Indiana House Bill 1217 (Prior Session Legislation)

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Spectrum: Partisan Bill (Republican 1-0)
Status: Introduced on January 14 2021 - 25% progression, died in committee
Action: 2021-01-14 - First reading: referred to Committee on Financial Institutions and Insurance
Pending: House Financial Institutions and Insurance Committee
Text: Latest bill text (Introduced) [PDF]

Notice of change to provider agreement. Requires an insurer and a health maintenance organization to provide a contracted provider with a current reimbursement rate schedule: (1) every two years; and (2) when three or more CPT code rates change in a 12 month period. Requires an insurer and a health maintenance organization to provide a contracted provider with notice of a proposed material change to the agreement between the insurer or health maintenance organization and the contracted provider at least 90 days prior to the proposed effective date. Establishes requirements for the contents of a notice of a proposed material change. Requires an insurer or health maintenance organization to provide a contracted provider with notice at least 15 days prior to a change to an existing prior authorization, precertification, notification, referral program, edit program, or specific edits.

Notice of change to provider agreement.

Rep. Dave Heine [R]

Date	Chamber	Action
2021-01-14	House	First reading: referred to Committee on Financial Institutions and Insurance
2021-01-14	House	Authored by Representative Heine

Type	Source
Summary	https://iga.in.gov/legislative/2021/bills/house/1217/details
Text	http://iga.in.gov/static-documents/3/4/e/c/34eca071/HB1217.01.INTR.pdf
Supplement	http://iga.in.gov/static-documents/3/c/3/f/3c3fc2e4/HB1217.01.INTR.FN001.pdf