risk based on documented complications of

© 1999 Cornell College and League of Women Voters of Iowa

Comments about this site or page? hjourn@legis.iowa.gov.
Please remember that the person listed above does not vote on bills. Direct all comments concerning legislation to State Legislators.

Last update: Wed Apr 14 13:40:04 CDT 1999
URL: /DOCS/GA/78GA/Session.1/HJournal/01200/01238.html
jhf