Bill Text: IN SB0351 | 2013 | Regular Session | Introduced
Bill Title: Health care service providers.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2013-01-08 - First reading: referred to Committee on Health and Provider Services [SB0351 Detail]
Download: Indiana-2013-SB0351-Introduced.html
Introduced Version
SENATE BILL No. 351
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DIGEST OF INTRODUCED BILL
Citations Affected: IC 25-22.5-13; IC 27-8-5-29; IC 27-13-7-21.
Synopsis: Health care service providers. Requires a physician to
provide certain information concerning providers of a prescribed health
care service. Requires that a prior authorization provision in a policy
of accident and sickness insurance or a health maintenance
organization contract must be based on the health care service rather
than the provider of the health care service.
Effective: July 1, 2013.
Head
January 8, 2013, read first time and referred to Committee on Health and Provider
Services.
Introduced
First Regular Session 118th General Assembly (2013)
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
SENATE BILL No. 351
A BILL FOR AN ACT to amend the Indiana Code concerning
professions and occupations.
Be it enacted by the General Assembly of the State of Indiana:
SOURCE: IC 25-22.5-13; (13)IN0351.1.1. -->
SECTION 1. IC 25-22.5-13 IS ADDED TO THE INDIANA CODE
AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
1, 2013]:
Chapter 13. Health Care Service Prices
Sec. 1. A physician shall provide to a patient the following with respect to a health care service prescribed by the physician:
(1) A list, including telephone numbers, of the five (5) health care service providers that are:
(A) geographically nearest to the patient's residence; and
(B) certified by a nationally recognized organization that certifies providers of the health care service, including the following:
(i) The American College of Radiology.
(ii) The Joint Commission on Accreditation of Health Care Organizations.
(iii) Another nationally recognized certifying organization.
At least one (1) of the five (5) health care service providers must be a person that does not employ the physician and is not a person in which the physician has an ownership interest.
(2) The prescription for the health care service.
(3) Notice that prices for the health care service may vary significantly among the health care service providers on the list provided under subdivision (1).
(4) If the health care service is a radiology service, notice concerning whether a board certified radiologist is physically present at the location where the radiology service is performed.
Chapter 13. Health Care Service Prices
Sec. 1. A physician shall provide to a patient the following with respect to a health care service prescribed by the physician:
(1) A list, including telephone numbers, of the five (5) health care service providers that are:
(A) geographically nearest to the patient's residence; and
(B) certified by a nationally recognized organization that certifies providers of the health care service, including the following:
(i) The American College of Radiology.
(ii) The Joint Commission on Accreditation of Health Care Organizations.
(iii) Another nationally recognized certifying organization.
At least one (1) of the five (5) health care service providers must be a person that does not employ the physician and is not a person in which the physician has an ownership interest.
(2) The prescription for the health care service.
(3) Notice that prices for the health care service may vary significantly among the health care service providers on the list provided under subdivision (1).
(4) If the health care service is a radiology service, notice concerning whether a board certified radiologist is physically present at the location where the radiology service is performed.
SOURCE: IC 27-8-5-29; (13)IN0351.1.2. -->
SECTION 2. IC 27-8-5-29 IS ADDED TO THE INDIANA CODE
AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
1, 2013]: Sec. 29. A provision in a policy of accident and sickness
insurance that requires prior authorization for a health care
service must:
(1) be based on the health care service; and
(2) not be based on the provider of the health care service.
(1) be based on the health care service; and
(2) not be based on the provider of the health care service.
SOURCE: IC 27-13-7-21; (13)IN0351.1.3. -->
SECTION 3. IC 27-13-7-21 IS ADDED TO THE INDIANA CODE
AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
1, 2013]: Sec. 21. A provision in an individual contract or a group
contract that requires prior authorization for a health care service
must:
(1) be based on the health care service; and
(2) not be based on the provider of the health care service.
(1) be based on the health care service; and
(2) not be based on the provider of the health care service.
