(a) As used in this section:
- (1) “Inherited metabolic disorder” means a disorder caused by an inherited abnormality of body chemistry for which the State screens newborn infants.
- (2) “Low protein modified food product” means a food product that is specifically formulated to have less than one gram of protein per serving and is intended to be used under the direction of a health care professional for the dietary treatment of a metabolic disorder.
- (3) “Medical food” means an amino acid modified preparation that is intended to be used under the direction of a health care professional for the dietary treatment of an inherited metabolic disorder.
- (b) A health insurance plan shall provide coverage for medical foods prescribed for medically necessary treatment for an inherited metabolic disorder.
- (c) Coverage for low protein modified food products prescribed for medically necessary treatment of an inherited metabolic disorder shall be at least $2,500.00 during any continuous period of 12 months for any covered individual. (Recodified and amended 2025, No. 11, § 2, eff. September 1, 2025.)