Bill Summary for H 939 (2023-2024)
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View NCGA Bill Details | 2023-2024 Session |
AN ACT TO PROVIDE FAIR REIMBURSEMENT OF TRANSCRANIAL MAGNETIC STIMULATION SERVICES UNDER HEALTH BENEFIT PLANS OFFERED IN THIS STATE.Intro. by Sasser, Potts, Crutchfield.
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Bill summary
House committee substitute to the 1st edition makes the following changes.
Amends proposed new GS 58-3-254 as follows. Requires that the coverage for transcranial magnetic stimulation be for those procedures preformed by a healthcare facility or properly licensed healthcare provider for whom ordering, performing, and supervising the treatment of depression and other mental disorders is within their scope of practice (was, by any properly licensed healthcare provider or healthcare facility). Adds that it is within the discretion of each insurer offering a health benefit plan in the State that provides coverage for transcranial magnetic stimulation and the State Health Plan to determine: (1) whether to cover transcranial magnetic stimulation procedures, (2) indications for which transcranial magnetic stimulation procedures must be covered, (3) requirements for coverage for transcranial magnetic stimulation procedures, and (4) reimbursement rates for transcranial magnetic stimulation procedures. Also adds that reimbursement rates that differ based on the following are allowed and not considered to be a prohibited penalty: (1) a healthcare provider's participation or lack of participation in an insurer's network; (2) the location where the transcranial magnetic stimulation services are provided; or (3) the level of training, certification, or education of the healthcare provider, within that provider's medical specialty, that has provided the transcranial magnetic stimulation services.