HB1560ham002 95TH GENERAL ASSEMBLY

Rep. Kathleen A. Ryg

Filed: 4/24/2007

09500HB1560ham002 LRB095 09733 KBJ 35324 a

AMENDMENT TO HOUSE BILL 1560

AMENDMENT NO. ______. Amend House Bill 1560, AS AMENDED, with reference to page and line numbers of House Amendment No. 1, on page 3, by replacing lines 19 through 24 with the following:

"(a) A group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed after the effective date of this amendatory Act of the 95th General Assembly must provide coverage and reimbursement when documentation is presented demonstrating a medical necessity and treatment plan for amino acid-based elemental formulas, regardless of delivery method, for the diagnosis and treatment of (i) an individual with multiple food allergies or intolerances making amino acid-based elemental formulas a medically necessary treatment, (ii) eosinophilic disorders, and (iii) short bowel syndrome, when the prescribing physician or dietician has issued a written order stating that the amino acid-based elemental formula is medically necessary for the treatment of a disease or disorder."; and

on page 4, by deleting lines 1 through 19; and

on page 14, by replacing lines 6 through 25 with the following:

"The Department of Healthcare and Family Services must provide coverage and reimbursement when documentation is presented demonstrating a medical necessity and treatment plan for amino acid-based elemental formulas, regardless of delivery method, for the diagnosis and treatment of (i) an individual with multiple food allergies or intolerances making amino acid-based elemental formulas a medically necessary treatment, (ii) eosinophilic disorders, and (iii) short bowel syndrome, when the prescribing physician or dietician has issued a written order stating that the amino acid-based elemental formula is medically necessary for the treatment of a disease or disorder.".