19 CSR 20-28.060
Minimum Immuniza -
tion Coverage to Be Provided by Individual
and Group Health Insurance Policies
PURPOSE: This rule identifies the immunizations which individual and group health
insurance policies, as enumerated in H.B.
904, must provide for children from birth to
five years of age.
(1) This rule requires that all individual and
group health insurance policies providing
coverage on an expense-incurred basis, individual and group service or indemnity-type
contracts issued by a health services corporation, individual and group service contracts
issued by a health maintenance organization
and all self-insured group arrangements to
the extent not preempted by federal law and
all managed health care delivery entities of
any type or description shall provide coverage
for immunizations for children, birth to five
(5) years of age, for all immunizations listed
in section (2) of this rule.
(2) All immunization within the latest
Recommended Childhood Immunization
Schedule—United States, approved by the
Advisory Committee on Immunization
Practices (ACIP), shall be required under this
rule. As the schedule is updated, it will be
available from and distributed by the
Department of Health. The immunizations
required under this rule and manner and frequency of their administration shall conform
to recognized standards of medical practice.
AUTHORITY: section 376.1215, RSMo Supp.
1998.* Emergency rule filed Aug. 16, 1996,
effective Aug. 29, 1996, expired Feb. 24,
1997. Original rule filed Aug. 16, 1996,
effective Jan. 30, 1997. Amended: Filed May
14, 1999, effective Nov. 30, 1999.
*Original authority: 376.215, RSMo 1996.
Public Health