Provides for payment to non-contracted health care providers of emergency services. (8/15/2010)
Impact
If enacted, SB 682 would significantly alter the interaction between non-contracted health care providers and health insurance issuers. It would specifically mandate that insurers directly pay claims from non-contracted providers, thereby providing a clearer pathway for these providers to receive payment for their services during emergencies. This change could increase the willingness of non-contracted providers to offer emergency services, knowing that they will be reimbursed at rates established by customary charges rather than potentially lower negotiated rates.
Summary
Senate Bill 682, introduced by Senator Lafleur, aims to regulate the payment process for emergency services provided by health care providers that do not have contracts with health insurance issuers. The bill establishes a framework for how such providers can file claims and mandates that insurance issuers must pay these claims at the provider's usual and customary charges. This legislation is designed to ensure that non-contracted providers are compensated for their emergency services without directly involving patients in the payment process.
Sentiment
The sentiment surrounding SB 682 appears to be generally positive among health care providers who value clear and fair compensation for the services they deliver. However, concerns have been raised regarding the potential financial impact on health insurance issuers and their ability to manage costs effectively. Advocates for the bill believe it is a necessary reform that benefits both providers and patients by ensuring that emergency care is available without undue burdens on providers. Critics, on the other hand, caution against unintended consequences that could arise from such mandated payments.
Contention
Notable points of contention in discussions about SB 682 involve the implications of requiring health insurance issuers to pay for non-contracted services at customary rates. Opponents argue that this could encourage a higher number of non-contracted services and drive up overall healthcare costs, ultimately affecting insurance premiums for consumers. Supporters counter that the bill will create a more equitable system for emergency care, ensuring that patients receive timely medical attention without the added stress of worrying about payment arrangements.
Requires health insurance issuers to directly pay noncontracted health care providers of emergency services for their charges as determined pursuant to the plan or policy of enrollee and insurer. (8/15/10)