South Carolina General Assembly
116th Session, 2005-2006

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Indicates Matter Stricken
Indicates New Matter

H. 3168

STATUS INFORMATION

General Bill
Sponsors: Reps. Scarborough and Hagood
Document Path: l:\council\bills\nbd\11078ac05.doc

Introduced in the House on January 11, 2005
Currently residing in the House Committee on Labor, Commerce and Industry

Summary: Drug benefits approved it physician certifies it is necessary

HISTORY OF LEGISLATIVE ACTIONS 

     Date      Body   Action Description with journal page number
-------------------------------------------------------------------------------
  12/15/2004  House   Prefiled
  12/15/2004  House   Referred to Committee on Labor, Commerce and Industry
   1/11/2005  House   Introduced and read first time HJ-109
   1/11/2005  House   Referred to Committee on Labor, Commerce and Industry 
                        HJ-109
   2/10/2005  House   Member(s) request name added as sponsor: Hagood

View the latest legislative information at the LPITS web site

VERSIONS OF THIS BILL

12/15/2004

(Text matches printed bills. Document has been reformatted to meet World Wide Web specifications.)

A BILL

TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING SECTION 38-71-205 SO AS TO PROVIDE THAT HEALTH INSURANCE POLICIES THAT INCLUDE PRESCRIPTION DRUG BENEFITS MUST COVER MEDICATION THAT IS NOT ON THE POLICY'S APPROVED MEDICATION LIST IF THE INSURED'S PHYSICIAN CERTIFIES THAT THE MEDICATION IS NECESSARY FOR THE TREATMENT OF THE INSURED'S SPECIFIC CONDITION AND THAT NO OTHER MEDICATION ON THE APPROVED LIST IS ACCEPTABLE FOR TREATMENT OF THE INSURED.

Be it enacted by the General Assembly of the State of South Carolina:

SECTION    1.    Article 1, Chapter 71, Title 38 of the 1976 Code is amended by adding:

"Section 38-71-205.    If an individual or group health insurance policy provides prescription drug benefits, the policy must cover a medication that is not on the policy's approved list of medications if the insured's physician certifies:

(1)    the medication is necessary for the treatment of the insured's specific condition; and

(2)    no other medication, including generic drugs, on the approved medication list is acceptable for treatment of the insured."

SECTION    2.    This act takes effect upon approval by the Governor.

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