THE GENERAL ASSEMBLY OF PENNSYLVANIA

HOUSE BILL

INTRODUCED BY M. SMITH, PYLE, BAKER, BISHOP, BRENNAN, BRIGGS, BROWN, CALTAGIRONE, CLYMER, D. COSTA, CREIGHTON, DONATUCCI, DRUCKER, FREEMAN, GERGELY, GIBBONS, GOODMAN, GRUCELA, HOUGHTON, JOSEPHS, KULA, MAHONEY, MATZIE, McGEEHAN, MELIO, MILNE, M. O'BRIEN, RAPP, ROEBUCK, SEIP, SIPTROTH, SOLOBAY, STABACK, SWANGER, THOMAS, VULAKOVICH, WHEATLEY, WHITE, YOUNGBLOOD, P. COSTA, DeLUCA, FRANKEL, READSHAW, SHAPIRO AND VEREB, JUNE 1, 2010

REFERRED TO COMMITTEE ON INSURANCE, JUNE 1, 2010  

AN ACT

Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An

act relating to insurance; amending, revising, and

consolidating the law providing for the incorporation of

insurance companies, and the regulation, supervision, and

protection of home and foreign insurance companies, Lloyds

associations, reciprocal and inter-insurance exchanges, and

fire insurance rating bureaus, and the regulation and

supervision of insurance carried by such companies,

associations, and exchanges, including insurance carried by

the State Workmen's Insurance Fund; providing penalties; and

repealing existing laws," further providing for reimbursement

for diabetic supplies.

The General Assembly of the Commonwealth of Pennsylvania

hereby enacts as follows:

Section 1.  Section 634(a) of the act of May 17, 1921

(P.L.682, No.284), known as The Insurance Company Law of 1921,

added October 16, 1998 (P.L.784, No.98), is amended to read:

Section 634.  Reimbursement for Diabetic Supplies.--(a)

Except to the extent already covered under another policy, any

individual or group health, sickness and accident insurance

policy, group health insurance plans/policies, and all other

forms of managed/capitated care plans/policies or subscriber

contract or certificate issued by any entity subject to 40

Pa.C.S. Ch. 61 (relating to hospital plan corporations) or 63

(relating to professional health services plan corporations) or

the act of December 29, 1972 (P.L.1701, No.364), known as the

"Health Maintenance Organization Act," [the act of December 14,

1992 (P.L.835, No.134), known as the "Fraternal Benefit

Societies Code,"] or this act providing hospital or

medical/surgical coverage shall provide coverage of the

equipment, supplies, medication and outpatient self-management

training and education, including medical nutrition therapy for

the treatment of insulin-dependent diabetes, insulin-using

diabetes, gestational diabetes [and], non-insulin-using diabetes

and the treatment of pain associated with complications of

diabetes, such as diabetic peripheral neuropathy and other

comorbid conditions, if prescribed by a health care professional

legally authorized to prescribe such items under law. The

benefits specified in this section may be provided through a

combination of policies, contracts, certificates or riders,

including major medical contracts.

* * *

Section 2.  This act shall take effect in 60 days.