Amendment No. 102

 

Senate Amendment to Senate Bill No. 163                                                                         (BDR 57‑683)

Proposed by: Committee on Commerce and Labor

Amendment Box:

Resolves Conflicts with: N/A

Amends:         Summary:               Title:              Preamble:               Joint Sponsorship:

 

ASSEMBLY ACTION              Initial and Date              |SENATE ACTION                        Initial and Date

       Adopted       Lost                                               |          Adopted       Lost                                           

Concurred In                     Not                                                        |Concurred In  Not                                       

       Receded        Not                                               |         Receded        Not                                           

 

     Amend sec. 2, page 2, by deleting lines 24 through 27 and inserting:

nonprofit corporation for hospital or medical services shall:

     1.  If requested by the provider of health care at the time the contract is made, submit to the provider of health care a copy of the schedule of payments applicable to the provider of health care; or

     2.  If requested by the provider of health care at any other time, submit to the provider of health care the schedule of payments specified in subsection 1 within 7 days after receiving the request.”.

     Amend sec. 3, page 2, by deleting lines 33 through 35 and inserting:

provide health care to an insured, the insurer shall:

     (a) If requested by the provider of health care at the time the contract is made, submit to the provider of health care the schedule of payments applicable to the provider of health care; or

     (b) If requested by the provider of health care at any other time, submit to the provider of health care the schedule of payments specified in paragraph (a) within 7 days after receiving the request.”.

     Amend sec. 4, page 2, by deleting lines 43 through 45 and inserting:

insurer shall:

     (a) If requested by the provider of health care at the time the contract is made, submit to the provider of health care the schedule of payments applicable to the provider of health care; or

     (b) If requested by the provider of health care at any other time, submit to the provider of health care the schedule of payments specified in paragraph (a) within 7 days after receiving the request.”.

     Amend sec. 5, page 3, by deleting lines 9 through 11 and inserting:

carrier shall:

     (a) If requested by the provider of health care at the time the contract is made, submit to the provider of health care the schedule of payments applicable to the provider of health care; or

     (b) If requested by the provider of health care at any other time, submit to the provider of health care the schedule of payments specified in paragraph (a) within 7 days after receiving the request.”.

     Amend sec. 6, page 3, by deleting lines 17 through 19 and inserting:

provide health care to an insured, the society shall:

     (a) If requested by the provider of health care at the time the contract is made, submit to the provider of health care the schedule of payments applicable to the provider of health care; or

     (b) If requested by the provider of health care at any other time, submit to the provider of health care the schedule of payments specified in paragraph (a) within 7 days after receiving the request.”.

     Amend sec. 7, page 3, by deleting lines 27 through 29 and inserting:

corporation shall:

     (a) If requested by the provider of health care at the time the contract is made, submit to the provider of health care the schedule of payments applicable to the provider of health care; or

     (b) If requested by the provider of health care at any other time, submit to the provider of health care the schedule of payments specified in paragraph (a) within 7 days after receiving the request.”.

     Amend sec. 8, page 3, by deleting lines 37 through 39 and inserting:

health maintenance organization shall:

     (a) If requested by the provider of health care at the time the contract is made, submit to the provider of health care the schedule of payments applicable to the provider of health care; or

     (b) If requested by the provider of health care at any other time, submit to the provider of health care the schedule of payments specified in paragraph (a) within 7 days after receiving the request.”.

     Amend sec. 9, page  4, by deleting lines 6 through 8 and inserting:

organization shall:

     (a) If requested by the provider of health care at the time the contract is made, submit to the provider of health care the schedule of payments applicable to the provider of health care; or

     (b) If requested by the provider of health care at any other time, submit to the provider of health care the schedule of payments specified in paragraph (a) within 7 days after receiving the request.”.

     Amend the title of the bill by deleting the fourth through the seventh lines and inserting:

“certain circumstances; requiring the submission of a schedule of payments to a provider of health care under certain circumstances;”.