+ − Summary
+ − Full Texts (3)
+ − Actions (46)
- Governor Approved
- Effective Date September 15, 2017
- Public Act . . . . . . . . . 100-0502
- Sent to the Governor
- Senate Committee Amendment No. 1 House Concurs 098-000-000
- 3/5 Vote Required
- House Concurs
- Passed Both Houses
- Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee; 005-000-000
- Arrived in House
- Placed on Calendar Order of Concurrence Senate Amendment(s) 1
- Senate Committee Amendment No. 1 Motion Filed Concur Rep. Gregory Harris
- Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
- Third Reading - Passed; 053-000-000
- Second Reading
- Placed on Calendar Order of 3rd Reading May 15, 2017
- Do Pass as Amended Insurance; 010-000-000
- Placed on Calendar Order of 2nd Reading May 12, 2017
- Senate Committee Amendment No. 1 Adopted
- Senate Committee Amendment No. 1 Assignments Refers to Insurance
- Assigned to Insurance
- Senate Committee Amendment No. 1 Filed with Secretary by Sen. Linda Holmes
- Senate Committee Amendment No. 1 Referred to Assignments
- Arrive in Senate
- Placed on Calendar Order of First Reading
- Chief Senate Sponsor Sen. Linda Holmes
- First Reading
- Referred to Assignments
- Third Reading - Short Debate - Passed 110-002-001
- Second Reading - Short Debate
- House Floor Amendment No. 2 Adopted
- Placed on Calendar Order of 3rd Reading - Short Debate
- House Floor Amendment No. 2 Recommends Be Adopted Insurance: Health & Life Committee; 013-001-002
- House Floor Amendment No. 2 Rules Refers to Insurance: Health & Life Committee
- House Floor Amendment No. 2 Filed with Clerk by Rep. Gregory Harris
- House Floor Amendment No. 2 Referred to Rules Committee
- Placed on Calendar 2nd Reading - Short Debate
- House Committee Amendment No. 1 Adopted in Insurance: Health & Life Committee; by Voice Vote
- Do Pass as Amended / Short Debate Insurance: Health & Life Committee; 016-000-000
- House Committee Amendment No. 1 Rules Refers to Insurance: Health & Life Committee
- House Committee Amendment No. 1 Filed with Clerk by Rep. Gregory Harris
- House Committee Amendment No. 1 Referred to Rules Committee
- Assigned to Insurance: Health & Life Committee
- First Reading
- Referred to Rules Committee
- Prefiled with Clerk by Rep. Gregory Harris
+ − Adopted Amendments (3)
Senate Amendment 001
In provisions concerning network adequacy, removes language providing that the network plan shall demonstrate sufficient inpatient services, including services by preferred providers who specialize in emergency medicine, anesthesiology, pathology, and radiology. Removes provisions concerning facility nonparticipating provider transparency.
House Amendment 002
Provides that the Act applies to an individual or group policy of accident and health insurance with a network plan amended, delivered, issued, or renewed in this State on or after January 1, 2019. Defines "authoritative representative". Removes references to "exchange plans or Medicare Advantage Plans". Removes language that requires insurers to file a description of services for review prior to going to market. In provisions concerning notice of renewal or termination, includes language that primary care providers must notify active affected patients of nonrenewal or termination of the provider from the network plan, except in the case of incapacitation. Adds provisions concerning facility nonparticipating provider transparency. Makes other changes. Provides that the bill takes effect upon becoming law (rather than on January 1, 2018).
House Amendment 001
Replaces everything after the enacting clause. Reinserts the introduced bill with the following changes: Removes the definition of "administrator". Includes in the definition of "insurer" workers compensation insurance and pharmacy benefit managers. Defines "telehealth" and "telemedicine". Removes references to "administrators" throughout the Act. Removes provisions requiring an insurer providing a network plan to file the following information with the Director of Insurance: the method of the marketing plan and certain written policies and procedures. Provides that insurers shall provide the Director a description of how the use of telemedicine, telehealth, or mobile care services may be used to partially meet the network adequacy standards (rather than a description of each network hospital of the percentage of physicians in certain specialties who practice in the hospital are in the insurer's network). Provides that the Department shall consider establishing ratios for certain physicians or other providers (rather than requiring ratios at a minimum to include certain physicians or other providers). Provides that maximum travel and distance standards for network plan beneficiaries established annually by the Department shall be done in consultation with the Department of Public Health. Removes the requirement that the network plan must demonstrate, prior to approval, that it has contracted with physicians who specialize in certain areas in sufficient numbers at any in-network facility or in-network hospital so patients have reasonable access to the in-network physicians. Provides that the network plan shall demonstrate sufficient inpatient services. Provides that the network plan may consider use of other health care service delivery options. Provides that the Director may (rather than shall) conduct periodic (rather than semi-annual) audits of the accuracy of provider directories. Removes language granting the Director specific authority to issue a cease and desist order against, fine, or otherwise penalize any insurer for violations of any provision of the Act. Makes other changes.
+ − Statute Amended
- New Act
