An Act Concerning Continuity Of Care And Network Adequacy.
Impact
Should HB 5382 be enacted, it would amend existing sections of health law to integrate stronger measures for patient care during transitions between healthcare providers or networks. Specifically, the bill addresses how health carriers must notify and support patients who are in active treatment for serious or life-threatening conditions when their providers are removed from a network. This adjustment is expected to facilitate better health outcomes by preventing disruption in patient care and ensuring that individuals in critical treatment follow the best course of care without additional hurdles.
Summary
House Bill 5382, titled 'An Act Concerning Continuity Of Care And Network Adequacy,' seeks to enhance patient protections regarding continuity of care when health care providers leave an insurance carrier's network. The bill explicitly defines what constitutes an 'active course of treatment' and sets out requirements for health carriers, including the obligation to provide at least 60 days' written notice prior to the removal of a participating provider from the network. Furthermore, the bill mandates that patients receiving ongoing care must be informed of their rights regarding continuity of care, ensuring they have access to needed medical services even when providers undergo changes in network status.
Contention
Discussions surrounding HB 5382 have likely elicited differing opinions regarding the balance between regulation of health carriers and the autonomy of healthcare providers. Proponents argue this legislation offers essential protections for patients and addresses significant gaps in existing guidelines, which can otherwise leave patients vulnerable during provider network changes. Conversely, some opposition might stem from concerns about the increased regulatory burden placed on health carriers, potentially leading to higher insurance costs as providers grapple with compliance. This ongoing dialogue underscores the tension between ensuring patient rights and managing the financial implications for insurers and healthcare systems.
An Act Concerning The Availability Of Telehealth Providers In Determining Network Adequacy And Extending The Telehealth Provisions Adopted During The Covid-19 Pandemic.