TITLE 27
Insurance
CHAPTER 27-20
Nonprofit Medical Service Corporations
SECTION 27-20-48
§ 27-20-48 Mandatory coverage for certain
lyme disease treatments.
Every individual or group hospital or medical expense insurance policy or
individual or group hospital or medical services plan contract delivered,
issued for delivery, or renewed in this state on or after January 1, 2004 shall
provide coverage for diagnostic testing and long-term antibiotic treatment of
chronic lyme disease when determined to be medically necessary and ordered by a
physician acting in accordance with chapter 37.5 of title 5 entitled "lyme
disease diagnosis and treatment" after making a thorough evaluation of the
patient's symptoms, diagnostic test results and response to treatment.
Treatment otherwise eligible for benefits pursuant to this section shall not be
denied solely because such treatment may be characterized as unproven,
experimental, or investigational in nature.
History of Section.
(P.L. 2003, ch. 113, § 5; P.L. 2003, ch. 114, § 5; P.L. 2004, ch. 34,
§ 4; P.L. 2004, ch. 35, § 4.)
