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HB0145 • 2013

Insurance-coverage of inherited enzymatic disorders.

AN ACT relating to insurance; requiring coverage of inherited enzymatic disorders; providing a definition; and providing for an effective date.

Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Representative Zwonitzer, Dan
Last action
2013-03-04
Official status
enrolled
Effective date
7/1/2013

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

HB0145HS001

Standing Committee • H10

Adopted

Plain English: Adopted Standing Committee by H10

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
HB0145S2001

2nd reading • PERKINS

Failed

Plain English: Failed 2nd reading by PERKINS

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.
HB0145S2002

2nd reading • SCOTT

Adopted

Plain English: Adopted 2nd reading by SCOTT

  • This amendment summary is using official source text because generated interpretation was skipped for this run.
  • The official amendment text was available, but an easy plain-English summary could not be produced automatically during the last sync.

Bill History

  1. 2013-03-04 LSO

    Assigned Chapter Number

  2. 2013-03-01 Governor

    Governor Signed HEA0085

  3. 2013-02-25 Senate

    S President Signed HEA No. 0085

  4. 2013-02-25 House

    H Speaker Signed HEA No. 0085

  5. 2013-02-22 LSO

    Assigned Number HEA0085

  6. 2013-02-22 House

    H Did Concur

  7. 2013-02-21 House

    H Received for Concurrence

  8. 2013-02-21 Senate

    S Passed 3rd Reading

  9. 2013-02-20 Senate

    S Passed 2nd Reading

  10. 2013-02-20 Senate

    S Amendments Adopted

  11. 2013-02-20 Senate

    Amendment Adopted

  12. 2013-02-20 Senate

    Amendment Failed

  13. 2013-02-19 Senate

    S Passed CoW

  14. 2013-02-15 Senate

    S Placed on General File

  15. 2013-02-15 Senate

    S10 Recommended Do Pass

  16. 2013-02-05 Senate

    S Introduced and Referred to S10

  17. 2013-02-05 Senate

    S Received for Introduction

  18. 2013-02-04 House

    H Passed 3rd Reading

  19. 2013-02-01 House

    H Passed 2nd Reading

  20. 2013-01-31 House

    H Passed CoW

  21. 2013-01-31 House

    H Amendments Adopted

  22. 2013-01-31 House

    Amendment Adopted

  23. 2013-01-29 House

    H Placed on General File

  24. 2013-01-29 House

    H10 Recommended Amend and Do Pass

  25. 2013-01-14 House

    H Introduced and Referred to H10

  26. 2013-01-11 House

    H Received for Introduction

  27. 2013-01-10 LSO

    Bill Number Assigned

Official Summary Text

Bill No.: <billno> Drafter: <drafterinit>

Bill No.:
HB0145
Drafter:

JWL

LSO No.:
13LSO-0461
Effective Date:

7/1/2013

Enrolled Act No.:
HEA0085

Chapter No.:
CH0112

Prime Sponsor:
Representative Zwonitzer, Dn.

Catch Title:
Insurance-coverage of inherited enzymatic disorders.

Subject:
Requires
health insurance coverage for specified inherited enzymatic disorders.

Summary/Major
Elements:
This act:

Requires all public and private, individual and group
health insurance policies issued after July 1, 2013, to provide coverage for specified
inherited enzymatic disorders;

Lists those disorders for which coverage is required,
which are caused by a single gene defect in the metabolism of amino, organic
and fatty acids;

Specifies that required coverage includes equipment,
supplies, outpatient self-management training and education and medical
nutrition therapy when prescribed by a health care professional;

Provides that the required coverage is subject to the
same deductibles and copays as other covered conditions.

Current Bill Text

Read the full stored bill text 
WORKING DRAFT

ORIGINAL HOUSE
BILL

NO.
0145

ENROLLED ACT NO. 85, HOUSE OF REPRESENTATIVES

SIXTY-SECOND LEGISLATURE OF THE STATE OF WYOMING
2013 GENERAL SESSION

AN ACT relating to insurance; requiring coverage of inherited enzymatic disorders; providing a definition;
providing for applicability;
and providing for an effective date.

Be It Enacted by the Legislature of the State of
Wyoming
:

Section 1.

W.S. 26
‑
20
‑
401 is created to read:

ARTICLE 4
INHERITED ENZYMATIC DISORDER COVERAGE

26
‑
20
‑
401.

Inherited enzymatic disorder coverage required.

(a)

All individual and group health insurance policies providing coverage on an expense incurred basis, individual and group service or indemnity type contracts issued by any insurer including any nonprofit corporation and individual and group service contracts issued by a health maintenance organization or de
livered on or after July 1, 2013
, shall provide coverage for the equipment, supplies and outpatient self-management training and education, including medical nutrition therapy for the treatment of inherited enzymatic disorders caused by single gene defects involved in the metabolism of amino, organic and fatty acids if prescribed by a health care professional legally authorized to prescribe such items under law. Covered inherited enzymatic disorder outpatient self-management training and education shall be provided by a certified, registered or licensed health care professional with expertise in inherited enzymatic disorders. For purposes of this section, required covered outpatient self-management training and education shall be limited to:

(i)

A one (1) time evaluation and training program when medically necessary, within one (1) year of diagnosis;

(ii)

Additional medically necessary self-management training shall be provided upon a significant change in symptoms, condition or treatment.

(b)

For purposes of this section, "inherited enzymatic disorders" includes
and is limited to
phenylketonuria, maternal phenylketonuria, maple syrup urine disease, tyrosinemia, homocystinuria, histidinemia, urea cycle disorders, hyperlysinemia, glutaric acidemias, methylmalonic acidemia and propionic acidemia.

(c)

The benefits provided under this section shall be subject to the same annual deductibles or coinsurance established for all other covered benefits within a given policy. Private third party payors may not refuse, reduce or eliminate coverage due to the requirements of this section. Enforcement of this section shall be performed by the commissioner or his designee.

(d)

This section shall apply to both public and private health benefit plans, as defined in W.S. 26
‑
1
‑
102(a)(xxxiii) and (xxxiv), delivered or issued on or after July 1, 2013.

Section
2
.

T
his act is effective July 1, 2013
.

(END)

Speaker of the House

President of the Senate

Governor

TIME APPROVED: _________

DATE APPROVED: _________

I hereby certify that this act originated in the House.

Chief Clerk

1