PRINTER'S NO. 1510
No. 1199 Session of 1999
INTRODUCED BY WOZNIAK, STOUT, COSTA, KITCHEN, KUKOVICH, BODACK,
HART, O'PAKE, BELAN AND SCHWARTZ, NOVEMBER 16, 1999
REFERRED TO BANKING AND INSURANCE, NOVEMBER 16, 1999
AN ACT
1 Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An
2 act relating to insurance; amending, revising, and
3 consolidating the law providing for the incorporation of
4 insurance companies, and the regulation, supervision, and
5 protection of home and foreign insurance companies, Lloyds
6 associations, reciprocal and inter-insurance exchanges, and
7 fire insurance rating bureaus, and the regulation and
8 supervision of insurance carried by such companies,
9 associations, and exchanges, including insurance carried by
10 the State Workmen's Insurance Fund; providing penalties; and
11 repealing existing laws," providing for reimbursement for
12 handcycles.
13 The General Assembly of the Commonwealth of Pennsylvania
14 hereby enacts as follows:
15 Section 1. The act of May 17, 1921 (P.L.682, No.284), known
16 as The Insurance Company Law of 1921, is amended by adding a
17 section to read:
18 Section 635.2. Reimbursement for Handcycles.--(a) Except to
19 the extent already covered under another policy, any individual
20 or group health, sickness and accident insurance policy, group
21 health insurance plans/policies, and all other forms of
22 managed/capitated care plans/policies or subscriber contract or
1 certificate issued by any entity subject to 40 Pa.C.S. Ch. 61
2 (relating to hospital plan corporations) or 63 (relating to
3 professional health services plan corporations) or the act of
4 December 29, 1972 (P.L.1701, No.364), known as the "Health
5 Maintenance Organization Act," the act of December 14, 1992
6 (P.L.835, No.134), known as the "Fraternal Benefit Societies
7 Code," or this act providing hospital or medical/surgical
8 coverage shall provide coverage for handcycles for the treatment
9 of paraplegia and other similar disabilities if prescribed by a
10 health care professional legally authorized to prescribe such
11 items under law. The benefits specified in this section may be
12 provided through a combination of policies, contracts,
13 certificates or riders, including major medical contracts.
14 (b) This section does not include the following policies:
15 accident only, fixed indemnity, limited benefit, credit, dental,
16 vision, specified disease, Medicare supplement, CHAMPUS
17 (Civilian Health and Medical Program for the Uniform Services)
18 supplement, long-term care, disability income, workers'
19 compensation or automobile medical payment.
20 (c) The coverage required under this section shall be
21 subject to the annual deductibles or coinsurance requirements
22 imposed by an entity subject to this section for similar
23 coverages under the same health insurance policy or contract.
24 Section 2. This act shall take effect in 60 days.
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