Bill Summary

by Trujillo  CS Sponsors: Health & Human Services Committee, Insurance & Banking Subcommittee

Health Insurance Coverage for Emergency Services: Prohibits coverage for emergency services from requiring prior authorization determination; requires such coverage to be provided regardless of whether service is furnished by participating or nonparticipating provider; specifies coinsurance, copayment, limitation of benefits, & reimbursement requirements for nonparticipating providers; prohibits nonparticipating provider from collecting or attempting to collect amount in excess of specified amounts; revises methodology for determining HMO reimbursement amounts for certain services. Effective Date: October 1, 2015

   H Insurance & Banking Subcommittee
   H Appropriations Committee
   H Health & Human Services Committee