HEALTHCARE AND MEDICAL LIABILITY REFORM
SENATE AMENDMENTS TO S.B. 1216
(Reference to printed bill)
Page 1, line 5, before the first “A” insert “A.”; strike “ISSUED” insert “OFFERED”
Line 8, strike “LIMITATIONS OR FINANCIAL” insert “COST SHARING”
Line 9, after “MEDICATION” insert “THAT ARE COVERED UNDER THE CONTRACT”
Line 12, strike “OUT-OF-POCKET COSTS” insert “COST SHARING REQUIREMENTS”
Between lines 14 and 15, insert:
“B. NOTHING IN THIS SECTION SHALL BE INTERPRETED TO PROHIBIT A HEALTH INSURER FROM REQUIRING PRIOR AUTHORIZATION, DEVELOPING A FORMULARY OR IMPOSING OTHER APPROPRIATE UTILIZATION CONTROLS IN APPROVING COVERAGE FOR ANY CHEMOTHERAPY. THIS SECTION DOES NOT APPLY TO LIMITED BENEFIT COVERAGE AS DEFINED IN SECTION 20-1137.”
Line 18, before the first “A” insert “A.”; strike “ISSUED” insert “OFFERED”
Line 22, strike “LIMITATIONS OR FINANCIAL” insert “COST SHARING”
Line 23, after “MEDICATION” insert “THAT ARE COVERED UNDER THE CONTRACT OR EVIDENCE OF COVERAGE”
Line 27, strike “OUT-OF-POCKET COSTS” insert “COST SHARING REQUIREMENTS”
Between lines 28 and 29, insert:
“B. NOTHING IN THIS SECTION SHALL BE INTERPRETED TO PROHIBIT A HEALTH INSURER FROM REQUIRING PRIOR AUTHORIZATION, DEVELOPING A FORMULARY OR IMPOSING OTHER APPROPRIATE UTILIZATION CONTROLS IN APPROVING COVERAGE FOR ANY CHEMOTHERAPY. THIS SECTION DOES NOT APPLY TO LIMITED BENEFIT COVERAGE AS DEFINED IN SECTION 20-1137.”
Line 32, before the first “A” insert “A.”; strike “ISSUED” insert “OFFERED”
Line 35, strike “LIMITATIONS OR FINANCIAL” insert “COST SHARING”
Line 37, after “MEDICATION” insert “THAT ARE COVERED UNDER THE POLICY”
Line 40, strike “OUT-OF-POCKET COSTS” insert “COST SHARING REQUIREMENTS”
Line 41, after the period, insert:
“B. NOTHING IN THIS SECTION SHALL BE INTERPRETED TO PROHIBIT A HEALTH INSURER FROM REQUIRING PRIOR AUTHORIZATION, DEVELOPING A FORMULARY OR IMPOSING OTHER APPROPRIATE UTILIZATION CONTROLS IN APPROVING COVERAGE FOR ANY CHEMOTHERAPY. THIS SECTION DOES NOT APPLY TO LIMITED BENEFIT COVERAGE AS DEFINED IN SECTION 20-1137.”
Page 2, line 4, before the first “A” insert “A.”; strike “ISSUED” insert “OFFERED”
Line 7, strike “LIMITATIONS OR”
Line 8, strike “FINANCIAL” insert “COST SHARING”
Line 9, after “MEDICATION” insert “THAT ARE COVERED UNDER THE GROUP DISABILITY POLICY”
Line 12, strike “OUT-OF-POCKET COSTS” insert “COST SHARING REQUIREMENTS”
Between lines 14 and 15, insert:
“B. NOTHING IN THIS SECTION SHALL BE INTERPRETED TO PROHIBIT A HEALTH INSURER FROM REQUIRING PRIOR AUTHORIZATION, DEVELOPING A FORMULARY OR IMPOSING OTHER APPROPRIATE UTILIZATION CONTROLS IN APPROVING COVERAGE FOR ANY CHEMOTHERAPY. THIS SECTION DOES NOT APPLY TO LIMITED BENEFIT COVERAGE AS DEFINED IN SECTION 20-1137.”
Line 16, before the first “A” insert “A.”; strike “ISSUED” insert “OFFERED”
Line 19, strike “LIMITATIONS OR”
Line 20, strike “FINANCIAL” insert “COST SHARING”
Line 21, after “MEDICATION” insert “THAT ARE COVERED UNDER THE POLICY OR CONTRACT”
Line 24, strike “OUT-OF-POCKET COSTS” insert “COST SHARING REQUIREMENTS”
Between lines 26 and 27, insert:
“B. NOTHING IN THIS SECTION SHALL BE INTERPRETED TO PROHIBIT A HEALTH INSURER FROM REQUIRING PRIOR AUTHORIZATION, DEVELOPING A FORMULARY OR IMPOSING OTHER APPROPRIATE UTILIZATION CONTROLS IN APPROVING COVERAGE FOR ANY CHEMOTHERAPY. THIS SECTION DOES NOT APPLY TO LIMITED BENEFIT COVERAGE AS DEFINED IN SECTION 20-1137.”
Line 30, before the first “A” insert “A.”; strike “ISSUED” insert “OFFERED”
Line 33, strike “LIMITATIONS OR”
Line 34, strike “FINANCIAL” insert “COST SHARING”
Page 2, line 35, after “MEDICATION” insert “THAT ARE COVERED UNDER THE HEALTH BENEFITS PLAN”
Line 38, strike “OUT-OF-POCKET COSTS” insert “COST SHARING REQUIREMENTS”
Between lines 40 and 41, insert:
“B. NOTHING IN THIS SECTION SHALL BE INTERPRETED TO PROHIBIT A HEALTH INSURER FROM REQUIRING PRIOR AUTHORIZATION, DEVELOPING A FORMULARY OR IMPOSING OTHER APPROPRIATE UTILIZATION CONTROLS IN APPROVING COVERAGE FOR ANY CHEMOTHERAPY. THIS SECTION DOES NOT APPLY TO LIMITED BENEFIT COVERAGE AS DEFINED IN SECTION 20-1137.”
Renumber to conform
Amend title to conform