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MS HB1573
Bill
Status
2/5/2013
Primary Sponsor
Bryant Clark
Click for details
AI Summary
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Requires all individual and group health insurance policies, service contracts, health maintenance organizations, self-insured arrangements, and managed care entities operating in Mississippi to provide coverage for obesity and morbid obesity treatments when a physician certifies the patient has a body mass index 30% or more above ideal body weight and the treatment is medically necessary.
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Mandates coverage include bariatric surgery, gastric bypass, lap band surgery, related prescriptions, and obesity screening examinations and tests.
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Prohibits plans from imposing deductibles or coinsurance greater than those for similar benefits; if no similar benefit exists, cost-sharing cannot materially diminish the value of obesity treatment coverage.
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Requires health care provider reimbursement for obesity treatment to equal or exceed Medicare (Title XVII Social Security Act) reimbursement rates.
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Takes effect July 1, 2013.
Legislative Description
Health insurance policies; require coverage for certain obesity treatments.
Last Action
Died In Committee
2/5/2013