HB 1300-1_ Filed 03/25/2009, 14:57

COMMITTEE REPORT




MADAM PRESIDENT:

    The Senate Committee on Health and Provider Services, to which was referred House Bill No. 1300, has had the same under consideration and begs leave to report the same back to the Senate with the recommendation that said bill be AMENDED as follows:

    Delete the tile and insert the following:
    A BILL FOR AN ACT to amend the Indiana Code concerning insurance.

SOURCE: Page 1, line 1; (09)AM130003.1. -->     Page 1, between the enacting clause and line 1, begin a new paragraph and insert:
SOURCE: IC 27-1-3-31; (09)AM130003.1. -->     "SECTION 1. IC 27-1-3-31 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 31. (a) Not later than July 1, 2009, each insurer that issues accident and sickness insurance policies (as defined in IC 27-8-14.2-1) and each health maintenance organization shall provide the commissioner with the following information concerning the savings and costs of implementing direct reimbursement for a health care service provider that is out-of-network and that provides services to an insured or enrollee:
        (1) The costs incurred or savings experienced by the insurer or health maintenance organization in implementing direct reimbursement for providers described in this section.
        (2) Operational costs incurred or savings experienced in implementing direct reimbursement for the providers described in this section.
        (3) The number of additional health care service providers, by specialty, that would be reimbursed by the insurer or health maintenance organization after the insurer or health maintenance organization implemented direct reimbursement.
        (4) Any other costs or savings that the insurer, health maintenance organization, or commissioner determines to be relevant to direct reimbursement.

     (b) This section expires December 31, 2009.".
SOURCE: Page 2, line 18; (09)AM130003.2. -->     Page 2, line 18, after "(c)" insert " The health finance commission shall, during the 2009 interim, study whether an insurer should be required to directly reimburse a provider that is out-of-network for services provided to an insured or enrollee. In consideration of this issue, the commissioner of the department of insurance shall provide the health commission with the actuarial information collected under IC 27-1-3-31, as added by this act.
    (d)
".
    Renumber all SECTIONS consecutively.
    (Reference is to HB 1300 as printed February 20, 2009.)

and when so amended that said bill do pass .

Committee Vote: Yeas 9, Nays 0.

____________________________________

Senator Miller, Chairperson


AM 130003/DI 104    2009