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Session Laws

1987

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CHAPTER 683 AN ACT PROVIDING MEDICAL BENEFITS FOR ULCERATIVE COLITIS AND OTHER DISEASES.

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:

SECTION 1. Chapter 175 of the General Laws is hereby amended by inserting after section 47H, inserted by section 1 of chapter 394 of the acts of 1987, the following section:-

Section 47I. Any individual policy of accident and sickness insurance issued pursuant to section one hundred and eight, and any group blanket policy of accident and sickness insurance issued pursuant to section one hundred and ten, shall provide coverage for nonprescription enteral formulas for home use, for which a physician has issued a written order and which are medically necessary for the treatment of malabsorption caused by Chrohn's disease or ulcerative colitis.

SECTION 2. Chapter 176A of the General Laws is hereby amended by inserting after section 8K, inserted by section 2 of said chapter 394, the following section:-

Section 8L. Any contract between a subscriber and the corporation under an individual or group hospital service plan that shall be delivered, issued or renewed in the commonwealth shall provide, as benefits to all individual subscribers and members within the commonwealth, and to all group members having a principal place of employment within the commonwealth, coverage for nonprescription enteral formulas for home use, for which a physician has issued a written order and which are medically necessary for the treatment of malabsorption caused by Chrohn's disease or ulcerative colitis.

SECTION 3. Chapter 176B of the General Laws is hereby amended by inserting after section 4J, inserted by section 3 of said chapter 394, the following section:-

Section 4K. Any subscription certificate under an individual or group medical service agreement that shall be delivered, issued or renewed in the commonwealth shall provide, as benefits to all individual subscribers and members within the commonwealth, all group members having a principal place of employment within the commonwealth, and all persons included in section four C, coverage for nonprescription enteral formulas for home use, for which a physician has issued a written order and which are medically necessary for the treatment of malabsorption caused by Chrohn's disease or ulcerative colitis.

SECTION 4. Chapter 176G of the General Laws is hereby amended by inserting after section 4C, inserted by section 50 of chapter 465 of the acts of 1987, the following section:-

Section 4D. Any group health maintenance contract shall provide coverage for nonprescription enteral formulas for home use as set forth in section forty-seven I of chapter one hundred and seventy-five.

Approved January 6, 1988.