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1997 SESSION

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HB 2062 Health maintenance organizations; access to emergency services.

Introduced by: William P. Robinson, Jr. | all patrons    ...    notes | add to my profiles

SUMMARY:

Health maintenance organizations; access to emergency services. Provides members of health maintenance organizations (HMOs) with access to a system of 24-hour emergency services. This bill directs HMOs to provide either 24-hour access to medical care or 24-hour access by telephone to a physician or licensed health professional with appropriate medical training. HMOs must reimburse hospital emergency facilities for medical screening and stabilization rendered to meet the requirements of the Federal Emergency Medical Treatment and Active Labor Act if (i) the HMO or its designee or the member's primary care physician authorizes, directs, or refers a member to use a hospital emergency facility or (ii) the HMO fails to provide a system for providing 24-hour access. HMOs must provide to their members a description of the procedures to be followed for emergency services.


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