Bill Text: DE HB273 | 2023-2024 | 152nd General Assembly | Draft
Bill Title: An Act To Amend Title 18 Of The Delaware Code Relating To Health Coverage For Speech Therapy.
Spectrum: Partisan Bill (Democrat 9-0)
Status: (Engrossed) 2024-05-15 - Amendment SA 1 to HS 2 - Introduced and Placed With Bill [HB273 Detail]
Download: Delaware-2023-HB273-Draft.html
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SPONSOR: |
Rep. Dorsey Walker & Rep. Longhurst & Sen. Pinkney |
HOUSE OF REPRESENTATIVES
152nd GENERAL ASSEMBLY
HOUSE SUBSTITUTE NO. 1
FOR
HOUSE BILL NO. 273
AN ACT TO AMEND TITLE 18 OF THE DELAWARE CODE RELATING TO HEALTH COVERAGE FOR SPEECH THERAPY.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF DELAWARE:
Section 1. Amend Chapter 33, Title 18 of the Delaware Code by making deletions as shown by strike through and insertions as shown by underline as follows:
§ 3360A. Developmentally delayed speech coverage.
(a) For the purpose of this section:
(1) “Carrier” means as defined in §3360(a)(1) of this title.
(2) “Child” means a child from birth to age l8.
(b) Every individual health insurance contract, including each policy or contract issued for delivery, or renewed in this State, on or after December 31, 2024, shall provide coverage for any therapy or services required to treat a child diagnosed with any of the following speech-language disorders classified in the International Classification of Diseases (“ICD-10”):
(1) Childhood onset fluency disorder.
(2) Developmental disorder of speech and language unspecified.
(3) Expressive language disorder.
(4) Mixed receptive-expressive language disorder.
(5) Phonological disorder.
(6) Receptive language disorder.
(7) Social pragmatic communication disorder.
(c) This section does not apply to insurance coverage providing benefits exclusively for:
(1) Hospital confinement indemnity.
(2) Disability income.
(3) Accident only.
(4) Long-term care.
(5) Medicare supplement.
(6) Limited benefit health.
(7) Specified disease indemnity.
(8) Sickness or bodily injury or death by accident; or both.
(d) The coverage required under this section shall not be subject to dollar limits, deductibles, or coinsurance provisions that are less favorable to an insured than the dollar limits, deductibles, or coinsurance provisions that apply to physical illness generally under the health benefit plan.
Section 2. Amend Chapter 35, Title 18 of the Delaware Code by making deletions as shown by strike through and insertions as shown by underline as follows:
§ 3571DD. Developmentally delayed speech coverage.
(a) For the purpose of this section:
(1) “Carrier” means as defined in §3360(a)(1) of this title.
(2) “Child” means a child from birth to age 18
(b) Every individual health insurance contract, including each policy or contract issued by a health service corporation which is delivered, issued for delivery, or renewed in this State on or after December 31, 2024, shall provide coverage for any therapy or services to treat a child diagnosed with any of the following speech-language disorders classified in the International Classification of Diseases (“ICD-10”):
(1) Childhood onset fluency disorder.
(2) Developmental disorder of speech and language, unspecified.
(3) Expressive language disorder.
(4) Mixed receptive-expressive disorder.
(5) Phonological disorder.
(6) Receptive language disorder.
(7) Social pragmatic communication disorder.
(c) This section does not apply to insurance coverage providing benefits exclusively for:
(1) Hospital confinement indemnity.
(2) Disability income.
(3) Accident only.
(4) Long-term care.
(5) Medicare supplement.
(6) Limited benefit health.
(7) Specified disease indemnity.
(8) Sickness or bodily injury or death by accident, or both.
(9) Other limited benefit policies.
(d) The coverage required under this section shall not be subject to dollar limits, deductibles, or coinsurance provisions that are less favorable to an insured than the dollar limits, deductibles, or coinsurance provisions that apply to physical illness generally under the health benefit plan.
Section 3. This Act is effective December 31, 2024, and is applicable to all plans, policies, contracts, or certificates issued, renewed, modified, altered, amended or rescinded after December 31, 2024.
SYNOPSIS
This Substitute bill adds 5 additional speech-language diagnosis to the 2 diagnoses listed in H.B. 273 and references that all 7 speech-language diagnoses are classified in the International Classification of Diseases(“ICD-10”) for billing purposes. This Substitute bill also broadens the definition of “child” from 1 year to first grade to include all children from birth to age 18.
