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| [ Introduced ] | [ House Amendment 001 ] |
90_HB2645ham003
LRB9008967JSgcam04
1 AMENDMENT TO HOUSE BILL 2645
2 AMENDMENT NO. . Amend House Bill 2645, AS AMENDED,
3 in Section 25 of the bill, in Sec. 356g, in subsection (c),
4 in the second sentence, by replacing "patient to be
5 appropriate" with "patient in accordance with utilization
6 review guidelines which are consistent with clinical practice
7 guidelines developed by the appropriate medical specialty
8 society to be appropriate"; and
9 in Section 25 of the bill, in Sec. 356w, in subsection (a),
10 by inserting immediately below the last line of subsection
11 (a) the following:
12 "Coverage under this Section shall include reconstructive
13 surgery that is performed on abnormal structures of the body
14 caused by congenital defects, developmental abnormalities,
15 trauma, infection, tumors, or disease. Reconstructive surgery
16 is generally performed to improve function, but may also be
17 done to approximate a normal appearance. Coverage shall not
18 include cosmetic surgery. "Cosmetic surgery" for purposes of
19 this Section and as defined by the American Medical
20 Association means surgery performed to reshape normal
21 structures of the body to improve the patient's appearance
22 and self-esteem."; and
23 in Section 30 of the bill, in Sec. 4-6.1, in subsection (b),
-2- LRB9008967JSgcam04
1 in the second sentence, by replacing "patient to be
2 appropriate" with "patient in accordance with utilization
3 review guidelines which are consistent with clinical practice
4 guidelines developed by the appropriate medical specialty
5 society to be appropriate".