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2000 SESSION

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HB 1366 Health insurance; provider panels.

Introduced by: H. Morgan Griffith | all patrons    ...    notes | add to my profiles | history

SUMMARY AS PASSED:

Health insurance; provider panels. Mandates that provider panel contracts must permit the provider to refuse to participate in one or more of the other provider panels when contracts are executed. This measure applies to contracts that require the provider, as a condition of participating in one of the provider panels, to participate in any other provider panel. The refusal to participate shall not affect the provider's ability to serve on new or existing panels. The prohibition does not apply to participants in the state Medicaid plan.

SUMMARY AS PASSED HOUSE:

Health insurance; provider panels. Prohibits a contract between a provider and a carrier from requiring a provider, as a condition of participating in one of the carrier’s networks, to be part of any other provider network owned or operated by that carrier. This provision does not apply to the Medallion II and children's health insurance plan administered by or pursuant to contract with the Department of Medical Assistance Services.

SUMMARY AS INTRODUCED:

Health insurance; provider panels. Prohibits a contract between a provider and a carrier from requiring a provider, as a condition of participating in one of the carrier’s networks, to be part of any other provider network owned or operated by that carrier.