HB 1509 | Modifies law regarding insurance coverage mandate for chiropractic care |
HCS/HB 1509 - This act modifies the law regarding health
insurance coverage for chiropractic care. The act mandates
that health benefit plans to allow an enrollee direct access
to a participating chiropractor of the enrollee's choice
within the plan's network for at least 26 visits per policy
period. Under current law, enrollees may have access to
chiropractic care for a total of 26 visits. The act prohibits
a health care plan from denying medically necessary and
clinically appropriate chiropractic care for additional
diagnostic tests or treatment, provided the attending
chiropractic physician submits documentation supporting the
necessity for additional tests or continued treatment. The
act provides that the chiropractic care mandate shall not
apply to health benefit plans that are individually
underwritten unless the individually written coverage is
issued by a HMO.
STEPHEN WITTE