2016 -- H 7162

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LC003597

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2016

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A N   A C T

RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES

     Introduced By: Representatives Casey, Williams, Costantino, and Phillips

     Date Introduced: January 14, 2016

     Referred To: House Corporations

     It is enacted by the General Assembly as follows:

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

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

     27-18-82. Mandatory coverage for temporomandibular joint disorder. – Every

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

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

January 1, 2016 shall provide coverage for diagnostic testing and treatment of

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

coverage providing benefits for:

     (1) Hospital confinement indemnity;

     (2) Disability income;

     (3) Accident only;

     (4) Long-term care;

     (5) Medicare supplement;

     (6) Limited benefit health;

     (7) Specified disease indemnity;

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

     (9) Other limited benefit policies.

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

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

     27-19-73. Mandatory coverage for temporomandibular joint disorder. -- Every

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

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

January 1, 2016, shall provide coverage for diagnostic testing and treatment of

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

coverage providing benefits for:

     (1) Hospital confinement indemnity;

     (2) Disability income;

     (3) Accident only;

     (4) Long-term care;

     (5) Medicare supplement;

     (6) Limited benefit health;

     (7) Specified disease indemnity;

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

     (9) Other limited benefit policies.

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

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

     27-20-69. Mandatory coverage for temporomandibular joint disorders. -- Every

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

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

January 1, 2016, shall provide coverage for diagnostic testing and treatment of

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

coverage providing benefits for:

     (1) Hospital confinement indemnity;

     (2) Disability income;

     (3) Accident only;

     (4) Long-term care;

     (5) Medicare supplement;

     (6) Limited benefit health;

     (7) Specified disease indemnity;

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

     (9) Other limited benefit policies.

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

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

LC003597 - Page 2 of 5

     27-20.1-23. Mandatory coverage for temporomandibular joint disorder. -- Every

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

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

January 1, 2016, shall provide coverage for diagnostic testing and treatment of

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

coverage providing benefits for:

     (1) Hospital confinement indemnity;

     (2) Disability income;

     (3) Accident only;

     (4) Long-term care;

     (5) Medicare supplement;

     (6) Limited benefit health;

     (7) Specified disease indemnity;

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

     (9) Other limited benefit policies.

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

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

     27-41-86. Mandatory coverage for temporomandibular joint disorder. -- Every

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

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

January 1, 2016, shall provide coverage for diagnostic testing and treatment of

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

coverage providing benefits for:

     (1) Hospital confinement indemnity;

     (2) Disability income;

     (3) Accident only;

     (4) Long-term care;

     (5) Medicare supplement;

     (6) Limited benefit health;

     (7) Specified disease indemnity;

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

     (9) Other limited benefit policies.

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     SECTION 6. This act shall take effect upon passage.

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LC003597

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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

temporomandibular joint disorder.

     This act would take effect upon passage.

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LC003597

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