SB 320 - Days, Rita Heard
Requires health carriers to provide coverage for prosthetic devices under certain conditions
Bill Details
Sponsor
LR Number
1704S.01I
Title
SB 320
House Handler
N/A
Journal Page
N/A
Co-Sponsors
Effective Date
August 28, 2009
Current Status
Voted Do Pass S Health, Mental Health, Seniors and Families Committee
Quick Links
Amendments
No amendments available
CURRENT BILL SUMMARY
SB 320 - This act requires, by January 1, 2010, health carriers to provide coverage for certain prosthetic devices and related services and supplies that meet minimum standards as provided under the federal Medicare Program. "Prosthetic device" is defined as an artificial limb, device, or appliance designed to replace in whole or in part an arm, leg, or eye.
Under the terms of the act, a health insurance carrier may require an insured to obtain prior authorization for any prosthetic device. The health carrier may impose co-payments and co-insurance requirements in accordance with Part B of the federal Medicare Fee-for-service Program. The health benefit plan must reimburse an insured for the devices at no less than the fee schedule amount under the federal Medicare reimbursement schedule.
The coverage shall include repair services and replacement of prosthetics needed to restore or maintain the daily living or essential job-related activities. Certain health and life insurance polices are exempt from the provisions of the act.
The provisions of this act are virtually identical to HB 2100 (2008).
STEPHEN WITTE