House Journal: Page 1245: Tuesday, April 13, 1999

34     2.  Title page, line 3, by inserting after the

35   word "services," the following:  "coverage of
36   pharmaceutical services,".
37     3.  By renumbering as necessary.
Amendment H?1585 lost.
Osterhaus of Jackson offered the following amendment H?1181 
filed by him and moved its adoption:
H-1181
 1     Amend Senate File 276, as amended, passed, and
 2   reprinted by the Senate, as follows:
 3     1.  Page 6, by striking line 18 and inserting the
 4   following:  "the provision of medically necessary or
 5   appropriate services."
 6     2.  Page 6, line 31, by striking the words
 7   "medical necessity" and inserting the following:  "the
 8   provision of medically necessary or appropriate
 9   services".
10     3.  Page 7, by inserting after line 4 the
11   following:
12     "     .  "Medically necessary or appropriate" means,
13   with respect to a service or benefit, a service or
14   benefit which is consistent with generally accepted
15   principles of professional medical practice."
16     4.  Page 8, by striking lines 8 and 9 and
17   inserting the following:  "of medically necessary or
18   appropriate."
19     5.  Page 12, by striking lines 19 through 20 and
20   inserting the following:  "necessary or appropriate
21   and consistent with clinical standards of".
22     6.  By renumbering as necessary.
Roll call was requested by Osterhaus of Jackson and Chapman of 
Linn.
On the question "Shall amendment H-1181 be adopted?" (S.F. 276)
	The ayes were, 45:
Bell	Bukta	Burnett	Cataldo
Chapman	Chiodo	Cohoon	Connors
Doderer	Dotzler	Drees	Falck
Fallon	Foege	Ford	Frevert
Grundberg	Holveck	Huser	Jochum
Kreiman	Kuhn	Larkin	Mascher
May	Mertz	Mundie	Murphy^
Myers	O'Brien	Osterhaus	Parmenter
Reynolds	Richardson	Scherrman	Schrader
Shoultz	Stevens	Taylor	Thomas
Warnstadt	Weigel	Whitead	Wise
Witt	
	The nays were, 52:
Alons	Arnold	Barry	Baudler
Blodgett	Boal	Boddicker	Bradley
Brauns	Brunkhorst	Carroll	Cormack
Davis	Dix	Dolecheck	Drake
Eddie	Garman	Gipp	Greiner
Hahn	Hansen	Heaton	Hoffman
Holmes	Horbach	Houser	Huseman
Jacobs	Jager	Jenkins	Johnson
Kettering	Klemme	Larson	Lord
Martin	Metcalf	Millage	Nelson
Raecker	Siegrist	Sukup	Sunderbruch
Teig	Thomson	Tyrrell	Van Engelenhoven
Van Fossen	Weidman	Welter	Mr. Speaker
				  Corbett
	Absent or not voting, 3:
Boggess	Rants	Rayhons
Amendment H?1181 lost.
Osterhaus of Jackson offered amendment H?1180 filed by him as 
follows:
H-1180
 1     Amend Senate File 276, as amended, passed, and
 2   reprinted by the Senate, as follows:
 3     1.  Page 6, by inserting after line 19 the
 4   following:
 5     " ___.  "Appropriate and medically necessary" means
 6   the standard for health care services as determined by
 7   a physician or health care provider consistent with
 8   accepted practices and standards of care provided by
 9   the medical profession in the community."
10     2.  Page 8, by striking lines 8 and 9 and
11   inserting the following:  "of appropriate and
12   medically necessary."
13     3.  By renumbering as necessary.
Osterhaus of Jackson offered the following amendment H?1532, to 
amendment H?1180, filed by him and moved its adoption:

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