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IN SB0203
Bill
Status
1/25/2019
Primary Sponsor
Elizabeth Brown
Click for details
AI Summary
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Hospitals cannot deny staff or admitting privileges to physicians or podiatrists solely because they choose not to participate in maintenance of certification programs
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Licensed physicians and podiatrists are not required to hold or maintain board certification in a specialty area to practice medicine in Indiana
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Accident and sickness insurers cannot deny reimbursement agreements, deny covered service reimbursement, or set lower reimbursement rates for physicians/podiatrists solely based on non-participation in maintenance of certification
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Health maintenance organizations (HMOs) face the same prohibitions: cannot block provider contracts, deny reimbursement, or reduce payment rates based solely on maintenance of certification status
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Effective date: July 1, 2019; passed Senate Committee on Health and Provider Services with 8-3 vote
Legislative Description
Physician maintenance of certification. Prohibits a hospital from denying hospital staff or admitting privileges to a physician or podiatrist based solely on the decision of the physician or podiatrist not to participate in maintenance of certification. Specifies that the medical licensing statute and the podiatrist licensing statute do not require a licensed physician or licensed podiatrist to hold or maintain a board certification in a specialty medical area in order to practice. Prohibits an accident and sickness insurer from: (1) denying a physician or podiatrist the right to enter into a reimbursement agreement with the insurer; (2) denying a physician or podiatrist reimbursement for a covered service; or (3) setting reimbursement for services provided by a physician or podiatrist at a lower rate; based solely on the decision of the physician or podiatrist not to participate in maintenance of certification. Prohibits a health maintenance organization (HMO) from: (1) preventing a physician or podiatrist from entering into a participating provider contract with the HMO; (2) denying a physician or podiatrist reimbursement for a covered service; or (3) setting reimbursement for services provided by a physician or podiatrist at a lower rate; based solely on the decision of the physician or podiatrist not to participate in maintenance of certification.
Last Action
First reading: referred to Committee on Public Health
2/26/2019