HB 5360 Summary

• Amends the nonprofit health care corporation reform act to modify requirements for physical therapy service reimbursement under both standard and prudent purchaser agreements.

• Health care corporations are not required to reimburse for physical therapy services unless provided by a licensed physical therapist or assistant under supervision and pursuant to a referral from a licensed health care professional (dentist, physician, osteopath, or chiropractor, or equivalent out-of-state license).

• Makes identical physical therapy referral requirements applicable to both standard participating contracts (Section 502) and prudent purchaser agreements (Section 502a).

• Contains clarifying language changes throughout, including replacing "pursuant to" with "under" and correcting terminology (e.g., "optometric" to "optometry").

• Takes effect only if House Bill 5356 is enacted into law (tie-bar provision).