§ 3902. Declaration of policy
Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 40 P.S. Insurance
40 P.S. § 3902
§ 3902. Declaration of policy
The General Assembly finds and declares as follows:
(4) In an attempt to encourage the development of new products, increase availability and reduce cost, formulas were removed from the Federal prescription list and reclassified as medical foods. An unfortunate side effect has been the reluctance of many insurance companies to cover the cost of these formulas. In instances where coverage is provided, it is random and subject to inconsistent interpretation.
(5) The intent of this legislation is not to require insurance coverage for normal food products used in dietary management of these disorders, but to provide for such coverage of formulas that are equivalent to a prescription drug medically necessary for the therapeutic treatment of such rare hereditary genetic metabolic disorders and administered under the direction of a physician.
(6) In recognition by the General Assembly that such formulas are medically necessary and critical to the well-being of individuals afflicted with rare hereditary genetic metabolic disorders, it shall be required that health insurance policies issued in this Commonwealth shall include such coverage.
Credits
1996, Dec. 20, P.L. 1492, No. 191, § 2, effective June 20, 1997.
40 P.S. § 3902, PA ST 40 P.S. § 3902
Current through Act 10 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
End of Document |