reglab/housing_qa huggingface dataset:
WY Stat § 26-20-401 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 20 - Mandated Coverage|Article 4 - Inherited Enzymatic Disorder Coverage|Section 26-20-401 - Inherited Enzymatic Disorder Coverage Required.

26-20-401. Inherited enzymatic disorder coverage required.| (a) All individual and group health insurance policies providing coverage on an expense incurred basis, individual and group service or indemnity type contracts issued by any insurer including any nonprofit corporation and individual and group service contracts issued by a health maintenance organization or delivered on or after July 1, 2013, shall provide coverage for the equipment, supplies and outpatient self-management training and education, including medical nutrition therapy for the treatment of inherited enzymatic disorders caused by single gene defects involved in the metabolism of amino, organic and fatty acids if prescribed by a health care professional legally authorized to prescribe such items under law. Covered inherited enzymatic disorder outpatient self-management training and education shall be provided by a certified, registered or licensed health care professional with expertise in inherited enzymatic disorders. For purposes of this section, required covered outpatient self-management training and education shall be limited to:  (i) A one (1) time evaluation and training program when medically necessary, within one (1) year of diagnosis;  (ii) Additional medically necessary self-management training shall be provided upon a significant change in symptoms, condition or treatment.  (b) For purposes of this section, "inherited enzymatic disorders" includes and is limited to phenylketonuria, maternal phenylketonuria, maple syrup urine disease, tyrosinemia, homocystinuria, histidinemia, urea cycle disorders, hyperlysinemia, glutaric acidemias, methylmalonic acidemia and propionic acidemia.  (c) The benefits provided under this section shall be subject to the same annual deductibles or coinsurance established for all other covered benefits within a given policy. Private third party payors may not refuse, reduce or eliminate coverage due to the requirements of this section. Enforcement of this section shall be performed by the commissioner or his designee.  (d) This section shall apply to both public and private health benefit plans, as defined in W.S. 26-1-102(a)(xxxiii) and (xxxiv), delivered or issued on or after July 1, 2013.  (e) Repealed by Laws 2020, ch. 87, § 3.
WY Stat § 26-20-501 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 20 - Mandated Coverage|Article 5 - Prescription Eye Drop Refill Coverage|Section 26-20-501 - Prescription Eye Drop Refill Coverage Required.

26-20-501. Prescription eye drop refill coverage required.| (a) All individual and group health insurance policies providing coverage on an expense incurred basis, individual and group service or indemnity type contracts issued by any insurer including any nonprofit corporation and individual and group service contracts or certificates issued by a health maintenance organization which provide coverage for prescription eye drops shall provide coverage for the following:  (i) A renewal of prescription eye drops if:  (A) The renewal is requested by the insured at least twenty-three (23) days for a thirty (30) day supply of eye drops, forty-five (45) days for a sixty (60) day supply of eye drops or sixty-eight (68) days for a ninety (90) day supply of eye drops from the later of the date that the original prescription was distributed to the insured or the date that the last renewal of the prescription was distributed to the insured; and  (B) The original prescription states that additional quantities are needed and that the renewal requested by the insured does not exceed the number of additional quantities needed.  (ii) One (1) additional bottle of prescription eye drops if:  (A) A bottle is requested by the insured or the practitioner at the time the original prescription is filled; and  (B) The original prescription states that one (1) additional bottle is needed by the insured for use in a day care center or school. The additional bottle shall be limited to one (1) every three (3) months.  (b) The benefits provided under this section shall be subject to the same annual deductibles, copayments or coinsurance established for all other covered benefits within a given policy. Private third party payors may not reduce or eliminate coverage due to the requirements of this section.  (c) This section shall apply to both private and public health benefit plans, as defined in W.S. 26-1-102(a)(xxxiii) and (xxxiv), delivered or issued on or after July 1, 2015.
WY Stat § 26-20-601 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 20 - Mandated Coverage|Article 6 - Oral Chemotherapy Parity|Section 26-20-601 - Oral Chemotherapy Parity With Injectable and Intravenous.

26-20-601. Oral chemotherapy parity with injectable and intravenous.| (a) No individual or group health insurance policy providing coverage on an expense incurred basis, individual and group service or indemnity type contract issued by any insurer including any nonprofit corporation and individual and no group service contract issued by a health maintenance organization, shall require a higher copayment, deductible or coinsurance amount for oral chemotherapy than required for injected or intravenous chemotherapy, regardless of the formulation or benefit category determination by the policy or contract issuer.  (b) No issuer of a health insurance policy or contract shall comply with subsection (a) of this section by increasing the copayment, deductible or coinsurance amount required for covered injected or intravenous chemotherapy or by reclassifying benefits with respect to cancer treatment medications.  (c) This section shall apply to all policies and contracts, as described in subsection (a) of this section, issued or renewed after July 1, 2015.  (d) For purposes of this section, "chemotherapy" means administration of drugs and biologics to kill, slow or prevent the growth of cancerous cells.
WY Stat § 26-20-701 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 20 - Mandated Coverage|Article 7 - Mental Health and Substance Use Disorder Insurance Parity|Section 26-20-701 - Required Parity for Mental Health and Substance Use Disorder Insurance.

26-20-701. Required parity for mental health and substance use disorder insurance.| (a) All individual or group health insurance policies providing coverage on an expense incurred basis, individual and group service or indemnity type health insurance contracts issued by any insurer, including any nonprofit corporation and individual and group service contracts issued by a health maintenance organization, shall meet the requirements of, and the commissioner may enforce subject to the provisions of this section, the Mental Health Parity and Addiction Equity Act of 2008, 42 U.S.C. § 300gg-26, as amended, and the regulations promulgated pursuant thereto as of January 1, 2018. Persons exempt from complying with the Mental Health Parity and Addiction Equity Act shall not be exempted from complying with the requirements of this section if this section otherwise applies to the person. The commissioner may promulgate reasonable rules which establish exemptions from the application of this section.  (b) No policy or contract providing mental health or substance use coverage to which subsection (a) of this section applies shall:  (i) Deny coverage for mental health or substance use services delivered using remote audio or audio-visual delivery systems to a person not physically present with the delivering health care provider if coverage would be provided for the same services when delivered in person;  (ii) Charge a copayment, deductible or coinsurance amount to a person receiving mental health or substance use services through remote audio or audio-visual delivery systems that is higher than the copayment, deductible or coinsurance amount charged for the same services when delivered in person;  (iii) Reduce any payment or reimbursement provided to a health care provider using remote audio or audio-visual delivery systems for the provision of mental health or substance use services to an amount that is less than the payment or reimbursement that would be made to a health care provider rendering those services in person.
WY Stat § 26-20-801 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 20 - Mandated Coverage|Article 8 - Anatomical Gifts and Organ Transplantation|Section 26-20-801 - Definitions.

26-20-801. Definitions.| (a) As used in this article:  (i) "Covered person" means a policyholder, subscriber, enrollee, member or individual covered by any policy, contract or certificate listed in W.S. 26-20-802(a);  (ii) "Health insurance issuer" means an entity subject to the insurance laws and regulations of this state, or subject to the jurisdiction of the commissioner, that contracts or offers to contract to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services, including through a policy, contract or certificate listed in W.S. 26-20-802(a), and shall include a sickness and accident insurance company, a nonprofit corporation, a health maintenance organization, a preferred provider organization, or any similar entity, or any other entity providing a plan of health insurance or health benefits.  (b) The definitions in W.S. 35-5-301 shall apply to this article.
WY Stat § 26-20-802 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 20 - Mandated Coverage|Article 8 - Anatomical Gifts and Organ Transplantation|Section 26-20-802 - Discrimination Prohibited.

26-20-802. Discrimination prohibited.| (a) No individual or group health insurance policy providing coverage on an expense incurred basis, individual or group service or indemnity type health insurance contract or certificate issued by any health insurance issuer that provides coverage for anatomical gifts, organ transplants or related treatment and services shall:  (i) Deny coverage of an anatomical gift, organ transplant or related treatment or service to a covered person solely on the basis of the person's disability;  (ii) Deny to a covered person eligibility, or continued eligibility, to enroll or to renew coverage under the terms of the policy, contract or certificate, solely for the purpose of avoiding the requirements of this section or W.S. 35-5-301 through 35-5-303;  (iii) Penalize or otherwise reduce or limit the reimbursement of an attending provider, or provide monetary or nonmonetary incentives to an attending provider, to induce the provider to provide care to a covered person in a manner inconsistent with this section or W.S. 35-5-301 through 35-5-303; or  (iv) Reduce or limit coverage benefits to a covered person for the medical services or other services related to organ transplantation performed pursuant to this section and W.S. 35-5-301 through 35-5-303 as determined in consultation with the attending physician and covered person.  (b) In the case of any policy, contract or certificate listed in subsection (a) of this section that is maintained pursuant to one (1) or more collective bargaining agreements between employee representatives and one (1) or more employers, any policy, contract or certificate amendment made pursuant to a collective bargaining agreement relating to the policy and made solely to conform to any requirement under this section shall not be treated as a termination of the collective bargaining agreement.  (c) Nothing in this section shall require a health insurance issuer to provide coverage for a medically inappropriate organ transplant.
WY Stat § 26-22-101 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 22 - Hospital or Medical Service Insurance and Prepaid Health Service Plans|Article 1 - Reimbursement Under Medical Service Contract or Disability Insurance Policy|Section 26-22-101 - Reimbursement for Health Services Provided by Licensed Practitioner or Registered Dietitian Not to Be Denied.

26-22-101. Reimbursement for health services provided by licensed practitioner or registered dietitian not to be denied.| (a) Notwithstanding any provision of any medical service contract or policy of disability insurance or certificate to the contrary if a medical service contract or insurance policy or certificate provides for reimbursement to the insured or subscriber for health services, reimbursement in amounts provided under the contract or insurance policy shall not be denied if the services are rendered to the insured or subscriber by a person licensed under the laws of this state to treat the illness or disability or perform the health services covered by the contract or policy. Nothing in this section prevents the insured from contracting with the insurer for direct payment of policy proceeds to the provider of health services.  (b) For purposes of reimbursements provided by subsection (a) of this section for dietary services, a dietitian registered with the commission on dietetic registration of the American dietetic association shall be deemed a "person licensed" within the meaning of subsection (a) and benefits otherwise provided by the contract shall be provided. Nothing in this section shall require a disability insurer to pay for services provided by a dietitian or a registered dietitian unless otherwise provided as a benefit in the contract or policy.
WY Stat § 26-22-102 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 22 - Hospital or Medical Service Insurance and Prepaid Health Service Plans|Article 1 - Reimbursement Under Medical Service Contract or Disability Insurance Policy|Section 26-22-102 - Requirements of Accident and Sickness Insurance to Tax Supported Institutions.

26-22-102. Requirements of accident and sickness insurance to tax supported institutions.| (a) No individual or group policy of accident and sickness insurance delivered or issued for delivery to any person in this state which provides coverage for mental illness or intellectual disability or both shall exclude benefits for the care or treatment of the mental illness or intellectual disability provided by a tax supported institution of the state, provided:  (i) The institution establishes and actively utilizes appropriate professional standard review organizations according to W.S. 35-17-101, or comparable peer review programs;  (ii) The operation of the institution is subject to review according to federal and state law; and  (iii) Charges are made for the services.
WY Stat § 26-22-103 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 22 - Hospital or Medical Service Insurance and Prepaid Health Service Plans|Article 1 - Reimbursement Under Medical Service Contract or Disability Insurance Policy|Section 26-22-103 - Applicability; Compliance by Use of Endorsements or Riders.

26-22-103. Applicability; compliance by use of endorsements or riders.| W.S. 26-22-102 and this section apply to all accident and sickness policies issued and delivered in the state or issued for delivery in the state after January 1, 1976, but do not apply to any policies issued and delivered in the state or issued for delivery in the state prior to that date. With respect to any policy forms approved by the insurance commission prior to January 1, 1976, an insurer is authorized to achieve compliance by the use of endorsements or riders if the endorsements or riders are approved by the insurance commission as being in compliance with W.S. 26-22-102.
WY Stat § 26-22-104 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 22 - Hospital or Medical Service Insurance and Prepaid Health Service Plans|Article 1 - Reimbursement Under Medical Service Contract or Disability Insurance Policy|Section 26-22-104 - Reimbursement for Health Care; Includes Health Care by Psychologists.

26-22-104. Reimbursement for health care; includes health care by psychologists.| Notwithstanding any provisions in policies or contracts or certificates issued as evidence thereof which might be construed to the contrary, from and after July 1, 1985, all individual and group or blanket policies of accident and sickness insurance or individual or group service or indemnity contracts issued by a corporation including corporations which provide health care to its employees as a benefit of employment which are issued, delivered, issued for delivery, amended or renewed in this state or which cover any risk resident, located or to be performed in this state and which provide coverage for diagnostic and therapeutic services which are within the lawful scope of practice of a psychologist duly licensed to practice, shall be deemed to provide that any person covered under the policies or contracts is entitled to receive reimbursement for the services under the policies or contracts if they are rendered by a duly licensed doctor of medicine or a duly licensed psychologist.
WY Stat § 26-22-201 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 22 - Hospital or Medical Service Insurance and Prepaid Health Service Plans|Article 2 - Group Health Insurance Conversion|Section 26-22-201 - Group Health Insurance Conversion.

26-22-201. Group health insurance conversion.| A group policy or certificate delivered or issued for delivery in this state which provides hospital, surgical or major medical expense insurance, or any combination of these coverages, on an expense incurred basis, but not a policy which provides benefits for specific diseases or for accidental injuries only, shall provide that an employee or member whose insurance under the group policy has been terminated for any reason and who has been continuously insured under the group policy, and under any group policy providing similar benefits which it replaces, for at least three (3) months immediately prior to termination, is entitled to have the insurer issue to him a policy of health insurance, referred to in this article as the converted policy. An employee or member is not entitled to have a converted policy issued to him if termination of his insurance under the group policy occurred because he failed to pay any required contribution, or any discontinued group coverage was replaced by similar group coverage within thirty-one (31) days from the date of discontinuation.
WY Stat § 26-22-301 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 22 - Hospital or Medical Service Insurance and Prepaid Health Service Plans|Article 3 - Prepaid Hospital, Medical-Surgical or Other Health Service Plans|Section 26-22-301 - Prepaid Hospital, Medical-Surgical or Other Health Service Plans Subject to Provisions of Code; Exceptions.

26-22-301. Prepaid hospital, medical-surgical or other health service plans subject to provisions of code; exceptions.| (a) Any corporation which establishes, maintains or operates prepaid hospital, medical-surgical or other health service plans, or combination thereof, in which hospital, medical-surgical or other health service may be provided to its members or subscribers by hospitals or physicians with which the corporation has contracted for that purpose, is transacting insurance and subject to regulation and taxation as an insurer under this code.  (b) This section does not apply to company-operated or employee-operated organizations, not covered by hospital or sickness insurance, but formed and operated for the purpose of providing hospital or medical services supported or financed by dues paid to the associations by or on behalf of those who are employees or pensioners of the company.  (c) This section does not apply to a direct primary care agreement as defined in W.S. 26-1-104(a)(vi).
WY Stat § 26-22-401 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 22 - Hospital or Medical Service Insurance and Prepaid Health Service Plans|Article 4 - Insurance Continuation for Dependents With Disabilities|Section 26-22-401 - Required Provision of Individual or Group Policy or Contract.

26-22-401. Required provision of individual or group policy or contract.| (a) Any individual or group hospital or medical expense insurance policy or hospital service plan contract or medical service plan contract, delivered or issued for delivery in this state which provides that coverage of a dependent child of a policyholder or subscriber, or of an employee or other member of the covered group, as the case may be, terminates upon attainment of the limiting age for dependent children specified in the policy or contract, shall also provide in substance that attainment of the limiting age does not terminate the child's coverage while the child is and continues to be both:  (i) Incapable of self-sustaining employment by reason of intellectual disability or physical disability; and  (ii) Chiefly dependent upon the policyholder or subscriber, or the employee or other member of the covered group, as the case may be, for support and maintenance, provided proof of the incapacity and dependency is furnished to the insurer or hospital service plan corporation or medical service plan corporation by the policyholder or subscriber, or employee or other member of the covered group, as the case may be, within thirty-one (31) days of the child's attainment of the limiting age and subsequently as the insurer or corporation requires but not more frequently than annually after the two (2) year period following the child's attainment of the limiting age.
WY Stat § 26-22-501 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 22 - Hospital or Medical Service Insurance and Prepaid Health Service Plans|Article 5 - Health Care Reimbursement Reform|Section 26-22-501 - Short Title.

26-22-501. Short title.| This article is known and may be cited as the "Health Care Reimbursement Reform Act of 1985".
WY Stat § 26-22-502 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 22 - Hospital or Medical Service Insurance and Prepaid Health Service Plans|Article 5 - Health Care Reimbursement Reform|Section 26-22-502 - Definitions.

26-22-502. Definitions.| (a) As used in this article:  (i) "Group" means any individual, partnership or corporation employing individuals in any occupation, or any labor union or other association representing such individuals if those individuals would qualify as an eligible group under W.S. 26-19-102(a)(i), (ii), (iii) or (viii) or any other number of individuals organized or united for a common purpose including any purpose specified in this article;  (ii) "Health care services" means health care services or products rendered or sold by a provider within the scope of the provider's license or legal authorization and includes, but is not limited to, hospital, medical, surgical, dental, vision and pharmaceutical services or products;  (iii) "Insured" means an individual entitled to reimbursement for expenses of health care services under an agreement between a group and a provider or under a policy or subscriber contract issued or administered by an insurer;  (iv) "Insurer" means an insurance company or a health service corporation authorized in this state to issue policies or subscriber contracts which reimburse for expenses of health care services;  (v) "Provider" means an individual or entity licensed or legally authorized to provide health care services.