The bill amends the Prudent Purchaser Act of 1984 by updating definitions and terminology within Section 2. Notably, the term "commissioner" is replaced with "director of the department of insurance and financial services," and "community health" is changed to "human services." Additionally, the definition of "health care provider" is expanded to include various licensed professionals and facilities, while the previous exclusion of pharmacists and pharmacies is removed. The bill also clarifies the definition of "health facility" to encompass a broader range of health services, including outpatient therapy and substance use disorder services.
Furthermore, the bill modifies the definitions of "insurer" and "third party administrator" to align with existing insurance code terminology. It specifies that the amendments will not take effect unless House Bill No. 5729 is also enacted into law. Overall, these changes aim to modernize the language and scope of the Prudent Purchaser Act to better reflect current health care practices and regulatory frameworks.
Statutes affected: House Introduced Bill: 550.52