State Seal2 copy            Bill Number: H.B. 2494

            Livingston Floor Amendment

            Reference to: FINANCE Committee amendment

            Amendment drafted by: Carolyn Speroni

 

 

FLOOR AMENDMENT EXPLANATION

 

1.    Specifies that if a health insurer acquires the provider network of another health insurer, the health insurer that is contracted with a healthcare provider in the network that has been acquired shall notify each healthcare provider of the acquired network.

2.    Allows a healthcare provider that is in a provider network that is acquired to:

a)    continue the provider relationship;

b)   terminate the provider relationship with the health insurer in a time and manner consistent with the contract; and

c)    enter into a contract directly with the health insurer that acquired the provider network.

3.    Specifies that this does not apply to acquisitions or arrangements that are disclosed in the network contract between a healthcare provider and a health insurer and to which the healthcare provider has already agreed.

 


 

Fifty-fourth Legislature                                               Livingston

First Regular Session                                                   H.B. 2494

 

LIVINGSTON FLOOR AMENDMENT

SENATE AMENDMENTS TO H.B. 2494

(Reference to FINANCE Committee amendment)

 


Page 2, strike lines 4 through 6, insert:

"Page 2, line 1, strike "health care"

Line 3, strike "a health care" insert "the"; strike "that"

Strike line 4, insert "of another"

Line 5, strike "shall:"

Strike lines 6 through 11, insert "that is contracted with a health care provider in the network that has been acquired shall notify, consistent with the notification provisions of the provider contract, each health care provider of the acquired network.

B.  A health care provider that is in a provider network that is acquired may do any of the following:

1.  Continue the provider relationship with the health insurer that acquired the provider network.

2.  Terminate the provider relationship with the health insurer that acquired the provider network in a time and manner consistent with the contract between the health care provider and the health insurer that is contracted with the health care provider.

3.  Enter into a contract directly with the health insurer that acquired the provider network.

C.  This section does not apply to acquisitions or arrangements that are disclosed in the network contract between a health care provider and a health insurer and to which the health care provider has already agreed."

Reletter to conform"

Amend title to conform


 

 

DAVID LIVINGSTON

 

2494FloorLIVINGSTON

04/03/2019

2:24 PM

C: MH