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S.B. 108
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6 AN ACT RELATING TO INSURANCE; REQUIRING THE COMMISSIONER TO ESTABLISH
7 MINIMUM STANDARDS OF COVERAGE FOR DIABETES; AND PROVIDING AN
8 EFFECTIVE DATE.
9 This act affects sections of Utah Code Annotated 1953 as follows:
10 ENACTS:
11 31A-22-625, Utah Code Annotated 1953
12 Be it enacted by the Legislature of the state of Utah:
13 Section 1. Section 31A-22-625 is enacted to read:
14 31A-22-625. Coverage of diabetes.
15 (1) As used in this section, "diabetes" includes individuals with:
16 (a) complete insulin deficiency or type 1 diabetes;
17 (b) insulin resistant with partial insulin deficiency or type 2 diabetes; and
18 (c) elevated blood glucose levels induced by pregnancy or gestational diabetes.
19 (2) The commissioner shall establish, by rule, minimum standards of coverage for diabetes
20 for disability insurance policies that provide a health insurance benefit before July 1, 2000.
21 (3) In making rules under Subsection (2), the commissioner shall require rules:
22 (a) with durational limits, amount limits, deductibles, and coinsurance for the treatment
23 of diabetes equitable or identical to coverage provided for the treatment of other illnesses or
24 diseases;
25 (b) that ensure an adequate formulary of new or improved equipment, appliances, supplies,
26 insulin, or prescription drugs for the treatment of diabetes approved by the federal Food and Drug
27 Administration as of July 1, 2000; and
28 (c) that provide coverage for:
29 (i) diabetes self-management training and patient management, including medical nutrition
30 therapy as defined by rule, provided by a nationally accredited program:
31 (A) recognized by the federal Health Care Financing Agency; or
32 (B) certified by the Department of Health; and
33 (ii) the following equipment, supplies, and appliances to treat diabetes when medically
34 necessary:
35 (A) blood glucose monitors, including those for the legally blind;
36 (B) test strips for blood glucose monitors;
37 (C) visual reading urine and ketone strips;
38 (D) lancets and lancet devices;
39 (E) insulin;
40 (F) injection aides, including those adaptable to meet the needs of the legally blind, and
41 infusion delivery systems;
42 (G) syringes;
43 (H) prescriptive oral agents for controlling blood sugar levels;
44 (I) glucagon kits; and
45 (J) podiatric appliances prescribed by a person licensed under Title 58, Occupations and
46 Professions, with the authority to do so.
47 Section 2. Effective date.
48 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.