HB 1364 - DIGEST

(SUBSTITUTED FOR - SEE 1ST SUB)

     Requires each employee benefit plan offered to public employees and their covered dependents that provides coverage for hospital, medical, or ambulatory surgery center services to 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.