February 20, 2009





HOUSE BILL No. 1300

_____


DIGEST OF HB 1300 (Updated February 18, 2009 11:14 am - DI 97)



Citations Affected: Noncode.

Synopsis: Health provider patient limit study. Requires the health finance commission to study health plan provider contract provisions that would require a contracted provider to accept more than a certain number of patients. Requires the health finance commission to report its findings and recommendations to the legislative council before November 1, 2009.

Effective: Upon passage.





Welch, Brown C, Brown T, Dodge




    January 13, 2009, read first time and referred to Committee on Insurance.
    February 19, 2009, amended, reported _ Do Pass.






February 20, 2009

First Regular Session 116th General Assembly (2009)


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 this style type.
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HOUSE BILL No. 1300



    A BILL FOR AN ACT concerning insurance.

Be it enacted by the General Assembly of the State of Indiana:

SOURCE: ; (09)HB1300.1.1. -->     SECTION 1. [EFFECTIVE UPON PASSAGE] (a) The health finance commission established by IC 2-5-23-3 shall, during the 2009 interim, study:
        (1) the effect on insurers, health care providers, insureds, and other patients of a provision in an agreement with a provider under IC 27-8-11-3 requiring the provider to accept as patients more insureds than:
            (A) the number of insureds specified in the agreement; or
            (B) if there is not a number of insureds specified in the agreement, the number that, in the provider's professional judgment, is the greatest number of insureds that the provider is able to accept without endangering the provider's patients' access to or continuity of care;
        (2) the effect on health maintenance organizations, participating providers, enrollees, and other patients of a provision in a contract between a health maintenance organization and a participating provider requiring the

participating provider to accept as patients more enrollees than:
            (A) the number of enrollees specified in the contract; or
            (B) if there is not a number of enrollees specified in the contract, the number that, in the participating provider's professional judgment, is the greatest number of enrollees that the participating provider is able to accept without endangering the participating provider's patients' access to or continuity of care; and
        (3) any other issue related to a provision described in subdivision (1) or (2), as determined by the health finance commission or the legislative council.
    (b) The health finance commission shall, not later than November 1, 2009, report the health finance commission's findings and recommendations concerning the study conducted under subsection (a) to the legislative council in an electronic format under IC 5-14-6.
    (c) This SECTION expires December 31, 2009.

SOURCE: ; (09)HB1300.1.2. -->     SECTION 2. An emergency is declared for this act.