HOUSE BILL No. 1300
DIGEST OF INTRODUCED BILL
Citations Affected: IC 27-8-11-11; IC 27-13-15-6.
Synopsis: Health provider patient limits. Prohibits health plan contract
provisions that would require a contracted provider to accept more than
a certain number of patients.
Effective: July 1, 2009.
Welch, Brown C, Brown T, Dodge
January 13, 2009, read first time and referred to Committee on Insurance.
First Regular Session 116th General Assembly (2009)
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
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HOUSE BILL No. 1300
A BILL FOR AN ACT to amend the Indiana Code concerning
Be it enacted by the General Assembly of the State of Indiana:
SOURCE: IC 27-8-11-11; (09)IN1300.1.1. -->
SECTION 1. IC 27-8-11-11 IS ADDED TO THE INDIANA CODE
AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
1, 2009]: Sec. 11. An agreement between an insurer and a provider
that is entered into, amended, or renewed under section 3 of this
chapter after June 30, 2009, may not include a provision that
requires the provider to accept more insureds as patients than:
(1) the number of insureds specified in the agreement; or
(2) if there is not a specified number of insureds 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.
SOURCE: IC 27-13-15-6; (09)IN1300.1.2. -->
SECTION 2. IC 27-13-15-6 IS ADDED TO THE INDIANA CODE
AS A NEW
SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
1, 2009]: Sec. 6. A contract between a health maintenance
organization and a participating provider that is entered into,
amended, or renewed after June 30, 2009, may not include a
provision that requires a participating provider to accept more
enrollees as patients than:
(1) the number of enrollees specified in the contract; or
(2) if there is not a specified number of enrollees 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.