This bill amends section 44-4109.01 of the Reissue Revised Statutes of Nebraska, introducing new requirements for certain insurance policies and contracts. Key changes include the stipulation that prospective insured individuals must receive clear and understandable information about their insurance arrangements, including coverage provisions, prior authorization requirements, and financial responsibilities. Additionally, the bill mandates that customer satisfaction survey results be made available to current and potential participants, and establishes a mechanism for a committee of preferred providers to advise on medical policy and credentialing processes.
Significantly, the bill modifies the criteria for excluding providers from insurance arrangements. It specifies that policies cannot exclude a provider with a practice that serves a substantial number of patients with severe medical conditions or who holds a visiting faculty permit, while still allowing exclusions based on quality, accessibility, or economic considerations. The original section 44-4109.01 is repealed, consolidating these updates into the revised statute.
Statutes affected: Introduced: 44-4109.01