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Indicates Matter Stricken
Indicates New Matter
Sponsors: Reps. Felder, Bryant, Martin, King, Ridgeway, Simrill and B. Newton
Document Path: l:\council\bills\nbd\11184cz19.docx
Introduced in the House on January 15, 2019
Currently residing in the House Committee on Labor, Commerce and Industry
Summary: Insurance companies and health maintenance organizations
HISTORY OF LEGISLATIVE ACTIONS
Date Body Action Description with journal page number ------------------------------------------------------------------------------- 1/15/2019 House Introduced and read first time (House Journal-page 79) 1/15/2019 House Referred to Committee on Labor, Commerce and Industry (House Journal-page 79)
View the latest legislative information at the website
VERSIONS OF THIS BILL
TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING SECTION 38-71-42 SO AS TO REQUIRE HEALTH MAINTENANCE ORGANIZATIONS, INDIVIDUAL AND GROUP HEALTH INSURANCE POLICIES, AND INSURANCE CONTRACTS ISSUED BEGINNING JANUARY 1, 2020, TO PROVIDE COVERAGE FOR CERTAIN TESTS FOR THE EARLY DETECTION OF CARDIOVASCULAR DISEASE; AND TO AMEND SECTION 1-11-710, AS AMENDED, RELATING TO THE PUBLIC EMPLOYEE BENEFIT AUTHORITY'S DUTY TO MAKE CERTAIN INSURANCE PLANS AVAILABLE, SO AS TO REQUIRE THE GROUP HEALTH PLAN COVER CERTAIN TESTS FOR THE EARLY DETECTION OF CARDIOVASCULAR DISEASE.
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 38-71-42. (A) Beginning January 1, 2020, every health maintenance organization, individual and group health insurance policy, or insurance contract issued or renewed in this State must provide coverage for tests as set forth in subsection (B) for the early detection of cardiovascular disease for an insured who is:
(1) a male older than forty-five years of age and younger than seventy-six years of age or a female older than fifty-five years of age and younger than seventy-six years of age;
(2) diabetic; and
(3) has a risk of developing coronary heart disease, based on a score derived using the Framingham Heart Study coronary prediction algorithm, that is intermediate or higher.
(B) The minimum coverage that must be provided is up to two hundred dollars for the following noninvasive screening tests for atherosclerosis and abnormal artery structure and function every five years, performed by a national organization recognized by the director of the Department of Insurance:
(1) computed tomography (CT) scanning measuring coronary artery calcification; and
(2) ultrasonography measuring carotid intima-media thickness and plaque."
SECTION 2. Section 1-11-710 of the 1976 Code is amended by adding an appropriately lettered subsection to read:
"( )(1) Beginning January 1, 2020, the plan approved by the board must provide coverage for tests set forth in Section 38-71-42(B) for the early detection of cardiovascular disease.
The plan must be for an employee, retiree, or dependent who meets the criteria set forth in Section 38-71-42(A) and the coverage must be provided in a manner consistent with Section 38-71-42(B)."
SECTION 3. This act takes effect upon approval by the Governor.
This web page was last updated on January 16, 2019 at 12:29 PM