Relating to third-party payment of coverage benefits for medical food, and including applicability provisions

“Enteral nutrition” is defined in the bill as providing food to an individual through a tube placed in the individual’s nose, stomach, or small intestine. The bill requires a health insurer to provide coverage benefits for medical food that is consumed or administered via a gastronomy feeding tube, a jejunostomy feeding tube, a nasoenteral feeding tube, or a nasogastric feeding tube. “Gastronomy feeding tube”, “jejunostomy feeding tube”, “nasoenteral feeding tube”, and “nasogastric feeding tube” are defined in the bill. The bill requires the commissioner of insurance to adopt rules to administer the Code section. The bill is applicable to third-party payment provider policies, contracts, or plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2020, including individual or group accident and sickness insurance providing coverage on an expense-incurred basis, an individual or group hospital or medical service contract issued pursuant to Code chapter 509, 514, or 514A, an individual or group health maintenance organization contract regulated under Code chapter 514B, and a plan established pursuant to Code chapter 509A for public employees. The bill does not apply to accident-only, specified disease, short-term hospital or medical, hospital confinement indemnity, credit, dental, vision, Medicare supplement, long-term care, basic hospital and medical-surgical expense coverage as defined by the commissioner, disability income insurance coverage, coverage issued as a supplement to liability insurance, workers’ compensation or similar insurance, or automobile medical payment insurance.