HB 5071
Creating the oral health and cancer rights act
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- Passed House of Delegates
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill, the Oral Health and Cancer Rights Act, mandates that health benefit plans in West Virginia provide coverage for oral health medical procedures needed as a side effect of cancer treatments. These procedures include evaluations, medications, treatments, and prosthetics, and are intended to address issues related to eating, breathing, voice, speech, and swallowing. The bill also directs relevant agencies to report on the costs associated with this new coverage requirement.
Key provisions
- Requires health benefit plans to cover oral health medical procedures related to cancer treatment side effects.
- Covers procedures such as surgery, chemotherapy, and radiation therapy.
- Includes coverage for evaluations, examinations, patient education, and laboratory assessments.
- Specifies coverage for medications, treatments, restoration, rehabilitation, medical devices, and prosthetics.
- Requires the Public Employees Insurance Agency to report on the cost of the change within a year.
- Requires the Bureau of Medical Services to report on the cost of the change within a year.
- Addresses coverage through multiple sections of the West Virginia Code, including those related to insurance and public employee benefits.
- Establishes the ‘Oral Health and Cancer Rights Act’.
Who is affected
- Individuals with cancer
- Health benefit plan providers (insurance companies, etc.)
- West Virginia residents with health insurance
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