PRINTER'S NO. 695
THE GENERAL ASSEMBLY OF PENNSYLVANIA
SENATE BILL
No.
704
Session of
2015
INTRODUCED BY SMITH, BREWSTER, COSTA, HUGHES AND TARTAGLIONE,
APRIL 7, 2015
REFERRED TO BANKING AND INSURANCE, APRIL 7, 2015
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
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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, including 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.
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