Bill
Number: S.B. 1397
Dalessandro
Floor Amendment
Reference
to: printed bill
Amendment
drafted by: Sean Laux
FLOOR
AMENDMENT EXPLANATION
Requires every insurer that offers Medicare Supplement
Insurance to provide guaranteed availability of coverage to any eligible
individual who desires to enroll in Medicare Supplement Insurance coverage.
Prohibits insurers from:
1.
Declining
to offer or denying enrollment to eligible individuals.
2.
Imposing
preexisting condition exclusions.
3.
Charging
additional premiums for preexisting conditions.
Fifty-fourth Legislature Dalessandro
Second
Regular Session S.B. 1397
DALESSANDRO FLOOR AMENDMENT
SENATE AMENDMENTS TO S.B. 1397
(Reference to printed bill)
Page 1, after line 45, insert:
"Sec.
2. Section 20-1133, Arizona Revised Statutes, is amended to read:
START_STATUTE20-1133. Medicare supplement insurance; guaranteed availability; applicability
A. The
director shall adopt those rules as are necessary to comply with the
requirements of the social security disability amendments of 1980 (P.L. 96‑265;
42 United States Code section 1395ss) and any federal laws or regulations
pertaining to that section, so that this state may retain its full authority to
regulate minimum standards for medicare supplement insurance.
B. Subject
to the other limitations provided in this subsection, no a benefit mandated in this title for
health insurance policies shall does
not apply to medicare
supplement insurance policies unless such the
mandated policy benefits are benefit is set forth in rules a rule adopted pursuant to this section
or unless the statute mandating the policy
benefits benefit expressly states that it is made
specifically applicable to medicare supplement insurance policies. No A medicare supplement insurance
policy shall may not contain any exclusion for services
provided by any type of properly licensed health care provider if the
provider's services are eligible for medicare reimbursement and if the specific
services in question would be covered by medicare. In no event shall The scope of benefits of a
medicare supplement policy may not be less than the minimum level of benefits
established by federal law.
C. Every insurer that offers medicare
supplement insurance under a policy, contract, certificate or evidence of
coverage pursuant to subsection D of this section shalL provide guaranteed
availability of coverage to any eligible individual who desires to enroll in
medicare supplement insurance coverage and may not:
1. Decline to offer that coverage to, or
deny enrollment of, that eligible individual.
2. Impose any preexisting condition
exclusion for that coverage.
3. charge an additional premium for a
preexisting condition.
C. D. Notwithstanding any other
provision of this title, rules adopted pursuant to this section apply to
insurance furnished
provided under
disability insurance policies, under subscription contracts of hospital,
medical, dental or optometric service corporations, under certificates of
fraternal benefit societies, under evidences of coverage of health care
services organizations and under coverages issued by any other insurer, which
policies, contracts, certificates, membership coverages, evidences of coverage
and coverages are delivered or issued for delivery in this state on or after
the effective date of rules adopted pursuant to subsection A
of this section. In
adopting the rules required by subsection A of this section, the director shall prescribe an
effective date of the rules that will allow insurers sufficient time to bring
their forms and practices into compliance with the requirements of the
rule."
Renumber to
conform
Amend title to conform