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2016 Regular Session



Health Benefit Plans - Network Access Standards and Provider Network Directories

Sponsored by:

Senator Klausmeier


Veto sustained (0-46)

Synopsis:Requiring specified carriers to maintain or adhere to specified standards that ensure that enrollees have access to specified health care providers and covered services; specifying the provisions of State insurance law relating to provider panels that apply to managed care organizations; authorizing the Commissioner to designate an insurer or nonprofit health service plan to offer a preferred provider insurance policy that conditions the payment of benefits on the use of preferred providers under specified circumstances; etc.
Analysis:Fiscal and Policy Note (Revised)
All Sponsors:Senators Klausmeier, Kelley, Feldman, Astle, Benson, Hershey, Jennings, Mathias, Middleton, Pugh, and Reilly
Additional Facts:Cross-filed with: HB1318
Bill File Type: Regular
Effective Date(s): June 1, 2016
Finance  View Committee HearingHealth and Government Operations  View Committee Hearing
Broad Subject(s):Insurance - Health
Narrow Subject(s):Administrative Agencies -see also- Electronic Government
Committees and Commissions -see also- Political Committees
Consumer Protection -see also- Unfair Trade Practices
Developmental Disabilities
Disabilities -see also- Blind; Deaf; Developmental
Diseases -see also- AIDS; Rabies
Electronic Government
Ethnic Affairs
Federal Government
Fees -see also- Attys' Fees; Devt Fees & Taxes; Reimb Rates
Health -see also- Mental Health
Health Benefit Exchange
Health Care Facilities -see also- Clinics; Hospices; etc
Health Insurance -see also- HMOS; Managed Care Organizations
Health and Mental Hygiene, Department of
Health Maintenance Organizations -see also- Manage Care Orgs
Health Occupations -see also- specific health occupations
Health Planning and Cost Review
Hospitals -see also- Clinics; State Hospitals
Inspections -see also- Motor Vehicle Inspection
Insurance -see also- Health Ins; MAIF; Motor Vehicle Ins
Interstate Affairs
Managed Care Organizations -see also- Health Maint Orgs
Medical Assistance
Mental Health
Nonprofit Organizations
Penalties and Sentences -see also- Death Penalty
Physicians -see also- Dentists; Med Exmnrs; Psych; etc
Prices -see also- Consumer Price Index
Public Information
Records -see also- Land Records; Vital Records
Rules and Regulations
Substance Abuse
Telecommunications and Information Technology
Statutes:Article - Health - General
(15-102.3, 19-705.1)
Article - Insurance
(14-205.1, 15-112, 15-830, 31-115, 15-112.3)

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Explanation of Floor Motions and Actions

October 24, 2017 5:11 P.M.