2012 -- S 2800

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LC02289

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STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2012

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A N A C T

RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES

     Introduced By: Senator Roger Picard

     Date Introduced: March 21, 2012

     Referred To: Senate Health & Human Services

It is enacted by the General Assembly as follows:

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     SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness

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Insurance Policies" is hereby amended by adding thereto the following section:

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     27-18-71. Mandatory coverage for temporomandibular joint disorder. – Every

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individual or group hospital or medical expense insurance policy or individual or group hospital

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or medical services plan contract delivered, issued for delivery, or renewed in this state on or after

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January 1, 2013 shall provide coverage for diagnostic testing and treatment of

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temporomandibular joint disorder; provided, however, this section shall not apply to insurance

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coverage providing benefits for:

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     (1) Hospital confinement indemnity;

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     (2) Disability income;

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     (3) Accident only;

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     (4) Long-term care;

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     (5) Medicare supplement;

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     (6) Limited benefit health;

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     (7) Specified disease indemnity;

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     (8) Sickness or bodily injury or death by accident or both; and

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     (9) Other limited benefit policies.

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     SECTION 2. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service

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Corporations" is hereby amended by adding thereto the following section:

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     27-19-62. Mandatory coverage for temporomandibular joint disorder. -- Every

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individual or group hospital or medical expense insurance policy or individual or group hospital

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or medical services plan contract delivered, issued for delivery, or renewed in this state on or after

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January 1, 2013 shall provide coverage for diagnostic testing and treatment of

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temporomandibular joint disorder; provided, however, this section shall not apply to insurance

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coverage providing benefits for:

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     (1) Hospital confinement indemnity;

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     (2) Disability income;

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     (3) Accident only;

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     (4) Long-term care;

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     (5) Medicare supplement;

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     (6) Limited benefit health;

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     (7) Specified disease indemnity;

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     (8) Sickness or bodily injury or death by accident or both; and

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     (9) Other limited benefit policies.

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     SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service

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Corporations" is hereby amended by adding thereto the following section:

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     27-20-57. Mandatory coverage for temporomandibular joint disorders. -- Every

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individual or group hospital or medical expense insurance policy or individual or group hospital

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or medical services plan contract delivered, issued for delivery, or renewed in this state on or after

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January 1, 2013 shall provide coverage for diagnostic testing and treatment of

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temporomandibular joint disorder; provided, however, this section shall not apply to insurance

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coverage providing benefits for:

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     (1) Hospital confinement indemnity;

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     (2) Disability income;

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     (3) Accident only;

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     (4) Long-term care;

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     (5) Medicare supplement;

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     (6) Limited benefit health;

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     (7) Specified disease indemnity;

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     (8) Sickness or bodily injury or death by accident or both; and

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     (9) Other limited benefit policies.

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     SECTION 4. Chapter 27-20.1 of the General Laws entitled "Nonprofit Dental Service

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Corporations" is hereby amended by adding thereto the following section:

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     27-20.1-21. Mandatory coverage for temporomandibular joint disorder. -- Every

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individual or group hospital or medical expense insurance policy or individual or group hospital

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or medical services plan contract delivered, issued for delivery, or renewed in this state on or after

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January 1, 2013 shall provide coverage for diagnostic testing and treatment of

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temporomandibular joint disorder; provided, however, this section shall not apply to insurance

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coverage providing benefits for:

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     (1) Hospital confinement indemnity;

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     (2) Disability income;

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     (3) Accident only;

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     (4) Long-term care;

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     (5) Medicare supplement;

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     (6) Limited benefit health;

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     (7) Specified disease indemnity;

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     (8) Sickness or bodily injury or death by accident or both; and

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     (9) Other limited benefit policies.

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     SECTION 5. Chapter 27-41 of the General Laws entitled "Health Maintenance

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Organizations" is hereby amended by adding thereto the following section:

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     27-41-75. Mandatory coverage for temporomandibular joint disorder. -- Every

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individual or group hospital or medical expense insurance policy or individual or group hospital

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or medical services plan contract delivered, issued for delivery, or renewed in this state on or after

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January 1, 2013 shall provide coverage for diagnostic testing and treatment of

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temporomandibular joint disorder; provided, however, this section shall not apply to insurance

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coverage providing benefits for:

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     (1) Hospital confinement indemnity;

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     (2) Disability income;

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     (3) Accident only;

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     (4) Long-term care;

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     (5) Medicare supplement;

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     (6) Limited benefit health;

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     (7) Specified disease indemnity;

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     (8) Sickness or bodily injury or death by accident or both; and

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     (9) Other limited benefit policies.

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SECTION 6. This act shall take effect upon passage.

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LC02289

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N A C T

RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES

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     This act would require that health insurance policies include coverage for

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temporomandibular joint disorder.

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     This act would take effect upon passage.

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LC02289

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