ORIGINAL HOUSE ENGROSSED
BILL NO. 0185
ENROLLED ACT NO.
76, HOUSE OF REPRESENTATIVES
FIFTY-SIXTH
LEGISLATURE OF THE STATE OF WYOMING
2001
GENERAL SESSION
AN ACT relating to insurance
coverage; mandating coverage
for diabetes
outpatient self-management training, education
and equipment and
supplies under health insurance policies
as specified;
providing for applicability of the section;
amending a
provision to realign the chapter as specified;
and providing for
an effective date.
Be It Enacted
by the Legislature of the State of Wyoming:
Section 1. W.S. 26-20-201
is created to read:
ARTICLE
2
DIABETES
COVERAGE
26-20-201. Diabetes coverage required.
(a) All
individual and group health insurance
policies providing
coverage on an expense incurred basis,
individual and group
service or indemnity type contracts
issued by any insurer
including any nonprofit corporation
and individual and
group service contracts issued by a
health maintenance
organization, which provide coverage
shall also provide
coverage for the equipment, supplies and
outpatient self-management
training and education,
including medical
nutrition therapy for the treatment of
insulin-dependent
diabetes, insulin-using diabetes,
gestational diabetes
and noninsulin using diabetes if
prescribed by a health
care professional legally authorized
to prescribe such
items under law. Covered diabetes
outpatient self-management
training and education shall be
provided by a
certified, registered or licensed health care
professional with
expertise in diabetes. For purposes of
this section, required
covered outpatient self-management
training and education
shall be limited to:
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(i) A one-time
evaluation and training program
when medically
necessary, within one (1) year of diagnosis;
(ii) Additional
medically necessary self-
management training
shall be provided upon a significant
change in symptoms,
condition or treatment. This additional
training shall be
limited to three (3) hours per year.
(b) The
benefits provided under this section shall be
subject to the same
annual deductibles or coinsurance
established for all
other covered benefits within a given
policy. Private third-party
payors may not reduce or
eliminate coverage due
to the requirements of this section.
Enforcement of this
section shall be performed by the
commissioner or his
designee.
(c) This
section shall apply to a private health
benefit plan as
defined under W.S. 26-1-102(a)(xxxiii)
delivered or issued on
or after July 1, 2001.
Section 2. W.S. 26-20-104
is amended to read:
CHAPTER
20
MANDATED
COVERAGE
ARTICLE
1
NEWBORN
AND ADOPTED CHILDREN COVERAGE
26-20-104. Applicability of article.
The
requirements of this chapter article regarding newly
born children apply to
all insurance policies and
subscriber contracts
delivered or issued for delivery in
this state more than
one hundred twenty (120) days after
May 30, 1975. The
requirements of this chapter article
regarding adopted
children apply to all insurance policies
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and subscriber
contracts delivered or issued for delivery
in this state after
June 8, 1989.
Section 3. This act is effective July 1, 2001.
(END)
Speaker of
the House President of
the Senate
Governor
TIME APPROVED: _________
DATE APPROVED: _________
I hereby certify that this act originated in the
House.
Chief Clerk
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