South Carolina House Bill 3376 (Prior Session Legislation)

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Sponsorship: Partisan Bill (Republican 1)
Status: Introduced on January 29 2009 - 25% progression, died in committee
Action: 2009-01-29 - Referred to Committee on Labor, Commerce and Industry HJ-4
Pending: House Labor, Commerce and Industry Committee

A BILL TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING SECTION 38-71-205 SO AS TO PROVIDE AN INSURER THAT MAKES A REIMBURSEMENT UNDER A HEALTH INSURANCE POLICY FOR A SERVICE COVERED BY THE POLICY MUST MAKE THE REIMBURSEMENT AT THE SAME RATE APPLIED TO A LICENSED HEALTH CARE PROVIDER IN THIS STATE, TO PROVIDE A GROUP HEALTH INSURANCE POLICY MAY NOT LIMIT OR CONDITION A DIAGNOSIS, SERVICE, OR TREATMENT RENDERED BY A HEALTH CARE PROVIDER OR REIMBURSEMENT TO THE PROVIDER FOR THE DIAGNOSIS, SERVICE, OR TREATMENT RENDERED UNLESS THE POLICY ALSO APPLIES THAT LIMITATION OR CONDITION TO A LICENSED HEALTH CARE PROVIDER IN THIS STATE, TO PROVIDE WHERE A DISCREPANCY EXISTS BETWEEN THIS SECTION AND A REIMBURSEMENT RATE OR CONDITION ON A DIAGNOSIS, SERVICE, OR TREATMENT, THE DISCREPANCY MUST BE CORRECTED IN FAVOR OF THE LOWER TO HIGHER REIMBURSEMENT RATE OR A REDUCTION OF THE LIMITS OR RESTRICTIONS ON THE AFFECTED HEALTH CARE PROVIDER, AND TO PROVIDE A DEDUCTIBLE ONLY MAY BE DICTATED BY THE PLAN OBTAINED BY THE INSURED AND MAY NOT VARY BASED ON THE HEALTH CARE PROVIDER RENDERING THE SERVICE.

Provide An Insurer That Makes A Reimbursement Under A Health Insurance Policy For A Service Covered By The Policy Must Make The Reimbursement At The Same Rate Applied To A Licensed Health Care Provider In This State, To Provide A Group Health Insurance Policy May Not Limit Or Condition A Diagnosis, Service, Or Treatment Rendered By A Health Care Provider Or Reimbursement To The Provider For The Diagnosis, Service, Or Treatment Rendered Unless The Policy Also Applies That Limitation Or Condition To A Licensed Health Care Provider In This State, To Provide Where A Discrepancy Exists Between This Section And A Reimbursement Rate Or Condition On A Diagnosis, Service, Or Treatment, The Discrepancy Must Be Corrected In Favor Of The Lower To Higher Reimbursement Rate Or A Reduction Of The Limits Or Restrictions On The Affected Health Care Provider, And To Provide A Deductible Only May Be Dictated By The Plan Obtained By The Insured And May Not Vary Based On The Health Care Provider Rendering The Service.

Rep. William Herbkersman [R]

Date	Chamber	Action
2009-01-29		Referred to Committee on Labor, Commerce and Industry HJ-4
2009-01-29		Introduced and read first time HJ-4

Chapter	Article	Section	Citation Type	Statute Text
38	71	205	(n/a)	See Bill Text

Type	Source
Summary	https://www.scstatehouse.gov/cgi-bin/web_bh10.exe?bill1=3376&session=118