South Carolina General Assembly
110th Session, 1993-1994

Bill 1145


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Indicates New Matter


                    Current Status

Introducing Body:               Senate
Bill Number:                    1145
Primary Sponsor:                Richter
Type of Legislation:            GB
Subject:                        Emotional or nervous
                                disorders, insurance
Residing Body:                  House
Computer Document Number:       BBM/10910JM.94
Introduced Date:                19940209    
Date of Last Amendment:         19940331    
Last History Body:              House
Last History Date:              19940602    
Last History Type:              Debate adjourned
Scope of Legislation:           Statewide
All Sponsors:                   Richter
                                Courtney
                                Waldrep
Type of Legislation:            General Bill



History


Bill  Body    Date          Action Description              CMN  Leg Involved
____  ______  ____________  ______________________________  ___  ____________

1145  House   19940602      Debate adjourned
1145  House   19940524      Committee Report: Favorable     26
                            with amendment
1145  House   19940412      Introduced, read first time,    26
                            referred to Committee
1145  Senate  19940407      Read third time, sent to House
1145  Senate  19940331      Amended, read second time,
                            ordered to third reading with
                            notice of general amendments
1145  Senate  19940330      Committee Report: Favorable     02
                            with amendment
1145  Senate  19940209      Introduced, read first time,    02
                            referred to Committee

View additional legislative information at the LPITS web site.


(Text matches printed bills. Document has been reformatted to meet World Wide Web specifications.)

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Indicates New Matter

COMMITTEE REPORT

May 24, 1994

S. 1145

Introduced by SENATORS Richter, Courtney and Waldrep

S. Printed 5/24/94--H.

Read the first time April 12, 1994.

THE COMMITTEE ON

LABOR, COMMERCE AND INDUSTRY

To whom was referred a Bill (S. 1145), to provide that each insured covered for mental, emotional or nervous disorders or conditions must be allowed to select the physician or certain other specified provider, etc., respectfully

REPORT:

That they have duly and carefully considered the same, and recommend that the same do pass with amendment:

Amend the bill, as and if amended, pages 1 and 2, by striking SECTION 1 and inserting:

/SECTION 1. Section 38-71-200 of the 1976 Code, as last amended by an act of 1994 bearing ratification number 453, is further amended to read:

"Section 38-71-200. Discrimination between individuals of the same class in the amount of premiums or rates charged for a policy of insurance covered by this chapter, in the benefits payable on the policy, in terms or conditions of the policy, or in another manner is prohibited except as provided in Sections 38-57-140 and 38-71-1110. If a policy of insurance governed by this chapter provides for payment or reimbursement for a service which is within the scope of practice of a licensed podiatrist, licensed oral surgeon, licensed optometrist, or licensed doctoral psychologist, or licensed master social worker, licensed independent social worker, licensed marriage and family therapist, licensed professional counselor, or psychiatric clinical nurse specialist, the insured or other person entitled to benefits under the policy is entitled to payment or reimbursement in accordance with the usual and customary fee for the services whether the services are performed by a licensed physician or a licensed podiatrist, a licensed oral surgeon, a licensed optometrist, or a licensed doctoral psychologist, or licensed master social worker, licensed independent social worker, licensed marriage and family therapist, licensed professional counselor, or psychiatric clinical nurse specialist, notwithstanding a provision in the policy, and the policyholder, insured, or beneficiary may choose the provider of the services."/

Amend title to conform.

THOMAS C. ALEXANDER, for Committee.

A BILL

TO PROVIDE THAT EACH INSURED COVERED FOR MENTAL, EMOTIONAL, OR NERVOUS DISORDERS OR CONDITIONS MUST BE ALLOWED TO SELECT THE PHYSICIAN OR CERTAIN OTHER SPECIFIED PROVIDER TO TREAT THE DISORDER OR CONDITION, AND REQUIRE THE INSURER TO PAY THE COVERED CHARGES UP TO THE LIMITS OF COVERAGE IF THE DISORDER OR CONDITION TREATED IS COVERED BY THE INSURANCE POLICY AND THE PHYSICIAN OR OTHER SPECIFIED PROVIDER IS LICENSED BY THE STATE.

Be it enacted by the General Assembly of the State of South Carolina:

SECTION 1. Section 38-71-200 of the 1976 Code is amended to read:

"Section 38-71-200. Discrimination between individuals of the same class in the amount of premiums or rates charged for any a policy of insurance covered by this chapter, in the benefits payable thereon on the policy, in any of the terms or conditions of the policy, or in any other another manner whatsoever is prohibited except as provided in Sections 38-57-140 and 38-71-1110. Whenever any If a policy of insurance governed by this chapter provides for payment or reimbursement for any a service which is within the scope of practice of a licensed podiatrist, licensed oral surgeon, or licensed optometrist, or licensed master social worker, licensed independent social worker, licensed marriage and family therapist, licensed professional counselor, or psychiatric clinical nurse specialist, the insured or other person entitled to benefits under the policy is entitled to payment or reimbursement in accordance with the usual and customary fee for the services whether the services are performed by a licensed physician or a licensed podiatrist, a licensed oral surgeon, or a licensed optometrist, or a licensed master social worker, licensed independent social worker, licensed marriage and family therapist, licensed professional counselor, or psychiatric clinical nurse specialist, notwithstanding any a provision contained in the policy, and the policyholder, insured, or beneficiary has the right to may choose the provider of the services."

SECTION 2. This act takes effect upon approval of the Governor.

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