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2000 SESSION

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HB 1376 Accident and sickness insurance; diabetes coverage.

Introduced by: Ward L. Armstrong | all patrons    ...    notes | add to my profiles

SUMMARY AS PASSED: (all summaries)

Accident and sickness insurance; diabetes coverage. Clarifies several provisions of the mandated benefit for coverage of diabetes. The bill prohibits carriers from categorizing supplies for diabetes treatment as durable medical equipment, ensuring that such supplies are not subject to the dollar limits applicable generally to durable medical equipment. Other provisions (i) allow managed care health insurance plans to require the health care professional providing diabetes outpatient self-management training and education to be a member of the plan's provider network if the network includes sufficient health care professionals who are qualified by specific education, experience, and credentials to provide the covered benefits; (ii) require the covered benefit for outpatient self-management training and education to be performed in-person; and (iii) prohibit carriers from imposing policy or calendar year dollar or durational benefit limitations or maximums for the diabetes benefits or services provided.


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