(a) On or after July 1, 1998, every individual major medical and
group health insurance policy, group health insurance plan or
policy, and any other form of managed or capitated care plans or
policies shall offer coverage for medically necessary equipment,
supplies, pharmacologic agents, and outpatient self-management
training and education, including medical nutrition therapy, for
individuals with insulin-dependent diabetes, insulin-using diabetes,
gestational diabetes, and noninsulin-using diabetes as prescribed by
a physician licensed to practice medicine pursuant to Title 43. (b)(1) Diabetes outpatient self-management training and education
as provided for in subsection (a) of this Code section shall be
provided by a certified, registered, or licensed health care
professional with expertise in diabetes. (2) The office of the Commissioner of Insurance shall promulgate
rules and regulations after consultation with the Department of
Human Resources which conform to the current standards for
diabetes outpatient self-management training and educational
services established by the American Diabetes Association for
purposes of this Code section. (c) The benefits provided in this Code section shall be subject to
the same annual deductibles or coinsurance established for all other
covered benefits within a given policy. (d) Private third-party payors may not reduce or eliminate coverage
due to the requirements of this Code section. (e) Enforcement of the provisions of this Code section shall be
performed by the Commissioner of Insurance. |