33-24-59.2
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33-24-59.2.
(a)
On or after July 1, 2002, every individual major medical and group health
insurance policy, group health insurance plan or policy, and any other form of
managed or capitated care plans or policies shall provide coverage for medically
necessary equipment, supplies, pharmacologic agents, and outpatient
self-management training and education, including medical nutrition therapy, for
individuals with insulin-dependent diabetes, insulin-using diabetes, gestational
diabetes, and noninsulin-using diabetes who adhere to the prognosis and
treatment regimen prescribed by a physician licensed to practice medicine
pursuant to Title 43.
(b)(1)
Diabetes outpatient self-management training and education as provided for in
subsection (a) of this Code section shall be provided by a certified,
registered, or licensed health care professional with expertise in diabetes.
(2)
The office of the Commissioner of Insurance shall promulgate rules and
regulations after consultation with the Department of Human Resources which
conform to the current standards for diabetes outpatient self-management
training and educational services established by the American Diabetes
Association for purposes of this Code section.
(3)
The office of the Commissioner of Insurance shall promulgate rules and
regulations, relating to standards of diabetes care, to become effective July
1, 2002, after consultation with the Department of Human Resources, the American
Diabetes Association, and the National Institutes of Health. Such rules and
regulations shall be adopted in accordance with the provisions of Code Section
33-2-9.
(c)
The benefits provided in this Code section shall be subject to the same annual
deductibles or coinsurance established for all other covered benefits within a
given policy.
(d)
Private third-party payors may not reduce or eliminate coverage due to the
requirements of this Code section.
(e)
Enforcement of the provisions of this Code section shall be performed by the
Commissioner of Insurance.