Fifty-fourth Legislature                                                 Commerce

Second Regular Session                                                  S.B. 1024

 

PROPOSED

HOUSE OF REPRESENTATIVES AMENDMENTS TO S.B. 1024

(Reference to Senate engrossed bill)

 


Page 1, line 36, strike "out‑of‑network"; after "surprise" insert "out‑of‑network"

Line 43, after "bill" insert "or balance bill"

Page 2, lines 12 and 44, after "insurer's" insert "or health care services organization's"

Page 3, line 8, after "to" insert "both of the following:

1.  Fully insured health plans issued by health insurers and health care services organizations.

2.  Subject to the determination prescribed in subsection B of this section,"

Between lines 14 and 15, insert:

"B.  If a self‑funded or self‑insured employee benefit plan is subject to this article, the department shall determine whether a surprise out-of-network bill or balance bill is subject to the process prescribed in section 20‑3114 or 20‑3114.01 by evaluating whether the plan is substantially similar to a health plan issued by a health insurer or health care services organization."

Reletter to conform

Line 35, after "dispute" insert "under this article"

Page 8, line 23, strike "foe" insert "for the health care services at issue in the county where the"

Amend title to conform


 

JEFF WENINGER

 

1024WENINGER

03/06/2020

5:22 PM

C: pp