353 Mandated benefits  

  • Mandated Benefits

    [30 Pa.B. 1220]

       Section 9 of Act 34 of 1993 requires that the Health Care Cost Containment Council (Council) review existing or proposed mandated health benefits on request of the executive and legislative branches of government. The Council has been requested by Representative Nicholas A. Micozzie, Chairperson of the House Insurance Committee, to review House Bill 1832, Printers Number 2249 (Nailor). House Bill 1832 would require health insurance policies to provide coverage for treatment of temporomandibular joint dysfunction and surgery, if medically necessary, for deformities of the maxilla or mandible.

       Initial notification of request for information and documentation was published at 29 Pa.B. 6291 (December 11, 1999), with documentation due to the Council by February 11, 2000.

       Following is a list of the documentation received. This information is available for public review and comment at the Council office during regular business hours (Monday through Friday, 8:30 a.m. to 5 p.m.) until March 27, 2000. Any additional comments on this information must be received by 5 p.m. on March 27, 2000. The Council office is located at 225 Market Street, Suite 400, Harrisburg, PA 17101. Send comments (six copies) to Flossie Wolf at this address.

    Submissions for House Bill 1832

       1.  Pennsylvania Manufacturers' Association (Jim Panyard, Executive Director)

       *  Letter opposing House Bill 1832

       2.  Ronald W. Niklaus, D.M.D., MAGD

       *  Letter supporting House Bill 1832

       3.  National Federation of Independent Business (James D. Welty, Pennsylvania State Director)

       *  Letter opposing House Bill 1832

       4.  Joint Ventures (Donna Sponaugle, President)

       *  Letter addressing Section 9 requirements and supporting House Bill 1832

       5.  Aziz A. Majid, D.M.D., M.S.D.

       *  Letter supporting House Bill 1832

       6.  American Academy of Otolaryngology--Head and Neck Surgery, Inc. (G. Richard Holt, MD, MPH, Executive Vice President)

       *  Letter supporting House Bill 1832

       7.  Pennsylvania Chamber of Business and Industry (Floyd Warner, President)

       *  Letter opposing House Bill 1832

       8.  Oral and Conestoga Maxillofacial Surgery, LTD. (Thomas Yingling, D.D.S. et al)

       *  Letter supporting House Bill 1832

       9.  AFLAC--American Family Life Assurance Company of Columbus (Richard J. Gmerek of the Law Offices of Gmerek & Hayden, P.C.)

       *  Statement addressing House Bill 1832 and requesting exemptions for certain supplemental policies

       10.  Highmark Blue Cross Blue Shield (Bruce R. Hironimus, Vice President, Government Affairs)

       *  Statement addressing Section 9 requirements and opposing House Bill 1832

       *  Attachment addressing health insurance, health care costs, and TMJ disorders

       11.  The Insurance Federation of Pennsylvania, Inc. (John R. Doubman, Secretary & Counsel)

       *  Statement addressing Section 9 requirements and opposing House Bill 1832

       *  Attachments addressing TMJ and health insurance mandates

       12.  Managed Care Association of Pennsylvania (Kimberly J. Kockler, Executive Director)

       *  Statement addressing Section 9 requirements and opposing House Bill 1832

    MARC P. VOLAVKA,   
    Executive Director

    [Pa.B. Doc. No. 00-353. Filed for public inspection February 25, 2000, 9:00 a.m.]

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