Insurance Committee
Filed: 5/15/2007
 
 

 




 

 		












09500SB0935ham001

LRB095 05753 KBJ 35843 a






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AMENDMENT TO SENATE BILL 935




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    AMENDMENT NO. ______. Amend Senate Bill 935 on page 3, by 
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replacing lines 12 through 24 with the following:

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


 






09500SB0935ham001
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LRB095 05753 KBJ 35843 a




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on page 4, by deleting lines 1 through 12; and
 
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on page 13, by deleting lines 25 and 26.
 
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on page 14, by replacing lines 1 through 18 with the following:
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    "The Department of Healthcare and Family Services must 
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provide coverage and reimbursement when documentation is 
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presented demonstrating a medical necessity and treatment plan 
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for amino acid-based elemental formulas, regardless of 
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delivery method, for the diagnosis and treatment of (i) an 
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individual with multiple food allergies or intolerances making 
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amino acid-based elemental formulas a medically necessary 
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treatment, (ii) eosinophilic disorders, and (iii) short bowel 
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syndrome, when the prescribing physician has issued a written 
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order stating that the amino acid-based elemental formula is 
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medically necessary for the treatment of a disease or 
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disorder.".