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MS HB317
Bill
Status
2/5/2019
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 diseases and ailments caused by obesity and morbid obesity, including bariatric, gastric bypass, and lap band surgeries and prescriptions, effective July 1, 2019
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Coverage must be provided when a physician issues a written order stating the individual has a body mass index 30% or more above ideal body weight and the treatment is medically necessary
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Prohibits charging higher deductibles or coinsurance for obesity treatment testing than for similar benefits; if no similar benefit exists, deductibles cannot materially diminish the value of required obesity treatment
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Requires reimbursement to health care providers for obesity treatment to equal or exceed Medicare reimbursement rates under Title XVII of the Social Security Act
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Allows plans to refer individuals to nonparticipating providers only when appropriate participating providers are not available or accessible; any services from nonparticipating providers must be provided at no additional cost to the individual
Legislative Description
Health insurance policies; require coverage for certain obesity treatments.
Last Action
Died In Committee
2/5/2019