HB 1309-1_ Filed 04/06/1999, 15:18
MR. PRESIDENT:
I move
that Engrossed House Bill 1309 be amended to read as follows:
Page 3, between lines 34 and 35, begin a new paragraph and
insert:
"SECTION 3.
IC 27-13-9-3
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 1999]: Sec. 3. (a) A health
maintenance organization shall notify an enrollee in writing of the
termination of:
(1) the provider who currently provides primary health care
services to that enrollee; and
(2) any other participating provider seen by the enrollee
during the previous year.
(b) After the termination of the provider who provided primary
health care services to an enrollee, the health maintenance organization
shall assist the enrollee in transferring to another participating primary
care provider.".
Page 11, between lines 21 and 22, begin a new paragraph and
insert:
"SECTION 8.
IC 27-13-34-12
IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 1999]: Sec. 12. A limited service
health maintenance organization operated under this chapter is subject
to the following:
(1)
IC 27-13-8
, except for
IC 27-13-8-2
(a)(5) concerning reports.
(2) IC 27-13-9-3 concerning termination of providers.
(3)
IC 27-13-10-1
through
IC 27-13-10-3
concerning grievance
procedures.
(3)
(4) IC 27-13-11
concerning investments.
(4)
(5) IC 27-13-15-1
(a)(2) through
IC 27-13-15-1
(a)(3)
concerning gag clauses in contracts.
(5)
(6) IC 27-13-21
concerning producers.
(6)
(7) IC 27-13-29
concerning statutory construction and
relationship to other laws.
(7)
(8) IC 27-13-30
concerning public records.
(8)
(9) IC 27-13-31
concerning confidentiality of medical
information and limitation of liability.
(9)
(10) IC 27-13-36-5
and
IC 27-13-36-6
concerning referrals
to out of network providers and continuation of care.
(10)
(11) IC 27-13-40
concerning comparison sheets of services
provided by the limited service health maintenance organization.
Renumber all SECTIONS consecutively.
(Reference is to EHB 1309 as printed April 6, 1999.)