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The data and information presented in this web site are presented in good faith and believed to be accurate. Any and all liability for the content or any omissions including any inaccuracies, errors, or misstatements in such data or information is expressly disclaimed. The web site is compiled for the sole purpose of informing community members of resources and information pertaining to Lyme Borreliosis Disease and its coinfections.
The Canadian Lyme Disease Foundation, Directors and members are not liable for any direct or indirect damages or any damages whatsoever resulting from loss of use, data or profits, whether in an action of contract, negligence or other tortious action arising out of or in connection with the use or performance of information available from this website.
Consult a qualified Lyme ( Borreliosis ) Disease literate doctor for medical advice if Lyme Disease is suspect.
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Lyme patients get good news
A bill mandates comprehensive care by health insurers.
07/04/2003
BY JENNIFER D. JORDAN
Journal Staff Writer
In a move that surprised even ardent supporters, the General Assembly passed
a bill just before 11 p.m. Wednesday requiring health insurance companies to
cover long-term intravenous antibiotic treatment for Lyme-disease patients.
Rhode Island, which has the second-highest rate of the tick-borne illness in
the country, is the first state to mandate such comprehensive coverage,
Lyme-disease activists say.
"This is a miracle," said Lisa Larisa, president of the Rhode Island chapter
of the Lyme Disease Association, who lobbied lawmakers until late into the
night. "It is a huge, huge step forward."
Currently, most health insurance companies now cover only four to six weeks
of intravenous treatment and say that there's little scientific evidence
that prolonged antibiotic use helps.
"It is unfortunate that our entire membership is being asked to pay for
treatment that has not been proven effective," said Scott Fraser, spokesman
for Blue Cross & Blue Shield of Rhode Island, the state's largest health
insurer. "There's no limit to this treatment, and I can foresee many more
customers and doctors alike considering it now. I'm sure we'll see an
increase in numbers, and that has to be reflected in premiums."
But Lyme-disease activists say long-term antibiotics do help some patients.
"As a result of these laws," said Pat Smith, president of the national Lyme
Disease Association, "I think we'll start seeing fewer people becoming
debilitated by the illness, because they'll get appropriate medicine more
quickly." Last year, lawmakers passed a law that protects doctors who
prescribe long-term antibiotic treatment.
Last year, about 40 people requested long-term treatment and about 15 pushed
through to the final level of appeal to have their intravenous treatment
extended, but only one case was successful, Fraser said.
The company estimates intravenous antibiotic treatment costs about $125 a
day; antibiotic pills cost $1 a day.
Emily Morton, 16, of East Greenwich, was one patient who was rejected. Her
doctor helped arrange for her to get free medicine, and for the last nine
months, her family has helped her administer the drugs through a tube from
her arm into her heart. She said she feels better and hopes to be off the IV
by the time she'd be eligible for the new coverage, in January.
But her parents say they are still relieved lawmakers passed the bill, even
if their daughter won't directly benefit.
"This is not an issue that is going to go away," said Paul Morton, Emily's
father. "I believe the Rhode Island legislature has taken a stand that will
force the insurance companies to do the right thing."
The bill, sponsored by state Rep. Raymond E. Gallison Jr., D-Bristol, and
state Sen. Michael J. Damiani, D-East Providence, almost fell apart several
times this week, as health insurance companies proposed amendments that
would limit the length of treatment to 12 weeks and narrow the type of
doctors who could prescribe intravenous antibiotics, Gallison said.
In the end, a compromise was reached and a sunset provision was added. The
bill will stay in effect only until Dec. 31, 2004, although patients whose
policies are renewed next summer will be eligible for a full year of
treatment, into 2005, said Joseph S. Larisa Jr., a consultant and former
chief of staff for Gov. Lincoln C. Almond. Larisa, who is also Lisa Larisa's
brother, helped organize last year's Lyme disease commission. He said he
isn't discouraged by the temporary nature of the bill.
"What we needed desperately was to get a law on the books that was binding,"
Larisa said. "Now that it's in law, we're hoping the education of the public
and of doctors continues, and we hope people might not need this kind of
treatment in the future."
Copyright, Belo Interactive, Inc.
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