HB 1315 Health insurance coverage mandates for cancer, ob/gyns and mastectomies
Bill Summary
- Prepared by Senate Research -

SCS/HCS/HB 1315 & HS/HB 1070 - This act contains requirements for health insurers with respect to cancer screening, obstetrician/gynecologist visits and mastectomies.

OB/GYN & MASTECTOMY - Health insurers must allow female enrollees to choose an obstetrician/gynecologist as the primary care provider. Health insurers shall allow a 48-hour or 72-hour hospital stay after a mastectomy; a shorter stay may be approved by the physician.

CANCER - Health insurers must offer coverage for the following cancer screenings: pelvic exams and pap smears for women; prostrate exams and laboratory tests for cancer for men; and colorectal exams for men and women. The coverage shall be in accordance with Department of Health guidelines. Copayments and deductibles shall be the same as for regular health coverage.
MICHAEL HOEFERKAMP

SA 1 (WESTFALL) - REMOVES THE PROVISION ALLOWING A FEMALE ENROLLEE IN A HEALTH PLAN TO CHOOSE AN OBSTETRICIAN/GYNECOLOGIST AS HER PRIMARY CARE PROVIDER. SA 2 (WIGGINS) - MANDATES COVERAGE BY HEALTH INSURERS FOR ANESTHESIA CHARGES RELATED TO DENTAL CARE (SB 762). SA 3 (SINGLETON) - REQUIRES HEALTH INSURERS TO PROVIDE STANDARD INFORMATION ON EXPLANATION OF BENEFITS FORMS (SB 569). SA 4 (KLARICH) - DELAYS THE EFFECTIVE DATE FOR THE CANCER SCREENING MANDATE TO JANUARY 1, 1999. SA 7 (JOHNSON) - SPECIFIES WHEN A PHYSICIAN OUTSIDE MISSOURI CAN PRACTICE MEDICINE IN MISSOURI WITHOUT BEING LICENSED. SA 9 (KLARICH) - PHYSICIANS SHALL FURNISH MEDICAL RECORDS WITHIN 30 DAYS OF REQUEST; THE FEE IS INCREASED FROM $15 TO $25. SSA1/SA 10 (ROHRBACH) - ALLOWS HEALTH PLAN ENROLLEES TO SEEK A SECOND OPINION IN CASES OF MAJOR SURGERY OR SERIOUS ILLNESS (SB 754 AS PERFECTED).

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