HB1862 Requires health carriers to offer all health plans as open referral plans and provide prescription cards if pharmaceutical coverage is provided.
Sponsor: Hagan-Harrell, Mary M. (75) Effective Date:00/00/0000
CoSponsor: LR Number: 4237L.01I
Last Action: COMMITTEE: CRITICAL ISSUES
03/06/2000 - Public Hearing Held (H)
HB1862
Next Hearing:Hearing not scheduled
Calendar:Bill currently not on calendar
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BILL SUMMARIES BILL TEXT
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Available Bill Summaries for HB1862 Copyright(c)
* Introduced

Available Bill Text for HB1862
* Introduced *

BILL SUMMARIES

INTRODUCED

HB 1862 -- Managed Care

Sponsor:  Hagan-Harrell

This bill modifies provisions relating to managed care.  In its
provisions relating to open referrals, the bill requires managed
care entities to offer open referrals in all health plans so
that a referral from a primary care physician is not required to
obtain medical treatment.  Relating to legal actions against
managed care entities, the bill specifies that the managed care
entity is liable to an enrollee for damages caused by a failure
to exercise ordinary care in making treatment decisions.  The
entity is not liable for damages if it did not participate in
the treatment and if payment for treatment was not denied or
delayed by the entity.  Managed care entities are prohibited
from contracting with physicians, hospitals, and other health
care providers if the contract includes a provision that the
managed care entity will be held harmless from damages caused by
its treatment decisions.

The bill also includes exceptions to the utilization review
requirements of Chapter 376 and requires managed care entities
to offer coverage for preventative services such as annual
physical examinations, immunizations, and cancer screening.

In addition, the bill requires health insurance carriers to pay
interest on the amount of a health care claim from the date of
providing a health care service.


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Last Updated October 5, 2000 at 11:35 am