SPONSOR: Hausman
This bill establishes the "Patients First Act".
This bill prohibits a group health plan or health issuance issuer offering group or individual health insurance coverage from discriminating with respect to participation under the plan or coverage against any health care provider who is acting within the scope of the provider's license or certificate.
The health benefit plan cannot discriminate against a health care provider based on the provider's licensure with respect to reimbursement or participation in any plan or insurance program.
The bill requires a health care provider to be reimbursed at the same rate for the same service as long as the service is within the provider's scope of practice, but these provisions should not be construed to prevent a group health plan or a health insurance issuer from establishing varying reimbursement rates based on quality or performance measures.
This bill is similar to HCS HB 2733 (2024).
Statutes affected: