5048-S AMS CLEV STIT 070


SSB 5048 - S AMD 151

By Senator Cleveland

NOT ADOPTED 03/23/2017

    On page 30, on line 25, after "limitations:" insert "(1)".


    On page 30, after line 30, insert the following:


"(2) Within the amounts appropriated within this section, the commissioner must:

(a) Ensure that health plans issued on or after the effective date of the biennial appropriations act, at a minimum, provide coverage for the same preventive services required to be covered under 42 U.S.C. Sec. 300gg-13 (2016) and any federal rules or guidance in effect on December 31, 2016, implementing 42 U.S.C. Sec. 300gg-13; and

(b)Ensure that health plans may not impose cost-sharing requirements for the preventive services required to be covered under subsection (a); and

(c) Enforce subsections (a) and (b) consistent with federal rules, guidance, and case law in effect on December 31, 2016, applicable to 42 U.S.C. 300gg-13 (2016)."


     Renumber the remaining sections consecutively and correct any internal references accordingly.




    EFFECT:   Requires the Office of the Insurance Commissioner to maintain current requirements for preventative services required for health plans that were in effect as of December 31, 2016 as well as guidance and rules for exceptions.




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