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IN SB0303
Bill
AI Summary
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Creates a new chapter in Indiana Code defining direct primary care agreements as contracts between a primary care provider and a patient for agreed-upon periodic fees without billing third-party insurers.
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Excludes direct primary care agreements from insurance regulation under Indiana Code 27, and providers are not required to obtain an insurance certificate of authority.
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Defines primary care providers as persons licensed, certified, or registered under Indiana Code 12, 16, or 25 to provide primary care services including screening, assessment, diagnosis, treatment, referrals, and care coordination.
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Requires direct primary care agreements to be in writing and signed by both parties, with provisions allowing either party to terminate upon written notice and limiting advance payments to no more than 12 months.
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Mandates agreements specify the scope of covered services, periodic and additional fees, contract duration, automatic renewal periods, and include a prominent written statement that the agreement is not health insurance.
Legislative Description
Direct primary care agreements. Specifies that: (a) a direct primary care agreement is not insurance; and (b) a primary care provider or an employer of primary care provider that enters into a direct primary care agreement is not required to obtain an insurance certificate of authority. Sets forth requirements of a direct primary care agreement.
Last Action
Public Law 108
4/21/2017