HB0312 - Health insurance coverage for childhood immunizations.

 

2001

State of Wyoming

01LSO-0665

 

 

 

HOUSE BILL NO.  HB0312

 

 

Health insurance coverage for childhood immunizations.

 

Sponsored by:

 

 

A BILL

 

for

 

 1  AN ACT relating to insurance coverage; mandating coverage
 2  for childhood immunizations under health insurance policies
 3  as specified; providing for applicability of the section;
 4  realigning the chapter as specified;  and providing for an
 5  effective date.

 6 

 7  Be It Enacted by the Legislature of the State of Wyoming:

 8 

 9         Section 1.  W.S. 26-20-201 is created to read:

10 

11                         ARTICLE 2

12              CHILDHOOD IMMUNIZATIONS COVERAGE

13 

14         26-20-201.  Childhood immunizations coverage required.

15 

16         (a)  All individual and group health insurance
17  policies providing coverage on an expense incurred basis,

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 1  and individual and group service or indemnity type
 2  contracts issued by any insurer including any nonprofit
 3  corporation which provide coverage shall also provide
 4  coverage for all routine and necessary immunizations for
 5  children under such policy, contract or plan delivered or
 6  renewed on and after July 1, 2001. The required benefits
 7  under this section shall apply to immunizations
 8  administered to each child from birth to eighteen (18)
 9  years of age.

10 

11         (b)  The benefits required under this section shall
12  not be subject to any deductible, copayment, coinsurance or
13  other dollar limit provision in the policy or plan.

14 

15         (c)  This section shall apply to all individual and
16  group health insurance policies delivered or issued on or
17  after July 1, 2001. The provisions of this section shall
18  not apply to short-term travel, accident-only, workers'
19  compensation insurance coverage, limited or specified
20  disease policies or contracts designed for issuance to
21  persons eligible for coverage under Title XVIII of the
22  Social Security Act, or any other similar coverage under
23  state or federal governmental plans, or to short-term

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 1  nonrenewable policies of not more than six (6) months
 2  duration.

 3 

 4         (d)  For purposes of this section, "routine and
 5  necessary immunizations" means immunizations against
 6  diphtheria, tetanus, pertussis, hepatitis B, haemophilus
 7  influenzae type b, polio, measles, mumps, rubella,
 8  varicella, hepatitis A, pneumococcal and any other
 9  immunizations universally recommended by the advisory
10  committee on immunization practices (ACIP), the American
11  academy of pediatrics (AAP) and the American academy of
12  family physicians (AAFP).

13 

14         Section 2.  W.S. 26-20-104 is amended to read:

15 

16                         CHAPTER 20

17                   MANDATED COVERAGE

18 

19                         ARTICLE 1

20              NEWBORN AND ADOPTED CHILDREN COVERAGE

21 

22         26-20-104.  Applicability of article.

23 

 

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 1  The requirements of this chapter article regarding newly
 2  born children apply to all insurance policies and
 3  subscriber contracts delivered or issued for delivery in
 4  this state more than one hundred twenty (120) days after
 5  May 30, 1975. The requirements of this chapter article
 6  regarding adopted children apply to all insurance policies
 7  and subscriber contracts delivered or issued for delivery
 8  in this state after June 8, 1989.

 9 

10         Section 3.  This act is effective July 1, 2001.

11 

12                         (END)

 

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