HB 1309-1_ Filed 04/06/1999, 15:18

Adopted 4/8/1999

SENATE MOTION


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.)

________________________________________

Senator WYSS


RS 130901/DI es
1999