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HOUSE DOCKET, NO. 171         FILED ON: 1/11/2011

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 319

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

John W. Scibak

_______________

To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
              Court assembled:

              The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:

An Act to include fluoride varnish service in all health insurance coverage in the Commonwealth.

_______________

PETITION OF:

 

Name:

District/Address:

John W. Scibak

2nd Hampshire

Harriette L. Chandler

 

Carlo Basile

1st Suffolk

Kay Khan

11th Middlesex

George T. Ross

2nd Bristol

Michael R. Knapik

 

Jennifer L. Flanagan

 

James M. Murphy

4th Norfolk

Brian M. Ashe

2nd Hampden

Ellen Story

3rd Hampshire

Stephen Kulik

1st Franklin

Cheryl A. Coakley-Rivera

10th Hampden


HOUSE DOCKET, NO. 171        FILED ON: 1/11/2011

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 319

By Mr. Scibak of South Hadley, a petition (accompanied by bill, House, No. 319) of John W. Scibak and others relative to requiring fluoride varnish service coverage in all health insurance policies.  Financial Services. 

 

[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE HOUSE, NO. 1032 OF 2009-2010.]


The Commonwealth of Massachusetts
 

_______________

In the Year Two Thousand Eleven

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An Act to include fluoride varnish service in all health insurance coverage in the Commonwealth.
 

              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 32A of the General Laws is hereby amended by adding the following section:–

              Section 25.  The commission shall provide to any active or retired employee of the commonwealth who is insured under the commission coverage for fluoride varnish for moderate to high caries risk patients.  The department of public health shall promulgate rules and regulations establishing criteria for eligibility for coverage hereunder, provided that Qualified Physicians, Physician’s Assistants, Nurse Practitioners, Registered Nurses, and Licensed Practical Nurses, and Certified Medical Assistants who have met the training requirements outlined by the department of public health shall provide this service.

              SECTION 2.  Chapter 175 of the General Laws is hereby amended by inserting after section 47Z the following section:–

              Section 47AA.  Any blanket or general policy of insurance, except a blanket or general policy of insurance which provides supplemental coverage to Medicare or other governmental programs, described in subdivision (A), (C) or (D) of section 110 which provides hospital expense and surgical expense insurance and which is issued or subsequently renewed by agreement between the insurer and the policy holder, within or without the commonwealth, during the period this section is effective, or any policy of accident or sickness insurance as described in section 108 which provides hospital expense and surgical expense insurance, except a policy which provides supplemental coverage to Medicare or other governmental programs, and which is delivered or issued for delivery or subsequently renewed by agreement between the insurer and the policy holder in the commonwealth, during the period that this section is effective, or any employees’ health and welfare fund which provides hospital expense and surgical expense benefits and which is promulgated or renewed to any person or group of persons in the commonwealth, while this section is effective, shall provide coverage for fluoride varnish for moderate to high caries risk patients.  The department of public health shall promulgate rules and regulations establishing criteria for eligibility for coverage hereunder, provided that Qualified Physicians, Physician’s Assistants, Nurse Practitioners, Registered Nurses, and Licensed Practical Nurses, and Certified Medical Assistants who have met the training requirements outlined by the department of public health shall provide this service.

              SECTION 3.  Chapter 176A of the General Laws is hereby amended by inserting after section 8BB the following section:–

              Section 8CC.  (a)  A contract between a subscriber and the corporation under an individual or group hospital service plan which provides hospital expense and surgical expense insurance, except contracts providing supplemental coverage to Medicare or other governmental programs, delivered, issued or renewed by agreement between the insurer and the policyholder, within or without the commonwealth, shall provide benefits to all individual subscribers and members within the commonwealth and to all group members having a principal place of employment within the commonwealth for coverage for fluoride varnish for moderate to high caries risk patients.  The department of public health shall promulgate rules and regulations establishing criteria for eligibility for coverage hereunder, provided that Qualified Physicians, Physician’s Assistants, Nurse Practitioners, Registered Nurses, and Licensed Practical Nurses, and Certified Medical Assistants who have met the training requirements outlined by the department of public health shall provide this service

              SECTION 4.  Chapter 176B of the General Laws is hereby amended by inserting after section 4AA the following section:–

              Section 4BB.  Any subscription certificate under an individual or group medical service agreement, except certificates which provide supplemental coverage to Medicare or other governmental programs that shall be delivered, issued or renewed within the commonwealth shall provide, as benefits to all individual subscribers or members within the commonwealth and to all group members having a principal place of employment within the commonwealth, coverage for fluoride varnish for moderate to high caries risk patients.  The department of public health shall promulgate rules and regulations establishing criteria for eligibility for coverage hereunder, provided that Qualified Physicians, Physician’s Assistants, Nurse Practitioners, Registered Nurses, and Licensed Practical Nurses, and Certified Medical Assistants who have met the training requirements outlined by the department of public health shall provide this service

              SECTION 5.  Chapter 176G of the General Laws is hereby amended by inserting after section 4S the following section:–

              Section 4T.  Individual and group health maintenance contracts shall provide coverage for fluoride varnish for moderate to high caries risk patients.  The department of public health shall promulgate rules and regulations establishing criteria for eligibility for coverage hereunder, provided that Qualified Physicians, Physician’s Assistants, Nurse Practitioners, Registered Nurses, and Licensed Practical Nurses, and Certified Medical Assistants who have met the training requirements outlined by the department of public health shall provide this service

              SECTION 6.  This act shall apply to all policies, contracts, agreements, plans or certificates of insurance issued or delivered within the commonwealth on or after January 1, 2014, or upon renewal to all policies, contracts, agreements, plans or certificates of insurance in effect before January 1, 2010.

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