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BILL AS INTRODUCED 2007-2008

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H.803

Introduced by Representatives Pugh of S. Burlington, Chen of Mendon and Maier of Middlebury

Referred to Committee on

Date:

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:

(e)  For 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.



Published by:

The Vermont General Assembly
115 State Street
Montpelier, Vermont


www.leg.state.vt.us