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OK SB1363
Bill
AI Summary
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Defines providers who choose not to contract with a health maintenance organization (HMO) as "out-of-network" practitioners
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Prohibits out-of-network providers who deliver emergency services to HMO enrollees from charging patients amounts beyond applicable copayments or deductibles
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Requires HMOs to compensate providers for emergency screening, evaluation, and examination services based on usual, customary, and common costs for the geographic area, capped at in-network service rates
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Effective date: November 1, 2016
Legislative Description
Insurance; establishing compensation scheme for certain providers; defining out-of-network providers. Effective date.
Last Action
Remove as author Senator Loveless; authored by David
2/23/2016
Committee Referrals
Health and Human Services2/2/2016
Full Bill Text
No bill text available