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MS HB1234
Bill
Status
2/4/2014
Primary Sponsor
Gary Chism
Click for details
AI Summary
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Prohibits hospitals, health systems, health care facilities, and managed care organizations from taking adverse actions against physicians (termination, denial, restriction of clinical privileges or network participation) without providing fair process protections.
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Requires written notice by certified mail at least 60 working days before any hearing, containing detailed explanation of reasons for proposed action, reference to supporting evidence available within 7 working days, and notification of the physician's right to an in-person hearing and legal representation.
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Mandates in-person hearings conducted by a panel of at least three persons selected by nationally recognized health care dispute resolution organizations, with at least one member being an actively practicing physician in the same specialty as the affected physician.
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Requires hearing panels to issue written decisions within 60 calendar days containing detailed bases for the decision and applicable contract language; adverse actions cannot take effect until at least 60 days after the physician receives the panel's decision or contract termination date, whichever is earlier.
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Voids any contractual provisions that waive or conflict with these fair process protections; establishes the Commissioner of Insurance shall promulgate administrative rules governing hearings.
Legislative Description
Physician; require health care facilities & managed care organizations to provide fair process before adverse actions affecting.
Last Action
Died In Committee
2/4/2014