SENATE MOTION


MR. PRESIDENT:

    I move
that Engrossed House Bill 1461 be amended to read as follows:

SOURCE: Page 1, line 4; (01)MO146101.1. -->     Page 1, between lines 4 and 5, begin a new paragraph and insert:
    " Sec. 1. As used in this chapter, "emergency" means a medical condition that arises suddenly and unexpectedly and manifests itself by acute symptoms of such severity, including severe pain, that the absence of immediate medical attention could reasonably be expected by a prudent lay person who possesses an average knowledge of health and medicine to:
        (1) place an individual's health in serious jeopardy;
        (2) result in serious impairment to the individual's bodily functions; or
        (3) result in serious dysfunction of a bodily organ or part of the individual.
".
    Page 1, line 5, delete "1." and insert " 2.".
    Page 1, line 9, after "." insert " The term includes a limited service health maintenance organization.".
    Page 1, line 15, delete "2." and insert " 3.".
    Page 2, line 11, delete "3." and insert " 4.".
    Page 2, line 17, delete "4." and insert " 5.".
    Page 2, line 20, delete "5." and insert " 6.".
    Page 2, line 20, delete "A" and insert " (a) Except as provided in subsection (b), a".
    Page 2, between lines 24 and 25, begin a new paragraph and insert:
    " (b) A person may require a provider, as a condition of entering into a health provider contract for the provision of health care services other than health care services to enrollees of a health maintenance organization, to provide health care services to enrollees of a health maintenance organization:
        (1) in an emergency; or
        (2) upon referral.
    (c) If a person requires a provider to provide health care

services to enrollees of a health maintenance organization under subsection (b), the person:
        (1) shall reimburse the provider at rates established under the health provider contract; and
        (2) may not require the provider to comply with the terms and conditions of the health maintenance organization.
".
    (Reference is to EHB 1461 as printed March 23, 2001.)

________________________________________

Senator LAWSON C


MO146101/DI 98     2001