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1996 SESSION
HB 1393 Health insurance; health care provider panels.
Introduced by: Kenneth R. Plum | all patrons ... notes | add to my profiles
SUMMARY:
Accident and sickness insurance; health care provider panels. Establishes procedures for establishing and using health care provider panels. The bill requires sponsors of such panels (defined by the bill as "carriers") to publicize their intentions to develop panels and to provide applications and the relevant terms and conditions for participation on provider panels to health care providers seeking admission to them. Additional provisions require notice to (i) covered individuals regarding provider panel status changes and (ii) purchasers of health benefit plans providing a description of all types of payment arrangements that a carrier uses to compensate providers, including withholds, bonus payments, capitation and fee-for-service discounts. The bill also prohibits contracts between a carrier and a provider from requiring that the provider (i) as a condition of participation on the panel, waive any right to seek legal redress against the carrier and (ii) indemnify the carrier for the carrier's negligence, willful misconduct or breach of contract (if any). The bill further provides that such contracts (i) may not prohibit, impede or interfere in the discussion of medical treatment options between a patient and provider and (ii) must permit and require the provider to discuss medical treatment options with the patient. Finally, the bill requests the Joint Commission on Health Care to study the need to require a point-of-service option in managed care plans and other issues relating to the impact of provider panels.
FULL TEXT
- 01/22/96 House: Presented & ordered printed 961572408 pdf
- 02/10/96 House: Committee substitute printed 960668408-H1 pdf
- 02/13/96 House: Printed as engrossed 960668408-EH1 pdf
- 03/18/96 House: Bill text as passed House and Senate (HB1393ER) pdf
- 04/16/96 Governor: Acts of Assembly Chapter text (CHAP0776) pdf
AMENDMENTS
HISTORY
- 01/22/96 House: Presented & ordered printed 961572408
- 01/22/96 House: Referred to Committee on Corporations, Insurance and Banking
- 02/10/96 House: Committee substitute printed 960668408-H1
- 02/10/96 House: Reported from C. I. B. w/sub. (21-Y 1-N)
- 02/10/96 House: Read first time
- 02/12/96 House: Passed by for the day
- 02/12/96 House: Constitutional readings dispensed
- 02/13/96 House: Committee substitute agreed to 960668408-H1
- 02/13/96 House: Amendment by Mr. Plum agreed to
- 02/13/96 House: Engrossed by House - com. sub. w/amd. 960668408-EH1
- 02/13/96 House: Printed as engrossed 960668408-EH1
- 02/13/96 House: Passed House (97-Y 2-N)
- 02/13/96 House: VOTE: PASSAGE (97-Y 2-N)
- 02/13/96 House: Reconsideration of passage agreed to by House
- 02/13/96 House: Passed House (99-Y 1-N)
- 02/13/96 House: VOTE: PASSAGE #2 (99-Y 1-N)
- 02/13/96 House: Communicated to Senate
- 02/15/96 Senate: Read first time
- 02/15/96 Senate: Referred to Committee on Commerce and Labor
- 02/26/96 Senate: Reported from C. & L. with amendments (15-Y 0-N)
- 02/27/96 Senate: Constitutional reading dispensed (40-Y 0-N)
- 02/27/96 Senate: VOTE: CONST. READING DISPENSED (40-Y 0-N)
- 02/28/96 Senate: Read third time
- 02/28/96 Senate: Reading of amendments waived
- 02/28/96 Senate: Committee amendments agreed to
- 02/28/96 Senate: Engrossed by Senate as amended
- 02/28/96 Senate: Passed Senate with amendments (40-Y 0-N)
- 02/28/96 Senate: VOTE: PASSAGE (40-Y 0-N)
- 02/29/96 House: Placed on Calendar
- 03/01/96 House: Senate amendments agreed to by House (96-Y 0-N)
- 03/01/96 House: VOTE: ADOPTION (96-Y 0-N)
- 03/18/96 House: Bill text as passed House and Senate (HB1393ER)
- 03/20/96 House: Enrolled
- 03/21/96 Senate: Signed by President
- 03/22/96 House: Signed by Speaker
- 04/06/96 Governor: Approved by Governor-Chapter 776 (effective 7/1/96)
- 04/16/96 Governor: Acts of Assembly Chapter text (CHAP0776)