Session of 2000
HOUSE BILL No. 2770
By Committee on Insurance
1-31
10 AN ACT
concerning health insurance; providing coverage for osteopo-
11 rosis; amending K.S.A.
1999 Supp. 40-2,103 and 40-19c09 and re-
12 pealing the existing
sections.
13
14 Be it enacted by the Legislature of the
State of Kansas:
15 New Section
1. This act shall be known as the "bone mass measure-
16 ment coverage act."
17 New Sec.
2. The purpose of this act is to provide insurance
coverage
18 to individuals with a condition or medical
history for which bone mass
19 measurement (bone density testing) is
determined to be medically nec-
20 essary for the individual's diagnosis and
treatment of osteoporosis.
21 New Sec.
3. (a) Any individual or group health insurance policy,
22 medical service plan, contract, hospital
service corporation contract, hos-
23 pital and medical service corporation
contract, fraternal benefit society
24 or health maintenance organization which
provides coverage for accident
25 and health services and which is delivered,
issued for delivery, amended
26 or renewed on or after July 1, 2000, shall
provide coverage for any qual-
27 ified individuals for the diagnosis and
treatment of osteoporosis.
28 (b) For the
purposes of this section:
29 (1) "Bone mass
measurement" means a radiologic or radioisotopic
30 procedure or other scientifically proven
technologies performed on an
31 individual for the purpose of identifying
bone mass or detecting bone
32 loss.
33 (2) "Qualified
individual" means a person with a condition for which
34 bone mass measurement is determined to be
medically necessary by the
35 person's attending physician or primary
care physician.
36 (c) The
provisions of this section shall not apply to any policy or
cer-
37 tificate which provides coverage for any
specified disease, specified ac-
38 cident or accident only coverage, credit,
dental, disability income, hospital
39 indemnity, long-term care insurance as
defined by K.S.A. 40-2227 and
40 amendments thereto, vision care or any
other limited supplemental ben-
41 efit nor to any medicare supplement policy
of insurance as defined by
42 the commissioner of insurance by rule and
regulation, any coverage issued
43 as a supplement to liability insurance,
workers compensation or similar
2
1 insurance, automobile medical-payment
insurance or any insurance un-
2 der which benefits are payable with
or without regard to fault, whether
3 written on a group, blanket or
individual basis.
4 Sec.
4. K.S.A. 1999 Supp. 40-2,103 is hereby amended to read as
5 follows: 40-2,103. The requirements
of K.S.A. 40-2,100, 40-2,101, 40-
6 2,102, 40-2,104, 40-2,105, 40-2,114
and 40-2250, and amendments
7 thereto and K.S.A. 1999 Supp.
40-2,160 and, 40-2,165 through
40-2,170,
8 and section 3, and amendments
thereto, shall apply to all insurance pol-
9 icies, subscriber contracts or
certificates of insurance delivered, renewed
10 or issued for delivery within or outside of
this state or used within this
11 state by or for an individual who resides
or is employed in this state.
12 Sec.
5. K.S.A. 1999 Supp. 40-19c09 is hereby amended to read as
13 follows: 40-19c09. (a) Corporations
organized under the nonprofit med-
14 ical and hospital service corporation act
shall be subject to the provisions
15 of the Kansas general corporation code,
articles 60 to 74, inclusive, of
16 chapter 17 of the Kansas Statutes
Annotated, applicable to nonprofit cor-
17 porations, to the provisions of K.S.A.
40-214, 40-215, 40-216, 40-218, 40-
18 219, 40-222, 40-223, 40-224, 40-225,
40-226, 40-229, 40-230, 40-231, 40-
19 235, 40-236, 40-237, 40-247, 40-248,
40-249, 40-250, 40-251, 40-252,
20 40-254, 40-2,100, 40-2,101, 40-2,102,
40-2,103, 40-2,104, 40-2,105, 40-
21 2,116, 40-2,117, 40-2a01 et seq.,
40-2111 to 40-2116, inclusive, 40-2215
22 to 40-2220, inclusive, 40-2221a, 40-2221b,
40-2229, 40-2230, 40-2250,
23 40-2251, 40-2253, 40-2254, 40-2401 to
40-2421, inclusive, and 40-3301
24 to 40-3313, inclusive, K.S.A. 1999 Supp.
40-2,153, 40-2,154, 40-2,160,
25 40-2,161, 40-2,163, 40-2,164
and, 40-2,165 through 40-2,170, and
section
26 3, and amendments thereto, except as
the context otherwise requires, and
27 shall not be subject to any other
provisions of the insurance code except
28 as expressly provided in this act.
29 (b) No policy,
agreement, contract or certificate issued by a corpo-
30 ration to which this section applies shall
contain a provision which ex-
31 cludes, limits or otherwise restricts
coverage because medicaid benefits
32 as permitted by title XIX of the social
security act of 1965 are or may be
33 available for the same accident or
illness.
34 (c) Violation of
subsection (b) shall be subject to the penalties pre-
35 scribed by K.S.A. 40-2407 and 40-2411, and
amendments thereto.
36 Sec. 6. K.S.A. 1999 Supp.
40-2,103 and 40-19c09 are hereby
37 repealed.
38 Sec. 7. This act shall
take effect and be in force from and after its
39 publication in the statute book.