Coverage for transplantation

(a) As used in this section: (1) "Covered person" means a person on whose behalf a health insurance entity is obligated to pay benefits or provide services, and who has a disability; (2) "Disability" has the same meaning as defined in 42 U.S.C. § 12102 ; (3) "Health insurance entity" has the same meaning as defined in § 56-7-109 ; and (4) "Transplantation" means the transplantation or transfusion of a human body part into the body of another individual for the purpose of treating or curing a medical condition. (b) A health insurance entity that offers plans in this state that provide coverage for transplantation to individuals or groups on an expense-incurred basis shall not deny coverage for transplantation solely on the basis of the covered person's disability. (c) This section does not require a health insurance entity to provide coverage for transplantation if the transplantation is not medically necessary. (d) This section applies to a state or local insurance program, under title 8, chapter 27, and a managed care organization contracting with the state to provide insurance through the TennCare program. Added by 2021 Tenn. Acts, ch. 441, s 2, eff. 7/1/2021. (a) As used in this section: (1) "Covered person" means a person on whose behalf a health insurance entity is obligated to pay benefits or provide services, and who has a disability; (2) "Disability" has the same meaning as defined in 42 U.S.C. § 12102 ; (3) "Health insurance entity" has the same meaning as defined in § 56-7-109 ; and (4) "Transplantation" means the transplantation or transfusion of a human body part into the body of another individual for the purpose of treating or curing a medical condition. (1) "Covered person" means a person on whose behalf a health insurance entity is obligated to pay benefits or provide services, and who has a disability; (2) "Disability" has the same meaning as defined in 42 U.S.C. § 12102 ; (3) "Health insurance entity" has the same meaning as defined in § 56-7-109 ; and (4) "Transplantation" means the transplantation or transfusion of a human body part into the body of another individual for the purpose of treating or curing a medical condition. (b) A health insurance entity that offers plans in this state that provide coverage for transplantation to individuals or groups on an expense-incurred basis shall not deny coverage for transplantation solely on the basis of the covered person's disability. (c) This section does not require a health insurance entity to provide coverage for transplantation if the transplantation is not medically necessary. (d) This section applies to a state or local insurance program, under title 8, chapter 27, and a managed care organization contracting with the state to provide insurance through the TennCare program. Added by 2021 Tenn. Acts, ch. 441, s 2, eff. 7/1/2021.