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3 | 3 | | LCO No. 4281 1 of 3 |
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5 | 5 | | General Assembly Raised Bill No. 7176 |
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6 | 6 | | January Session, 2019 |
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7 | 7 | | LCO No. 4281 |
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9 | 9 | | |
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10 | 10 | | Referred to Committee on INSURANCE AND REAL ESTATE |
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12 | 12 | | |
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13 | 13 | | Introduced by: |
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14 | 14 | | (INS) |
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18 | 18 | | |
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19 | 19 | | AN ACT EXEMPTING ACC IDENT ONLY INSURANCE POLICIES FROM |
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20 | 20 | | REQUIRED HEALTH INSU RANCE COVERAGE FOR P REVENTIVE |
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21 | 21 | | PEDIATRIC CARE AND DIRECT ACCESS TO OBST ETRICIAN- |
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22 | 22 | | GYNECOLOGISTS. |
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23 | 23 | | Be it enacted by the Senate and House of Representatives in General |
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24 | 24 | | Assembly convened: |
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25 | 25 | | |
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26 | 26 | | Section 1. Subsection (a) of section 38a-503b of the general statutes is 1 |
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27 | 27 | | repealed and the following is substituted in lieu thereof (Effective 2 |
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28 | 28 | | January 1, 2020): 3 |
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29 | 29 | | (a) As used in this section, "carrier" means each insurer, health care 4 |
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30 | 30 | | center, hospital service corporation, medical service corporation or 5 |
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31 | 31 | | other entity delivering, issuing for delivery, renewing, amending or 6 |
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32 | 32 | | continuing any individual health insurance policy in this state 7 |
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33 | 33 | | providing coverage of the type specified in subdivisions (1), (2), (4), 8 |
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34 | 34 | | [(6),] (10), (11) and (12) of section 38a-469. 9 |
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35 | 35 | | Sec. 2. Subsection (a) of section 38a-530b of the general statutes is 10 |
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36 | 36 | | repealed and the following is substituted in lieu thereof (Effective 11 |
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37 | 37 | | January 1, 2020): 12 Raised Bill No. 7176 |
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38 | 38 | | |
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39 | 39 | | |
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40 | 40 | | |
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41 | 41 | | LCO No. 4281 2 of 3 |
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42 | 42 | | |
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43 | 43 | | (a) As used in this section, "carrier" means each insurer, health care 13 |
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44 | 44 | | center, hospital service corporation, medical service corporation or 14 |
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45 | 45 | | other entity delivering, issuing for delivery, renewing, amending or 15 |
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46 | 46 | | continuing any group health insurance policy in this state providing 16 |
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47 | 47 | | coverage of the type specified in subdivisions (1), (2), (4), [(6),] (11) and 17 |
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48 | 48 | | (12) of section 38a-469. 18 |
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49 | 49 | | Sec. 3. Subsection (b) of section 38a-535 of the general statutes is 19 |
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50 | 50 | | repealed and the following is substituted in lieu thereof (Effective 20 |
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51 | 51 | | January 1, 2020): 21 |
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52 | 52 | | 22 |
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53 | 53 | | (b) Each group health insurance policy providing coverage of the 23 |
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54 | 54 | | type specified in subdivisions (1), (2), (4), [(6),] (11) and (12) of section 24 |
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55 | 55 | | 38a-469 delivered, issued for delivery or renewed on or after October 1, 25 |
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56 | 56 | | 1989, or continued as defined in section 38a-531, on or after October 1, 26 |
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57 | 57 | | 1990, shall provide benefits for preventive pediatric care for any child 27 |
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58 | 58 | | covered by the policy or contract at approximately the following age 28 |
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59 | 59 | | intervals: Every two months from birth to six months of age, every 29 |
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60 | 60 | | three months from nine to eighteen months of age and annually from 30 |
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61 | 61 | | two through six years of age. Any such policy may provide that 31 |
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62 | 62 | | services rendered during a periodic review shall be covered to the 32 |
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63 | 63 | | extent that such services are provided by or under the supervision of a 33 |
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64 | 64 | | single physician during the course of one visit. On and after January 1, 34 |
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65 | 65 | | 2009, each such policy shall also provide coverage for blood lead 35 |
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66 | 66 | | screening and risk assessments ordered by a primary care provider 36 |
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67 | 67 | | pursuant to section 19a-111g. Such benefits shall be subject to any 37 |
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68 | 68 | | policy provisions which apply to other services covered by such 38 |
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69 | 69 | | policy. 39 |
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70 | 70 | | This act shall take effect as follows and shall amend the following |
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71 | 71 | | sections: |
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72 | 72 | | |
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73 | 73 | | Section 1 January 1, 2020 38a-503b(a) |
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74 | 74 | | Sec. 2 January 1, 2020 38a-530b(a) |
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75 | 75 | | Sec. 3 January 1, 2020 38a-535(b) |
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76 | 76 | | |
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77 | 77 | | Raised Bill No. 7176 |
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80 | 80 | | |
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81 | 81 | | LCO No. 4281 3 of 3 |
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82 | 82 | | |
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83 | 83 | | Statement of Purpose: |
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84 | 84 | | To exempt accident only insurance policies from required health |
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85 | 85 | | insurance coverage for (1) certain preventive pediatric care, and (2) |
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86 | 86 | | direct access to obstetrician-gynecologists. |
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87 | 87 | | [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, |
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88 | 88 | | except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is |
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89 | 89 | | not underlined.] |
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90 | 90 | | |
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