2006 -- S 2176 | |
======= | |
LC00756 | |
======= | |
STATE OF RHODE ISLAND | |
| |
IN GENERAL ASSEMBLY | |
| |
JANUARY SESSION, A.D. 2006 | |
| |
____________ | |
| |
A N A C T | |
RELATING TO HEALTH INSURANCE COVERAGE -- ORTHOTIC AND PROSTHETIC | |
SERVICES | |
|
      |
|
      |
     Introduced By: Senators Ciccone, Badeau, McCaffrey, Alves, and Pichardo | |
     Date Introduced: January 26, 2006 | |
     Referred To: Senate Health & Human Services | |
It is enacted by the General Assembly as follows: | |
1-1 |
     SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness |
1-2 |
Insurance Policies" is hereby amended by adding thereto the following section: |
1-3 |
     27-18-65. Reimbursement for orthotic and prosthetic services. – (a) As used in this |
1-4 |
section: |
1-5 |
     (1) "Federal reimbursement rates" means the current listed fee schedule from the Centers |
1-6 |
for Medicare and Medicaid Services, listing the current Healthcare Common Procedure Coding |
1-7 |
system (HCPCS) and the corresponding reimbursement rates. |
1-8 |
     (2) "Orthosis" means a custom fabricated brace or support that is designed based on |
1-9 |
medical necessity. Orthosis does not include prefabricated or direct-formed orthotic devices, as |
1-10 |
defined in this section, or any of the following assistive technology devices: commercially |
1-11 |
available knee orthoses used following injury or surgery; spastic muscle-tone inhibiting orthoses; |
1-12 |
upper extremity adaptive equipment; finger splints; hand splints; wrist gauntlets; face masks used |
1-13 |
following burns; wheelchair seating that is an integral part of the wheelchair and not worn by the |
1-14 |
patient independent of the wheelchair; fabric or elastic supports; corsets; low-temperature formed |
1-15 |
plastic splints; trusses; elastic hose; canes; crutches; cervical collars; dental appliances; and other |
1-16 |
similar devices as determined by the director of the department of health, such as those |
1-17 |
commonly carried in stock by a pharmacy, department store, corset shop, or surgical supply |
1-18 |
facility. |
2-1 |
     (3) "Orthotics" means the science and practice of evaluating measuring, designing, |
2-2 |
fabricating, assembling, fitting, adjusting or servicing, as well as providing the initial training |
2-3 |
necessary to accomplish the fitting of, an orthosis for the support, correction, or alleviation of |
2-4 |
neuromuscular or musculoskeletal dysfunction, disease, injury or deformity. The practice of |
2-5 |
orthotics encompasses evaluation, treatment, and consultation; with basic observational gait and |
2-6 |
postural analysis, orthotists assess and design orthoses to maximize function and provide not only |
2-7 |
the support but the alignment necessary to either prevent or correct a deformity or to improve the |
2-8 |
safety and efficiency of mobility or locomotion or both. Orthotic practice includes providing |
2-9 |
continuing patient care in order to assess its effect on the patient's tissues and to assure proper fit |
2-10 |
and function of the orthotic device by periodic evaluation. |
2-11 |
     (4) "Prosthesis" means an artificial limb that is alignable or, in lower-extremity |
2-12 |
applications capable of weight bearing. Prosthesis means an artificial medical device that is not |
2-13 |
surgically implanted and that is used to replace a missing limb, appendage, or other external |
2-14 |
human body part including an artificial limb, hand, or foot. The term does not include artificial |
2-15 |
eyes, ears, noses, dental appliances, osotmy products, or devices such as eyelashes or wigs. |
2-16 |
     (5) "Prosthetics" means the science and practice of evaluation, measuring, designing, |
2-17 |
fabricating, assembling, fitting, aligning, adjusting or servicing, as well as providing the initial |
2-18 |
training necessary to accomplish the fitting of, a prosthesis through the replacement of external |
2-19 |
parts of a human body lost due to amputation or congenital deformities or absences. The practice |
2-20 |
of prosthetics also includes the generation of an image, form, or mold that replicates the patient's |
2-21 |
body or body segment and that requires rectification of dimensions, contours and volumes for use |
2-22 |
in the design and fabrication of a socket to accept a residual anatomic limb to, in turn, create an |
2-23 |
artificial appendage that is designed either to support body weight or to improve or restore |
2-24 |
function or cosmesis, or both. Involved in the practice of prosthetics is observational gait analysis |
2-25 |
and clinical assessment of the requirements necessary to refine and mechanically fix the relative |
2-26 |
position of various parts of the prosthesis to maximize function, stability, and safety of the |
2-27 |
patient. The practice of prosthetics includes providing and continuing patient care in order to |
2-28 |
assess the prosthetic device's effect on the patient's tissues and to assure proper fit and function of |
2-29 |
the prosthetic device by periodic evaluation. |
2-30 |
     (6) "Private insurance company" means any insurance company, or management |
2-31 |
company hired by an insurance company, who is any of the following: |
2-32 |
     (i) based in the state of Rhode Island; or |
2-33 |
     (ii) provides coverage for citizens for the state of Rhode Island; or |
2-34 |
      (iii) allows subscribing patients to seek prosthetic or orthotic services in the state of |
3-1 |
Rhode Island. |
3-2 |
     (b) Every individual or group health insurance contract, plan or policy delivered, issued |
3-3 |
for delivery or renewed in this state on or after January 1, 2006, which provides medical coverage |
3-4 |
that includes coverage for physician services in a physician's office and every policy, which |
3-5 |
provides major medical or similar comprehensive type coverage shall provide coverage for |
3-6 |
benefits for orthotic and prosthetic devices that equal those benefits provided for under federal |
3-7 |
laws for health insurance for the aged and disabled pursuant to 42 U.S.C. sections 1395K, 13951 |
3-8 |
and 1395M and 42 CFR 414.202, 414.210, 414.228, and 410.100 as applicable to this section. |
3-9 |
     (c) A health insurance contract, plan or policy may require prior authorization for orthotic |
3-10 |
and prosthetic devices in the same manner that prior authorization is required for any other |
3-11 |
covered benefit. |
3-12 |
     (d) Covered benefits for orthotic or prosthetic devices shall be limited to the most |
3-13 |
appropriate model that adequately meets the medical needs of the patient as determined by the |
3-14 |
insured's treating physician. |
3-15 |
     (e) The repair and replacement of orthotic or prosthetic devices also shall be covered |
3-16 |
subject to co-payments and deductibles, unless necessitated by misuse or loss. |
3-17 |
     (f) An insurer may require, if coverage is provided through a managed care plan, that |
3-18 |
benefits mandated pursuant to this section be covered benefits only if the orthotic or prosthetic |
3-19 |
devices are provided by a vendor and orthotic or prosthetic services are rendered by a provider |
3-20 |
who is licensed by the state of Rhode Island to provide orthotics and prosthetics. |
3-21 |
     SECTION 2. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service |
3-22 |
Corporations" is hereby amended by adding thereto the following section: |
3-23 |
     27-19-56. Reimbursement for orthotics and prosthetic services. – (a) As used in this |
3-24 |
section: |
3-25 |
     (1) "Federal reimbursement rates" means the current listed fee schedule from the Centers |
3-26 |
for Medicare and Medicaid Services, listing the current Healthcare Common Procedure Coding |
3-27 |
system (HCPCS) and the corresponding reimbursement rates. |
3-28 |
     (2) "Orthosis" means a custom fabricated brace or support that is designed based on |
3-29 |
medical necessity. Orthosis does not include prefabricated or direct-formed orthotic devices, as |
3-30 |
defined in this section, or any of the following assistive technology devices: commercially |
3-31 |
available knee orthoses used following injury or surgery; spastic muscle-tone inhibiting orthoses; |
3-32 |
upper extremity adaptive equipment; finger splints; hand splints; wrist gauntlets; face masks used |
3-33 |
following burns; wheelchair seating that is an integral part of the wheelchair and not worn by the |
3-34 |
patient independent of the wheelchair; fabric or elastic supports; corsets; low-temperature formed |
4-1 |
plastic splints; trusses; elastic hose; canes; crutches; cervical collars; dental appliances; and other |
4-2 |
similar devices as determined by the director of the department of health, such as those |
4-3 |
commonly carried in stock by a pharmacy, department store, corset shop, or surgical supply |
4-4 |
facility. |
4-5 |
     (3) "Orthotics" means the science and practice of evaluating measuring, designing, |
4-6 |
fabricating, assembling, fitting, adjusting or servicing, as well as providing the initial training |
4-7 |
necessary to accomplish the fitting of, an orthosis for the support, correction, or alleviation of |
4-8 |
neuromuscular or musculoskeletal dysfunction, disease, injury or deformity. The practice of |
4-9 |
orthotics encompasses evaluation, treatment, and consultation; with basic observational gait and |
4-10 |
postural analysis, orthotists assess and design orthoses to maximize function and provide not only |
4-11 |
the support but the alignment necessary to either prevent or correct a deformity or to improve the |
4-12 |
safety and efficiency of mobility or locomotion or both. Orthotic practice includes providing |
4-13 |
continuing patient care in order to assess its effect on the patient's tissues and to assure proper fit |
4-14 |
and function of the orthotic device by periodic evaluation. |
4-15 |
     (4) "Prosthesis" means an artificial limb that is alignable or, in lower-extremity |
4-16 |
applications capable of weight bearing. Prosthesis means an artificial medical device that is not |
4-17 |
surgically implanted and that is used to replace a missing limb, appendage, or other external |
4-18 |
human body part including an artificial limb, hand, or foot. The term does not include artificial |
4-19 |
eyes, ears, noses, dental appliances, osotmy products, or devices such as eyelashes or wigs. |
4-20 |
     (5) "Prosthetics" means the science and practice of evaluation, measuring, designing, |
4-21 |
fabricating, assembling, fitting, aligning, adjusting or servicing, as well as providing the initial |
4-22 |
training necessary to accomplish the fitting of, a prosthesis through the replacement of external |
4-23 |
parts of a human body lost due to amputation or congenital deformities or absences. The practice |
4-24 |
of prosthetics also includes the generation of an image, form, or mold that replicates the patient's |
4-25 |
body or body segment and that requires rectification of dimensions, contours and volumes for use |
4-26 |
in the design and fabrication of a socket to accept a residual anatomic limb to, in turn, create an |
4-27 |
artificial appendage that is designed either to support body weight or to improve or restore |
4-28 |
function or cosmesis, or both. Involved in the practice of prosthetics is observational gait analysis |
4-29 |
and clinical assessment of the requirements necessary to refine and mechanically fix the relative |
4-30 |
position of various parts of the prosthesis to maximize function, stability, and safety of the |
4-31 |
patient. The practice of prosthetics includes providing and continuing patient care in order to |
4-32 |
assess the prosthetic device's effect on the patient's tissues and to assure proper fit and function of |
4-33 |
the prosthetic device by periodic evaluation. |
4-34 |
     (6) "Private insurance company" means any insurance company, or management |
5-1 |
company hired by an insurance company, who is any of the following: |
5-2 |
     (i) based in the state of Rhode Island; or |
5-3 |
     (ii) provides coverage for citizens for the state of Rhode Island; or |
5-4 |
      (iii) allows subscribing patients to seek prosthetic or orthotic services in the state of |
5-5 |
Rhode Island. |
5-6 |
     (b) Every individual or group health insurance contract, plan or policy delivered, issued |
5-7 |
for delivery or renewed in this state on or after January 1, 2006, which provides medical coverage |
5-8 |
that includes coverage for physician services in a physician's office and every policy, which |
5-9 |
provides major medical or similar comprehensive type coverage shall provide coverage for |
5-10 |
benefits for orthotic and prosthetic devices that equal those benefits provided for under federal |
5-11 |
laws for health insurance for the aged and disabled pursuant to 42 U.S.C. sections 1395K, 13951 |
5-12 |
and 1395M and 42 CFR 414.202, 414.210, 414.228, and 410.100 as applicable to this section. |
5-13 |
     (c) A health insurance contract, plan or policy may require prior authorization for orthotic |
5-14 |
and prosthetic devices in the same manner that prior authorization is required for any other |
5-15 |
covered benefit. |
5-16 |
     (d) Covered benefits for orthotic or prosthetic devices shall be limited to the most |
5-17 |
appropriate model that adequately meets the medical needs of the patient as determined by the |
5-18 |
insured's treating physician. |
5-19 |
     (e) The repair and replacement of orthotic or prosthetic devices also shall be covered |
5-20 |
subject to co-payments and deductibles, unless necessitated by misuse or loss. |
5-21 |
     (f) An insurer may require, if coverage is provided through a managed care plan, that |
5-22 |
benefits mandated pursuant to this section be covered benefits only if the orthotic or prosthetic |
5-23 |
devices are provided by a vendor and orthotic or prosthetic services are rendered by a provider |
5-24 |
who is licensed by the state of Rhode Island to provide orthotics and prosthetics. |
5-25 |
     SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service |
5-26 |
Corporations" is hereby amended by adding thereto the following section: |
5-27 |
     27-20-50. Reimbursement for orthotics and prosthetic services. -- (a) As used in this |
5-28 |
section: |
5-29 |
     (1) "Federal reimbursement rates" means the current listed fee schedule from the Centers |
5-30 |
for Medicare and Medicaid Services, listing the current Healthcare Common Procedure Coding |
5-31 |
system (HCPCS) and the corresponding reimbursement rates. |
5-32 |
     (2) "Orthosis" means a custom fabricated brace or support that is designed based on |
5-33 |
medical necessity. Orthosis does not include prefabricated or direct-formed orthotic devices, as |
5-34 |
defined in this section, or any of the following assistive technology devices: commercially |
6-1 |
available knee orthoses used following injury or surgery; spastic muscle-tone inhibiting orthoses; |
6-2 |
upper extremity adaptive equipment; finger splints; hand splints; wrist gauntlets; face masks used |
6-3 |
following burns; wheelchair seating that is an integral part of the wheelchair and not worn by the |
6-4 |
patient independent of the wheelchair; fabric or elastic supports; corsets; low-temperature formed |
6-5 |
plastic splints; trusses; elastic hose; canes; crutches; cervical collars; dental appliances; and other |
6-6 |
similar devices as determined by the director of the department of health, such as those |
6-7 |
commonly carried in stock by a pharmacy, department store, corset shop, or surgical supply |
6-8 |
facility. |
6-9 |
     (3) "Orthotics" means the science and practice of evaluating measuring, designing, |
6-10 |
fabricating, assembling, fitting, adjusting or servicing, as well as providing the initial training |
6-11 |
necessary to accomplish the fitting of, an orthosis for the support, correction, or alleviation of |
6-12 |
neuromuscular or musculoskeletal dysfunction, disease, injury or deformity. The practice of |
6-13 |
orthotics encompasses evaluation, treatment, and consultation; with basic observational gait and |
6-14 |
postural analysis, orthotists assess and design orthoses to maximize function and provide not only |
6-15 |
the support but the alignment necessary to either prevent or correct a deformity or to improve the |
6-16 |
safety and efficiency of mobility or locomotion or both. Orthotic practice includes providing |
6-17 |
continuing patient care in order to assess its effect on the patient's tissues and to assure proper fit |
6-18 |
and function of the orthotic device by periodic evaluation. |
6-19 |
     (4) "Prosthesis" means an artificial limb that is alignable or, in lower-extremity |
6-20 |
applications capable of weight bearing. Prosthesis means an artificial medical device that is not |
6-21 |
surgically implanted and that is used to replace a missing limb, appendage, or other external |
6-22 |
human body part including an artificial limb, hand, or foot. The term does not include artificial |
6-23 |
eyes, ears, noses, dental appliances, osotmy products, or devices such as eyelashes or wigs. |
6-24 |
     (5) "Prosthetics" means the science and practice of evaluation, measuring, designing, |
6-25 |
fabricating, assembling, fitting, aligning, adjusting or servicing, as well as providing the initial |
6-26 |
training necessary to accomplish the fitting of, a prosthesis through the replacement of external |
6-27 |
parts of a human body lost due to amputation or congenital deformities or absences. The practice |
6-28 |
of prosthetics also includes the generation of an image, form, or mold that replicates the patient's |
6-29 |
body or body segment and that requires rectification of dimensions, contours and volumes for use |
6-30 |
in the design and fabrication of a socket to accept a residual anatomic limb to, in turn, create an |
6-31 |
artificial appendage that is designed either to support body weight or to improve or restore |
6-32 |
function or cosmesis, or both. Involved in the practice of prosthetics is observational gait analysis |
6-33 |
and clinical assessment of the requirements necessary to refine and mechanically fix the relative |
6-34 |
position of various parts of the prosthesis to maximize function, stability, and safety of the |
7-1 |
patient. The practice of prosthetics includes providing and continuing patient care in order to |
7-2 |
assess the prosthetic device's effect on the patient's tissues and to assure proper fit and function of |
7-3 |
the prosthetic device by periodic evaluation. |
7-4 |
     (6) "Private insurance company" means any insurance company, or management |
7-5 |
company hired by an insurance company, who is any of the following: |
7-6 |
     (i) based in the state of Rhode Island; or |
7-7 |
     (ii) provides coverage for citizens for the state of Rhode Island; or |
7-8 |
      (iii) allows subscribing patients to seek prosthetic or orthotic services in the state of |
7-9 |
Rhode Island. |
7-10 |
     (b) Every individual or group health insurance contract, plan or policy delivered, issued |
7-11 |
for delivery or renewed in this state on or after January 1, 2006, which provides medical coverage |
7-12 |
that includes coverage for physician services in a physician's office and every policy, which |
7-13 |
provides major medical or similar comprehensive type coverage shall provide coverage for |
7-14 |
benefits for orthotic and prosthetic devices that equal those benefits provided for under federal |
7-15 |
laws for health insurance for the aged and disabled pursuant to 42 U.S.C. sections 1395K, 13951 |
7-16 |
and 1395M and 42 CFR 414.202, 414.210, 414.228, and 410.100 as applicable to this section. |
7-17 |
     (c) A health insurance contract, plan or policy may require prior authorization for orthotic |
7-18 |
and prosthetic devices in the same manner that prior authorization is required for any other |
7-19 |
covered benefit. |
7-20 |
     (d) Covered benefits for orthotic or prosthetic devices shall be limited to the most |
7-21 |
appropriate model that adequately meets the medical needs of the patient as determined by the |
7-22 |
insured's treating physician. |
7-23 |
     (e) The repair and replacement of orthotic or prosthetic devices also shall be covered |
7-24 |
subject to co-payments and deductibles, unless necessitated by misuse or loss. |
7-25 |
     (f) An insurer may require, if coverage is provided through a managed care plan, that |
7-26 |
benefits mandated pursuant to this section be covered benefits only if the orthotic or prosthetic |
7-27 |
devices are provided by a vendor and orthotic or prosthetic services are rendered by a provider |
7-28 |
who is licensed by the state of Rhode Island to provide orthotics and prosthetics. |
7-29 |
     SECTION 4. Chapter 27-40 of the General Laws entitled "Insurance Premium Finance |
7-30 |
Agreements" is hereby amended by adding thereto the following section: |
7-31 |
     27-40-69. Reimbursement for orthotic and prosthetic services. -- (a) As used in this |
7-32 |
section: |
7-33 |
     (1) "Federal reimbursement rates" means the current listed fee schedule from the Centers |
7-34 |
for Medicare and Medicaid Services, listing the current Healthcare Common Procedure Coding |
8-1 |
system (HCPCS) and the corresponding reimbursement rates. |
8-2 |
     (2) "Orthosis" means a custom fabricated brace or support that is designed based on |
8-3 |
medical necessity. Orthosis does not include prefabricated or direct-formed orthotic devices, as |
8-4 |
defined in this section, or any of the following assistive technology devices: commercially |
8-5 |
available knee orthoses used following injury or surgery; spastic muscle-tone inhibiting orthoses; |
8-6 |
upper extremity adaptive equipment; finger splints; hand splints; wrist gauntlets; face masks used |
8-7 |
following burns; wheelchair seating that is an integral part of the wheelchair and not worn by the |
8-8 |
patient independent of the wheelchair; fabric or elastic supports; corsets; low-temperature formed |
8-9 |
plastic splints; trusses; elastic hose; canes; crutches; cervical collars; dental appliances; and other |
8-10 |
similar devices as determined by the director of the department of health, such as those |
8-11 |
commonly carried in stock by a pharmacy, department store, corset shop, or surgical supply |
8-12 |
facility. |
8-13 |
     (3) "Orthotics" means the science and practice of evaluating measuring, designing, |
8-14 |
fabricating, assembling, fitting, adjusting or servicing, as well as providing the initial training |
8-15 |
necessary to accomplish the fitting of, an orthosis for the support, correction, or alleviation of |
8-16 |
neuromuscular or musculoskeletal dysfunction, disease, injury or deformity. The practice of |
8-17 |
orthotics encompasses evaluation, treatment, and consultation; with basic observational gait and |
8-18 |
postural analysis, orthotists assess and design orthoses to maximize function and provide not only |
8-19 |
the support but the alignment necessary to either prevent or correct a deformity or to improve the |
8-20 |
safety and efficiency of mobility or locomotion or both. Orthotic practice includes providing |
8-21 |
continuing patient care in order to assess its effect on the patient's tissues and to assure proper fit |
8-22 |
and function of the orthotic device by periodic evaluation. |
8-23 |
     (4) "Prosthesis" means an artificial limb that is alignable or, in lower-extremity |
8-24 |
applications capable of weight bearing. Prosthesis means an artificial medical device that is not |
8-25 |
surgically implanted and that is used to replace a missing limb, appendage, or other external |
8-26 |
human body part including an artificial limb, hand, or foot. The term does not include artificial |
8-27 |
eyes, ears, noses, dental appliances, osotmy products, or devices such as eyelashes or wigs. |
8-28 |
     (5) "Prosthetics" means the science and practice of evaluation, measuring, designing, |
8-29 |
fabricating, assembling, fitting, aligning, adjusting or servicing, as well as providing the initial |
8-30 |
training necessary to accomplish the fitting of, a prosthesis through the replacement of external |
8-31 |
parts of a human body lost due to amputation or congenital deformities or absences. The practice |
8-32 |
of prosthetics also includes the generation of an image, form, or mold that replicates the patient's |
8-33 |
body or body segment and that requires rectification of dimensions, contours and volumes for use |
8-34 |
in the design and fabrication of a socket to accept a residual anatomic limb to, in turn, create an |
9-1 |
artificial appendage that is designed either to support body weight or to improve or restore |
9-2 |
function or cosmesis, or both. Involved in the practice of prosthetics is observational gait analysis |
9-3 |
and clinical assessment of the requirements necessary to refine and mechanically fix the relative |
9-4 |
position of various parts of the prosthesis to maximize function, stability, and safety of the |
9-5 |
patient. The practice of prosthetics includes providing and continuing patient care in order to |
9-6 |
assess the prosthetic device's effect on the patient's tissues and to assure proper fit and function of |
9-7 |
the prosthetic device by periodic evaluation. |
9-8 |
     (6) "Private insurance company" means any insurance company, or management |
9-9 |
company hired by an insurance company, who is any of the following: |
9-10 |
     (i) based in the state of Rhode Island; or |
9-11 |
     (ii) provides coverage for citizens for the state of Rhode Island; or |
9-12 |
      (iii) allows subscribing patients to seek prosthetic or orthotic services in the state of |
9-13 |
Rhode Island. |
9-14 |
     (b) Every individual or group health insurance contract, plan or policy delivered, issued |
9-15 |
for delivery or renewed in this state on or after January 1, 2006, which provides medical coverage |
9-16 |
that includes coverage for physician services in a physician's office and every policy, which |
9-17 |
provides major medical or similar comprehensive type coverage shall provide coverage for |
9-18 |
benefits for orthotic and prosthetic devices that equal those benefits provided for under federal |
9-19 |
laws for health insurance for the aged and disabled pursuant to 42 U.S.C. sections 1395K, 13951 |
9-20 |
and 1395M and 42 CFR 414.202, 414.210, 414.228, and 410.100 as applicable to this section. |
9-21 |
     (c) A health insurance contract, plan or policy may require prior authorization for orthotic |
9-22 |
and prosthetic devices in the same manner that prior authorization is required for any other |
9-23 |
covered benefit. |
9-24 |
     (d) Covered benefits for orthotic or prosthetic devices shall be limited to the most |
9-25 |
appropriate model that adequately meets the medical needs of the patient as determined by the |
9-26 |
insured's treating physician. |
9-27 |
     (e) The repair and replacement of orthotic or prosthetic devices also shall be covered |
9-28 |
subject to co-payments and deductibles, unless necessitated by misuse or loss. |
9-29 |
     (f) An insurer may require, if coverage is provided through a managed care plan, that |
9-30 |
benefits mandated pursuant to this section be covered benefits only if the orthotic or prosthetic |
9-31 |
devices are provided by a vendor and orthotic or prosthetic services are rendered by a provider |
9-32 |
who is licensed by the state of Rhode Island to provide orthotics and prosthetics. |
10-1 |
     SECTION 5. This act shall take effect upon passage. |
      | |
======= | |
LC00756 | |
======== | |
EXPLANATION | |
BY THE LEGISLATIVE COUNCIL | |
OF | |
A N A C T | |
RELATING TO HEALTH INSURANCE COVERAGE -- ORTHOTIC AND PROSTHETIC | |
SERVICES | |
*** | |
11-1 |
     This act would require that health insurance policies provide orthotic and prosthetic |
11-2 |
devices at a reimbursement rate equal to those provided for under federal laws for aged and |
11-3 |
disabled persons. |
11-4 |
     This act would take effect upon passage. |
      | |
======= | |
LC00756 | |
======= |