Bill Text: IN HB1022 | 2010 | Regular Session | Amended
Bill Title: Insurer access to providers.
Spectrum: Slight Partisan Bill (Republican 3-1)
Status: (Introduced - Dead) 2010-01-14 - Committee report: amend do pass, adopted [HB1022 Detail]
Download: Indiana-2010-HB1022-Amended.html
Citations Affected: IC 27-8; IC 27-13.
Synopsis: Insurer access to providers. Prohibits health plan contract
provisions that would require a contracted provider to accept more than
a certain number of patients. Requires providers to inform the insurer
or heath maintenance organization when the provider is accepting or
not accepting new patients. (The introduced version of this bill was
prepared by the health finance commission.)
Effective: July 1, 2010.
January 5, 2010, read first time and referred to Committee on Public Health.
January 14, 2010, amended, reported _ Do Pass.
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana Constitution) is being amended, the text of the existing provision will appear in this style type, additions will appear in this style type, and deletions will appear in
Additions: Whenever a new statutory provision is being enacted (or a new constitutional provision adopted), the text of the new provision will appear in this style type. Also, the word NEW will appear in that style type in the introductory clause of each SECTION that adds a new provision to the Indiana Code or the Indiana Constitution.
Conflict reconciliation: Text in a statute in this style type or
A BILL FOR AN ACT to amend the Indiana Code concerning
insurance.
(1) the number of insureds specified in the agreement; or
(2) if a number of insureds is not specified in the agreement, the number that, in the provider's professional judgment, is the greatest number of insureds that the provider is able to accept without endangering the provider's patients' access to or continuity of care.
(b) If a provider decides under subsection (a) to stop accepting new patients from the insurer under an agreement referred to in subsection (a), the provider shall notify the insurer of the provider's decision at least sixty (60) days before the provider stops
accepting new patients from the insurer.
(c) If a provider that has decided under subsection (a) to stop
accepting new patients from the insurer under an agreement
referred to in subsection (a) decides to resume accepting new
patients from the insurer, the provider shall notify the insurer of
the provider's decision at least thirty (30) days before the provider
resumes accepting new patients from the insurer.
(1) the number of enrollees specified in the contract; or
(2) if a number of enrollees is not specified in the contract, the number that, in the participating provider's professional judgment, is the greatest number of enrollees that the participating provider is able to accept without endangering the participating provider's patients' access to or continuity of care.
(b) If a provider decides under subsection (a) to stop accepting new patients from the health maintenance organization under an agreement referred to in subsection (a), the provider shall notify the health maintenance organization of the provider's decision at least sixty (60) days before the provider stops accepting new patients from the health maintenance organization.
(c) If a provider that has decided under subsection (a) to stop accepting new patients from the health maintenance organization under an agreement referred to in subsection (a) decides to resume accepting new patients from the health maintenance organization, the provider shall notify the health maintenance organization of the provider's decision at least thirty (30) days before the provider resumes accepting new patients from the health maintenance organization.
