Section 10177.7 Of Article 4. Payment And Proceeds From California Insurance Code >> Division 2. >> Part 2. >> Chapter 1. >> Article 4.
10177.7
. On and after January 1, 1982, every self-insured employee
welfare benefit plan which is issued, amended, delivered, or renewed
that covers hospital, medical, or surgical expenses on a group basis
shall offer coverage for diabetic daycare self-management education
programs, under such terms and conditions as may be agreed upon
between the plan and the group policyholder, subject to utilization
controls.
Coverage shall only apply to programs directed and supervised by a
licensed physician who is board certified in internal medicine or
pediatrics. Covered diabetic daycare self-managment and education
programs shall be provided by health care professionals including,
but not limited to, physicians, registered nurses, registered
pharmacists, and registered dietitians who are knowledgeable about
the disease process of diabetes and the treatment of diabetic
patients.
As used in this section, diabetic daycare self-management
education programs means instruction which will enable diabetic
patients and their families to gain an understanding of the diabetic
disease process, and the daily management of diabetic therapy thereby
avoiding frequent hospitalizations and complications.
Nothing in this section shall be construed to require the offering
of programs whose sole or primary purpose is weight reduction.