HB 1889-S - DIGEST

(DIGEST OF PROPOSED 1ST SUBSTITUTE)

     Provides that each employee benefit plan offered to public employees and their covered dependents that provides coverage for hospital, medical, or ambulatory surgery center services must cover hospital and general anesthesia services in conjunction with dental procedures in a hospital or ambulatory surgical center if the covered person:  (1) Is under the age of seven and the required procedure cannot be safely and effectively performed in a dental office;

     (2) is physically or developmentally disabled and cannot be safely and effectively treated in a dental office; or

     (3) has at least one medical condition that would create an undue medical risk if treatment is not performed in a hospital or ambulatory surgery center; such treatment must be approved by the patient's physician.

     Does not prevent the requirement that services be provided in a participating health care facility.

     Applies to employee benefit plans issued or renewed on or after the effective date of this act.