SB 944 - Williams, Brian
Modifies provisions relating to unanticipated out-of-network health care
Bill Details
Sponsor
LR Number
5173S.01I
Title
SB 944
House Handler
N/A
Journal Page
Effective Date
August 28, 2020
Committee
Current Status
Second Read and Referred S Insurance and Banking Committee
Quick Links
Amendments
No amendments available
CURRENT BILL SUMMARY
SB 944 - This act modifies the definition of "unanticipated out-of-network care" to no longer require that the patient shall present at the in-network facility "with an emergency medical condition".
The act also specifies that "unanticipated out-of-network care" shall include a referral or transfer from an in-network provider to an out-of-network provider in a situation where the only provider capable of rendering life-saving or life-sustaining treatment to the patient is an out-of-network provider.
Lastly, the act provides that in-network deductible, "co-pay, coinsurance," and out-of-pocket maximum cost-sharing requirements shall apply to claims for unanticipated out-of-network care, rather than the in-network deductible and out-of-pocket requirements alone.
This act is similar to HB 2417 (2020).
ERIC VANDER WEERD