This June, Texas Governor Rick Perry signed into law a bill that will require private insurance companies to cover amino acid-based elemental formulas like Neocate, regardless of whether the formula is taken orally or via a feeding tube.
Insurance reimbursement is required for the following conditions:
- IgE and non IgE-mediated allergies to multiple food proteins (i.e. milk protein allergy);
- Severe food protein-induced entercolitis;
- Eosinophilic disorders; and
- Impaired absorption of nutrients caused by disorders affecting the absorptive surface, functional length, and motility of the gastrointestinal tract.
The law applies to health plans that are delivered or renewed after January 1, 2010. To read the entire bill click here.
This is great news for families in Texas and will provide some much-needed economic relief. There are currently nine other states with reimbursement legislation: Arizona, Connecticut, Illinois, Maryland, Massachusetts, Minnesota, New Hampshire, New Jersey and New York. However, each state’s laws are slightly different – to view a copy of a specific state's legislation click here.
If your state does not currently offer insurance reimbursement for amino-acid based elemental formulas, please visit the Children’s MAGIC website. They are committed to promoting healthcare coverage and reimbursement of elemental formulas for children who are unable to consume a natural, life-sustaining diet due to various allergies or diseases. You can find a useful guide to enacting legislation in your state, along with updates on progress across the country.