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1999 SESSION

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HB 2645 Health insurance; access to specialists, standing referrals.

Introduced by: Dwight Clinton Jones | all patrons    ...    notes | add to my profiles

SUMMARY AS PASSED HOUSE: (all summaries)

Accident and sickness insurance; access to specialists; standing referrals. Requires each (i) insurer proposing to issue individual or group accident and sickness insurance policies providing hospital, medical and surgical or major medical coverage on an expense-incurred basis, (ii) corporation providing individual or group accident and sickness subscription contracts, and (iii) health maintenance organization providing a health care plan for health care services to provide access to specialists for those individuals with ongoing special conditions. Each insurer, corporation or health maintenance organization is required to develop procedures whereby a covered individual with an ongoing special condition may receive a standing referral to a specialist. Insurers, corporations, and health maintenance organizations may require a specialist to provide written notification to the individual’s primary care physician, including a description of the services rendered.


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