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MS HB612

Bill

Status

Failed

3/12/2014

Primary Sponsor

Gary Chism

Click for details

Origin

House of Representatives

2014 Regular Session

AI Summary

  • Prohibits insurers and vision insurance entities from requiring optometrists or ophthalmologists to provide services or materials at plan-limited fees unless those services are covered and reimbursed under the contract.

  • Prevents providers from charging more for noncovered services than their usual and customary rate for those same services and materials.

  • Requires contractual discounts not to result in fees lower than what the vision plan would pay for covered services after deductibles, copayments, and coinsurance are applied.

  • Mandates that reimbursement for covered services be reasonable and prohibits nominal reimbursement amounts used to classify services as covered.

  • Effective date: July 1, 2014.

Legislative Description

Vision insurance; prohibit provider contracts from establishing or limiting fees for noncovered services.

Last Action

Died On Calendar

3/12/2014

Committee Referrals

Accountability, Efficiency, Transparency2/14/2014
Insurance1/20/2014

Full Bill Text

No bill text available