Amendment #963 to H4000

An Amendment relative to insurance coverage for PANDAS/PANS

Representatives Cutler of Duxbury, Scibak of South Hadley, Cantwell of Marshfield, Matewsky of Everett, Calter of Kingston, Keenan of Salem, Walsh of Framingham, Madden of Nantucket and Andrews of Orange move to amend the bill by adding the following five sections:

Section XXXX. Chapter 32A of the General Laws, as amended by Chapter 403 of the Acts of 2012, is hereby amended by inserting after section 17K the following section:- Section 17L. The commission shall provide to any active or retired employee of the commonwealth who is insured under the group insurance commission, coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome. Said treatment shall include, but not be limited to, the use of Intravenous immunoglobulin (IVIG) therapy.

Section XXXX. Chapter 175 of the General Laws, as amended by Chapter 403 of the Acts of 2012, is hereby amended by inserting after section 47DD the following section:- Section 47EE. Any policy, contract, agreement, plan or certificate of insurance issued, delivered or renewed within the commonwealth shall provide coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome. Said treatment shall include, but not be limited to, the use of Intravenous immunoglobulin (IVIG) therapy.

Section XXXX. Chapter 176A of the General Laws, as amended by Chapter 403 of the Acts of 2012, is hereby amended by inserting after section 8EE the following section:- Section 8FF. Any contract between a subscriber and a corporation under an individual or group hospital service plan delivered, issued or renewed within the commonwealth shall provide coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome. Said treatment shall include, but not be limited to, the use of Intravenous immunoglobulin (IVIG) therapy.

Section XXXX. Chapter 176B of the General Laws, as amended by Chapter 403 of the Acts of 2012, is hereby amended by inserting after section 4FF the following section:- Section 4GG. Any subscription certificate under an individual or group medical service agreement delivered, issued or renewed within the commonwealth shall provide coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome. Said treatment shall include, but not be limited to, the use of Intravenous immunoglobulin (IVIG) therapy.

Section XXXX. Chapter 176G of the General Laws, as amended by Chapter 403 of the Acts of 2012, is hereby amended by inserting after section 4X the following section:- Section 4Y. Any individual or group health maintenance contract shall provide coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome. Said treatment shall include, but not be limited to, the use of Intravenous immunoglobulin (IVIG) therapy.