HB530--HEALTHCAREPROVIDERDISCRIMINATION
SPONSOR: Hausman
Thisbillestablishesthe"PatientsFirstAct".
Thisbillprohibitsagrouphealthplanorhealthissuanceissuer
offeringgrouporindividualhealthinsurancecoveragefrom
discriminating withrespecttoparticipationundertheplanor
coverageagainstanyhealthcareproviderwhoisactingwithinthe
scopeoftheprovider'slicenseorcertificate.
Thehealthbenefitplancannotdiscriminateagainstahealthcare
providerbasedontheprovider'slicensurewithrespectto
reimbursementorparticipationinanyplanorinsuranceprogram.
Thebillrequiresahealthcareprovidertobereimbursedatthe
samerateforthesameserviceaslongastheserviceiswithinthe
provider'sscopeofpractice,buttheseprovisionsshouldnotbe
construedtopreventagrouphealthplanorahealthinsurance
issuerfromestablishingvaryingreimbursementratesbasedon
qualityorperformancemeasures.
ThisbillissimilartoHCSHB2733(2024).