‘An Act To Require Hospitals To Disclose Information about Provider Participation in Health Insurance Carrier Networks’
| SP0089 LD 251 |
Session - 127th Maine Legislature C "A", Filing Number S-35, Sponsored by
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LR 589 Item 2 |
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| Bill Tracking, Additional Documents | Chamber Status | ||
Amend the bill by striking out the title and substituting the following:
‘An Act To Require Hospitals To Disclose Information about Provider Participation in Health Insurance Carrier Networks’
Amend the bill by striking out everything after the enacting clause and before the summary and inserting the following:
‘Sec. 1. 22 MRSA §1718-D is enacted to read:
§ 1718-D. Provider network participation status
Prior to services being rendered to a patient, a hospital or ambulatory surgical center licensed under chapter 405 shall disclose in writing to a patient or a patient's designee when a radiologist, anesthesiologist, pathologist or other licensed health care practitioner who provides nonemergency surgical or other health care services within the hospital or ambulatory surgical center is not employed by the hospital or ambulatory surgical center. The written disclosure must also include a statement that the health care practitioner may not be a participating provider in the provider network of the patient's health insurance carrier. This section may not be construed to limit or change the application of the rules of the Department of Professional and Financial Regulation, Bureau of Insurance governing health plan accountability.’
SUMMARY
This amendment is the majority report of the committee. The amendment replaces the bill and changes the title. The amendment requires hospital and ambulatory surgical centers to disclose to patients when a health care provider rendering nonemergency surgical or other medical services is not employed by the hospital or ambulatory surgical center and may not be a participating provider in the patient's health insurance carrier network. The amendment also clarifies that the provision does not limit or change the application of the rules of the Department of Professional and Financial Regulation, Bureau of Insurance governing health plan accountability.