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GA HB1156
Bill
Status
Introduced
3/20/2014
Primary Sponsor
Edward Lindsey
Click for details
AI Summary
- Requires health insurers in Georgia to cover and reimburse physician-prescribed medical foods for the diagnosis and treatment of inherited metabolic and genetic disorders and food tolerance and absorption disorders, including eosinophilic disorders, food protein-induced enterocolitis syndrome, and short bowel syndrome
- Defines covered medical foods to include specialized formulas, low-protein modified foods (capped at $2,500.00 per calendar year), large neutral amino acid supplements, amino acid based elemental formulas recognized by the Georgia WIC program, and related medical equipment, supplies, and services
- Excludes coverage for products treating gluten intolerance, celiac disease, diabetes, or any condition not specifically listed in the statute
- Mandates that coverage be provided on a basis no less favorable than the plan's coverage for prescription drugs and other physician-ordered medications
- Applies to health benefit policies issued or renewed on or after July 1, 2014, but excludes disability income policies, workers' compensation, and plans subject exclusively to federal ERISA jurisdiction
Legislative Description
Medical Food Equity Act; enact
Last Action
House First Readers
3/20/2014
Committee Referrals
Insurance3/20/2014
Full Bill Text
No bill text available