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H. 3003
STATUS INFORMATION
General Bill
Sponsors: Rep. J. Brown
Document Path: l:\council\bills\bbm\9282zw03.doc
Introduced in the House on January 14, 2003
Currently residing in the House Committee on Labor, Commerce and Industry
Summary: Out-of-state insurance coverage equal to that paid in-state, provisions; coverage for side effects common to prostate surgery
HISTORY OF LEGISLATIVE ACTIONS
Date Body Action Description with journal page number
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12/4/2002 House Prefiled
12/4/2002 House Referred to Committee on Labor, Commerce and Industry
1/14/2003 House Introduced and read first time HJ-12
1/14/2003 House Referred to Committee on Labor, Commerce and Industry
HJ-12
View the latest legislative information at the LPITS web site
VERSIONS OF THIS BILL
TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING SECTION 38-71-287 SO AS TO REQUIRE EVERY INDIVIDUAL AND GROUP HEALTH INSURANCE POLICY AND PLAN OF HEALTH COVERAGE ISSUED OR RENEWED IN THIS STATE TO PAY FOR MEDICAL SERVICES AND TREATMENT RENDERED BY AN OUT-OF-STATE HOSPITAL AT THE SAME LEVEL PAID TO AN IN-STATE HOSPITAL UNDER CERTAIN CONDITIONS AND TO PROVIDE COVERAGE FOR SIDE EFFECTS THAT ARE COMMONLY ASSOCIATED WITH RADICAL RETROPUBIC PROSTATECTOMY SURGERY, REQUIRE CERTAIN NOTICE TO BE GIVEN TO EACH INSURED OR PLAN-ENROLLEE, AND PROVIDE FOR THE PROMULGATION OF REGULATIONS.
Be it enacted by the General Assembly of the State of South Carolina:
SECTION 1. Article 1, Chapter 71, Title 38 of the 1976 Code is amended by adding:
"Section 38-71-287. (A) Notwithstanding any other provision of law:
(1) Every individual and group health insurance and plan of health coverage policy issued or renewed in this State shall pay for medical services and treatment rendered by an out-of-state hospital at the same level paid to an in-state hospital if the insured was referred to the out-of-state hospital by a physician and the out-of-state hospital is the closest hospital in proximity to the place of residence of the insured.
(2) Every individual and group health insurance policy and plan of health coverage issued or renewed in this State shall provide coverage for side effects that are commonly associated with radical retropubic prostatectomy surgery including, but not limited to, impotence and incontinence and for other prostate related conditions. The insurer shall provide notice to each insured or plan-enrollee under the policy or plan regarding the coverage required by this item in the policy's or plan's evidence of coverage and shall provide additional written notice of the coverage to the insured or enrollee as follows:
(a) in the next mailing made by the insurer to the insured or the plan administrator to the plan-enrollee; or
(b) as part of the enrollment information packet sent to the enrollee-insured.
(B) The Director of the Department of Insurance shall promulgate regulations necessary for the administration and enforcement of this section."
SECTION 2. This act takes effect upon approval by the Governor and applies to individual and group health insurance policies and plans of health coverage issued or renewed in this State on or after July 1, 2003.
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