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S.B. 108
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DIABETES TREATMENT AND MANAGEMENT -
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MANAGED CARE
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2000 GENERAL SESSION
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STATE OF UTAH
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Sponsor: Howard C. Nielson
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AN ACT RELATING TO INSURANCE; REQUIRING THE COMMISSIONER TO ESTABLISH
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MINIMUM STANDARDS OF COVERAGE FOR DIABETES; AND PROVIDING AN
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EFFECTIVE DATE.
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This act affects sections of Utah Code Annotated 1953 as follows:
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ENACTS:
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31A-22-625, Utah Code Annotated 1953
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Be it enacted by the Legislature of the state of Utah:
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Section 1.
Section
31A-22-625
is enacted to read:
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31A-22-625. Coverage of diabetes.
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(1) As used in this section, "diabetes" includes individuals with:
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(a) complete insulin deficiency or type 1 diabetes;
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(b) insulin resistant with partial insulin deficiency or type 2 diabetes; and
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(c) elevated blood glucose levels induced by pregnancy or gestational diabetes.
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(2) The commissioner shall establish, by rule, minimum standards of coverage for diabetes
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for disability insurance policies that provide a health insurance benefit before July 1, 2000.
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(3) In making rules under Subsection (2), the commissioner shall require rules:
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(a) with durational limits, amount limits, deductibles, and coinsurance for the treatment
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of diabetes equitable or identical to coverage provided for the treatment of other illnesses or
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diseases;
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(b) that ensure an adequate formulary of new or improved equipment, appliances, supplies,
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insulin, or prescription drugs for the treatment of diabetes approved by the federal Food and Drug
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Administration as of July 1, 2000; and
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(c) that provide coverage for:
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(i) diabetes self-management training and patient management, including medical nutrition
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therapy as defined by rule, provided by a nationally accredited program:
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(A) recognized by the federal Health Care Financing Agency; or
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(B) certified by the Department of Health; and
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(ii) the following equipment, supplies, and appliances to treat diabetes when medically
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necessary:
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(A) blood glucose monitors, including those for the legally blind;
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(B) test strips for blood glucose monitors;
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(C) visual reading urine and ketone strips;
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(D) lancets and lancet devices;
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(E) insulin;
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(F) injection aides, including those adaptable to meet the needs of the legally blind, and
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infusion delivery systems;
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(G) syringes;
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(H) prescriptive oral agents for controlling blood sugar levels;
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(I) glucagon kits; and
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(J) podiatric appliances prescribed by a person licensed under Title 58, Occupations and
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Professions, with the authority to do so.
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Section 2. Effective date.
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This act takes effect on July 1, 2000.
Legislative Review Note
as of 1-11-00 1:35 PM
A limited legal review of this legislation raises no obvious constitutional or statutory concerns.