PENNSYLVANIA, August 11 - (11) In 2014, the Massachusetts Center for Health and

Information Analysis found little to no increase in insurance

costs as a result of expanding coverage to include longer-

term courses of antibiotics. The expansion by fully insured

health plans was projected to result in an average annual

increase, over five years, to the typical member's monthly

health insurance premiums of between a negligible amount and

13¢ per year.

Section 3. Definitions.

The following words and phrases when used in this act shall

have the meanings given to them in this section unless the

context clearly indicates otherwise:

"Clinical diagnosis." A diagnosis of a patient based

primarily on information obtained from medical history, a

physical examination of the patient and review of medical

records, including laboratory tests and radiologic studies or

other differential diagnostic testing.

"Health care professional." A licensed physician,

physician's assistant, certified registered nurse practitioner

or other licensed health care professional.

"Lyme disease." Signs or symptoms compatible with acute,

late-stage, persistent infection with Borrelia burgdorferi or

complications related to such infection or with such other

strains of Borrelia, including, but not limited to, B.

miyamotoi, B. mayonii, B. garinii and B. afzelii, that are

recognized by the Centers for Disease Control and Prevention as

a cause of Lyme disease. The term includes infection that meets

the surveillance criteria established by the Centers for Disease

Control and Prevention and other acute and persistent

manifestations of such an infection as determined by a health

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