2017 -- H 5632

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LC001704

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2017

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A N   A C T

RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES

     

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

     Date Introduced: March 01, 2017

     Referred To: House Corporations

     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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     27-18-83. Mandatory coverage for temporomandibular joint disorder.

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

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group hospital or medical services plan contract delivered, issued for delivery, or renewed in this

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state on or after January 1, 2018, shall provide coverage for diagnostic testing and treatment of

7

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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     27-19-74. Mandatory coverage for temporomandibular joint disorder.

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

3

group hospital or medical services plan contract delivered, issued for delivery, or renewed in this

4

state on or after January 1, 2018, shall provide coverage for diagnostic testing and treatment of

5

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

6

coverage providing benefits for:

7

     (1) Hospital confinement indemnity;

8

     (2) Disability income;

9

     (3) Accident only;

10

     (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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     27-20-70. Mandatory coverage for temporomandibular joint disorders.

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

20

group hospital or medical services plan contract delivered, issued for delivery, or renewed in this

21

state on or after January 1, 2018, shall provide coverage for diagnostic testing and treatment of

22

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

23

coverage providing benefits for:

24

     (1) Hospital confinement indemnity;

25

     (2) Disability income;

26

     (3) Accident only;

27

     (4) Long-term care;

28

     (5) Medicare supplement;

29

     (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:

 

LC001704 - Page 2 of 5

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

2

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

3

group hospital or medical services plan contract delivered, issued for delivery, or renewed in this

4

state on or after January 1, 2018, shall provide coverage for diagnostic testing and treatment of

5

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

6

coverage providing benefits for:

7

     (1) Hospital confinement indemnity;

8

     (2) Disability income;

9

     (3) Accident only;

10

     (4) Long-term care;

11

     (5) Medicare supplement;

12

     (6) Limited benefit health;

13

     (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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     27-41-87. Mandatory coverage for temporomandibular joint disorder.

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

20

group hospital or medical services plan contract delivered, issued for delivery, or renewed in this

21

state on or after January 1, 2018, shall provide coverage for diagnostic testing and treatment of

22

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

23

coverage providing benefits for:

24

     (1) Hospital confinement indemnity;

25

     (2) Disability income;

26

     (3) Accident only;

27

     (4) Long-term care;

28

     (5) Medicare supplement;

29

     (6) Limited benefit health;

30

     (7) Specified disease indemnity;

31

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

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     (9) Other limited benefit policies.

 

LC001704 - Page 3 of 5

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     SECTION 6. This act shall take effect upon passage.

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LC001704

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LC001704 - Page 4 of 5

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 on or after January 1, 2018, health insurance policies must

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include coverage for temporomandibular joint disorder.

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     This act would take effect upon passage.

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LC001704

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LC001704 - Page 5 of 5