US Laws, Codes, Statutes & Cases

                                  TITLE  41
                                  INSURANCE
                                  CHAPTER 39
                             MANAGED CARE REFORM
    41-3925.  SERVICES PROVIDED BY GOVERNMENTAL ENTITIES. (1) From and after
July 1, 1990, no contract shall be issued in Idaho by an organization offering
a managed care plan for which a certificate of authority is required which
excludes from coverage services rendered the member while a resident in an
Idaho state institution, provided the services to the member would be covered
by the contract if rendered to him outside an Idaho state institution.
    (2)  From and after July 1, 1990, no contract issued by an organization
offering a managed care plan for which a certificate of authority is required
may contain any provision denying or reducing benefits otherwise provided
under the policy for the reason that the person insured is receiving health or
mental health care or developmental services provided by the department of
health and welfare, whether or not the department of health and welfare bases
its charges for such services on the recipient's ability to pay. Provided,
nothing in this section shall prevent the issuance of a contract which
excludes or reduces  benefits where the charge level or amount of the charge
levied by a governmental entity for such services would vary or be affected in
any way by the existence of coverage under the managed care plan.