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S.B. 108

             1     

DIABETES TREATMENT AND MANAGEMENT -

             2     
MANAGED CARE

             3     
2000 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Sponsor: Howard C. Nielson

             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.

Office of Legislative Research and General Counsel


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