Section 421 – Prescription discount program.
Effective 7/1/2021 49-20-421. Prescription discount program. (1) As used in this section: (a) “Diabetes” means: (i) complete insulin deficiency or type 1 diabetes; (ii) insulin resistant with partial insulin deficiency or type 2 diabetes; or (iii) elevated blood glucose levels induced by pregnancy or gestational diabetes. (b) “Discount program” means a process developed by the […]
Section 415 – Prescribing policies for certain opioid prescriptions.
Effective 5/9/2017 49-20-415. Prescribing policies for certain opioid prescriptions. A plan offered to state employees under this chapter may implement a prescribing policy for certain opioid prescriptions in accordance with Section 31A-22-615.5. Enacted by Chapter 53, 2017 General Session Technically renumbered to avoid duplication of section number also enacted in HB154, Chapter 241.
Section 416 – Screening, Brief Intervention, and Referral to Treatment program reimbursement.
Effective 5/9/2017 49-20-416. Screening, Brief Intervention, and Referral to Treatment program reimbursement. (1) As used in this section: (a) “Controlled substance prescriber” means a controlled substance prescriber, as that term is defined in Section 58-37-6.5, who: (i) has a record of having completed SBIRT training, in accordance with Subsection 58-37-6.5(2), before providing the SBIRT services; […]
Section 417 – Insurance coverage for amino acid-based formula.
Effective 1/1/2020 49-20-417. Insurance coverage for amino acid-based formula. (1) As used in this section: (a) “Amino acid-based elemental formula” means a nutrition formula: (i) made from individual nonallergenic amino acids that are broken down to enhance absorption and digestion; and (ii) designed for individuals who have a dysfunctional or shortened gastrointestinal tract and are […]
Section 418 – Expanded infertility treatment coverage pilot program.
Affected by 63I-1-249 on 1/1/2025 Effective 5/5/2021 49-20-418. Expanded infertility treatment coverage pilot program. (1) As used in this section: (a) “Assisted reproductive technology” means the same as the term is defined in 42 U.S.C. Sec. 263a-7. (b) “Physician” means the same as the term is defined in Section 58-67-102. (c) “Pilot program” means the […]
Section 419 – Coverage of exome sequence testing.
Effective 5/14/2019 49-20-419. Coverage of exome sequence testing. (1) As used in this section, “exome sequence testing” means a genomic technique for sequencing the genome of an individual for diagnostic purposes. (2) Beginning July 1, 2019, the program shall provide coverage for exome sequence testing: (a) for a covered individual within the state risk pool […]
Section 420 – Coverage for in vitro fertilization and genetic testing.
Affected by 63I-2-249 on 1/1/2030 Effective 5/12/2020 49-20-420. Coverage for in vitro fertilization and genetic testing. (1) As used in this section: (a) “Qualified condition” means: (i) cystic fibrosis; (ii) spinal muscular atrophy; (iii) Morquio Syndrome; (iv) myotonic dystrophy; or (v) sickle cell anemia. (b) “Qualified individual” means a covered individual who: (i) has been […]
Section 409 – Long-term disability — Cost of health coverage benefit.
49-20-409. Long-term disability — Cost of health coverage benefit. (1) Under the direction of the board, the program shall provide for health insurance coverage for state employees who receive a monthly disability benefit under Title 49, Chapter 21, Public Employees’ Long-Term Disability Act. (2) A risk pool, other than the state risk pool, may elect […]
Section 410 – High deductible health plan — Health savings account — Contributions.
Effective 7/1/2021 49-20-410. High deductible health plan — Health savings account — Contributions. (1) (a) In addition to other employee benefit plans offered under Subsection 49-20-201(1), the office shall offer at least one federally qualified high deductible health plan with a health savings account as an optional health plan. (b) The provisions and limitations of […]
Section 413 – Pilot program for on-site employee clinic.
Effective 5/12/2015 49-20-413. Pilot program for on-site employee clinic. (1) Within state premiums paid to the state risk pool from the Legislature, the program shall establish a primary care clinic: (a) for state employees and their dependents; (b) within a state building that is accessible to a large number of state employees; and (c) in […]