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OH HB185
Bill
Status
10/21/2009
Primary Sponsor
Todd Snitchler
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AI Summary
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Requires contracting entities to provide participating providers written notice of material amendments to health care contracts at least 90 days prior to the effective date, with notice conspicuously titled "Notice of Material Amendment to Contract."
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Allows participating providers 15 days after receiving notice to object in writing to the material amendment, with either party then able to terminate the contract upon 60 days' written notice if the objection is not resolved.
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Specifies that if a participating provider objects to a material amendment and neither party terminates the contract, the material amendment shall not become part of the existing health care contract.
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Exempts from these requirements amendments necessary to prevent imminent harm to enrollees, amendments required by state or federal law, amendments based on changes to Medicare or Medicaid physician fee schedules, and routine updates responding to changes in service or procedure codes.
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Permits health care contracts to be amended by operation of law as required by state or federal law, rule, or regulation without renegotiation of contracts existing before June 25, 2008 until renewal or material amendment.
Legislative Description
To specify that a material amendment to a health care contract does not become part of the contract unless agreed upon by both parties.
Health care contract-material amendment-in contract only if both parties agree
Last Action
To Insurance, Commerce, & Labor
10/22/2009