HF 4080

as introduced - 84th Legislature (2005 - 2006) Posted on 12/15/2009 12:00am

A bill for an act
relating to insurance; clarifying that child health supervision for services for
children under age six includes federally recommended blood lead tests and
follow-up treatment; amending Minnesota Statutes 2004, section 62A.047.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2004, section 62A.047, is amended to read:

62A.047 CHILDREN'S HEALTH SUPERVISION SERVICES AND
PRENATAL CARE SERVICES.

A policy of individual or group health and accident insurance regulated under this
chapter, or individual or group subscriber contract regulated under chapter 62C, health
maintenance contract regulated under chapter 62D, or health benefit certificate regulated
under chapter 64B, issued, renewed, or continued to provide coverage to a Minnesota
resident, must provide coverage for child health supervision services and prenatal care
services. The policy, contract, or certificate must specifically exempt reasonable and
customary charges for child health supervision services and prenatal care services from
a deductible, co-payment, or other coinsurance or dollar limitation requirement. This
section does not prohibit the use of policy waiting periods or preexisting condition
limitations for these services. Minimum benefits may be limited to one visit payable to
one provider for all of the services provided at each visit cited in this section subject to the
schedule set forth in this section. Nothing in this section applies to a commercial health
insurance policy issued as a companion to a health maintenance organization contract, a
policy designed primarily to provide coverage payable on a per diem, fixed indemnity, or
nonexpense incurred basis, or a policy that provides only accident coverage.

"Child health supervision services" means pediatric preventive services, appropriate
immunizations, developmental assessments, and laboratory services appropriate to the
age of a child from birth to age six, and appropriate immunizations from ages six to
18, as defined by Standards of Child Health Care issued by the American Academy of
Pediatrics. new text begin These services, for children up to age six, include screenings for elevated
blood lead levels, testing of a capillary or venous blood sample at the times specified
in the guidelines issued by the United States Agency for Health Care Research and
Quality, and appropriate follow-up care for children who have elevated blood lead levels.
new text end Reimbursement must be made for at least five child health supervision visits from birth
to 12 months, three child health supervision visits from 12 months to 24 months, once a
year from 24 months to 72 months.

"Prenatal care services" means the comprehensive package of medical and
psychosocial support provided throughout the pregnancy, including risk assessment,
serial surveillance, prenatal education, and use of specialized skills and technology,
when needed, as defined by Standards for Obstetric-Gynecologic Services issued by the
American College of Obstetricians and Gynecologists.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end