FISCAL NOTE
2025 regular session
Introduced
House Bill 3084
By Delegate Rohrbach
[Introduced on ; referred
to the Committee on]
A BILL to amend the Code of West Virginia, 1931, as amended, by adding thereto seven new sections, designated §5-16-8b, §9-5-34, §33-15-24, §33-16-20, §33-24-15, §33-25-23 and §33-25A-37, relating to requiring health benefit plan coverage; requiring coverage for medically necessary dental procedures that result from cancer treatment; and explaining scope of procedures covered as a result of certain cancer treatments.
Be it enacted by the Legislature of West Virginia:
(a) On or after July 1, 2025, a policy, plan or contract subject to this article shall provide coverage for oral health procedures that are necessary to receive or are the result of cancer treatments including surgery, chemotherapy, biotherapy, pharmacology, immunotherapy, or radiation.
(b) The coverage required under this section shall include evaluations, examinations, patient education, laboratory assessments, medications, treatments, restoration, rehabilitation, medical devices, and prosthesis needed to obtain cancer treatment or restore whole or partial function associated with eating, breathing, voice, speech, and swallowing related to a cancer diagnosis.
(a) On or after July 1, 2025, a policy, plan or contract subject to this article shall provide coverage for oral health procedures that are necessary to receive or are the result of cancer treatments including surgery, chemotherapy, biotherapy, pharmacology, immunotherapy, or radiation.
(b) The coverage required under this section shall include evaluations, examinations, patient education, laboratory assessments, medications, treatments, restoration, rehabilitation, medical devices, and prosthesis needed to obtain cancer treatment or restore whole or partial function associated with eating, breathing, voice, speech, and swallowing related to a cancer diagnosis.
(a) An insurer who, on or after July 1, 2025, delivers or issues a policy of accident and sickness insurance in this state under the provisions of this article shall make available as benefits to all subscribers and members coverage for oral health procedures that are necessary to receive or are the result of cancer treatments including surgery, chemotherapy, biotherapy, pharmacology, immunotherapy, or radiation.
(b) The coverage required under this section shall include evaluations, examinations, patient education, laboratory assessments, medications, treatments, restoration, rehabilitation, medical devices, and prosthesis needed to obtain cancer treatment or restore whole or partial function associated with eating, breathing, voice, speech, and swallowing related to a cancer diagnosis.
(a) On or after July 1, 2025, a policy, plan or contract subject to this article shall provide coverage for oral health procedures that are necessary to receive or are the result of cancer treatments including surgery, chemotherapy, biotherapy, pharmacology, immunotherapy, or radiation.
(b) The coverage required under this section shall include evaluations, examinations, patient education, laboratory assessments, medications, treatments, restoration, rehabilitation, medical devices, and prosthesis needed to obtain cancer treatment or restore whole or partial function associated with eating, breathing, voice, speech, and swallowing related to a cancer diagnosis.
(a) On or after July 1, 2025, a policy, plan or contract subject to this article shall provide coverage for oral health procedures that are necessary to receive or are the result of cancer treatments including surgery, chemotherapy, biotherapy, pharmacology, immunotherapy, or radiation.
(b) The coverage required under this section shall include evaluations, examinations, patient education, laboratory assessments, medications, treatments, restoration, rehabilitation, medical devices, and prosthesis needed to obtain cancer treatment or restore whole or partial function associated with eating, breathing, voice, speech, and swallowing related to a cancer diagnosis.
(a) On or after July 1, 2025, a policy, plan or contract subject to this article shall provide coverage for oral health procedures that are necessary to receive or are the result of cancer treatments including surgery, chemotherapy, biotherapy, pharmacology, immunotherapy, or radiation.
(b) The coverage required under this section shall include evaluations, examinations, patient education, laboratory assessments, medications, treatments, restoration, rehabilitation, medical devices, and prosthesis needed to obtain cancer treatment or restore whole or partial function associated with eating, breathing, voice, speech, and swallowing related to a cancer diagnosis.
(a) On or after July 1, 2025, a policy, plan or contract subject to this article shall provide coverage for oral health procedures that are necessary to receive or are the result of cancer treatments including surgery, chemotherapy, biotherapy, pharmacology, immunotherapy, or radiation.
(b) The coverage required under this section shall include evaluations, examinations, patient education, laboratory assessments, medications, treatments, restoration, rehabilitation, medical devices, and prosthesis needed to obtain cancer treatment or restore whole or partial function associated with eating, breathing, voice, speech, and swallowing related to a cancer diagnosis.
NOTE: The purpose of this bill is to require health benefit plan coverage for medically necessary dental procedures that result from cancer treatment; create the Oral Health and Cancer Rights Act; explain the scope of procedures covered as a result of certain cancer treatments; require the use of a specific billing identifier; and set an effective date.
Strike-throughs indicate language that would be stricken from a heading or the present law and underscoring indicates new language that would be added.