cost-sharing provisions, including dollar limits, deductibles, and
coinsurance, that are not less favorable to the insured than the cost-sharing
provisions of the health benefit plan that apply to physical illness generally
;
5. Page
3, Lines 60 through 76
:
60
fee-for-service program;
and
61
(c) shall reimburse for a prosthetic device at no less than the fee schedule amount
for
62
the prosthetic device under the federal Medicare reimbursement schedule
{
;
63
(d) may not impose any annual or lifetime dollar maximum on coverage for
prosthetic
64
devices other than an annual or lifetime dollar maximum that applies in the
aggregate to all
65
terms and services covered under the policy; and
66
(e) does not apply to a policy that provides benefits solely for:
67
(i) accident only coverage;
68
(ii) a specific disease;
69
(iii) hospital indemnity;
70
(iv) Medicare supplement;
71
(v) long-term care;
72
(vi) disability income replacement;
73
(vii) dental;
74
(viii) vision; or
75
(ix) a limited health plan offered under Chapter 8, Health Maintenance
Organizations
76
and Limited Health Plans
}
.
The motion to amend the bill passed unanimously with Rep. Beck absent for the vote.
Rep. Litvack explained the amended bill, assisted by Tami Stanley, Amputee Coalition of Utah,
who provided a handout to committee members.
Spoke in favor of the bill: Joe Webster, M.D., University of Utah and Veterans
Administration Medical Center
Spoke in opposition to the bill: Kelly Atkinson, Utah Health Insurance Association
MOTION: Rep. Riesen moved to amend the bill as follows:
Page 2, Line 38: Delete "prosthetics" and insert "prosthetic devices."
The motion to amend the bill passed unanimously with Rep. Beck absent for the vote.
MOTION: Rep. Daw moved to hold the bill in committee.
SUBSTITUTE
MOTION: Rep. Riesen moved to adjourn. The motion passed unanimously with Rep. Beck
absent for the vote.
Rep. Ray adjourned the meeting at 5:11 p.m.
__________________
Rep. Paul Ray
Committee Chair