IN HB1217 | 2021 | Regular Session
Status
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]
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]
Summary
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.
Title
Notice of change to provider agreement.
Sponsors
Rep. Dave Heine [R] |
History
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 |