Current Status Introducing Body:
SenateBill Number: 26Ratification Number: 174Act Number: 129Primary Sponsor: HollandType of Legislation: GBSubject: Congenital orofacial anomaliesDate Bill Passed both Bodies: 19930602Computer Document Number: S.26Governor's Action: SDate of Governor's Action: 19930614Introduced Date: 19930112Date of Last Amendment: 19930601Last History Body: ------Last History Date: 19930614Last History Type: Act No. 129Scope of Legislation: StatewideAll Sponsors: HollandType of Legislation: General Bill
Bill Body Date Action Description CMN Leg Involved ---- ------ ------------ ------------------------------ --- ------------ 26 ------ 19930614 Act No. 129 26 ------ 19930614 Signed by Governor 26 ------ 19930610 Ratified R 174 26 Senate 19930602 Concurred in House amendment, enrolled for ratification 26 House 19930602 Read third time, returned to Senate with amendment 26 House 19930601 Amended, read second time 26 House 19930526 Committee Report: Favorable 26 with amendment 26 House 19930420 Introduced, read first time, 26 referred to Committee 26 Senate 19930415 Read third time, sent to House 26 Senate 19930414 Amended, read second time, unanimous consent for third reading on Thursday, April 15, 1993 26 Senate 19930414 Recalled from Committee 02 26 Senate 19930112 Introduced, read first time, 02 referred to CommitteeView additional legislative information at the LPITS web site.
(A129, R174, S26)
AN ACT TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING SECTION 38-71-240, SO AS TO PROVIDE, AMONG OTHER THINGS, THAT ANY INDIVIDUAL OR GROUP ACCIDENT AND HEALTH INSURANCE POLICY WHICH PROVIDES DEPENDENT COVERAGE SHALL PROVIDE COVERAGE FOR THE MEDICALLY NECESSARY CARE AND TREATMENT OF CLEFT LIP AND PALATE AND ANY CONDITION OR ILLNESS WHICH IS RELATED TO OR DEVELOPED AS A RESULT OF A CLEFT LIP AND PALATE, THAT ANY INDIVIDUAL OR GROUP DENTAL POLICY WHICH PROVIDES DEPENDENT COVERAGE SHALL PROVIDE COVERAGE FOR TEETH CAPPING, PROSTHODONTICS, AND ORTHODONTICS NECESSARY FOR THE CARE AND TREATMENT OF CLEFT LIP AND PALATE, AND THAT THE PROVISIONS OF THIS SECTION DO NOT APPLY TO A POLICY WHICH PROVIDES DISABILITY OR INCOME PROTECTION COVERAGE, HOSPITAL CONFINEMENT INDEMNITY COVERAGE, ACCIDENT-ONLY COVERAGE, SPECIFIED DISEASE OR SPECIFIED ACCIDENT COVERAGE, LONG-TERM CARE COVERAGE, VISION-ONLY COVERAGE, OR COVERAGE ISSUED AS A SUPPLEMENT TO MEDICARE; AND TO PROVIDE THAT THIS ACT APPLIES TO ALL INSURANCE POLICIES DELIVERED, ISSUED, RENEWED, EXTENDED, OR MODIFIED BY ANY INSURER SIX MONTHS OR THEREAFTER FROM THE EFFECTIVE DATE OF THIS ACT.
Be it enacted by the General Assembly of the State of South Carolina:
Cleft lip and palate coverage; etc.
SECTION 1. Article 1, Chapter 71, Title 38 of the 1976 Code is amended by adding:
"Section 38-71-240. (A) As used in this section:
(1) `Cleft lip and palate' means a congenital cleft in the lip or palate, or both.
(2) `Medically necessary care and treatment' shall include, but not be limited to:
(a) oral and facial surgery, surgical management, and follow-up care made necessary because of a cleft lip and palate;
(b) prosthetic treatment such as obdurators, speech appliances, and feeding appliances;
(c) medically necessary orthodontic treatment and management;
(d) medically necessary prosthodontic treatment and management;
(e) otolaryngology treatment and management; (f) audiological assessment, treatment, and management performed by or under the supervision of a licensed doctor of medicine, including surgically implanted amplification devices; and
(g) medically necessary physical therapy assessment and treatment.
(B) (1) Any individual or group accident and health policy which provides dependent coverage shall provide coverage for the medically necessary care and treatment of cleft lip and palate and any condition or illness which is related to or developed as a result of a cleft lip and palate. Such a policy may contain the same copayment provisions for the coverage of cleft lip and palate as apply to other conditions or procedures covered by the policy.
(2) Any individual or group dental policy which provides dependent coverage shall provide coverage for teeth capping, prosthodontics, and orthodontics necessary for the care and treatment of cleft lip and palate. Such a policy may contain the same copayment provisions for the coverage of cleft lip and palate as apply to other conditions or procedures covered by the policy.
(C) If a person with a cleft lip and palate is covered by an accident and health policy described in subsection (B)(1) and is also covered by a dental policy described in subsection (B)(2), teeth capping, prosthodontics, and orthodontics shall be covered by the dental policy to the limit of coverage provided and any excess thereafter shall be provided by the individual or group accident and health policy.
(D) The provisions of this section do not apply to a policy which provides disability or income protection coverage, hospital confinement indemnity coverage, accident only coverage, specified disease or specified accident coverage, long-term care coverage, vision only coverage, or coverage issued as a supplement to Medicare."
Application of act
SECTION 2. This act applies to all policies delivered, issued, renewed, extended, or modified by any insurer six months or thereafter from the effective date of this act.
SECTION 3. This act takes effect upon approval by the Governor.
Approved the 14th day of June, 1993.