Direct primary care agreements; the Commonwealth's insurance laws do not apply. [SB-800]
[Healthcare ]
[Insurance ]
[Public Health ]
Direct primary care agreements. Provides that direct agreement between a patient, the patient's legal representative, or the patient's employer and a health care provider for ongoing primary care services in exchange for the payment of a monthly periodic fee is not health insurance or a health maintenance organization, if patients are not required to pay monthly periodic fees prior to initiation of the direct agreement coverage period. The measure also provides that a health care provider who participates in a direct primary care practice may participate
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SB-800: Direct primary care agreements; the Commonwealth's insurance laws do not apply.
Sponsored by: Sen. Amanda Chase
Governor: Acts Of Assembly Chapter Text (chap0831) on 04/26/2017
Health insurance provider contracts; accepting enrollees as patients. [SB-752]
[Healthcare ]
[Insurance ]
[Consumer Protection ]
[Public Health ]
Health insurance provider contracts; accepting enrollees as patients. Requires certain contracts between a health insurance carrier and a provider of health care services to include provisions that prohibit a participating provider from (i) refusing or declining to accept an enrollee who has sustained an injury as a patient or (ii) refusing or declining to provide covered services to an enrollee who has sustained an injury on the basis of the mechanism of the injury sustained by the enrollee. The State Corporation Commission shall not have jurisdiction
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SB-752: Health insurance provider contracts; accepting enrollees as patients.
Sponsored by: Sen. Scott Surovell
Left In Commerce And Labor on 12/02/2016
Direct primary care agreements; Commonwealth's insurance laws do not apply. [HB-1393]
[Healthcare ]
[Insurance ]
[Public Health ]
Direct primary care agreements. Provides that the Commonwealth's insurance laws do not apply to direct primary care agreements. The measure further provides that (i) a direct primary care practice is not subject to the jurisdiction of the State Corporation Commission (SCC) and is not required to obtain a certificate of authority or license to market, sell, or offer to sell a direct primary care agreement; (ii) entering into a direct primary care agreement shall not be considered to be engaging in the business of insurance; and (iii) a direct primary
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HB-1393: Direct primary care agreements; Commonwealth's insurance laws do not apply.
Sponsored by: Rep. R. Steven Landes
Stricken From Docket By Commerce And Labor By Voice Vote on 01/12/2017
Accident and sickness insurance; step therapy protocols, disclosure of information. [HB-362]
[Insurance ]
[Healthcare ]
[Pharmaceuticals ]
[Consumer Protection ]
Step therapy protocols; disclosures. Requires health insurers that limit coverage for prescription drugs through the use of a step therapy protocol to have in place a process for a prescribing provider to request an override of the protocol for a patient. A step therapy protocol is a protocol or program that establishes the specific sequence in which prescription drugs for a specified medical condition are medically appropriate for a particular patient and are covered by a health benefit plan or that conditions coverage of a prescription medication
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HB-362: Accident and sickness insurance; step therapy protocols, disclosure of information.
Sponsored by: Rep. Glenn Davis
Left In Commerce And Labor on 12/01/2016
Direct primary care agreements. [SB-627]
[Healthcare ]
[Insurance ]
[Consumer Protection ]
Direct primary care agreements. Provides that the Commonwealth's insurance laws do not apply to direct primary care agreements. The measure further provides that (i) a direct primary care practice is not be subject to the jurisdiction of the State Corporation Commission (SCC) and is not required to obtain a certificate of authority or license to market, sell, or offer to sell a direct primary care agreement; (ii) entering into a direct primary care agreement shall not be considered to be engaging in the business of insurance; and (iii) a direct
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SB-627: Direct primary care agreements.
Sponsored by: Sen. Lynwood Lewis
Left In Commerce And Labor on 12/02/2016
Relating generally to workers’ compensation [HB-2134]
[Workers' Compensation ]
[Labor, Jobs, Employment ]
[Crime ]
[Public Safety ]
[Law Enforcement ]
The purpose of this bill is to provide that unenforceable waivers may not be offered by employers. The bill provides that policies that offer no coverage are against public policy. The bill establishes misdemeanor penalties.
HB-2134: Relating generally to workers’ compensation
Sponsored by: Sen. Bill Hamilton
Filed For Introduction on 02/08/2017
Health insurance; assignment of benefits. [HB-1251]
[Healthcare ]
[Insurance ]
Health insurance; assignment of benefits. Prohibits health care coverage plan providers from refusing to accept assignments of benefits executed by covered individuals in favor of health care providers and hospitals. The bill is applicable to (i) insurers issuing individual or group accident and sickness insurance policies providing hospital, medical and surgical, or major medical coverage on an expense-incurred basis, (ii) corporations providing individual or group accident and sickness subscription contracts, (iii) health maintenance organizations
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HB-1251: Health insurance; assignment of benefits.
Sponsored by: Rep. James Leftwich
Left In Commerce And Labor on 12/01/2016
Health insurance; proton radiation therapy coverage decisions. [HB-978]
[Healthcare ]
[Insurance ]
[Public Health ]
Health insurance; proton radiation therapy coverage decisions. Prohibits health insurance policies and plans from holding proton radiation therapy to a higher standard of clinical evidence for benefit coverage decisions than is applied for other types of radiation therapy treatment. The measure applies to policies and plans that provide coverage for cancer therapy.
HB-978: Health insurance; proton radiation therapy coverage decisions.
Sponsored by: Rep. David Yancey
Left In Commerce And Labor on 12/01/2016
Fire Programs Fund; increases rate of assessment for Fund. [HB-1239]
[Insurance ]
[Public Safety ]
[Funding ]
Fire Programs Fund. Increases the rate of the assessment for the Fire Programs Fund from one to 1.4 percent of the total direct gross premium income for fire and related lines of insurance.
HB-1239: Fire Programs Fund; increases rate of assessment for Fund.
Sponsored by: Rep. Terry Kilgore
Left In Commerce And Labor on 12/01/2016
Health benefit plans; prescription drugs; tiers. [SB-442]
[Healthcare ]
[Insurance ]
[Pharmaceuticals ]
[Consumer Protection ]
Health benefit plans; prescription drugs; tiers. Prohibits a health carrier offering a health benefit plan that provides coverage for prescription drugs from implementing a formulary that places a prescription drug on the highest cost-sharing tier unless at least one prescription drug that is in the same therapeutic class and is a medically appropriate alternative treatment for a given disease or condition is available at a lower cost-sharing tier under the formulary.
SB-442: Health benefit plans; prescription drugs; tiers.
Sponsored by: Sen. Rosalyn Dance
Left In Commerce And Labor on 12/02/2016
Guaranteed Asset Protection Waiver Act [HB-2126]
[Insurance ]
[Consumer Protection ]
[Finance ]
The purpose of this bill is to clarify that guaranteed asset protection waivers are not insurance; to specify terms and conditions under which guaranteed asset protection waiver contracts may be sold in this state; and to provide an exception for commercial transactions. The bill also authorizes the Insurance Commissioner to impose a civil money penalty for all violations of section.
HB-2126: Guaranteed Asset Protection Waiver Act
Sponsored by: Rep. Steve Westfall
Filed For Introduction on 02/08/2017