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PA Bulletin, Doc. No. 07-1820

NOTICES

HEALTH CARE COST CONTAINMENT COUNCIL

Mandated Benefits

[37 Pa.B. 5347]
[Saturday, September 29, 2007]

   Section 9 of the act 14 of July 17, 2003 (P. L. 31, No. 14) (Act 14) requires that the Health Care Cost Containment Council (Council) review proposed mandated health benefits on request of the executive and legislative branches of government. Representative Anthony DeLuca, Chairperson of the House Insurance Committee, has requested that the Council review House Bill 317, Printer's Number 358 (O'Neill). House Bill 317 would require health insurance policies to provide coverage for prosthetic devices and components if prescribed by a health care professional legally authorized to prescribe the items under law. The coverage would include the fitting, repair or replacement of a prosthetic device if determined to be medically necessary.

   Initial notification of request for information and documentation was published in 37 Pa.B. 3340 (July 14, 2007), with documentation due to the Council by September 14, 2007.

   Following is a list of the documentation received. This information is available for public review and comment at the Council offices during regular business hours (8:30 a.m. to 5 p.m.) until October 30, 2007. Additional comments on this information must be received by this time. Council offices are located at 225 Market Street, Suite 400, Harrisburg, PA 17101. Send comments to Flossie Wolf at previous address.

Submissions for House Bill 317

   1.  American Orthotic and Prosthetic Association

   *  Letter and comments in support of House Bill 317.

   2.  Amputee Coalition of America

   *  Letter and comments in support of House Bill 317.

   *  Statement addressing Section 9 requirements.

   *  Attachments addressing limb loss, the economic and social benefits of prosthetic coverage, current coverage restrictions and mandated benefits.

   *  News articles and letters to the editor in support of House Bill 317.

   *  Letters from other advocates in support of House Bill 317.

   3.  Benchmark Medical, Inc.

   *  Letter and comments in support of House Bill 317.

   4.  Blue Cross of Northeastern Pennsylvania

   *  Statement addressing Section 9 requirements.

   5.  Capital BlueCross

   *  Letter and comments in opposition to House Bill 317.

   6.  Highmark

   *  Statement addressing Section 9 requirements.

   *  Attachments addressing limb loss, prosthetic devices and mandated benefits.

   7.  Independence Blue Cross

   *  Letter in opposition to legislated mandates.

   8.  The Insurance Federation of Pennsylvania

   *  Statement addressing Section 9 requirements and opposing House Bill 317.

   *  News article which discusses the issue of parity (referenced in previous statement).

   9.  Pennsylvania Chamber of Business and Industry

   *  Letter and comments in opposition to mandated benefits.

   10.  Pennsylvania Council on Independent Living

   *  Letter and comments in support of House Bill 317.

   *  Attachments on the economic and social benefits of prosthetic coverage.

   11.  Pennsylvania Orthotic and Prosthetic Society

   *  Letter in support of House Bill 317.

MARC P. VOLAVKA,   
Executive Director

[Pa.B. Doc. No. 07-1820. Filed for public inspection September 28, 2007, 9:00 a.m.]


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