§ 27-8-25-8 — Coverage for routine care costs

(a) A policy of accident and sickness insurance
must provide coverage for routine care costs that are incurred in the
course of a clinical trial if the policy of accident and sickness insurance
would provide coverage for the same routine care costs not incurred in
a clinical trial.
(b) The coverage that must be provided under this section is subject
to the terms, conditions, restrictions, exclusions, and limitations that
apply generally under the policy of accident and sickness insurance,
including terms, conditions, restrictions, exclusions, or limitations that
apply to health care services rendered by contracted providers and
noncontracted providers.
(c) This section does not do any of the following:
(1) Require an insurer that issues a policy of accident and
sickness insurance to provide coverage for clinical trial services
rendered by a contracted provider.
(2) Prohibit an insurer that issues a policy of accident and
sickness insurance from providing coverage for clinical trial
services rendered by a contracted provider.
(3) Require reimbursement under a policy of accident and
sickness insurance for services that are rendered in a clinical trial
by a noncontracted provider at the same rate of reimbursement
that would apply to the same services rendered by a contracted
provider.

Legislative History

As added by P.L.109-2009, SEC.3.