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Introduced Version House Bill 4474 History

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Key: Green = existing Code. Red = new code to be enacted

H. B. 4474

 

         (By Delegates Barrett, Campbell, Hunt, Walters,

                    Wells and Iaquinta)

         [Introduced February 11, 2014; referred to the

         Committee on Banking & Insurance then the Judiciary.]

 

 

 

A BILL to amend the Code of West Virginia, 1931, as amended, by adding thereto a new section, designated §33-6-32a, relating to adding a prohibition on imposing higher copayments or coinsurance amount for podiatrists, dentists, optometrists, speech therapists, occupational therapists, physical therapists and chiropractic physicians than what is imposed on primary care physicians and practitioners.

Be it enacted by the Legislature of West Virginia:

    That the Code of West Virginia, 1931, as amended, be amended by adding thereto a new section, designated §33-6-32a, to read as follows:

ARTICLE 6. THE INSURANCE POLICY.

§33-6-32a. Prohibition on higher copayments or coinsurance for certain types of health care providers.

    No individual or group accident and sickness insurance policy may provide for a higher copayment or coinsurance amount, for a person licensed to practice podiatry pursuant to section ten, article three, chapter thirty of this code, a person licensed to practice optometry pursuant to section three, article eight, chapter thirty of this code, a dentist, a speech therapist, an occupational therapist, a physical therapist or a chiropractic physician, than the copayment or coinsurance amount provided for the services of a primary care physician or practitioner for the same or a similar diagnosed condition even if a different nomenclature is used to describe a condition.

    The requirements of this section apply to all insurance policies and subscriber contracts now existing or hereafter delivered or issued for delivery in this state.


    NOTE: The purpose of this bill is to prohibit all insurance policies in West Virginia from charging higher copayments and coinsurance for podiatrists, dentists, optometrists, speech therapists, occupational therapists, physical therapists and chiropractic physicians than are charged for primary care physicians or practitioners.


    This section is new; therefore, it has been completely underscored.


 

 

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