|BILL AS INTRODUCED||2007-2008|
Introduced by Representatives Pugh of S. Burlington, Chen of Mendon and Maier of Middlebury
Subject: Health; Catamount Health; pregnancy
Statement of purpose: This bill proposes to remove the preexisting condition exclusion for pregnancy from Catamount Health plans.
AN ACT RELATING TO THE PREEXISTING CONDITION STATUS OF PREGNANCY
It is hereby enacted by the General Assembly of the State of Vermont:
Sec. 1. 8 V.S.A. § 4080f(e) is amended to read:
a 12-month period from the effective date of coverage, a carrier offering
Catamount Health may limit coverage of preexisting conditions which existed
during the 12-month period before the effective date of coverage, except that
such exclusion or limitation shall not apply to chronic care if the individual
is participating in a chronic care management program or apply to pregnancy.
A carrier shall waive any preexisting condition provisions for all individuals
and their dependents who produce evidence of continuous creditable coverage
during the previous nine months. If an individual has a preexisting condition
excluded under a subsequent policy, such exclusion shall not continue longer
than the period required under the original contract or 12 months, whichever is
less. The carrier shall credit prior coverage that occurred without a break in
coverage of 63 days or more. For an eligible individual, as such term is
defined in Section 2741 of
Title XXVII of the Public Health Service Act the
Health Insurance Portability and Accountability Act of 1996, a carrier
offering Catamount Health shall not limit coverage of preexisting conditions.
Sec. 2. EFFECTIVE DATE
This act shall take effect upon passage.
The Vermont General Assembly
115 State Street