HB 1565 - Health; chlamydia screening test; require insurance coverage

First Reader Summary

A BILL to provide for legislative findings and intent; to amend Chapter 17 of Title 31 of the Official Code of Georgia Annotated, relating to venereal disease, so as to require coverage of chlamydia screening tests for certain females covered by individual or group accident and sickness insurance policies or managed care plans; and for other purposes.

Childers, E. (Buddy) M (13th) Orrock, Nan (56th) Smith, Larry (109th)
Buckner, Gail M (95th) McBee, Louise (88th) Polak, Michael C (67th)
Status Summary HC: H&E SC: I&L LA: 04/14/98 Signed by Governor
Page Numbers - 1/ 2/ 3
Code Sections - 31-17-4.1
House Action Senate
2/6/98 Read 1st Time 2/24/98
2/9/98* Read 2nd Time 3/2/98
2/11/98 Favorably Reported 2/27/98
Committee Amend/Sub Sub
2/23/98 Read 3rd Time 3/16/98
2/23/98 Passed/Adopted 3/16/98
3/27/98 Sent to Governor
4/14/98 Signed by Governor
857 Act/Veto Number
7/1/98 Effective Date

HB 1565                                          LC 11 9380/3 
 
 
 
 
 
 
                        A BILL TO BE ENTITLED 
                               AN ACT 
 
 
  1- 1  To provide for legislative findings and intent; to amend 
  1- 2  Chapter 17 of Title 31 of the Official Code of Georgia 
  1- 3  Annotated, relating to venereal disease, so as to require 
  1- 4  coverage of chlamydia screening tests for certain females 
  1- 5  covered by individual or group accident and sickness 
  1- 6  insurance policies or managed care plans; to provide for 
  1- 7  conditions and limitations; to provide for the 
  1- 8  inapplicability of certain criminal sanctions; to provide 
  1- 9  for rules, regulation, notice, and enforcement; to repeal 
  1-10  conflicting laws; and for other purposes. 
 
  1-11       BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA: 
 
  1-12                           SECTION 1. 
 
  1-13  The General Assembly finds that chlamydia is a sexually 
  1-14  transmitted disease which may cause serious complications in 
  1-15  persons infected with it, including pelvic inflammatory 
  1-16  disease, infertility, and ectopic pregnancy.  Pregnant women 
  1-17  infected with chlamydia may suffer from symptoms such as 
  1-18  stillbirths, low birth weight babies, and other serious 
  1-19  physical and mental complications for their infants. 
  1-20  Chlamydia is often asymptomatic in women and cannot be 
  1-21  detected except with special, though inexpensive, screening 
  1-22  tests.  Cure of chlamydia is usually both easy and 
  1-23  inexpensive.  The General Assembly further finds that 
  1-24  requiring health care insurance and managed care plan 
  1-25  coverage of annual chlamydia screening tests for females in 
  1-26  the age group most likely to be infected with chlamydia will 
  1-27  encourage the testing and treatment needed to detect and 
  1-28  cure this destructive disease and result in a marked 
  1-29  improvement in the general health of the citizens of this 
  1-30  state and the savings of both public and private moneys 
  1-31  being spent to deal with the serious consequences of this 
  1-32  disease. 
 
 
 
 
 
 
                                 -1- 
 
 
 
  2- 1                           SECTION 2. 
 
  2- 2  Chapter 17 of Title 31 of the Official Code of Georgia 
  2- 3  Annotated, relating to venereal disease, is amended by 
  2- 4  adding after Code Section 31-17-4, relating to serologic 
  2- 5  tests of pregnant women, a new Code section to read as 
  2- 6  follows: 
 
  2- 7    "31-17-4.1. 
 
  2- 8    (a) As used in this Code section, the term: 
 
  2- 9      (1) 'Chlamydia screening test' means any laboratory test 
  2-10      of the urogenital tract which specifically detects for 
  2-11      infection by one or more agents of chlamydia trachomatis 
  2-12      and which test is approved for such purposes by the 
  2-13      federal Food and Drug Administration. 
 
  2-14      (2) 'Policy' means any benefit plan, contract, or policy 
  2-15      except a disability income policy, specified disease 
  2-16      policy, or hospital indemnity policy. 
 
  2-17      (b)(1) Every insurer authorized to issue an individual 
  2-18      or group accident and sickness insurance policy in this 
  2-19      state which includes coverage for any female shall 
  2-20      include as part of or as a required endorsement to each 
  2-21      such policy which is issued, delivered, issued for 
  2-22      delivery, or renewed on or after July 1, 1998, coverage 
  2-23      for one annual chlamydia screening test for those 
  2-24      covered females who are not more than 29 years old. 
 
  2-25      (2) The coverage required under paragraph (1) of this 
  2-26      subsection may be subject to such exclusions, 
  2-27      reductions, or other limitations as to coverages, 
  2-28      deductibles, or coinsurance provisions as may be 
  2-29      approved by the Commissioner of Insurance. 
 
  2-30      (3) Nothing in this subsection shall be construed to 
  2-31      prohibit the issuance of accident and sickness insurance 
  2-32      policies which provide benefits greater than or more 
  2-33      favorable to the insured than those required by 
  2-34      paragraph (1) of this subsection. 
 
  2-35      (4) The provisions of subsection (b) of this Code 
  2-36      section shall apply to accident and sickness insurance 
  2-37      policies issued by a fraternal benefit society, a 
  2-38      nonprofit hospital service corporation, a nonprofit 
  2-39      medical service corporation, a health care plan, a 
  2-40      health maintenance organization, or any similar entity. 
 
 
 
 
                                 -2- 
 
 
 
  3- 1      (5) Nothing contained in this Code section shall be 
  3- 2      deemed to prohibit the payment of different levels of 
  3- 3      benefits or having differences in coinsurance 
  3- 4      percentages applicable to benefit levels for services 
  3- 5      provided by preferred and nonpreferred providers as 
  3- 6      otherwise authorized under the provisions of Article 2 
  3- 7      of Chapter 30 of Title 33, relating to preferred 
  3- 8      provider arrangements. 
 
  3- 9      (c)(1) A contract executed or renewed on or after July 
  3-10      1, 1998, which provides for financing and delivery of 
  3-11      health care services through a managed care plan, other 
  3-12      than a dental plan, shall provide coverage for one 
  3-13      annual chlamydia screening test for each female who is 
  3-14      covered under such contract and who is not more than 29 
  3-15      years of age.  Such coverage may be subject to such 
  3-16      exclusions, reductions, or other limitations as to 
  3-17      coverages, deductibles, or copayment provisions as may 
  3-18      be approved by the Commissioner of Insurance. 
 
  3-19      (2) Nothing in this subsection shall be construed to 
  3-20      prohibit any managed care plan contract from providing 
  3-21      benefits greater than or more favorable to the covered 
  3-22      females than those required by paragraph (1) of this 
  3-23      subsection. 
 
  3-24    (d) Code Section 31-17-8 shall not apply to this Code 
  3-25    section. 
 
  3-26    (e) This Code section shall be subject to rules and 
  3-27    regulations which shall be promulgated by the Commissioner 
  3-28    of Insurance regarding notice and enforcement." 
 
  3-29                           SECTION 3. 
 
  3-30  All laws and parts of laws in conflict with this Act are 
  3-31  repealed. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
                                 -3- 

Clerk of the House
Robert E. Rivers, Jr., Clerk
Last Updated on 06/23/98

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