SECOND REGULAR SESSION
SENATE COMMITTEE SUBSTITUTE FOR
SENATE BILL NO. 762
89TH GENERAL ASSEMBLY
TERRY L. SPIELER, Secretary.
S3265.03C
AN ACT
To amend chapter 376, RSMo, by adding thereto one new section relating to insurance coverage for dental care for children and persons with disabilities.
Section A. Chapter 376, RSMo, is amended by adding thereto one new section, to be known as section 376.1225, to read as follows:
376.1225. 1. Every health benefit plan as that is defined in section 376.1350, RSMo, and all self-insured group health benefit plans of any type or description whether providing for coverage for specific individuals and members of their families or to groups of individuals and/or their families and all plans offered by an "insurer" as defined in section 376.821, RSMo, shall provide coverage for administration of general anesthesia and hospital charges for dental care provided to the following covered persons:
(1) A child under the age of five;
(2) A person who is severely disabled; or
(3) A person who has a medical or behavioral condition which requires hospitalization or general anesthesia when dental care is provided.
2. Each plan as described in this section must provide coverage for administration of general anesthesia and hospital charges for treatment rendered by a dentist, regardless of whether the services are provided in a hospital or surgical center.
3. Nothing in this section shall prevent a health carrier from requiring prior authorization for hospitalization for dental care procedures in the same manner that prior authorization is required for hospitalization for other covered diseases or conditions.
4. Nothing in this section shall apply to accident-only, specified disease, hospital indemnity, medicare supplement or long-term care policies.