Session of 2000
Substitute for SENATE BILL No. 547
By Committee on Financial Institutions and
9 AN ACT
concerning insurance; providing coverage for certain mental
10 health conditions;
authorizing gynecological care under certain cir-
11 cumstances without
visiting a primary care provider.
13 Be it enacted by the Legislature of the
State of Kansas:
14 New Section
1. (a) From and after January 1, 2001, the state health
15 benefits program established by K.S.A.
75-6101 et seq., and amendments
16 thereto, shall provide a program of
insurance which provides coverage
17 for diagnosis and treatment of mental
illnesses under terms and condi-
18 tions no less extensive than coverage for
any other type of health care.
19 (b) For the
purposes of this act, ``mental illness'' means the following:
20 Schizophrenia, schizoaffective disorder,
schizophreniform disorder, brief
21 reactive psychosis, paranoid or delusional
disorder, atypical psychosis, ma-
22 jor affective disorders (bipolar and major
depression), cyclothymic and
23 dysthymic disorders, obsessive compulsive
disorder, panic disorder and
24 pervasive developmental disorder, including
autism, as such terms are
25 defined in the diagnostic and statistical
manual of mental disorders, fourth
26 edition, (DSM-IV, 1994) of the American
psychiatric association but shall
27 not include conditions not attributable to
a mental disorder that are a
28 focus of attention or treatment.
29 (c) From and
after January 1, 2001, the state health benefits program
30 shall not be required to provide coverage
under the provisions of K.S.A.
31 40-2,105, and amendments thereto, for any
mental illness defined in sec-
32 tion 1, and amendments thereto.
2. Except as provided in section 3, and amendments
34 the provisions of this act shall be
implemented as required by K.S.A. 1999
35 Supp. 40-2249a.
36 Sec. 3. (a)
Each health insurer shall permit a woman insured by the
37 health insurer to visit an in-network
obstetrician or gynecologist for rou-
38 tine gynecological care from an in-network
obstetrician or gynecologist
39 at least one time each calendar year
without requiring such woman to
40 first visit a primary care provider, so
41 (1) The care is
medically necessary, including, but not limited to, care
42 that is routine; and
43 (2) the
obstetrician or gynecologist confers with such woman's pri-
1 mary care provider before performing
any diagnostic procedure that is
2 not routine gynecological care
rendered during any such visit.
3 (b) This
section shall be part of and supplemental to the patient pro-
4 tection act, cited at K.S.A. 1999
Supp. 40-4601 et seq., and amendments
6 (c) The
provisions of K.S.A. 1999 Supp. 40-2249a and amendments
7 thereto shall not apply to the
provisions of this section.
8 Sec. 4. This act
shall take effect and be in force from and after its
9 publication in the statute book.