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Customer Service Representative

"Cambrooke has WONDERFUL customer service. Over the past four years, I've had only two problems and they were both handled professionally, promptly and friendly. Thanks Cambrooke!!!!"

Kelley in Pennsylvania

State Legislation

Does my state mandate insurance coverage for medically prescribed foods and formulas?

If you or a family member has PKU or other inherited metabolic disorder, you may be eligible to receive reimbursement for your formula and Low Protein food purchases.

Cambrooke Foods accepts assignment from state agencies and private insurance companies.

For information on how to obtain reimbursement for Cambrooke Foods' products, please see the insurance guidelines.

The following table provides an overview of 36 states with current or pending legislation that mandates reimbursement for foods and/or formula for people with PKU and other inherited metabolic disorders. Cambrooke Foods will make every effort to update this table as new information becomes available. Please let us know if you find any discrepancies in coverage.

States Requiring Insurance Coverage for
Medically Prescribed Foods

			Diet Coverage		Limitations		Provider
State	Bill #	Date Adopted	Formula	Food	Annual Food	Age	State	Insurance
Alaska	SB 313	5/21/91	yes	no	none	no	no	yes
Arizona	HB 2043	4/18/00	yes	yes	50% of expenditures, up to $5,000	no	no	yes
Arkansas	HB 183	4/5/99	yes	yes	$2,400 annual tax credit per child	no	no	yes
California	SB148	1/6/99	yes	yes	none	18	no	yes
Connecticut	HB 7040	10/1/97	yes	yes	none	no	no	yes
Delaware	SB 78	July 2008	yes	yes		Females through child bearing age, Males: 21	yes	no
Florida	HB 853	5/1/95	yes	yes	$2500 for foods	24	no	yes
Hawaii	HB 326	Jan-99	yes	yes	none	no	no	yes
Illinois			yes	no			yes	no
Kansas	HB 2255	4/22/97	yes	yes	$1,500	18	yes	no
Kentucky	HB 395	April 2002	yes	yes	$4,000	no	yes	yes
Maine	HB 401	2/14/95	yes	yes	$3,000 for foods	18	no	yes
Maryland	HB 509	5/9/95	yes	yes	none	no	no	yes
Massachusetts	HB 5622	11/24/93	yes	yes	$5,000	no	no	yes
Minnesota	256B.0625	Unknown	yes	yes	none	no	no	yes
Missouri	HB 1026	June 2002	yes	yes	$5,000	6	yes	yes
Montana	HB 266	4/25/99	yes	no	none	21	no	yes
Nebraska	LB 610	4/15/98	yes	yes	$2,000 for foods	no	yes	yes
Nevada	AB 394	7/16/97	yes	yes	$2,500 for foods	21	yes	yes
New Hampshire	HB 1431	8/18/95	yes	yes	$1,800 for foods	no	yes	yes
New Jersey	SB 1887	12/11/97	yes	yes	none	no	no	yes
New Mexico	HB 0289	07/01/03	yes	yes	none	yes	yes	yes
New York	Law A.1818- A, Chapter 380, Chapter 177	Chapter 380, 2/1/94; Chapter 177, 1/1/98	yes	yes	$2,500	no	no	yes
North Carolina	13OA-125, Article 5	7/1/97	yes	no	none	no	yes	no
North Dakota	SB 2239, HB 1012 Chapter 257, S.L.	Aug 2001	yes	yes	$3,000	Females: 44, Males: 21	yes	yes
Ohio	legislation pending		yes	no		no	no	yes
Oregon	HB 2388, SB 74	5/20/97, July 2003	yes	yes	none	no	no	yes
Pennsylvania	SB 7059	12/20/96	yes	no	none	no	no	yes
South Carolina	SB 485 pending		yes	no	no	no	yes	no
South Dakota	SB 89	3/10/92	yes	no	none	no	no	yes
Tennessee	HB 165	7/1/96	yes	no	none	no	no	yes
Texas	Texas Insurance code HB 1751	9/1/99	yes	no	$3,500	no	no	yes
Utah	HB 205	2/6/98	yes	no	none	no	no	yes
Vermont	SB 253	10/1/98	yes	yes	$2,500	no	no	yes
Virginia	HB 0452	3/1/00	yes	yes	$2,000 for foods	18, and pregnant women	yes	yes
Washington	SB 6433	3/22/88	yes	no	none	no	no	yes
West Virginia	Statute Number 383.14	Unknown	yes	yes	none	no	yes	no
Wisconsin	Act 157, Statute 253.13	3/8/83 current	yes	yes	none	no	yes	no

(1) This column identifies the reimbursing entity. "Insurance" indicates that private insurance companies, including PPOs and HMOs, are mandated to reimburse. "State" indicates that there is a state agency or program that oversees the reimbursement of these products. In some states, both entities will oversee reimbursement.

NOTE: In most states, reimbursement is not mandatory for people who are self-insured (example: ERISA plans). Further, if families are eligible for WIC (Women Infants and Children) or Medicaid, those national programs often supercede state legislated reimbursement programs. To find out if you are eligible for WIC or Medicaid, contact your state's Social Services Department.