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Insurance Committee
Filed: 5/15/2007
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09500SB0935ham001 |
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LRB095 05753 KBJ 35843 a |
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| AMENDMENT TO SENATE BILL 935
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| AMENDMENT NO. ______. Amend Senate Bill 935 on page 3, by |
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| replacing lines 12 through 24 with the following:
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| " A group or individual policy of accident and health |
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| insurance or managed care plan amended, delivered, issued, or |
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| renewed after the effective date of this amendatory Act of the |
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| 95th General Assembly must provide coverage and reimbursement |
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| when documentation is presented demonstrating a medical |
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| necessity and treatment plan for amino acid-based elemental |
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| formulas, regardless of delivery method, for the diagnosis and |
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| treatment of (i) an individual with multiple food allergies or |
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| intolerances making amino acid-based elemental formulas a |
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| medically necessary treatment, (ii) eosinophilic disorders, |
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| and (iii) short bowel syndrome, when the prescribing physician |
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| has issued a written order stating that the amino acid-based |
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| elemental formula is medically necessary for the treatment of a |
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| disease or disorder. "; and |