Ed Charbonneau
- Republican
- Senator
- District 5
Author
Requires a health plan (which includes a policy of accident and sickness insurance, a health maintenance organization contract, the Medicaid risk based managed care program, and a state employee health plan) to provide coverage for biomarker testing for the purposes of diagnosis, treatment, appropriate management, or ongoing monitoring of an enrollee's disease or condition when biomarker testing is supported by medical and scientific evidence. Requires the office of Medicaid policy and planning to provide biomarker testing as a Medicaid program service, and to apply to the United States Department of Health and Human Services for approval of any waiver necessary under the federal Medicaid program for the purpose of providing biomarker testing. Provides that coverage is not required for biomarker testing for screening purposes. Provides that if a prior authorization requirement applies to biomarker testing, the health plan or a third party acting on behalf of the health plan must: (1) approve or deny a request for prior authorization; and (2) notify the covered individual of the approval or denial; in not more than five business days in the case of a nonurgent request or in not more than 48 hours in the case of an urgent request. Requires the office of the secretary of family and social services to report certain information to the budget committee on Medicaid reimbursement rates provided for biomarker testing.
Signed by the Governor
Public Law 37
Signed by the President of the Senate
Signed by the Speaker
Signed by the President Pro Tempore
Returned to the Senate without amendments
Third reading: passed; Roll Call 236: yeas 94, nays 0
Second reading: ordered engrossed
Committee report: do pass, adopted
Committee report: do pass, adopted
Representative Lehman added as cosponsor
Referred to the Committee on Ways and Means pursuant to House Rule 127
Representative Porter added as cosponsor
Representative Clere added as cosponsor
Referred to the House
House sponsor: Representative Barrett
Third reading: passed; Roll Call 142: yeas 47, nays 1
Second reading: ordered engrossed
Senator Ford J.D. added as coauthor
Committee report: amend do pass, adopted
Senator Yoder added as coauthor
Senator Randolph added as coauthor
Senator Glick added as coauthor
Senator Bassler added as coauthor
Senator Bohacek added as coauthor
Committee report: amend do pass adopted; reassigned to Committee on Appropriations
Senator Leising added as third author
Senator Qaddoura added as coauthor
First reading: referred to Committee on Insurance and Financial Institutions
Authored by Senators Charbonneau and Becker
| Bill Text Versions | Format |
|---|---|
| Enrolled Senate Bill (S) | |
| Senate Bill (S) | PDF PDF |
| Senate Bill (H) | PDF PDF |
| Introduced Senate Bill (S) |
| Document | Format |
|---|---|
| No related documents. |
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