This bill amends the Health Care Quality Act to establish that individuals receiving post-operative follow-up care, treatment for a diagnosed illness, or other covered follow-up services from a participating provider will only be required to make a single co-payment or deductible within a 180-day period following their initial payment. Additionally, it prohibits the participating provider from collecting more than one co-payment or deductible during this same timeframe, regardless of the number of follow-up visits the patient has.
The bill stipulates that these provisions will only be applicable if the covered person adheres to the preauthorization or review requirements set forth by their health benefits plan, which are necessary for determining medical necessity for accessing in-network inpatient benefits. The act is set to take effect on the first day of the fourth month following its enactment and will apply to all contracts and policies issued or renewed after that date.