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
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 CommitteeView additional legislative information at the LPITS web site.
Indicates Matter Stricken
Indicates New Matter
COMMITTEE REPORT
May 24, 1994
S. 1145
S. Printed 5/24/94--H.
Read the first time April 12, 1994.
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
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.
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.