Ben Smaltz
- Republican
- Representative
- District 52
Author
States that the office of the secretary of family and social services and a managed care organization may not prohibit a provider from participating in another insurance network. Defines "weighted average negotiated charge" and requires the weighted average negotiated charge per service per provider type for Medicaid to be reported by hospitals and ambulatory outpatient surgical centers. Requires certain health care providers, beginning July 1, 2021, to provide a good faith estimate to individuals of the price for nonemergency health care services to be provided to the individual by the health care provider and sets forth requirements. Allows an individual to request a good faith estimate from a health care provider for the total price for nonemergency services that have been ordered, scheduled, or referred. and requires the health care provider to provide the good faith estimate. Sets forth requirements for the good faith estimate. Provides that an out of network practitioner who provides health care services to a covered individual in an in network facility may not charge more for the health care services provided to a covered individual than allowed according to the rate or amount of compensation established by the covered individual's network plan unless: (1) at least five days before the health care services are scheduled to be provided, the covered individual is provided a statement that: (A) informs the covered individual that the facility or practitioner intends to charge more than allowed under the network plan; and (B) sets forth an estimate of the charge; and (2) the covered individual signs the statement, signifying the covered individual's consent to the charge. Sets forth notice requirements. Sets forth provisions that a physician noncompete agreement must include in order to be enforceable. Provides for information and notification that an employer must give to a physician who leaves the employment of the provider. Allows an individual to request from a health carrier a good faith estimate of the amount of the cost of nonemergency health care services that the health carrier will pay for or reimburse and the applicable benefit limitations of the nonemergency health care service. Sets forth requirements of a good faith estimate by a health carrier and sets penalties for violations.
Public Law 93
Signed by the President of the Senate
Signed by the Governor
Signed by the Speaker
Signed by the President Pro Tempore
Representative Schaibley added as conferee
Representative Schaibley removed as advisor
Representative Austin removed as conferee
Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 397: yeas 59, nays 32
Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 401: yeas 46, nays 2
CCR # 1 filed in the Senate
CCR # 1 filed in the House
Representative Austin added as conferee
Senator Ford Jon added as advisor
Senate advisors appointed: Brown L and Melton
Senate conferees appointed: Charbonneau and Breaux
Representative Fleming added as advisor
Representative Fleming removed as conferee
Motion to dissent filed
Returned to the House with amendments
House dissented from Senate amendments
House conferees appointed: Smaltz and Fleming
House advisors appointed: Carbaugh, Schaibley, Lehman, Judy, Shackleford, Bauer and Campbell
Senator Spartz added as cosponsor
Third reading: passed; Roll Call 271: yeas 49, nays 1
Amendment #4 (Charbonneau) prevailed; voice vote
Senator Randolph added as cosponsor
Second reading: amended, ordered engrossed
Amendment #5 (Charbonneau) prevailed; voice vote
Senator Breaux added as cosponsor
Committee report: amend do pass, adopted
First reading: referred to Committee on Health and Provider Services
Referred to the Senate
Third reading: passed; Roll Call 75: yeas 99, nays 0
Representatives Lehman and Carbaugh added as coauthors
Representative Barrett added as coauthor
Senate sponsors: Senators Charbonneau and Bassler
Amendment #1 (Shackleford) failed; Roll Call 67: yeas 31, nays 62
Second reading: ordered engrossed
Amendment #3 (Austin) motion withdrawn
Committee report: amend do pass, adopted
Authored by Representative Smaltz
| Bill Text Versions | Format |
|---|---|
| Introduced House Bill (H) | |
| House Bill (S) | |
| House Bill (S) | |
| Engrossed House Bill (H) | |
| Enrolled House Bill (H) |
| Document | Format |
|---|---|
| Fiscal Note: HB1004.05.ENRS.FN001 | |
| Committee Report: HB1004.04.ENGS.CCS001 | |
| Committee Report: HB1004.04.ENGS.CCH001 | |
| Fiscal Note: HB1004.04.ENGS.FN001 | |
| Fiscal Note: HB1004.04.ENGS.FN002 | |
| Fiscal Note: HB1004.03.COMS.FN001 | |
| Floor Amendment: HB1004.03.COMS.AMS001 | |
| Floor Amendment: HB1004.03.COMS.AMS002 | |
| Floor Amendment: HB1004.03.COMS.AMS006 | |
| Floor Amendment: HB1004.03.COMS.AMS007 | |
| Floor Amendment: HB1004.03.COMS.AMS004 | |
| Floor Amendment: HB1004.03.COMS.AMS005 | |
| Committee Amendment: HB1004.03.COMS.AMS003 | |
| Committee Report: HB1004.02.COMH.CRS001 | |
| Fiscal Note: HB1004.02.COMH.FN001 | |
| Fiscal Note: HB1004.02.COMH.FN002 | |
| Fiscal Note: HB1004.02.COMH.FN003 | |
| Floor Amendment: HB1004.02.COMH.AMH002 | |
| Floor Amendment: HB1004.02.COMH.AMH001 | |
| Floor Amendment: HB1004.02.COMH.AMH003 | |
| Committee Amendment: HB1004.02.COMH.AMS05 | |
| Committee Report: HB1004.01.INTR.CRH001 | |
| Fiscal Note: HB1004.01.INTR.FN001 | |
| Committee Amendment: HB1004.01.INTR.AMH04 |
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