1.1                          A bill for an act
  1.2             relating to insurance; health plans; extending 
  1.3             coverage of children's health supervision services to 
  1.4             age 18; requiring coverage for treatment of Lyme 
  1.5             disease; amending Minnesota Statutes 1994, section 
  1.6             62A.047; Minnesota Statutes 1995 Supplement, section 
  1.7             62A.136; proposing coding for new law in Minnesota 
  1.8             Statutes, chapter 62A. 
  1.9   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.10     Section 1.  Minnesota Statutes 1994, section 62A.047, is 
  1.11  amended to read: 
  1.12     62A.047 [CHILDREN'S HEALTH SUPERVISION SERVICES AND 
  1.13  PRENATAL CARE SERVICES.] 
  1.14     A policy of individual or group health and accident 
  1.15  insurance regulated under this chapter, or individual or group 
  1.16  subscriber contract regulated under chapter 62C, health 
  1.17  maintenance contract regulated under chapter 62D, or health 
  1.18  benefit certificate regulated under chapter 64B, issued, 
  1.19  renewed, or continued to provide coverage to a Minnesota 
  1.20  resident, must provide coverage for child health supervision 
  1.21  services and prenatal care services.  The policy, contract, or 
  1.22  certificate must specifically exempt reasonable and customary 
  1.23  charges for child health supervision services and prenatal care 
  1.24  services from a deductible, copayment, or other coinsurance or 
  1.25  dollar limitation requirement.  This section does not prohibit 
  1.26  the use of policy waiting periods or preexisting condition 
  1.27  limitations for these services.  Minimum benefits may be limited 
  2.1   to one visit payable to one provider for all of the services 
  2.2   provided at each visit cited in this section subject to the 
  2.3   schedule set forth in this section.  Nothing in this section 
  2.4   applies to a commercial health insurance policy issued as a 
  2.5   companion to a health maintenance organization contract, a 
  2.6   policy designed primarily to provide coverage payable on a per 
  2.7   diem, fixed indemnity, or nonexpense incurred basis, or a policy 
  2.8   that provides only accident coverage. 
  2.9      "Child health supervision services" means pediatric 
  2.10  preventive services, appropriate immunizations, developmental 
  2.11  assessments, and laboratory services appropriate to the age of a 
  2.12  child from birth to age six 18 as defined by Standards of Child 
  2.13  Health Care issued by the American Academy of Pediatrics.  
  2.14  Reimbursement must be made for at least five child health 
  2.15  supervision visits from birth to 12 months, three child health 
  2.16  supervision visits from 12 months to 24 months, once a year from 
  2.17  24 months to 72 months age 18. 
  2.18     "Prenatal care services" means the comprehensive package of 
  2.19  medical and psychosocial support provided throughout the 
  2.20  pregnancy, including risk assessment, serial surveillance, 
  2.21  prenatal education, and use of specialized skills and 
  2.22  technology, when needed, as defined by Standards for 
  2.23  Obstetric-Gynecologic Services issued by the American College of 
  2.24  Obstetricians and Gynecologists. 
  2.25     Sec. 2.  Minnesota Statutes 1995 Supplement, section 
  2.26  62A.136, is amended to read: 
  2.27     62A.136 [DENTAL AND VISION PLAN COVERAGE.] 
  2.28     The following provisions do not apply to health plans 
  2.29  providing dental or vision coverage only:  sections 62A.041; 
  2.30  62A.047; 62A.149; 62A.151; 62A.152; 62A.154; 62A.155; 62A.21, 
  2.31  subdivision 2b; 62A.26; 62A.265; 62A.28; and 62A.30. 
  2.32     Sec. 3.  [62A.265] [COVERAGE FOR LYME DISEASE.] 
  2.33     Subdivision 1.  [REQUIRED COVERAGE.] Every health plan, 
  2.34  including a plan providing the coverage specified in section 
  2.35  62A.011, subdivision 3, clause (10), must cover treatment for 
  2.36  diagnosed Lyme disease.  
  3.1      Subd. 2.  [SPECIAL RESTRICTIONS PROHIBITED.] No health plan 
  3.2   included in subdivision 1 may impose a special deductible, 
  3.3   copayment, waiting period, or other special restriction on 
  3.4   treatment for Lyme disease that the health plan does not apply 
  3.5   to nonpreventive treatment in general. 
  3.6      Sec. 4.  [EFFECTIVE DATE.] 
  3.7      Section 3 is effective August 1, 1996, and applies to all 
  3.8   health plans providing coverage to a Minnesota resident, issued, 
  3.9   renewed, or continued on or after that date.