SB 568
Creating Oral Health and Cancer Rights Act
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Sign in to take action- Introduced
- Passed Senate
- Passed House of Delegates
- To Governor
- Became Law
Bill overview
This bill, the Oral Health and Cancer Rights Act, aims to ensure that health benefit plans in West Virginia cover medically necessary dental procedures resulting from cancer treatment. It mandates coverage for a range of services including evaluations, medications, and restorative treatments, and requires the use of a specific billing modifier to identify these cancer-related procedures. The act also establishes an effective date and applies to health insurance contracts not exempt under the Affordable Care Act.
Key provisions
- Requires health benefit plans to cover dental procedures related to cancer treatment.
- Specifies covered procedures including surgery, chemotherapy, and radiation.
- Mandates the use of a specific billing modifier ('West Virginia Code §33-64-1') for cancer-related dental services.
- Requires consultation with healthcare providers to determine eligibility for covered services.
- Establishes a unique identifier for medications qualifying for coverage.
- Sets an effective date of July 1, 2027.
- Applies to health insurance contracts not exempt under the Affordable Care Act.
Who is affected
- Cancer patients in West Virginia
- Health insurance companies operating in West Virginia
- Healthcare providers in West Virginia
- Patients with health benefit plans
Notable changes
- Creates a new legal framework for oral health coverage related to cancer treatment.
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