,,ii  #aah? ,,congress  #b;d ,session   
,s4 #ecge  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #ba1 #bjbd,mr4
 ,murphy 7= himself1 ,mr4 ,cram]1 & ,mr4
 ,mull97 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d title ,,xxvii ( !   
,public ,heal? ,s]vice ,act to improve  
heal? c>e cov]age "u vision & d5tal     
plans1 & = o!r purposes4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,vision 
,lab ,*oice ,act ( #bjbd4  #b4 ,improv+ 
heal? c>e cov]age "u vision plans  7a7  
,9 g5]al ,title ,,xxvii ( ! ,public     
,heal? ,s]vice ,act is am5d$ by ins]t+  
aft] section #bgai;,a 7#db ,u4,s4,c4    
#cjj;gg-#ai;a7 ! foll[+ new section3    
#bgai;,b4 ,improv+ cov]age "u vision    
plans  7a7 ,9 g5]al ,) respect to a gr\p
 heal? plan or individual or gr\p heal? 
insurance cov]age t provides b5efits =  
items & s]vices relat+ to vision c>e    
7includ+ su* a plan or cov]age t (f]s   
limit$ scope vision b5efits71 ! foll[+  

%all apply3 7#a7 ,duration ( limit$     
scope vision plans ,9 ! case ( an       
agreem5t betwe5 a doctor ( optometry or 
a facility employ+ a doctor ( optometry1
 ) respect to a plan or cov]age t (f]s  
limit$ scope vision b5efits-- 7,a7 ! t]m
 ( ! initial agreem5t %all be n long]   
?an #b ye>s2  7,b7 ! agreem5t may be    
ext5d$ ) ! prior acceptance by ! doctor 
( optometry or facility employ+ a doctor
 ( optometry = ea* su* t]m ext5sion1 &  
any su* ext5sion may be = a t]m n long] 
?an #b ye>s2 &  7,c7 ! agreem5t may be  
ext5d$ = unlimit$ t]ms1 subject to      
subp>agraph 7,b74  7#b7 ,no re/rictions 
on *oice ( laboratories & s\rces &      
suppli]s ,a gr\p heal? plan or heal?    
insurance issu] (f]+ su* cov]age may n1 
directly or indirectly1 re/rict or limit
 a doctor ( optometry or facility       
employ+ a doctor ( optometry ) respect  
to *oice ( laboratories1 or *oice (     
s\rce or suppli] ( s]vices or mat]ials  
provid$ by ! doctor or facility to an   
individual :o is enroll$ "u ! plan or   

cov]age4  7b7 ,notification ,! ,secret>y
 %all on an annual basis notify ea*     
,/ate ( ! ,/ate's au?ority to en=ce !   
provisions ( subsection 7a7 aga9/ a gr\p
 heal? plan or a heal? insurance issu]  
(f]+ heal? insurance cov]age describ$ 9 
subsection 7a7 pursuant to section      
#bgbc7;a77#a7 & reque/ confirmation f ! 
,/ate :e!r or n ! ,/ate w en=ce !       
provisions ( subsection 7a74 ,if a ,/ate
 notifies ! ,secret>y t ! ,/ate w n     
en=ce ! provisions ( subsection 7a7 or  
fails to respond )9 #ij days ( !        
,secret>y's reque/1 ! ,secret>y %all    
treat su* ,/ate z fail+ to sub/antially 
en=ce su* provisions = purposes (       
subsections 7a77#b7 & 7b7 ( section     
#bgbc4  7c7 ,def9itions ,9 ?is section--
 7#a7 ! t]m doctor ( optometry means a  
doctor ( optometry :o is legally        
au?oriz$ to practice optometry by !     
,/ate 9 :i* ! doctor s practices2 &     
7#b7 ! t]m facility t employs a doctor (
 optometry means an entity t reta9s !   
s]vices ( a doctor ( optometry =        

purposes t include ! deliv]y ( limit$   
scope vision b5efits s]vices4  4  7b7   
,con=m+ am5dm5t ,section #bgbb7;c77#a7 (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #cjj;gg-#ba7;c77#a77 is am5d$ 
by ins]t+ 7o!r ?an ! requirem5ts "u     
section #bgai;,b74  7c7 ,exclusive      
applicability ( ,/ate law ,not)/&+ any  
am5dm5t made by ?is ,act1 ,/ate law t   
directly affects any /&>d or requirem5t 
relat+ to heal? insurance issu]s &      
vision b5efit plans1 %all h exclusive   
application & ! am5dm5ts made by ?is    
,act %all n apply to ! ext5t t su* ,/ate
 law conflicts ) su* am5dm5ts4 ,! ,/ate 
%all reta9 exclusive jurisdiction ov]   
heal? insurance issu]s & limit$ scope   
vision b5efit plans t are directly      
gov]n$ by su* ,/ate4