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TV Interview about House Bill 1898 - Carl Tripp

Posted by tomdonovan96 on October 30, 2014 at 8:00 PM Comments comments (1)

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H1898: An Act relative to Naturopathic Medicine Coverage

Posted by tomdonovan96 on March 23, 2013 at 4:15 AM Comments comments (0)

Here is the bill in its proper form, the body of what we plan on proposing to the House members of Mass.

It describes the bill and all of its aspects

If you will, please take the time to read it

_______________________________________________________________________________________________________________

HOUSE . . . . . . . . . . . . . . . No. 1898

________________________________________

By Mr. Bradley of Hingham (by request), a petition (accompanied by bill, House, No. 1898) of

Garrett J. Bradley and Carl Tripp relative to naturopathic medicine. Public Health.

________________________________________

The Commonwealth of Massachusetts

_________

In the Year Two Thousand Thirteen

_________


An Act relative to naturopathic medicine coverage.


                Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority

of the same, as follows:


1 SECTION 1. Chapter 18 of the General Laws is hereby amended by inserting after

2 section 5I the following section:-

3 Section 5I½. (a) When a naturopathic or holistic patient meets the requirements of

4 insurance coverage provided under the general laws, they shall be granted benefits by the

5 insurance company or the department of transitional assistance or commonwealth care. A

6 naturopathic professional or holistic practitioner in conjunction with the insurer shall determine a

7 patient’s maximum amount of money on an electronic benefits transfer card from the department

8 of transitional assistance or debit card from an insurance company as needed for the treatment of

9 the patient’s illness or chronic disease each month and all purchases shall be recorded in a

10 written log and dated. A patient shall not receive more than one electronic benefit transfer card

11 or debit card a month.

12 (b) A naturopathic professional or holistic practitioner shall have electronic access to the

13 electronic benefit transfer system of the department of transitional assistance only if an office of

14 the department and the naturopathic professional or holistic practitioner office of business are

15 located in the same county. The electronic access between the department of transitional

16 assistance, an insurance company or commonwealth care and the naturopathic professional or

17 holistic practitioner office shall start on or before Jan. 16, 2015.

18 (c) No person shall knowingly misuse an electronic benefit transfer card or electronic

19 benefit transfer transaction for the purchase goods or services under this section. Any such

20 misuse shall be a violation of this section and shall be punished by a fine of not more than

21 $5,000, a loss of an electronic benefit card, debit card and motor vehicle license.

22 SECTION 2. Chapter 32A of the General Laws is hereby amended by inserting after

23 section 17J the following section:—

24 Section 17K. (a) The commission shall provide coverage for naturopathic professionals

25 and holistic practitioner costs, natural supplements, fruits, vegetables, seeds, nuts and foods

26 prescribed by the professional, and tools needed for the prescribed diet plan including written

27 logs to any active or retired employee of the commonwealth who is insured under the group

28 insurance commission.

29 A naturopathic professional or holistic practitioner may order necessary lab work and

30 tests as needed during the coverage. The coverage shall continue according to the naturopathic

31 professional’s or holistic practitioner’s treatment plan until a patient has recovered from his or

32 her illness or chronic illness.

33 (b) A patient, who qualifies for the coverage with a naturopathic professional or holistic

34 practitioner, shall visit his or her treating professional’s office not exceeding every 40 days for

35 the first year and every 6 months thereafter.

36 (c) If a naturopathic professional or holistic practitioner determines the patient has not

37 followed the treatment plan, the insured shall notify the commission to terminate coverage under

38 this section.

39 (d) A patient, who has terminated treatment for any reason shall be re-evaluated and

40 complete any application needed for reconsideration by the commission.

41 SECTION 3. Chapter 111 of the General Laws is hereby amended by inserting after

42 section 5S the following section:-

43 Section 5T. Any citizen of Massachusetts seeking care for an illness or chronic disease

44 who has a physician’s referral or physician’s written medical report, test, lab work, MRI, or

45 CAT-Scan can as their choice have a naturopathic professional or holistic practitioner treat his or

46 her Illness. A citizen seeking services from a naturopathic professional or holistic practitioner as

47 treatment for an illness or chronic disease shall be provided with a written treatment plan

48 detailing the process. A treatment plan may include any or all of the following: natural

49 supplements, exercise, diet plan including organic produce, logs, and other tools.

50 SECTION 4. Chapter 118E of the General Laws is hereby amended by adding the

51 following section:-

52 Section 78. The office of Medicaid shall, pursuant to Title XIX, or if necessary seek any

53 waiver regarding the provisions of coverage under Title XIX, provide coverage for naturopathic

54 professionals and holistic practitioner costs, natural supplements, fruits, vegetables, seeds, nuts

55 and foods prescribed by the professional, and tools needed for the prescribed diet plan including

56 written logs.

57 A naturopathic professional or holistic practitioner may order necessary lab work and

58 tests as needed. The coverage shall continue according to the naturopathic professional’s or

59 holistic practitioner’s treatment plan until a patient has recovered from his or her illness or

60 chronic illness.

61 (b) A patient, who qualifies for the coverage with a naturopathic professional or holistic

62 practitioner, shall visit his or her treating professional’s office not exceeding every 40 days for

63 the first year and every 6 months thereafter.

64 (c) If a naturopathic professional or holistic practitioner determines the patient has not

65 followed the treatment plan, the insured shall notify the office of Medicaid to terminate coverage

66 under this section.

67 (d) A patient, who has terminated treatment for any reason shall be re-evaluated and

68 complete any application needed for reconsideration by the office of Medicaid.

69 SECTION 5. Section 6 of chapter 118H of the General Laws is hereby amended by

70 striking out subsection (a) and inserting in place thereof the following subsection:-

71 (a) There shall be established a program for any resident with a household income that

72 does not exceed 100 per cent of the federal poverty level, in which the board of the connector

73 shall procure health insurance plans that include, but are not limited to: (1) inpatient services; (2)

74 outpatient services and preventative care by participating providers; (3) prescription drugs as

75 provided under the MassHealth formulary; (4) medically necessary inpatient and outpatient

76 mental health services and substance abuse services; (5) medically necessary dental services,

77 including preventative and restorative procedures; and (6) coverage for naturopathic

78 professionals and holistic practitioner costs, lab work, natural supplements, fruits, vegetables,

79 seeds, nuts and foods prescribed by the professional and tools needed for the prescribed diet plan

80 including written logs as provided for in section 6A.

81 SECTION 6. Said chapter 118H of the General Laws is hereby further amended by

82 inserting after section 6 the following section:-

83 Section 6A. (a) The coverage provided under clause (6) of subsection (a) of section 6

84 shall continue according to the naturopathic professional’s or holistic practitioner’s treatment

85 plan until a patient has recovered from his or her illness or chronic illness.

86 (b) A patient, who qualifies for the coverage with a naturopathic professional or holistic

87 practitioner, shall visit his or her treating professional’s office not exceeding every 40 days for

88 the first year and every 6 months thereafter.

89 (c) If a naturopathic professional or holistic practitioner determines the patient has not

90 followed the treatment plan, the insured shall notify the insurer and the connector to terminate

91 coverage under this section.

92 (d) A patient, who has terminated treatment for any reason shall be re-evaluated and

93 complete any application needed for reconsideration by the connector.

94 SECTION 7. Chapter 175 of the General Laws is hereby amended by inserting after

95 section 47BB the following section:—

96 Section 47DD. (a) Any blanket or general policy of insurance, which is issued or

97 subsequently renewed by agreement between the insurer and the policy holder, within or without

98 the commonwealth, during the period this section is effective, or any policy of accident or

99 sickness insurance as described in section 108 which provides hospital expense and surgical

100 expense insurance, except a policy which provides supplemental coverage to Medicare or other

101 governmental programs, and which is delivered or issued for delivery or subsequently renewed

102 by agreement between the insurer and the policy holder in the commonwealth, during the period

103 that this section is effective, or any employees' health and welfare fund which provides hospital

104 expense and surgical expense benefits and which is promulgated or renewed to any person or

105 group of persons in the commonwealth, while this section is effective, shall provide coverage for

106 naturopathic professionals and holistic practitioner costs, natural supplements, fruits, vegetables,

107 seeds, nuts and foods prescribed by the professional, and tools needed for the prescribed diet

108 plan including written logs.

109 A naturopathic professional or holistic practitioner may order necessary lab work and

110 tests as needed during the coverage. The coverage shall continue according to the naturopathic

111 professional’s or holistic practitioner’s treatment plan until a patient has recovered from his or

112 her illness or chronic illness.

113 (b) A patient, who qualifies for the coverage with a naturopathic professional or holistic

114 practitioner, shall visit his or her treating professional’s office not exceeding every 40 days for

115 the first year and every 6 months thereafter.

116 (c) If a naturopathic professional or holistic practitioner determines the patient has not

117 followed the treatment plan, the insured shall notify the insurer to terminate coverage under this

118 section.

119 (d) A patient, who has terminated treatment for any reason shall be re-evaluated and

120 complete any application needed for reconsideration by the insurer.

121 SECTION 8. Chapter 176A of the General Laws is hereby amended by inserting after

122 section 8EE the following section:—

123 Section 8FF. (a) A contract between a subscriber and the corporation under an individual

124 or group hospital service plan which provides hospital expense and surgical expense insurance,

125 except contracts providing supplemental coverage to Medicare or other governmental programs,

126 delivered, issued or renewed by agreement between the insurer and the policyholder, within or

127 without the commonwealth, shall provide benefits to all individual subscribers and members

128 within the commonwealth and to all group members having a principal place of employment

129 within the commonwealth for coverage for naturopathic professionals and holistic practitioner

130 costs, natural supplements, fruits, vegetables, seeds, nuts and foods prescribed by the

131 professional, and tools needed for the prescribed diet plan including written logs.

132 A naturopathic professional or holistic practitioner may order necessary lab work and

133 tests as needed during the coverage. The coverage shall continue according to the naturopathic

134 professional’s or holistic practitioner’s treatment plan until a patient has recovered from his or

135 her illness or chronic illness.

136 (b) A patient, who qualifies for the coverage with a naturopathic professional or holistic

137 practitioner, shall visit his or her treating professional’s office not exceeding every 40 days for

138 the first year and every 6 months thereafter.

139 (c) If a naturopathic professional or holistic practitioner determines the patient has not

140 followed the treatment plan, the insured shall notify the corporation to terminate coverage under

141 this section.

142 (d) A patient, who has terminated treatment for any reason shall be re-evaluated and

143 complete any application needed for reconsideration by the corporation.

144 SECTION 9. Chapter 176B of the General Laws is hereby amended by inserting after

145 section 4EE the following section:—

146 Section 4GG. Any subscription certificate under an individual or group medical service

147 agreement, shall provide, as benefits to all individual subscribers or members within the

148 commonwealth and to all group members having a principal place of employment within the

149 commonwealth, coverage for naturopathic professionals and holistic practitioner costs, natural

150 supplements, fruits, vegetables, seeds, nuts and foods prescribed by the professional, and tools

151 needed for the prescribed diet plan including written logs.

152 A naturopathic professional or holistic practitioner may order necessary lab work and

153 tests as needed during the coverage. The coverage shall continue according to the naturopathic

154 professional’s or holistic practitioner’s treatment plan until a patient has recovered from his or

155 her illness or chronic illness.

156 (b) A patient, who qualifies for the coverage with a naturopathic professional or holistic

157 practitioner, shall visit his or her treating professional’s office not exceeding every 40 days for

158 the first year and every 6 months thereafter.

159 (c) If a naturopathic professional or holistic practitioner determines the patient has not

160 followed the treatment plan, the insured shall notify the insurer to terminate coverage under this

161 section.

162 (d) A patient, who has terminated treatment for any reason shall be re-evaluated and

163 complete any application needed for reconsideration by the insurer.

164 SECTION 10. Chapter 176G of the General Laws is hereby amended by inserting after

165 section 4W the following section:—

166 Section 4X. (a) Individual and group health maintenance contracts shall provide coverage

167 for naturopathic professionals and holistic practitioner costs, natural supplements, fruits,

168 vegetables, seeds, nuts and foods prescribed by the professional, and tools needed for the

169 prescribed diet plan including written logs.

170 A naturopathic professional or holistic practitioner may order necessary lab work and

171 tests as needed during the coverage. The coverage shall continue according to the naturopathic

172 professional’s or holistic practitioner’s treatment plan until a patient has recovered from his or

173 her illness or chronic illness.

174 (b) A patient, who qualifies for the coverage with a naturopathic professional or holistic

175 practitioner, shall visit his or her treating professional’s office not exceeding every 40 days for

176 the first year and every 6 months thereafter.

177 (c) If a naturopathic professional or holistic practitioner determines the patient has not

178 followed the treatment plan, the insured shall notify the insurer to terminate coverage under this

179 section.

180 (d) A patient, who has terminated treatment for any reason shall be re-evaluated and

181 complete any application needed for reconsideration by the insurer.

182 SECTION 11. Notwithstanding any general or special law to the contrary, a naturopathic

183 professional or holistic practitioner shall provide access to coverage for a patient through an

184 electronic access, to the insurance company, the department of transitional assistance office of

185 Medicaid, commonwealth care insurance companies and MassHealth. The coverage to a patient

186 shall be funded by the patient’s insurance provider or the commonwealth of Massachusetts and

187 commonwealth care insurance companies or the department of transitional assistance.

188 SECTION 12. This act shall apply to all policies, contracts, agreements, plans or

189 certificates of insurance issued or delivered within the commonwealth on or after January 1,

190 2014, or upon renewal to all policies, contracts, agreements, plans or certificates of insurance in

191 effect before January 1, 2014.


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