Text: H01175 Text: H01177 Text: H01100 - H01199 Text: H Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Amend House File 557 as follows: 1 2 #1. Page 6, by inserting after line 4 the 1 3 following: 1 4 "Sec. ___. NEW SECTION. 514B.13A PROHIBITED 1 5 CONDUCT. 1 6 1. A health maintenance organization shall not 1 7 prohibit a participating provider from or penalize a 1 8 participating provider for discussing treatment 1 9 options with covered persons, irrespective of the 1 10 health maintenance organization's position on the 1 11 treatment options, or from advocating on behalf of 1 12 covered persons within the utilization review or 1 13 grievance processes established by the health 1 14 maintenance organization or a person contracting with 1 15 the health maintenance organization. 1 16 2. A health maintenance organization shall not 1 17 penalize a provider because the provider, in good 1 18 faith, reports to state or federal authorities any act 1 19 or practice by the health maintenance organization 1 20 that, in the opinion of the provider, jeopardizes 1 21 patient health or welfare. 1 22 Sec. ___. NEW SECTION. 514F.4 PROHIBITED 1 23 CONDUCT. 1 24 1. A health care insurer shall not prohibit a 1 25 participating provider from or penalize a 1 26 participating provider for discussing treatment 1 27 options with covered persons, irrespective of the 1 28 health care insurer's position on the treatment 1 29 options, or from advocating on behalf of covered 1 30 persons within the utilization review or grievance 1 31 processes established by the health care insurer or a 1 32 person contracting with the health care insurer. 1 33 2. A health care insurer shall not penalize a 1 34 provider because the provider, in good faith, reports 1 35 to state or federal authorities any act or practice by 1 36 the health care insurer that, in the opinion of the 1 37 provider, jeopardizes patient health or welfare." 1 38 #2. Renumber as necessary. 1 39 1 40 1 41 1 42 DODERER of Johnson 1 43 HF 557.302 77 1 44 mj/cf/28
Text: H01175 Text: H01177 Text: H01100 - H01199 Text: H Index Bills and Amendments: General Index Bill History: General Index
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