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2017 SESSION
HB 2037 Health insurance; calculation of cost-sharing provisions.
Introduced by: Jackson H. Miller | all patrons ... notes | add to my profiles | history
SUMMARY AS PASSED HOUSE:
Health insurance; calculation of cost-sharing provisions. Provides that when there is no amount actually paid or payable by a health insurer, health services plan, or health maintenance organization to a provider for the services provided, the insurer, health services plan, or health maintenance organization shall use such insurer's, health services plan's, or health maintenance organization's pre-established allowed amount to calculate the amount payable by the insured for such services.
SUMMARY AS INTRODUCED:
Health insurance; calculation of cost-sharing provisions. Provides that when there is no amount actually paid or payable by a health insurer, health services plan, or health maintenance organization to a provider for covered services, the insurer, health services plan, or health maintenance organization is required to calculate the cost-sharing obligation of the insured, subscriber, or enrollee based on a fee schedule.