Current Status Bill Number:
124Ratification Number: 342Act Number: 353Type of Legislation: General Bill GBIntroducing Body: SenateIntroduced Date: 19970114Primary Sponsor: McConnellAll Sponsors: McConnell and GieseDrafted Document Number: council\legis\bills\bbm\10955jm.97Date Bill Passed both Bodies: 19980422Date of Last Amendment: 19980326Governor's Action: SDate of Governor's Action: 19980526Subject: Health insurance policy, medical; dermatological services coverage, when; dermatologists
Body Date Action Description Com Leg Involved ______ ________ _______________________________________ _______ ____________ ------ 19980617 Act No. A353 ------ 19980526 Signed by Governor ------ 19980521 Ratified R342 Senate 19980422 Concurred in House amendment, enrolled for ratification House 19980327 Read third time, returned to Senate with amendment House 19980326 Amended, read second time, unanimous consent for third reading on Friday, 19980327 House 19980325 Committee report: Favorable with 26 HLCI amendment House 19970415 Introduced, read first time, 26 HLCI referred to Committee Senate 19970410 Read third time, sent to House Senate 19970408 Amended, read second time Senate 19970403 Made Special Order Senate 19970312 Recalled from Committee, 02 SBI placed on the Calendar Senate 19970114 Introduced, read first time, 02 SBI referred to CommitteeView additional legislative information at the LPITS web site.
(A353, R342, S124)
AN ACT TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING SECTION 38-71-215 SO AS TO PROVIDE THAT, IF A PRIMARY CARE PHYSICIAN MAKES A REFERRAL TO A DERMATOLOGIST, THE ENROLLEE IN A MANAGED CARE HEALTH PLAN MAY SEE THE IN-NETWORK DERMATOLOGIST TO WHOM THE ENROLLEE IS REFERRED, WITHOUT FURTHER REFERRAL, FOR A MINIMUM OF SIX MONTHS OR FOUR VISITS, WHICHEVER OCCURS FIRST, FOR DIAGNOSIS, TREATMENT, OR SURGERY FOR THE REFERRAL PROBLEM OR CONNECTED COMPLICATIONS, AND TO PROVIDE FOR RELATED MATTERS.
Be it enacted by the General Assembly of the State of South Carolina:
Referral to dermatologist; etc.
SECTION 1. The 1976 Code is amended by adding:
Section 38-71-215. (A) If a primary care physician makes a referral to a dermatologist, the enrollee in a managed care plan may see the in-network dermatologist to whom the enrollee is referred, without further referral, for a minimum of six months or four visits, whichever first occurs, for diagnosis, medical treatment, or surgical procedures for the referral problem or related complications.
(B) Written communication from the dermatologist should be sent to the primary care physician after each visit.
(C) An enrollee with a documented past history of malignant melanoma may be referred by his or her primary care physician to an in-network dermatologist for an annual evaluation and, as necessary, biopsy or surgery, or both.
(D) All services provided pursuant to this section are subject to contractual provisions regarding medical necessity and benefit coverage.
(E) Nothing in this section may be construed to extend benefits to an enrollee past the contract period.
SECTION 2. This act takes effect January 1, 1999.
Approved the 26th day of May, 1998.