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1999 SESSION
HB 1058 Health insurance; coverage for phenylketonuria.
Introduced by: Robert F. McDonnell | all patrons ... notes | add to my profiles
SUMMARY AS INTRODUCED:
Coverage for certain low protein foods for individuals diagnosed as having phenylketonuria. Requires each (i) insurer issuing individual or group accident and sickness insurance policies providing hospital, medical and surgical or major medical coverage on an expense incurred basis; (ii) corporation providing individual or group accident and sickness subscription contracts, and (iii) health maintenance organization providing a health care plan for health care services, whose policy, contract or plan, including any certificate or evidence of coverage issued in connection with such policy, contract or plan, includes coverage for prescription drugs on an outpatient basis, to offer and make available coverage for low protein (low phenylalanine) foods prescribed for the treatment of phenylketonuria and approved by the United States Food and Drug Administration for such treatment. This new section specifically notes that low protein foods prescribed for the treatment of phenylketonuria will be deemed to be prescription drugs; however, commercial food products which are low in protein but were not developed for the treatment of phenylketonuria will not be included. The section will not require coverage for experimental drugs for phenylketonuria which are not approved by the United States Food and Drug Administration, or for prescription drugs in any contract, policy or plan that does not otherwise provide such coverage. This provision notes that closed formularies are not precluded so long as such formularies include low protein (low phenylalanine) foods. This section will not apply to short-term travel, or accident-only policies, or to short-term nonrenewable policies of not more than six months' duration. The bill's provisions will apply to policies, contracts, and plans delivered, issued for delivery or renewed in Virginia on and after July 1, 1998.
FULL TEXT
HISTORY
- 01/26/98 House: Presented & ordered printed 986753350
- 01/26/98 House: Referred to Committee on Corporations, Insurance and Banking
- 01/29/98 House: Continued to 1999 in C. I. B. (25-Y 0-N)
- 12/15/98 House: No action taken by Corporations, Insurance and Banking by voice vote