HB1560ham002 95TH GENERAL ASSEMBLY

Rep. Kathleen A. Ryg

Filed: 4/24/2007

 

 


 

 


 
09500HB1560ham002 LRB095 09733 KBJ 35324 a

1
AMENDMENT TO HOUSE BILL 1560

2     AMENDMENT NO. ______. Amend House Bill 1560, AS AMENDED,
3 with reference to page and line numbers of House Amendment No.
4 1, on page 3, by replacing lines 19 through 24 with the
5 following:
6     "(a) A group or individual policy of accident and health
7 insurance or managed care plan amended, delivered, issued, or
8 renewed after the effective date of this amendatory Act of the
9 95th General Assembly must provide coverage and reimbursement
10 when documentation is presented demonstrating a medical
11 necessity and treatment plan for amino acid-based elemental
12 formulas, regardless of delivery method, for the diagnosis and
13 treatment of (i) an individual with multiple food allergies or
14 intolerances making amino acid-based elemental formulas a
15 medically necessary treatment, (ii) eosinophilic disorders,
16 and (iii) short bowel syndrome, when the prescribing physician
17 or dietician has issued a written order stating that the amino
18 acid-based elemental formula is medically necessary for the

 

 

09500HB1560ham002 - 2 - LRB095 09733 KBJ 35324 a

1 treatment of a disease or disorder."; and
 
2 on page 4, by deleting lines 1 through 19; and
 
3 on page 14, by replacing lines 6 through 25 with the following:
4     "The Department of Healthcare and Family Services must
5 provide coverage and reimbursement when documentation is
6 presented demonstrating a medical necessity and treatment plan
7 for amino acid-based elemental formulas, regardless of
8 delivery method, for the diagnosis and treatment of (i) an
9 individual with multiple food allergies or intolerances making
10 amino acid-based elemental formulas a medically necessary
11 treatment, (ii) eosinophilic disorders, and (iii) short bowel
12 syndrome, when the prescribing physician or dietician has
13 issued a written order stating that the amino acid-based
14 elemental formula is medically necessary for the treatment of a
15 disease or disorder.".