This isn’t hard. Require a medical necessity by law; rely on doctors to determine whether medical necessity is present and document the diagnose that supports it.
I don't trust the idiots that write the legislation to have a grasp of any particular situation.
For instance, why would I believe that some idiot running for office knows enough about "medical necessity" to define it for everyone? I don't think so at all. And I'm convinced that the majority of them will keep up the "crueler than thou" competition currently raging in US government for the sake of wealth and power.
I agree that a few late term abortions are morally repugnant, but I don't think that government interference in women's reproductive care is a solution.
Tom
Legislators don’t need to define medical necessity. They don’t define medical necessity for ACA when it comes to provisions for reconstructive and corrective surgery as opposed to cosmetic. The refs say the first two must be covered by insurance, and the latter cannot be eligible for subsidized coverage.
This is no different, and it’s increasingly absurd to pretend that such detail is required.
If it’s medically necessary, there will be a diagnosis code of the medical condition that supports it, documented in the medical records as the supporting evidence for why the procedure was done.
Cosmetic surgery won’t have a diagnosis code, because theres nothing to diagnose - there’s no medical diagnosis for “customer wants a smaller nose”. Corrective surgery will, because “deviated septum that restricts or diverts airflow” is an actual medical condition. There is no diagnosis code for “customer wants big ok’ titties”. There is a diagnosis code for “replace tissue lost to mastectomy” as well as for “giant boobies causing persistent back strain and ligament damage”.
Why are you (and others) demanding a degree of perfect specificity for this that is not present in any other regulations?