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2013 SESSION

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SB 866 Health insurance; mandated coverage for enteral formulas necessitated by short bowel syndrome.

Introduced by: John S. Edwards | all patrons    ...    notes | add to my profiles

SUMMARY AS INTRODUCED:

Health insurance; mandated coverage for enteral formulas necessitated by short bowel syndrome. Requires health insurers, health care subscription plans, and health maintenance organizations to provide coverage, under a policy, contract, or plan that provides prescription drug coverage, for the cost of enteral formulas for home use by covered individuals who suffer from short bowel syndrome. Coverage applies if the covered individual's physician issues an order stating that the enteral formula is clearly medically necessary and has been proven effective as a treatment regimen for the covered individual and that the enteral formula is the primary source of nutrition.


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