Chapter
538
2006 -- S 2178 SUBSTITUTE A
Enacted 07/10/06
A N A C T
RELATING TO HEATH
INSURANCE
Introduced By: Senators
Gibbs, Breene, Perry, Pichardo, and Algiere
Date Introduced: January
26, 2006
It is enacted
by the General Assembly as follows:
SECTION
1. Chapter 27-18 of the General Laws entitled "Accident and Sickness
Insurance
Policies" is hereby amended by adding thereto the following section:
27-18-68.
Mandatory coverage for scalp hair prosthesis. – (a) Every individual
or
group
hospital or medical expense insurance policy or individual or group hospital or
medical
services
plan contract delivered, issued for delivery, or renewed in this state on or
after January 1,
2007,
which provides coverage for any other prosthesis, shall provide coverage for
expenses for
scalp
hair prosthesis worn for hair loss suffered as a result of the treatment of any
form of cancer
or
leukemia; provided, however, that such coverage shall be subject to the same
limitations and
guidelines
as other prosthesis, and that coverage shall not exceed an amount of three
hundred fifty
dollars
($350) per covered member per year, exclusive of any deductible.
(b)
This section shall not apply to insurance coverage providing benefits for: (1)
hospital
confinement
indemnity; (2) disability income; (3) accident only; (4) long-term care; (5)
Medicare
supplement;
(6) limited benefit health; (7) specified disease indemnity; (8) sickness or
bodily
injury
or death by accident or both; and (9) other limited benefit policies.
SECTION
2. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service
Corporations"
is hereby amended by adding thereto the following section:
27-19-59.
Mandatory coverage for scalp hair prosthesis. – (a) Every individual
or
group
hospital or medical expense insurance policy or individual or group hospital or
medical
services
plan contract delivered, issued for delivery, or renewed in this state on or
after January 1,
2007,
which provides coverage for any other prosthesis, shall provide coverage for
expenses for
scalp
hair prosthesis worn for hair loss suffered as a result of the treatment of any
form of cancer
or
leukemia; provided, however, that such coverage shall be subject to the same
limitations and
guidelines
as other prosthesis, and that coverage shall not exceed an amount of three
hundred fifty
dollars
($350) per covered member per year, exclusive of any deductible.
(b)
This section shall not apply to insurance coverage providing benefits for: (1)
hospital
confinement
indemnity; (2) disability income; (3) accident only; (4) long- term care; (5)
Medicare
supplement;
(6) limited benefit health; (7) specified disease indemnity; (8) sickness or
bodily
injury
or death by accident or both; and (9) other limited benefit policies.
SECTION
3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service
Corporations"
is hereby amended by adding thereto the following section:
27-20-54.
Mandatory coverage for scalp hair prosthesis. – (a) Every individual
or
group
hospital or medical expense insurance policy or individual or group hospital or
medical
services
plan contract delivered, issued for delivery, or renewed in this state on or
after January 1,
2007,
which provides coverage for any other prosthesis shall provide coverage for
expenses for
scalp
hair prosthesis worn for hair loss suffered as a result of the treatment of any
form of cancer
or
leukemia; provided, however, that such coverage shall be subject to the same
limitations and
guidelines
as other prosthesis, and that coverage shall not exceed an amount of three
hundred fifty
dollars
($350) per covered member per year, exclusive of any deductible.
(b)
This section shall not apply to insurance coverage providing benefits for: (1)
hospital
confinement
indemnity; (2) disability income; (3) accident only; (4) long-term care; (5)
Medicare
supplement;
(6) limited benefit health; (7) specified disease indemnity; (8) sickness or
bodily
injury
or death by accident or both; and (9) other limited benefit policies.
SECTION
4. Chapter 27-41 of the General Laws entitled "Health Maintenance
Organizations"
is hereby amended by adding thereto the following section:
27-41-71.
Mandatory coverage for scalp hair prosthesis. -- Every individual or
group
hospital
or medical expense insurance policy or individual or group hospital or medical
services
plan
contract delivered, issued for delivery, or renewed in this state on or after
January 1, 2007,
which
provides coverage for any other prosthesis shall provide coverage for expenses
for scalp
hair
prosthesis worn for hair loss suffered as a result of the treatment of any form
of cancer or
leukemia;
provided, however, that such coverage shall be subject to the same limitations
and
guidelines
as other prosthesis, and that coverage shall not exceed an amount of three
hundred fifty
dollars
($350) per covered member per year, exclusive of any deductible.
(b)
This section shall not apply to insurance coverage providing benefits for: (1)
hospital
confinement
indemnity; (2) disability income; (3) accident only; (4) long-term care; (5)
Medicare
supplement;
(6) limited benefit health; (7) specified disease indemnity; (8) sickness or
bodily
injury
or death by accident or both; and (9) other limited benefit policies.
SECTION
5. This act shall take effect upon passage.
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LC00493/SUB A
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