Amend the amendment in section 2 in §2762 in subsection 2 in the first line (page 1, line 19 in amendment) by striking out the following: " All" and inserting the following: ' In accordance with the application of coverage set forth in subsection 3, all'
Amend the amendment in section 2 in §2762 in subsection 2 in the 3rd line (page 1, line 21 in amendment) by striking out the following: " who is 18 years of age or under"
Amend the amendment in section 2 in §2762 by striking out all of subsection 3 (page 1, lines 29 to 33 in amendment) and inserting the following:
‘ 3. Application of coverage. The requirements of subsection 2 apply to an individual: A. From birth to 5 years of age, who is covered under a policy or contract that is issued or renewed on or after January 1, 2008;
B. From 6 to 13 years of age, who is covered under a policy or contract that is issued or renewed on or after January 1, 2009; and
C. From 14 to 18 years of age, who is covered under a policy or contract that is issued or renewed on or after January 1, 2010.
4. Limits; coinsurance; deductibles. Except as otherwise provided in this section, any policy or contract that provides coverage for services under this section may contain provisions for maximum benefits and coinsurance and reasonable limitations, deductibles and exclusions to the extent that these provisions are not inconsistent with the requirements of this section.’
Amend the amendment in section 3 in §2847-M in subsection 2 in the first line (page 2, line 8 in amendment) by striking out the following: " All" and inserting the following: ' In accordance with the application of coverage set forth in subsection 3, all'
Amend the amendment in section 3 in §2847-M by striking out all of subsection 3 (page 2, lines 18 to 22 in amendment) and inserting the following:
‘ 3. Application of coverage. The requirements of subsection 2 apply to an individual: A. From birth to 5 years of age, who is covered under a policy, contract or certificate that is issued or renewed on or after January 1, 2008;
B. From 6 to 13 years of age, who is covered under a policy, contract or certificate that is issued or renewed on or after January 1, 2009; and
C. From 14 to 18 years of age, who is covered under a policy, contract or certificate that is issued or renewed on or after January 1, 2010.
4. Limits; coinsurance; deductibles. Except as otherwise provided in this section, any policy, contract or certificate that provides coverage for services under this section may contain provisions for maximum benefits and coinsurance and reasonable limitations, deductibles and exclusions to the extent that these provisions are not inconsistent with the requirements of this section.’
Amend the amendment in section 4 in §4253 in subsection 2 in the first line (page 2, line 30 in amendment) by striking out the following: " All" and inserting the following: ' In accordance with the application of coverage set forth in subsection 3, all'
Amend the amendment in section 4 in §4253 by striking out all of subsection 3 (page 3, lines 1 to 5 in amendment) and inserting the following:
‘ 3. Application of coverage. The requirements of subsection 2 apply to an individual: A. From birth to 5 years of age, who is covered under a contract that is issued or renewed on or after January 1, 2008;
B. From 6 to 13 years of age, who is covered under a contract that is issued or renewed on or after January 1, 2009; and
C. From 14 to 18 years of age, who is covered under a contract that is issued or renewed on or after January 1, 2010.
4. Limits; coinsurance; deductibles. Except as otherwise provided in this section, any contract that provides coverage for services under this section may contain provisions for maximum benefits and coinsurance and reasonable limitations, deductibles and exclusions to the extent that these provisions are not inconsistent with the requirements of this section.’
Amend the amendment by striking out all of section 7 and inserting the following:
‘Sec. 7. Application. The requirements of this Act apply to all policies, contracts and certificates executed, delivered, issued for delivery, continued or renewed in this State on or after January 1, 2008. For purposes of this section, all contracts are deemed to be renewed no later than the next yearly anniversary of the contract date.
Sec. 8. Appropriations and allocations. The following appropriations and allocations are made.
ADMINISTRATIVE AND FINANCIAL SERVICES, DEPARTMENT OF
Salary Plan 0305
Initiative: Appropriates and allocates funds for the additional costs of health insurance to the State resulting from the requirement to provide coverage for hearing aids for persons 18 years of age and under, which will be phased in over 3 years and limits coverage to $1,400 per hearing aid every 36 months.
| GENERAL FUND |
2007-08 |
2008-09 |
|
Personal Services
|
$0 |
($15,000) |
|
 |
|
| GENERAL FUND TOTAL |
$0 |
($15,000) |
| HIGHWAY FUND |
2007-08 |
2008-09 |
|
Personal Services
|
$0 |
($6,000) |
|
|
|
| HIGHWAY FUND TOTAL |
$0 |
($6,000) |
’
summary
This amendment requires health insurance policies, contracts and certificates issued or renewed on or after January 1, 2008 to provide coverage for hearing aids for persons from birth to 5 years of age, beginning January 1, 2008; from 6 to 13 years of age, beginning January 1, 2009; and from 14 to 18 years of age, beginning January 1, 2010.
The amendment replaces the appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)