Text: S05633 Text: S05635 Text: S05600 - S05699 Text: S Index Bills and Amendments: General Index Bill History: General Index
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PAG LIN 1 1 Amend Senate File 2389 as follows: 1 2 #1. By striking everything after the enacting 1 3 clause and inserting the following: 1 4 "Section 1. NEW SECTION. 514C.11 ACCESS TO 1 5 FACILITIES BY PROVIDERS UNDER MANAGED CARE HEALTH 1 6 PLANS OR INDEMNITY PLANS. 1 7 1. Notwithstanding section 514C.6, a managed care 1 8 health plan or indemnity plan with a limited provider 1 9 network shall accept both of the following as 1 10 providers or locations for provision of services: 1 11 a. A provider licensed under Title IV, subtitle 3, 1 12 who agrees to the conditions of the provider contract 1 13 required by the managed care health plan or indemnity 1 14 plan notwithstanding that the provider maintains 1 15 medical staff privileges in a rural hospital if the 1 16 point of delivery of services is located in a rural 1 17 county. 1 18 b. A rural hospital if the hospital agrees to the 1 19 conditions of the provider contract and the fees 1 20 established under the contract for specific services 1 21 as required by the managed care health plan or 1 22 indemnity plan. 1 23 2. For the purposes of this section: 1 24 a. "Managed care health plan or indemnity plan 1 25 with a limited provider network" means a health 1 26 maintenance organization, organized delivery system, 1 27 exclusive provider organization, point of service 1 28 plan, standard indemnity insurance plan, or any 1 29 similar plan providing for health care services. 1 30 b. "Rural county" means a county with a population 1 31 of thirty-five thousand or less. 1 32 c. "Rural hospital" means a licensed hospital 1 33 which is located in a rural county and which is the 1 34 only hospital licensed in that county." 1 35 #2. Title page, line 3, by inserting after the 1 36 word "physicians" the following: "and other 1 37 providers". 1 38 1 39 1 40 1 41 PATTY JUDGE 1 42 SF 2389.505 76 1 43 mj/jw
Text: S05633 Text: S05635 Text: S05600 - S05699 Text: S Index Bills and Amendments: General Index Bill History: General Index
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