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House Amendment 1176

Amendment Text

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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