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HB 2427: Managed Care Organizations

GENERAL BILL by Health Care Services ; Peaden ; (CO-INTRODUCERS) Casey

Managed Care Organizations; revises provisions re provider contracts; provides for certain disclosures & requires notice; requires procedures for requesting & granting authorization for utilization of services; provides for HMO liability for payment for services rendered to subscribers; prohibits provider billing of subscribers under specified circumstances; defines term "clean claim"; requires DOI to adopt rules to establish claim form, etc. Amends FS.

Effective Date: 10/01/2000 except as otherwise provided
Last Action: 5/5/2000 Senate - Died in Committee on Banking and Insurance, Iden./Sim./Compare Bill(s) passed, refer to CS/CS/CS/SB 1508 (Ch. 2000-252)
Bill Text: Web Page | PDF

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  • Bill History

    Date Chamber Action
    4/20/2000 House • Filed; Introduced -HJ 00589
    4/26/2000 House • Placed on Calendar -HJ 00831
    4/28/2000 House • Placed on Special Order Calendar; Read second time -HJ 01225
    5/2/2000 House • Read third time -HJ 01430; Amendment(s) failed -HJ 01431; Passed; YEAS 118 NAYS 0 -HJ 01434
    5/2/2000 Senate • In Messages
    5/3/2000 Senate • Received, referred to Banking and Insurance; Health, Aging and Long-Term Care -SJ 00995
    5/5/2000 Senate • Died in Committee on Banking and Insurance, Iden./Sim./Compare Bill(s) passed, refer to CS/CS/CS/SB 1508 (Ch. 2000-252)

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  • HB 2427, Original Filed Version (Current Bill Version) Posted 8/28/2000 at 9:15 AM

    Bill Text:   Web Page | PDF
    Analyses:   Health Care Services (Post-Meeting) 4/20/2000 (pdf)
    Health Care Services (Post-Meeting) 6/9/2000 (pdf)

    Related Bills (4)

    Bill Number Subject Filed By Relationship Last Action and Location
    S 1508 (c3) Saunders Similar Last Action: 6/8/2000 Approved by Governor; Chapter No. 2000-252
    Location:
    H 1475 Payment of Health Insurance Claims Gay Compare Last Action: 3/31/2000 H Withdrawn from Health Care Services (HFC); Judiciary (CJC); Governmental Rules & Regulations (PRC); Health & Human Services Appropriations (FRC); Withdrawn from further cons.,Iden/Sim/Compare Bill(s) passed, refer to CS/CS/CS/SB 1508 (Ch. 2000-252) -HJ 00406
    Location:
    S 706 (c1) Health Maintenance Organizations Saunders Compare Last Action: 4/25/2000 S CS combines this bill with CS/C<a href=/Session/index.cfm?Mode=Bills&Submenu=1&BI_Mode=ViewBillInfo&Billnum=1508&Year=2000>S 1508</a>; Comm. Action: CS/CS/CS Fiscal Policy; YEAS 5 NAYS 0 -SJ 00582; Original bill laid on Table, refer to combined CS/CS/CS/SB 1508 (Ch. 2000-252)
    Location:
    S 2234 Health Care Services Saunders Compare Last Action: 4/3/2000 S CS combines this bill with 706; Comm. Action: CS by Banking and Insurance; YEAS 10 NAYS 0 -SJ 00407; Original bill laid on Table, refer to combined CS/SB 706 (Laid on Table in Senate), refer to combined CS/CS/CS/SB 1508 (Ch. 2000-252); See also CS/HB 2339 (Ch. 2000-256)
    Location:

    Floor Amendments (7)

    Amendment Sponsor Filed Last Floor Action Format
    490689 - Amendment
    Frankel 5/3/2000
    3:36 AM
    Web Page
    PDF
    115723 - Amendment
    Bloom 5/3/2000
    4:29 AM
    Web Page
    PDF
    194553 - Amendment
    Bloom 5/3/2000
    4:30 AM
    Web Page
    PDF
    303771 - Amendment
    Bucher 5/3/2000
    4:49 AM
    Web Page
    PDF
    hierarchy 764519 - Amendment to Amendment (303771)
    Argenio 5/3/2000
    4:56 AM
    Web Page
    PDF
    501121 - Amendment
    Bucher 5/3/2000
    4:51 AM
    Web Page
    PDF
    712087 - Amendment
    Casey 5/3/2000
    4:55 AM
    Web Page
    PDF

    Floor Votes (2)

    Date Chamber Result
    5/2/2000 5:11 PM House 42 Yeas - 71 Nays
    5/2/2000 5:18 PM House 118 Yeas - 0 Nays

    Citations - Statutes (13)

    Citation Catchline Location in Bill Location In Bill Help
    395.0193 Licensed facilities; peer review; disciplinary powers; agency or partnership with physicians.
    395.0197 Internal risk management program.
    395.1065 Criminal and administrative penalties; injunctions; emergency orders; moratorium.
    408.7057
    641.315 Provider contracts.
    641.3154
    641.3155 Provider contracts; payment of claims.
    641.3156
    641.3903 Unfair methods of competition and unfair or deceptive acts or practices defined.
    641.3909 Cease and desist and penalty orders.
    641.495 Requirements for issuance and maintenance of certificate.
    817.234 False and fraudulent insurance claims.
    817.50 Fraudulently obtaining goods, services, etc., from hospital.

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