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House Bill 2000 |
House Author: McCall |
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Effective: 9-1-09 |
Senate Sponsor: Van de Putte |
House Bill 2000 amends the Insurance Code to require certain health benefit plans to provide coverage for amino acid-based elemental formulas, regardless of the formula delivery method, that are used for the diagnosis and treatment of certain congenital allergies and related diseases. The bill requires such coverage if the treating physician has issued a written order stating that an amino acid-based elemental formula is medically necessary to treat an enrollee who is diagnosed with such a disease and requires the coverage to include any medically necessary services associated with the administration of the formula. The bill authorizes a utilization review agent acting on behalf of a health benefit plan issuer to review a treating physician's determination of the medical necessity of such a formula. These changes apply to a plan that is delivered, issued for delivery, or renewed on or after January 1, 2010.