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Session of 2000
          Substitute for SENATE BILL No. 547           By Committee on Financial Institutions and Insurance           4-6          

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  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.
12      
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.
33             Sec.  2. Except as provided in section 3, and amendments thereto,
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 long as:
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-

2
  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
  5       thereto.
  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.