SB338 (2006) Detail

Relative to insurance coverage for childrens' early intervention therapy services.


SB 338 – AS INTRODUCED

2006 SESSION

06-2572

01/10

SENATE BILL 338

AN ACT relative to insurance coverage for children’s early intervention therapy services.

SPONSORS: Sen. Hassan, Dist 23; Sen. Estabrook, Dist 21; Sen. D'Allesandro, Dist 20; Rep. McLeod, Graf 2; Rep. Wallner, Merr 12

COMMITTEE: Banks and Insurance

ANALYSIS

This bill requires insurance coverage for the costs of early intervention services for children from birth to 36 months.

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Explanation: Matter added to current law appears in bold italics.

Matter removed from current law appears [in brackets and struckthrough.]

Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

06-2572

01/10

STATE OF NEW HAMPSHIRE

In the Year of Our Lord Two Thousand Six

AN ACT relative to insurance coverage for children’s early intervention therapy services.

Be it Enacted by the Senate and House of Representatives in General Court convened:

1 New Section; Individual; Coverage for Children’s Early Intervention Therapy Services. Amend RSA 415 by inserting after section 6-k the following new section:

415:6-l Coverage for Children’s Early Intervention Therapy Services. Each insurer that issues or renews any individual policy, plan, or contract of accident or health insurance providing benefits for medical, rehabilitation or hospital expenses, shall provide to certificate holders of such insurance, who are residents of this state, coverage for expenses arising from the services of licensed occupational therapists, physical therapists, speech-language pathologists and clinical social workers working with children from birth to 36 months in early intervention services. The benefits included in this section shall not be subject to deductibles or copayments and shall have a cap of $3,200 per child per year not to exceed $9,600 by the child’s third birthday. Notwithstanding any provision of law or rule to the contrary, the coverage under this section shall apply to the medical assistance program, pursuant to RSA 161 and RSA 167.

2 New Section; Group; Coverage for Children’s Early Intervention Services. Amend RSA 415 by inserting after section 18-p the following new section:

415:18-q Coverage for Children’s Early Intervention Services. Each insurer that issues or renews any policy of group or blanket accident or health insurance providing benefits for medical, rehabilitation or hospital expenses, shall provide to each group, or to the portion of each group comprised of certificate holders of such insurance who are residents of this state, coverage for expenses arising from the services of occupational therapists, physical therapists, speech-language pathologists and clinical social workers working with children from birth to 36 months in early intervention services. The benefits included in this section shall not be subject to any deductibles or copayments. Notwithstanding any provision of law or rule to the contrary, the coverage under this section shall apply to the medical assistance program, pursuant to RSA 161 and RSA 167.

3 New Section; Health Service Corporations; Coverage for Children’s Early Intervention Services. Amend RSA 420-A by inserting after section 17-e the following new section:

420-A:17-f Coverage for Children’s Early Intervention Services. Every health service corporation and every other similar corporation licensed under the laws of another state that issues or renews any policy of group or blanket accident or health insurance providing benefits for medical, rehabilitation or hospital expenses, which provides coverage for outpatient services shall provide to each group, or to the portion of each group comprised of certificate holders of such insurance who are residents of this state, coverage for expenses arising from the services of occupational therapists, physical therapists, speech-language pathologists and clinical social workers working with children from birth to 36 months in early intervention services. The benefits included in this section shall not be subject to deductible or copayment. Notwithstanding any provision of law or rule to the contrary, the coverage under this section shall apply to the medical assistance program, pursuant to RSA 161 and RSA 167.

4 New Section; Managed Care; Coverage for Children’s Early Intervention Services. Amend RSA 420-B by inserting after section 8-o the following new section:

420-B:8-p Coverage for Children’s Early Intervention Services. Every health maintenance organization and every similar corporation licensed under the laws of another state that issues or renews any policy, plan, or contract of individual or group or blanket health insurance providing benefits for medical, rehabilitation or hospital expenses, shall provide to each individual or group, or to the portion of each group comprised of certificate holders of such insurance who are residents of this state, coverage for expenses arising from the services of occupational therapists, physical therapists, speech-language pathologists and clinical social workers working with children from birth to 36 months in early intervention services. The benefits included in this section shall not be subject to any deductible or copayment. Notwithstanding any provision of law or rule to the contrary, the coverage under this section shall apply to the medical assistance program, pursuant to RSA 161 and RSA 167.

5 Effective Date. This act shall take effect 60 days after its passage.