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Current Status Bill Number:View additional legislative information at the LPITS web site.3281 Type of Legislation:General Bill GB Introducing Body:House Introduced Date:19990119 Primary Sponsor:J. Brown All Sponsors:J. Brown, Bowers, M. Hines, Inabinett, Battle, Clyburn, Breeland, Whipper, Cobb-Hunter, Scott, W. McLeod, Canty, Lloyd, J.H. Neal, Pinckney, Miller, Jennings, Knotts, Whatley, Emory, Ott, T. Brown, Bales, McGee, Maddox, Mack, M. McLeod, Phillips Drafted Document Number:l:\council\bills\nbd\11082jm99.doc Residing Body:House Current Committee:Labor, Commerce and Industry Committee 26 HLCI Subject:Insurance, medical and health; coverage for treatment of mental health, alcohol, drugs; prostate related conditions History Body Date Action Description Com Leg Involved ______ ________ ______________________________________ _______ ____________ House 19990119 Introduced, read first time, 26 HLCI referred to Committee Versions of This Bill
TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING SECTION 38-71-285 SO AS TO REQUIRE EVERY INDIVIDUAL AND GROUP HEALTH INSURANCE POLICY AND PLAN OF HEALTH COVERAGE ISSUED OR RENEWED IN THIS STATE TO PAY FOR MEDICAL SERVICES AND TREATMENT RENDERED BY AN OUT-OF-STATE HOSPITAL AT THE SAME LEVEL PAID TO AN IN-STATE HOSPITAL UNDER CERTAIN CONDITIONS AND TO PROVIDE COVERAGE FOR SIDE EFFECTS THAT ARE COMMONLY ASSOCIATED WITH RADICAL RETROPUBIC PROSTATECTOMY SURGERY, REQUIRE CERTAIN NOTICE TO BE GIVEN TO EACH INSURED OR PLAN-ENROLLEE, AND PROVIDE FOR THE PROMULGATION OF REGULATIONS.
Be it enacted by the General Assembly of the State of South Carolina:
SECTION 1. The 1976 Code is amended by adding:
"Section 38-71-285. (A) Notwithstanding any other provision of law:
(1) Every individual and group health insurance and plan of health coverage policy issued or renewed in this State shall pay for medical services and treatment rendered by an out-of-state hospital at the same level paid to an in-state hospital if the insured was referred to the out-of-state hospital by a physician and the out-of-state hospital is the closest hospital in proximity to the place of residence of the insured.
(2) Every individual and group health insurance policy and plan of health coverage issued or renewed in this State shall provide coverage for side effects that are commonly associated with radical retropubic prostatectomy surgery including, but not limited to, impotence and incontinence and for other prostate related conditions. The insurer shall provide notice to each insured or plan-enrollee under the policy or plan regarding the coverage required by this item in the policy's or plan's evidence of coverage and shall provide additional written notice of the coverage to the insured or enrollee as follows:
(a) in the next mailing made by the insurer to the insured or the plan administrator to the plan-enrollee; or
(b) as part of the enrollment information packet sent to the enrollee-insured.
(B) The director of the Department of Insurance shall promulgate regulations necessary for the administration and enforcement of this section."
SECTION 2. This act takes effect upon approval by the Governor and applies to individual and group health insurance policies and plans of health coverage issued or renewed in this State on or after July 1, 2000.
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